04-105281 . ' ' r
City of Federal Way Electrical Permit #: 04 - 105281 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: WH.DWOOD SOUTH,LOT 16
Project Address: 29717 24TH 1.fr1CS Parcel Number: 941480 0160
Project Description: Install low-voltage thermostat wire.
Owner Applicant Contractor
COGNATIO LLC &GALLERY CUSTOM HO GALLERY CUSTOM HOMES*MARK BAKE ALL WAYS AIR CONTROL INC
PO Box 3975 10011 SE 187TH ST 1515 S CENTER ST
RENTON WA 98055 TACOMA WA 98409
PO Box 3975 !Federal Way,WA 98063-3975 (253)383-7718
Electrical Fixtures
Description Quantity Description Quantity Description _Quantity
Thermostat 1
PERMIT EXPIRES June 28,2005.
Permit issued on December 30,2004
I 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 We.
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Owner or agent: h jl Date: Se
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105281-00-EL
Owner:
Address: 29717 24TH AVE S
FEDERAL WAY, WA 98003
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
1t' Rough Electrical(4225) ❑ Ceiling Cover(4020) ►l� Final-Electrical(4055)
Approved Approved Approved
ti
By Q ,J Date ‘,_2_6_,,n,S By Date By irk Date t O'
O Under-slab groundwork(4295)
Approved
By Date
pECEI cY CONSTRUCTION PERMIT APPLICATION
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**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
uTI ■ PROPERTY INFORMATION
SITE ADDRESS: a 7 7 17 1 " 4VC- s ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑MECHANICAL, o DEMOLITION
g ELECTRICAL n ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat Wire
PROJECT NAME: Lot #
■ PEOPLE INFORMATION
PROPERTY OWNER: ►` E: I DAYTIME PHONE:
Li I 14DURE55 LtIY � Clitrn'C S ( )
MAILING ADDRESS(STREET ,STATE,ZIP):
CONTRACTOR: NAME:
NE:
ALL-WAYS AIR CONTROL INC. 253
(DAYTIME3
253 ) 383 - 7718
5-6 Z MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
1515 S. center St. Tacoma, WA. 98409 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
1 9 - 9 2 1 0 2 8 0 6 -O O BL (253 ) 383 - 7736
CONTRACTOR'S REGISTRATION NUMBER: {
A � 'OQ4 /� EXPIRATION DATE:
(copy of card required) Q 4 / 18 J 04
APPLICANT: NAME:
Bernie Chapman )
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
me
RELATIONSHIPTOPROJECT: )
CI ARCHITECT O TENANT ❑OTHER(DESCRIBE): FAX NUMBER:
( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER CI APPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDJAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE [I TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER: C] LAKEHAVEN ❑ HIGHLINE CI PRIVATE(SEPTIC)
4
i
s
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. I PROPOSED SQ.FI. TOTAL
BASEMENT
FIRST
SECOND _
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
•
DECK
GARAGE
HOW MANY FLOORS?
TOTAL
IIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIICTEMMIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIII
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(BO )ILER(S) FIREPLACE INSERT(S) RANGES) MISSC. OVE(S) )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:o ELECTRIC d<GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) - RAIN WATER SYS. VACUUM BREAKERS) o ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. l
NAME/TITLE: , lA,'P,/ . l _..;•, 1 DATE: / e-- ---- 1:9-q."-(/+
�1.)411
o PROPERTY OWNER a APPLICANT )(CONTRACTOR
FOR'oFacE USEOiH.Y,'.:;.
❑..NEVI(:: n=ADDITION:_-_'-:= _;:fi=;ldtlift 4'TION<__<>:_.:;i:i: A : ; =-.:6'TENANTIMP.ROVEMENf: :::". :. _
CENSUS CODE: .. ............:.::::::>• -.7; :. =
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ZONING DESIGNATIOlq .-.' .>>-::> ';;:. "' S UILI : Li,ON41(:T :::,a YES '..`a Ntl -::...-
COMP PLAN: tNiA : - .--::.:..........:.:. -- =:a:::>.::=
PLATTED::LOT?_ :n YES :.:.:Ct:i l:-:: - --
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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■ ELECTRICAL PERMIT INFORMATION
RESII)ENTIAI, - I -- COMMERCIAL j
NEW RESIDENTIAL SERVICE NEW COMMERCIAL1 NDUSTRIAL SERVICE
i Single Family Square Feet ___ $728.00)
Serc:ce or Feeder Each Add n
trustit
1300 '-$87.00,Each add'n 500 ft2-$28-00) (..r 0 to 100 amp $ 94.50
$ 58.00
❑ Detached outbuilding or garage ❑ 101 --200 amp 117.50 74-00
(Inspected with service) S 36.50
U 201 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 -Mk amp 156..50 103.00
(Inspected separately) $58.00
U 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) U 801 - 1000 amp 405.50 169 50
Scr vier Feeder U Over 1000 atop 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
U 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge_ $74.00
❑ 401 -600 amp 161 00 80 00 ❑ Mast or mete-r repair $80.00
0 601 -800 amp 206.00 110.00
ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Scruice orFeeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Seroice or Feeder 1 ❑ 601 - 1000 atop 332_00
0 to 200 amp $ 72.00 , U over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177-00 } U li of circuits to be added/altered
(1-5 Circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1 4circuits-$58.00;Add'n circuits$6.00Jea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
U Mast or meter repair $43.50 U Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW $74.00 plus 35%of Permit Fee
U Service Over 400 amps
'14.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK U 101 -200 74.00
51.00
❑ #of service or feeders ❑ 201 -400 87.00
(First service/feeder-$58.00;each add'n-$37.50) nja
❑ 401 -600 117.50 r,)a
U over 600 127.00 RJa
MISCELLANEOUS SERVICE/EQUIPMENT
ididl _ _#of Ther tat l L3 #of Signs
ast- 13.50;add'n-$13.50/ea) I (Fast sign-443 SO;add'n sign$20.50/ea)
Low Voltage U Swimming poot/hot tub $87.00
Square Feet to be served by system(s):_- -_ (Includes additional circuit,if required)
0 Fire System
i Alarm 3'tem UYard Pole meter loops -- -- .• - $58.00
0 Security Alarm System s u Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
0 Data Cabling
iPFr Svst-mts)' lir 2500(t2-$5; 02;
1 Each add'n 2500 ft2-13 50) -r'cr WAC 29646-9JO(5)(14 r&h)
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