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07-105238r' r City of Federal Way ` Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical Permit #: 07 -105238 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: GRIGORYAK (GRANDE VISTA LOT 19) Project Address: 33504 42ND AVE SWJParcel Number: 286730 0190 Project Description: Install 200 -amp service and wiring for new residence, including (1) thermostat and low -voltage security alarm system. Owner Applicant Contractor IVAN GRIGORYAK IVAN GRIGORYAK A & D ELECTRICAL SERVICES INC 860 S MULLEN ST 860 S MULLEN ST ADELESI972DK 3/23/09 TACOMA WA TACOMA WA 6503 34TH AVE CT E TACOMA WA 98443 Additional PermitInformation Service greater than 1000 Amps?...........................No Electrical Fixtures Low Voltage $urgler Alarm - Resi 3,494 Service: - Residential .................... 3,494 Thermostat..................................... 1 PERMIT EXPIRES Sunday, September 14, 2008 Permit Issued on Thursday, September 20, 2007 1 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: THIS CAIS+ IS TO RE11IMN ,ON-SITE J CITY OF Community Dev`oiopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -105238 -00 -EL Owner: IVAN GRIGORYAK Address: 33504 42ND AVE SW FEDERAL WAY, WA 98023 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ❑ Slab/Concrete Floor (4255) ❑ Ditch cover (4030) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ ❑ Temporary Power (4275) Service (4235) ❑ Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date 3 a� %By Date ❑ ❑ Rough Electrical (4225) Ceiling Cover (4020) ❑ Final - Electrical (4055) Approved Approved Approved By Date •2� ci`� By Date 3 . �� Byo Date tt I c—, ❑ UFER Ground (4295) Approved a By C 26,,3 Date Cj For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date I MY OF RECEIVED ED � � 3P Federal Way PERMIT SF MF CO M EL PL DE EN FP COMMUNTY DEVELOPMENT STiRyl O 20 0 � TD 33325 8*" IAVENUE SOUTH • PO A P P L I C A T I O N FEDERAL WAY, WA 98063-9718 / 253-835-2607• FAX 253-835.2609 „n„u,.nr„�rrc, ,�I,dGDk76�✓ OF Pe�O��ERAL WAY The following is r8eequ iY AJO tion - an incomplete application will not be accept Please print legibly (in ink) or pe. PROPERTY'INFORMATION •. • SITE ADDRESS 33,501-1 p /y � h pl AVE -514,1 SUITE/UNIT # 2 6 ASSESSOR'S TAX/PARCEL # 8 -7 3-j j tJ - Q LOT SIZE (s LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L O d (Attach awa—pagefw t—guy legal d--pte-4 PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING O MECHANICAL ❑ DEMOLITIONLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJDESCRIPTION (Provide detailed description of ujor included on this permit only) M/� , .Pt/ -S 1 N 'P I rcL Pvt i ( 1 / �1,19�WL `�- '2 © o A lu % 6 ed L --i "— L r! Lou/ l�.'N ci b�-�C�••t _ S G�i� t 0� y �.iJ c lrt�1��`P PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR COPY of card required with each applleatlon APPLICANT PROJECT CONTACT 14D)a0 W11 EXISTING USE NAME - - Tv4AJ GRt djRY PRIMARY PHONE cas3 6 7,P - Q7 s— MAILING ADDRESS © -.5 ly'# 74q�Yof' CITY, STATE, ZIP E-MAIL ADDRESS C Er i AC� JkPCPLICANT NAME OFFICE PHONE ,44NY ec-4-I I -s�✓r CITY, STATE, ZIP - MAILING ADDRESSCITY, 6s0 3y ti A v1° STATE, ZIP CELL PHONE c Q 5-3 .2.2 -© 8 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 06-/0ys01)/-00 G2s3) CONTRACTORS REGISTRATION NUMBER 2bt EXPIRATION DATE E-MAIL ADDRESS 0- L ES-Tq7 03- -o COMPANY NAME APPLICANT NAME - ✓/ l Y OFFICE PHONE yy�� (.2T3) --Adc - g' MAILING ADDRESS CITY, STATE, ZIP CELL PHONE r C;7,f RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other Eldc t�rr��a NAME PRIMARY PHONE - E-MAIL ADDRESS -71 NAME Per RCW 19.27.095.- 9.27.095:Lender information is required if project value exceeds $5,000 Lender MAILING ADDRESS CITY, STATE, ZIP PHONE t ) - EXISTING ASSESSED/APPRAISED VALUE $ PROPOSED USE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 4 tatcra iJEa4tur11V1v k;2UUTING SQ. FT. PROPOSED SQ. FT. TOTAL S . FT. BASEMENT (A COP OF BID OR ESTIZAMUST BE INCLUDED WrW APPLICATION) ,2._ % FIRST S PIPE OUTLETS WOODSTOVES 1552. .SECOND GAS TER HEATERS MISC (Describe) C (7/5 THIRD HOODS tc o NO COMPRESSORS ADDITIONAL FLOORS (DESCRIBE) RANGES o YES DUCTS DECK (0 COVERED OR 0 UNCOVERED?) REFRIG. SYSTEMS PLUMBING GARAGE 0 CARPORT 0 BATHTUBS torTvb/Shower mbo) NUMBER OF FLOORS S708T11i6. rROPOeSD TOTAI. TOTAL Sr TOTAL PRorosan 8r TOTAL ar "NEW HOMES ONLY" NUMBER OF BEDROO ESOA7D SELLING PRICE $ Indicate number of each type offixture to be installed or fXel.caN as part'of this project. Do not include existing fixtures to remain. MECHANICAL o ALTERATION o REPAIR o TENANT IMPROVEMENT Value of Mechanical Work $ (A COP OF BID OR ESTIZAMUST BE INCLUDED WrW APPLICATION) AIR HANDLING UNITS APORATIVE COOLERS S PIPE OUTLETS WOODSTOVES BBQS . FANS GAS TER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS tc o NO COMPRESSORS FURNACES RANGES o YES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING BATHTUBS torTvb/Shower mbo) LAV.S (Bathr wSinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUN NS SHOWERS WATER CLOSETS rroileq ELECTRIC WA R HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of ,the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, i eluding its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. /J NAME/TITLE DATE q'p� 07 ign re) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES D NO ZONING DESIGNATION CHANGE OF .USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES 'o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100—April 2, 2007 . Page 2 of 4 k\Handouts\Permit Application RESIDENTIAL COMMERCIAL W RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE gle Family. Square Feet 9 rUlDetached Service orFeeder Each Addn t 1300 fts-$111.00; Each addS35:50) ❑ 0 to 100 amp $120.50 $74.00 outbuilding or garage 101 - 200 amp 149.50 94.50 (Inspected with service) $47.00 ❑ 201 - 400 amp 280.00. 111.00 ❑ Detached outbuilding or garage ❑ 401 - 600 amp •327.00 131.00 (Inspected separately) $74.00 ❑ 601 - 800 amp 423.00 179.00 ❑ 801 - 1000 amp 516.50. 216.00 NEW MULTI -FAMILY (three units -or more) ❑ Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $ 35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201 - 400 amp 149.50 74.00 0 Mast or meter repair $102.00 401.: 600 amp 205.00 102.00 ❑ 601 - 800 amp 262.00 140.50 ALTERED COMMERCIAL%INDUSTRIAL ❑ Over 800 amp 375.50 280.50 Service or Feeders Cl 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 280.50 Service or Feeder ❑ 601 - 1000 amp 423.00 ❑ 0 to 200 amp $ 92.50 ❑ over 1000 amp 471.00 ❑ 201 - 600 amp 149.50 ❑ E) over 600 amp 225.50 # of circuits to be added/altered (1-5 circuits - $94.50; Add'n circuits, $7.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits -$74.00; Add'n circuits $7.00/ea) $94,50 plus 35% of Permit Fee CJ ❑ Service - 1,000 amps or greater Mast or meter repair $55.00 ❑ Medical/Educatignal/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $I20.50 TEMPORARY SERVICE MOBILE.HOME/RV PARK ❑ ResidentiaWulti-Family $65.00 # of service or feeders (First service/feeder-$74.00; each add'n -$48.00) CommerciaVIndustrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 74:00 ❑ 101 - 200 amps 94.50 0 201 - 400 amps 111.00 ❑ 401 - 600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/ EQUIPMENT # of Thermostats ❑ # of Signs (First -$55.00; add'n-$17.00/ea) (First sign -$55.00; add'n sign $26.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub ................ $111.00 Square Feet to be served by systems) (,Includes additional circuit, if required) Alarm System ecurity Alarm System ❑ Yard Pole meter loops ................. $74.00 Voice Cabling ❑ Additional Plan Review $111.00/hour ❑ Data Cabling (for modified submittals) ❑ ❑ Automation Fee on all Permits $5.00 1•t 2,500 ft2-$65.00; Each add'n.2500 ft2-17.00) • Per WAC 296-46-910(5)(b)# a ii) Bulletin #100-- April 2, 2007 Page 3 of 4 k\Handouts\Permit Application