04-102569 •-
( City of Development Services eveWan
Community Electrical Permit #:04 - 102569 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LEWIS
Project Address: 31726 47TH�SW�nitB Parcel Number: 784301 0270
Project Description: Add circuit for new furnace installation.
Owner Applicant Contractor
JANICE LEWIS WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31726 47TH LN SW UNIT B 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199 SEATTLE WA 98199
(206)272-4700
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES January 4,2005.
Permit issued on July 8,2004
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. 7/Ho
Owner or(41,
Date:
k04 �,D 11c440.&-. Sb:L Pcvv\, VIAD,J442&
THIS CARD IS TO REMAIN ON-SITE
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102569-00-EL
Owner: JANICE LEWIS
Address: 31726 47TH LN SW Unit B
FEDERAL WAY, WA
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 By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
#❑ Under-slab groundwork(4295) 1,
Approved
By Date
Wit J-28-2 104 11:•=12 FPOM: TLS: 125 i iipZ.zp1 -‘0.,
COMMUNITY DEVELOPMENT SERVICES
J' y .33530 FIRST WAY SOUTH•Po BOX 9715
crrr or ill"..........' FEDERAL WAY,WA 98063-9711
Federal Way PERMIT APPLICATION 753-661.-41155-F,rillofirC253461-1129
ui own
O L 0 Z S (o ' _ (,� TO
"`015c,"`OW
FW File Number: -
The olIowin• is re.aired in orrnation-an inco •late a .lication will not be acce.ted Please •rint Ie.ibl (in in or . .
■ PROPERTY INFORMATION
1
SITE ADDRESS: 3 1 -7 ZLa 4-7-N LK) S Cii SUITE/APT N
ASSESSOR'S TAX/PARCEL N: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
' ■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ B' DING n PLUMBING MECHANICAL 0DEMOLITION
41._X Ei TRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed .esc iption of work included on this permit unit
S P A it- f 45 rr\LIL- ala,a c24- .4A- 02 O?6 6 .. brf)
A-19 D( rt • l C ircj c4v' I' q-,„f- (-z..Z V t /?2ce
PROJECT NAME(Name of Bustness/Owner Last Name): L (S
■ PEOPLE INFORMATION
PROPERTY NAME• 1 - / PRIMARY PHONE:
OWNER j a�/•L ki L. WY ( -3*fes �7( * l 7 .
MAILING ADDRESS( REET ADDRESS.( CITY.STATE.ZIP
3l`7)-L1' 41 L N S7�i -+-. ara 1 (-0,1y (-0 A � 23
CONTRACTOR: N, !+ A Vvjt,, /16� COMPANY OFFICE PHONE: � pa)
��MN••77LLING/ADORE ST EET DRE ): ��\7"}y�JS�t�AT ",Z n `/,_G lCE7LLL PHONE:
C OF F L WAYBUSINESS BER: �``�.-J-i EXPIRATION FAX NUMBER:
7 -0 -t 6112. _30(34., 1 ) la ( -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE.
(copy of card required with each application) LAi t yJ-frt I1 S 5 7 LOQ'_ _ L / Z / Or
LENDER NAME DAYTIME PHONE•
or Y rop...I Value>13.0001 ( ) -
•
MAILING ADDRESS(STREET ADDRESS;j: CITY.STATE.ZIP
APPLICANT: ' NAME:C n COMPANY OFFICE PHONE:
( 7 -
MAIUNG ADDRESS(STREET ADDRESS(: CITY,STATE,ZIP f EVENING PHONE'
( ) -
REiATIONSHIP(O PROJECT: FAX NUMBER
0 Architect 0 Tenant O Other(Describe). ( I -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION ' •
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGID•INE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
JUN-28-2004 11:42 FROM: ?�/ 2-1, , n ' !'TO':12536614129 P.6
41-1-4-14.r J` 7 ,7(e- I C.►�v J <J
• PROJECT FLOOR AREAS
A
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL.VC TU O - TOTAL PROPOSED TOTAL nasruNa AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Valu HAMMCAL echanical Work $ `b�l�—
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRJG.SYSTEMS
DI3QS FANS HOODS Ic.mm.ewl WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tuts/Shower Combo) SHOWERS WATER CLOSETS ITmleal MISC(Describe)
DISHWASHERS SINKSDRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS le.uu..ossak VACUUM BREAKERS ELECTRIC WATER HEATERS -
a DISCLAIMMIER/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 d employee pan the accuracy of the informa/,ion supplied to the city as a part of this
(application.
NAME/TITLE:
4 / L (tet DATE: �i Z-.f/ C
(Signature) (Tule)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant O Con ctor o Architect 0
Zc 770 2-orP
FOR O FILE US mm. 4y;.I of
.A.NEWT:_;_„ ,,,,,,-,-,c,ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
+BUII:AIN(I!-SIIELLONLY?':' .." -b YEs a NO BASIC-PLAN? o YES a NO
"Zr"- -' - CHANGE OF USE? o YES a NO
ONIi�if,DESIGItATION: -
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
i"PI!ATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YTS a NO
hulk:tiu 4IOU -J arro.i, I. .S((N - - Page 2
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ice /e tlii_r 3i-7zc, L/7 ?-t. cm SW 61,2).-0)
• ELECTRICAL PERMIT INFORMATION
.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
0 Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101-200 amp 117.50 74.00
(Inspected with service) $36.50 0 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage CI 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 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 0 Mast or meter repair $80.00
O 601 -800 amp 206.00 110.00 ALTERED.COMMERCIAL/INDUSTRIAL
0 Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI.FAMILY 0 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 H of circuits to be added/altered
A / (1-5 circuits-$74.00;Addl.'circuits.$6.00/ea)
N o[circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 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 ❑ 101 -200 74.00 51.00
0 H of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-558.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O k of Thermostats ❑ 8 of Signs
(First-$43.50;add'n-S13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646.910(5)(b)(i a n)
I:u,icat: I!i,(i .:ds'+„i.i 1, 20i.1
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