05-101839 City of Federal Way Electrical Permit #: 05 - 101839 - 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) 835-305C
Project Name: LAUGHLIN
Project Address: 32532 3RD S tot n.4 4-AA Parcel Number: 701681 1000
Project Description: Added circuit to remove and replace gas water heater
Owner Applicant Contractor
C Al Laughlin C Al Laughlin C Al Laughlin
32532 3RD PL S 32532 3RD PL S 32532 3RD PL S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-5715 98003-5715
Electrical Fixtures
Description ,Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res.' 1 j
PERMIT EXPIRES October 17,2005.
Permit issued on April 20,2005
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.
Owner or agent: �, Date: 0_010..5
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THIS CARD IS TO REMAIN QN-SITE
CITY OF A , . . .
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 05-101839-00-EL
Owner: C AL LAUGHLIN
Address: 32532 3RD PL S
FEDERAL WAY, WA 98003
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) 0 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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) .LI Final-Electrical(4055)
Approved Approved Approved
^2Z-❑By Date By Date B Cc Date 4-7a-c6.-
0
Under-slab groundwork(4295)
Approved
By Date
_.
OF A 0 Ste'_ sirzc)
FederalWa ECEJVED PERMIT �� —
COMMUNITY DEVELOPMENT SERVICES SF MF CO MEQ PL DE EN FP
33325 6TH AVENUE SOUTH•PO BOX 9718
+ 53 /
-8 6WAY,WA 07•FAX 253-8 52�rR 2 0 2005AppLI CATI O N
r /www.dtyoffederalway com
ITY Of FEDERAL WAY
The ollowi • is : .. ;. •4. ui�:,, 'on-an inco •lete • ••lication will not be acce•ted Please •rint le.ibi in i or
III
PROPERTY INFORMATION
SITE ADDRESS 263 2 - 3R '1y�e Sa F1-V& L . 0 1� 9g00Ja. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL#k - V/_ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attarh separate page for lengthy legal desoipko,)
N PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
F 0 DEMOLITION k ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
5 t(`rc,i n 4-ia- CC)gre•V.lieleire-g._ Ahl. 214e21.rip
PROJECT NAME(Name of Business or Owner Last Name) LJ 4 U G H Hi/
/1
IN PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER eheillgj,5 B. LOC/UZ f/0/Y/ ( )
MAILING ADDRESS CITY,STATE,ZIP
>2C-3;C — 3 e PA- .�D. I--6P6-itsAL L,,y$1� c1 /,0LL_
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
fi l ( )
MAILING ADDRES CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER icopy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ow, - St/Mg' in IS v e, ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) -
LENDER % cik:'.0.0":i';', ia*,7' 7 I NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTIX4,,iO PROPOSED TOTAL rorace,aATIIdar^ TOTAL PROPOSED Sr `, acar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(commerc WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS([oiteq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 I."
DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner Agent a Contractor 0 Architect 0 Other
'-_` z1'.7 A.01).j3:0,...1 •nr'\6 '1-l�i�zs: ` "5 ie --P �1' •.,'" �' L�V�,E:l,il' C f �M Ai=- 1
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet 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
O 401 -600 amp 193.00 96.00
0 601 -800 amp 247.00 132.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
U 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) ContmercialJIndustriai 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
❑ Security 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.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(50)(&a)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application