05-101909 City ot
Federal Way '" Electrical Permit #: 05 - 101909 - 00 - EL
Community Development Sen ices
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: ORCHID LANE LOT 17
Project Address: 34109 13TH%SW Parcel Number: 640370 0170
Project Description: New 200amp service
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
L Description Quantity Description Quantity Description !Quantity
Service: -Residential 3152
PERMIT EXPIRES October 22,2005.
Permit issued on April 25,2005
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
/
...,a2/7Owner or agent: L'' - Date: ti- 2 5 -- 0 5
6 ,
101-D
\\°'
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community 3evelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101909-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34109 13TH PL 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.
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) I[ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By N, \\tib Date b By Date
•
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) r 1 Final-Electrical(4055)
Approved Approved Approved
,o
By , ! Date b ck O By Date • AM Date tab
❑ Under-slab groundwork(4295)
Approved
By Date
1
. REC E I VA9-jc - __/. ...Q .4_ t 0 4
'': ,.de -way PERMIT
APR 2 5 2 SF MF COM EL L DE EN FP
COMItafr ovum==was
3,3O
tw"Y .t° 1a APPLICATIO 1 . /
aLQ�t va:!WA asaesa�u
Brieldangeekteglatt BUILDING DEP A WAY
T.
The o is is ormation-an incomalete avalicatton wits not be aceaated Please print An ink!or
•' 1 •21'4 ' H•1 • 'JtiF.y+t •1'
SITE ADDRESS 3 ilI t 9 / 3 PL so/ SUITE/UNIT.
ASSESSOR'S TAX/PARCEL# CC-14- — — —� /— LOT SI=(sf
LEGAL DESCRIPTION(e.g.Pane Estates, Lot 1) 0! 1 1) LA'AV E/ L07" I 1
PROJECT INFORMATION
TYPE OF FERN G BUILDING O PLUMBING O MECHANICAL
a DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this aermi only)
,,.O0 AMP Se"R.U r Gg ¢ w i i2.i N Cs
PROJECT NAME(Name of Business or Owner Last Name) P P-0 Y ( DEN) T E EG T P( C i f AI G
PEOPLE IIVFORMATIOIQ
PROPERTY NAME PRIMARY PHONE
OWNER 4-f't(2 BO u.2 f-fo M ES Iia-53) 0741 - 6 3
MAILING ADDRESSCITY.STATE.ZIP
330 91 +± Ave 5. � Fed era.f Way , WA. gMoo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Pj2.OVi c i ELCG—z l G I ) r - 0531 lv 3( - 'I 1 5o
MAILING ADDRESS CRY.STATE.ZIP CELL PHONE
Po .Eos baa.,84- I Q �l WA ag0se ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION D T I FAX NUMBER 4
CONTRACTORS REGISTRATION NUMBER(copy d cost rogol.4 euk each application.) EXPIRATION DATE
I2ii3 -
OFAPPLICANT COM?AY NAME APPLIC NT NAM FICE PHONE -
I ( )
YAIL;.YG ADORESS 1 CITY.STAT:.-."o.. I CEL:.PHONE -
RELATIONSe• :O?RO.IEC: FAX NUM3EP
C Architect C Age=Tenant C AgeC Other(Desa�.oe) ( )
CONTACT NAME JkCt.reln f .7c2:5147:131 - 11 doI M IADDRESS I
1
L=DER 1. Per 2CW 19.27_095: Lender infonnarien zs INA l
required 41-project odes exceeds$3000 1
I MAU.Z G ADDRESS 1 :'^.Y.STATE.
)
DETAILED R1MLDLYG INFORMATION
=SIM USE PROPOSED USE _ '"----
EMSYDCG ASSESSED/APPRAISED VALE 3 VALUE OF PROPOSED WORE 3
SPREME sB BU LDLTG? C YES C NO FLRE SUPPRWSION SYSTEM PROPOSED/BE4UIRMD? -YES C NO
WATER S RVICE PROVIDER C LAIC✓RAVEN RIGRLL4'E C TACOMA C PRIVATE(WELL)
SEWW.SERVICE PROVIDER C LA .HAVEN C EIGIELL4E C PRIVATE(SEPTIC) ,
PROJECT FLOOR AREAS
AREA DESCRIPTION ( EXISTING SQ.FT. I PROPOSED SQ. FT. I TOTAL
BASEMENT
I)I]'ARI'hII:NTOF I.A11(1K AND INI)USTRII S
FIRST
SECOND
LICENSED AS PROVIDED BY LAW AS
THIRD CLEC CONTR GENERAL
FOURTH .LICENSE if EXP. DATE
ADDITIONAL FLOORS(DESCF ECO1 02/22/2006
EFFECTIVEODATE103C2 02/22/1990
DECK(COVERED?)
PROVIDENT ELECTRIC INC
GARAGE/CARPORT PO BOX 59284
HOW MANY FLOORS? RENT�ON WA 98058 m�'° r1men,
••NEW HOMES ONLY•• NUMBER OF BEDROOMS. -i ESTIMATED SELLING PRICE $
FIXTURES
-
Indicate number of each type of f xture 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 REFROOIG.SYS S MS
BBQS FANS HOODS(Coam�
s .0
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS t.rTub/ShowvCombo) SHOWERS WATER CLOSETS rug.,
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS se mom swam VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIII%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 abode premises to perforin 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. t�
NAME/TITLEka `.vi) 1 y ,Cl. DATE 4-2.5-05
(Signature, meq
RELATIONSHIP TO PROJECT C Owner C Agent c Contractor C Architect C Other
FOR OFFICE IISE ONLY.ONLY :::. :: . 1
=NEW =ADDITION C ALTERATION =REPAIR =TEN.ANT IMPROVEMENT
BUILDING SHELL ONLY? =YES = NO I BASIC PLAN? =YES =NO
ZONING DESIGNATION I CHANGE OF IISE? =YES =NO {
NEW ADDRESS REQUIRED? =YES =NO 1 IIP/SEPA/SII? =YES =NO 1
PLATTED LOT? =YES =NO I DEMO PERMIT REQUIRED? =YES =NO I
Bulletin#100—March 30,2004
Page 2 of 4 1G\Handouts—Revised\Permit Application
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet ,5 1 5 Z Service or Feeder Each Add'n
(First 1300 ft2-$104 50,Each add'n 500 ft2-$33 50) ❑ 0 to 100 amp $113.50 $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
❑ 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 COMMERCLAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto 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
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ # of service or feeders
(First service/feeder-$69 50,each add'n-$45.00) Commercial/Industrial 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 ❑ 8 of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ca)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops $104.50
O Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
U Automation Fee on all Permits .. $5.00
(Per System(s) 1=,2500 ft2-$61.00,
Each add'n 2500 ft2-16 00) •Per WAC 296-46-910(5)(b)(W&i,)
Bulletin#100-January 7,2005 Page 3 of 4 k\Ilandouts\Pcrmit Application