04-102345 qty f Federal Way
Communes Development Services Electrical Permit #:04 - 102345 - 00 - EL
C
33530 1st Way S
Federal Way,WA 98003-6210
Ply 253.661.4000 Fax.253 661.4129 Inspection request line: 253.835.3050
Project Name: LISITSYN,L
Project Address: 32904 7TH`W+ Parcel Number: 182104 9067
Project Description: 200-amp service for new single family residence.
Owner Applicant Contractor
LEONID LISITSYN LEONID LISITSYN LEONID LISITSYN
2400 SW 308TH PL 2400 SW 308TH PL 2400 SW 308TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)632-4414
Electrical Fixtures
Description Quantity I Description "Quantity Description Quantity
Service: -Residential F 3916
•
PERMIT EXPIRES December 8,2004.
Permit issued on June 11,2004
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: `t,/•S/Z y'X Date: //494/
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THIS CARD IS TO REMAIN ON-SITE ,.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102345-00-EL
Owner: LEONID LISITSYN
Address: 32904 7TH CT 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.
El Slab/Concrete Floor(4255) Er Ditch cover(4030) IIs ❑ Pool Bonding(4195)
IApproved to place concrete Approved Approved
By Date 1,..2Ve -- Date G_ /,----_,0.A., By Date 1
. .
❑ Temporary Power(4275) ,] Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B & 'i ± Date i it By Date
11
❑ Rough Electrical(4225) ❑ Ceiling Cover(40 0) LSI , Final-Electrical(4055)
Approved Approved Approved
*l
By Date By Date By 11#x`' I ate
❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way RECE -( - i & A_ 3_ 4 ST
PERMIT SF MF CO MEt 6DPL DE EN FP
COMFe dYeralPMEM'SERVICES
33530 FIRST WAY 253-ER
FEDERAL
PA�J� 12971d APPLICATI Ol .J y- "°`�
www dtuofederalwati corn
CITY OI ;-LD::: !/,t_ Wt\''
The ollowin• is re•uired in ormation-an Inco .lete a..lication will iib d &7i,Please .rint le,ibl (in ink)or
/�%� � PROPERTY INFORMATION
:5c:;2
SITE ADDRESSq d -7744 C SW I�.CQ�,/ U/aj/ tof 9$023 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descripsoc)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ernut onlu)
New '-QV a06 s-e Q v/ee ,e N.S1, -t o`ne
PROJECT NAME(Name of Business or Owner Last Name) `/.S/ z y t. `e o l /
PEOPLE INFORMATION
PROPERTY NAVE PRIMARY PHONE
SiZisist,n
OWNER
MAILING AD S ZeD H CITY,STATE,ZIP Li (2
) 8/S - cqg
02,4/00 S'CI' 20S "Xt Pt- fed. (.(/tyi ki('if 9W23
CONTRACTOR COMPANY NAME / APPLICANT NAME OFFICE PHONE
LLs/Z V n. L ev/z/U
MAILING ADDR S CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / (
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Zia/6 Le,,n"C' CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) (
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
1
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•
•
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 EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"'NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(coom«<XJ) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/show,comtw) SHOWERS WATER CLOSETS(roiki) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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.
NAME/TITLE /4J/ C/f'7Gt. DATE 626/7//a y
(Signature) </ (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION ❑ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
3 I5 COMMERCIAL
NEW RESIDENTIAL SERVICE 6'6 NEW COMMERCIAL/INDUSTRIAL SERVICE
LISingle Family Square Feet, Q/G Service or Feeder Each Add'n
(First 1300 ft2-$87.00,Each add'n 5 0 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
LI Detached outbuilding or garage LI 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 LI 201 -400 amp 220.50 87.00
LI Detached outbuilding or garage LI 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) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder LI Over 1000 amp 442.00 236.00
LI Up to 200 amp $ 94.50 $ 28.00
LI 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
LI Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY LI 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder LI 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
LI over 600 amp 177.00 LI #of circuits to be added/altered
(1-5 circuits-$74 00,Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58 00,Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
LI Mast or meter repair $43 50 LI Service over 200 amps
LI Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
LI Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK LI 0- 100 $58.00 $51.00
LI #of service or feeders LI 101 -200 74.00 51.00
(First service/feeder-$58 00;each add'n-$37.50) LI 201 -400 87.00 n/a
LI 401 -600 117.50 n/a
LI over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage LI Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System LI Yard Pole meter loops $58.00
❑ Security Alarm System LI Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
(Per❑ System(s) 1st 2500 ft2-$51 00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(W As ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application