05-101662 •
City of Federal Way Electrical Permit #: 05 - 101662 - 00 - EL
Commtmity Development Services
P.O.Bbx 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE LOT 19
Project Address: 34101 13TH SSW Parcel Number: 640370 0190
Project Description: Installing a new 200 amp service and wiring
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service: -Residential 3152
PERMIT EXPIRES October 9,2005.
Permit issued on April 12,2005
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 accordan wi the .= s,riles and regulations of the State of Washington and
the City of Federal Way. �r
Owner or agent: /t_ Date: % -9f7. S
•1
1`
THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101663-00-EL
Owner: QUADRANT CORPORATION, THE
Address: 33021 41ST WAY S
FEDERAL WAY, WA 98001
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date LBY Date By Date
•
O Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
O Under-slab groundwork(4295)
Approved
By Date
La - i _o_ __/ L2_62. a
ra1.WaY RECEIVED PERMIT SF MF CO M BPL. DE EN FP
,ior, �
,+o 8
APS 1 2 2 PPLI CATI ON I° / .. /
,taawe redeehnammrn
l incamatete asoticatiaa ural not be accepted. Please ortnt .. i• • fin ink)or -j-
PROrttciY INFORETAIION
SITE ADDRESS 3 4101 13111 P L 514 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # -_ _ _ _ _ ,— — — — LOT" LOT SIT. (sl7
LEGAL DESCRIPTION (e.g.Acne Estates,Lot 1) D g G i LJ1.49-AI El LO ! I c1
ti
PROJECT INFORMATION -
TYPE OF PERMIT C BVILDING C PLZTMBLNG C MECHANICAL
C DEMOLITION ELECTRICAL ❑ ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descriptionincluded on this permit only)
,W 'M
O AP segocc
V ,
PROJECT NAME(Name of Business or Owner Last Name) F P-0 Vr 1 DENT ELEG I P ( C• i / /VG .
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER f�'ot B0u.t2 f�OMEs I (.53) .7(o1 -.2.1-6 3
MAILING ADDRESS CITY STAT.ZIP
3 3 0 9 T± Ave 6 I cd era.f Way , ‘Al ir 1 Too 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PPOVtDEN/i ELE .TZtL WCt,r (o1.54o31 - '711O
MAILING ADDRESS CTN.STATE.ZIP CELL PHONE
, PC Z40)( 6Ca.S I Q ► Wk CVO Eil ( ) -
Cl Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_ B L / / (AS3) !03! - 1154
CONTRACTORS AsOISTRATION NUMBER(eon of card zuiaed with each applieatioL EXPIRATION DATE
2 4- Q V i C i l O a C g- a. /aa. / 01
APPLICANTCOMPANY NAME I APPLICANT NAME O(FFICr PH))ONE I . -
RE
MAILING ADO S' S I CITY.a,i::.. IL P5i0NE - I
C(ELL
?HI
RELAi.IONSeU TO PROJECT FAX YUM3ER
= Architect =Tenant C Agent C Other(Descae) I ( ) -
?RaLa2Y?HCY: I E-MAIL ADDS
CONTACT l'2. e,n (�-S'.� fo 3t - �1 �0
LENDER {, p 3CI71s.Z7.095: LenderthfanTsion 'ti"
it if >a�e ss,aoo 1 i
1 MAL':'N
. G ADDeRE-ate I .
I
I
DIMMED BUThDING INFORMATION
EXISMTG USE PROPOSED VSE
EXISTING ASSESSED/APPRAISED VALUE S VALt=OF PROPOSED WORE $
DUMDUM? =YES = NO ME SUPPRESSION SYSTEM PROPOSED/REQQLRn? :'M C NO
WATER SERVICE PROVIDER C T- X=E AVz...N a RTG$LLTE a TACOMA C PRIVATE(W LL)
b .w::2t SERVICE PROVIDER C LA3=EAVPN a HIGHI.LYB. a PRIVATE(SEPTIC)
r.
PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING SQ. FT. ' PROPOSED SQ.FT. I TOTAL I
BASEMENT
I)I:I'ARThiIiNT Di: LABOR AND INI)USTRiFS
FIRST
SECOND
LICENSED AS PROVIDE' :Y A AS
THIRD ELEC CONTR GENERA
FOURTH .LICENSE # EXP. DATE
ADDITIONAL FLOORS(DESCI ECO1 PROVIEI1'3C2 02/22/2006
EFFECTIVE DATE 02/22/1990
DECK(COVERED?)
PROVIDENT ELECT C INC
GARAGE/CARPORT ,BOX 59284
,
HOW MANY FLOORS? RENTON WA 90058 nAI,sassnO Asa"O}Oa'
"NEW HOMES ONLY" NUMBER OF BEDROOMS 4 ESTIMATED SELLING PRICE S_ -
FIXTURES
Indicate number of each type offvaure to be installed or relocated as part of this project Do not include a dstmg fixtures to remain.MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(eoeumei.4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)BATHTUBS(.'tali/showertrader)bo) SHOWERS WATER CLOSETS trader)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS leathsearasinkil VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLME IER/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 authorised 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, ods, and attorneys'fees incurred in the investigation and defense of
such elainy, 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 appliantton. _
yDATE 4- 2 -D
NAME/I TLE , Y�/�1 Ct' Cadetsi re)
RELATIONSHIP TO PROJECT C Owner C Agent C Contractor C Architect C Other
-FOR OFFICE USE-ONLT -. -' =
=NEW =ADDITION C ALTERATION =REPAIR =T ANT IMPROVEMENT
BUILDING SHELL ONLY? =YES =NO I BASIC PLAN? =YES :NO
ZONLIG DESIGNATION I CHANGE OF USE? _YES =NO
NEW ADDRESS REQUIRED? =YES =NO I UP/SEPA/SU? =YES =NO
PLATTED LOT? =YES = NO I DEMO PERMIT REQUIRED? =YES =NO
Bulletin#1.00—March 30,2004Page 2 of 4 lAHandouts—Revised\Permit AppliCation
i , •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Ais
Single Family Square Feet 31 5 2- Service or Feeder Each Add'n
r(' (Fust 1300 ft2-$104 50,Each add'n 500 ft2-$33 50) ❑ 0 to 100 amp $1 13.50 $69.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 141.00 89.00
(Inspected with service) $44 00 ❑ 201 -400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601 -800 amp 398.50 168.50
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193 00 96 00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443 50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ # of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00,Add'n circuits,$7 00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69 50,Add'n circuits$7 00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52 00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
LI Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Muiti-Family $61.00
❑ # of service or feeders
(First service/feeder-$69 50,each add'n-$45 00) Commercial/Industriai Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101 -200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ # of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 ❑ Yard Pole meter loops $104.50
❑ Secunty Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•i 2500 ft2-$61.00,
Each add'n 2500 0.2-16 00) `Per WAC 29646-910(5)(b)(1 4 i)
Bulletin#100-January 7,2005 Page 3 of 4 k\Ilandouts\Permit Application