04-105295 City of Federal Way Electrical Permit #: 04 - 105295 - 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: BOY TON// \ '
Project Address: 3182' D5W Unit62 Parcel Number: 698000 0620
Project Description: Adding(1)circuit for new airconditioner
Owner Applicant Contractor
LARRY BOYDSTON MAXIMUM ELECTRIC MAXIMUM ELECTRIC
31823 32ND PL SW UNIT 62 25031 265TH AVE SE 25031 265TH AVE SE
FEDERAL WAY WA RAVENSDALE WA 98051 RAVENSDALE WA 98051
(425)432-8289
Electrical Fixtures
Description 1Quantity Description Quantity Description Quantity
Circuits-Residential 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 Way.
Owner or agent: Z-/" Date: /2 .�Y °7
i
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C..„7 0
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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#: 04-105295-00-EL
Owner: LARRY BOYDSTON
Address: 31823 32ND PL SW Unit 62
FEDERAL WAY, WA 98023-2233
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ti 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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date � , Date 6- 7._
❑ Under-slab groundwork(4295)
Approved
By Date
cm of` O u — / 2 Sim
Federal Way ` f � �
PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO M i�•L DE EN FP
33325 8*"AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 APPLICATION [0
253-835-2607•FAX 253-835-2609
www algoffederahnary cur
• The following is required information-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
N PROPERTY INFORMATION
Q
(SITE ADDRESS V 3�,^� PL 5(J 4' Jq,( Logy wit f(D TE/UNIT M
ASSESSOR'S TAX/PARCEL M _ _- LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deso peon)
' - ` ::i -• - ■ PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION le ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
inn 5-6.,A 0140 - ya,q». o Air Cart)44•e-.e,•
/----
'PROJECT NAME(Name of Business or Owner Last Name) SEN*41K
- - - ' • - MI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER L4.rei 07 -Ea+•. (tis )) 40 10 1 GS 1 (-
MAILING ADDRESS STATE,ZIP
Jt$24 32,,E PL -5,-,-:) "r7/ rrct�L1 t.JA `/ 1...14,4 1'8 '67-3
CONTRACTOR COMPANY NAME / APPLICANT NAME OFFICE PHONE
MO 1 M.wvk /i`Ce'fvI G . 1•.•.c , k,c Ftp �
?C ( )
MAILING ADDRESS CITY,STATE,ZIP 04 CELL PHONE
/6'O Rawl £nJ L„ Ck Elm-r.-,W 9822 (204) 243 - 45S(.41
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ma —x t— na E z / —1 qCB L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
/ /
APPLICANT }i COMPANY AME APPLICANT NAME OFFICE PHONE
erbrilC.ib r- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per •." 19.27.095: Lender information is NAME
require. if project value ex - ds$5,000 —
MAILING ADDRES CITY : ATE,ZIP -•••••111111=1.11w-
, .- ■ DETAILED BUILDING INFORMATION
E 4 TING USE PROPOSED USE,
• EXIS I G ASSESSED/APPRAISE/ ALUE $ VALUE OF PROPOSED WORK $
/
SPRINKL • D BUILDING? 0 YES ❑ NO FIRE S I ' •RESSION SYS * M PROPOSED/REQUIRED? 0 S ❑ NO
WATER SERVI - .• • 'ER 0 LAKEHAVEN o HIGHLINE ■ TACOMA 0 PRIVATE(WELL) ` -
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
A
PROJECT FLOOR AREAS V
•
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND 4
,
THIRD
^FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT \
HOW MANY FLOORS? TOT • RG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS , TED SELLING PRICE $
- ;-. - _ FIXTURES - . 1-,, ---.- - ..-,:;::':;_.:,,--.--_-_,=:, -.2.:-__,-'.:,
Indicate number of each type of fixture to be i . ailed or relocated as part of this p •'-et. Do not Include existing fixtures to remain.
MECKANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS)commerc,at) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(. ub/Shote«combo) SHOWERS WATER CLOSETS(romp MISC(Describe)
DISHWAS RS SINKS DRINKING FOUNTAINS
GAS PIP' OUTLETS SUMPS RAINWATER SYST
WAS G MACHINES URINALS HOSE BIBBS
LA IBathroom sulks) \ •CUUM BREAKERS ELECTRIC WATER HEATERS
t
___ : _:,:_,_-::- •r _ -DISCLAIIiIER/SIGNATURE BLOCK- - _ _
C
1 certify under penalty of perjury that the i ormation 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. �� n
NAME/TITLE // 1/////// Zi7 DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor 0 Architect ❑ Other
1
I FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
i BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? o YES ❑NO
I ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
t NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Rcviscd\Permit Application
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-.-.- - . .= ' - ELECTRICAL PERMIT INFORMATION .
40
r RESIDENTIAL - COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58 00
LI Detached outbuilding or garage ❑ 101 -200 amp 117.50 74 00
(Inspected with service) $36 50 ❑ 201 -400 amp 220 50 87.00
o Detached outbuilding or garage 0 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28 00
❑ 201 -400 amp 117.50 58 00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
o 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 irks amp 369.50
❑ 201 -600 amp 117.50
o t• r 600 amp 177.00 ANA / #s of to be added/altered
q (1-5 cir 's-$74.00,Add'n circuits,$6.00/ea)
IIISI it o circuits to be added/altered
(1-4 c' evils-$58.00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
O Mast or meter repair $43.50 0 Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
O Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ # of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58 00,each add'n-$37 50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O ft of Thermostats 0 #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
O Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s) l•'2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)(.&u)
Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revised\Pennit Application
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