05-105288 ✓ . E I'
City of Federal Way Electrical Permit #: 05 - 105288 - 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) 835-3050
Project Name: RIDGEWOOD CENTER
Project Address: 33650 6TH S Parcel Number: 926480 0210
Project Description: Relocation of(2)Thermostats.
Owner Applicant Contractor
RITA MAESE-NORKER PUGET SOUND REFRIGERATION PUGET SOUND REFRIGERATION
19909 BALINGER WAY NE POB 27073 POB 27073
SEATTLE WA 98115 SEATTLE,WA SEATTLE,WA
98125 (206)367-2500
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
I Thermostat k 2
PERMIT EXPIRES April 11,2006.
Permit issued on October 13,2005
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 ag ent: \ Date: QC..\
. THIS CARD IS TO REMAIN ON-SITE I • ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105288-00-EL
Owner: RITA MAESE-NORKER
Address: 33650 6TH AVE S
FEDERAL WAY, WA 98003-6754
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 or.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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) 0 Ceiling Cover(4020) 16 Final-Electrical(4055)
Approved Approved Approved
By Date By Date 123210S' Date \b �:p dam,
❑ Under-slab groundwork(4295)
Approved
By Date
AA RECEIVED
Fed0 5 - L E. 5 _.0 13
eral Way PE+ RMITI 3 2005 SF MF CO We; DE EN FP
COMMUN11Y DEVELOPMENT SERVICES
33325 8THUESOUTH•POBOX 971d APPLI C LO T
FEDERALDERAL WAY,WA 98063-9718 TD253-835-2607•FAX 253-835-2609 L WAY
tauw.ciluoffecktalwcwwm BUILDING DEPT. / /
The ollowin• is r-•uired t ormation-an incom•tete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or p-.
A • PROPERTY INFORMATION
SITE ADDRESS S°56'S� ( A+. S. 1 )C?'s ,, w...y S 4r,S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# G 2 CO 9 8 0 — 0 '. ' (D LOT SIZE(sf)
r
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) \ A4"jAQTtiv'
(Attach separate',velar lengthy legal dexrWmnl
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING "--- UMBING MECHANICAL
0 DEMOLITIO' \ ' TRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work .-don this permit onlu)
a,, .', • �w• t k.JO - t I s - = .i - -- -
i
` vow s -email6-g /t 7- ,
PROJECT NAME(Name of Business or Owner Last Name) 12EL0 -- 2 N :::.LE,--G� .; [,Er-s• '2
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 2tT4 AAAESC - N)02.4.-C2.. (2 ) S61 - tcten
MAILING ADDRESS CITY,STATE.ZIP
‘C434:11 ice1.-1.-t�.,c4...A`C UE SCAM-E- GoPt C{,P'-'15.6.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
>Ofzersa.,•Z .2 & -as, (2ritter ) 54,-7 -243003
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(b Sax 27(7)73 SEAT. . cA,A c{b4-i ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Z vi-g -t 0 A. 5 44 3-B L \Z / 3% /ZS ( ) - .
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
? Q (-: E.. 1- 'Z 6 L 5 •2 / 3k / 0,(..
APPLICANT CO)8PANY NAME APPLICANT NAME OFFICE PHONE
6"" (101/41,7/C-40r ( ) -
G ADDRESS ' CITY,STATE.ZIP CELL PHONE
( ) -
REfATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME r7 PRIMARY7,.,�� PHONE E-MAIL ADDRESS
/..1 t1..q..— J\+�VGQ (2Cs 2) 367 - ZSCOG, -
LENDER . . ,_ ;s„N.. , - ..:::, . NAME
MAILING ADDRESS _ CITY.STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ or &V•00
SPRINKLERED BUILDING? )(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 'NO 1
WATER SERVICE PROVIDER &LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE a 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
RItTIWO — PROPOSE) TOTAL rib J•!i+',jM;. ••; . "--a :�2 -`•;; � - yw #91,111%,14140
NUMBER OF FLOORS "' t y: j`'._
•
"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 $ Z
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commneam WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS e r tc ,r
I DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShwerCombo) SHOWERS WATER CLOSETS abuts 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 y j' and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE DATE 1� OL.1 CDS.
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
s06 t.52. �. 1 is i� j} 7F"7t.�y l . fir` '- ,"'k.i� .,."T,1n „iyi'. �.'"r.'}"'{r•
'.;' -1 .i ?..2. .:(-` ,2�, z�s?', trU), ,,,, 2,rj:3.`r9' � ce.r x1;>;mmi ,i:J.{al.�,,. ',1.�;�.
cP✓,); Z4P e)�a: -"t-: s(;¢;,.J;a: 'F� ( ee�1i:Y,i•, e e
O'�'
I
s ,fin ) .'.�1 r�3�'' ,� . ,,`y�.s��' �c �R7,z��r=j" ., ay`�'. _ _ ,«!'�`-,.'�;d�' • „�t'
:42.ria x).,), Ah.f: T:. a . i', 7scyi l.fe
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
f
t
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
U 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
0 401-600 amp 193.00 96.00
❑ 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 U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ 0 to 200 amp $87.00 ❑ over 1000 amp 443.50
❑ 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
X " #of Thermostats U #of Signs
•t-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
!l Low Voltage Swimming pool/hot tub $87.00
Square Feet to be served by system(s)_IW (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System
U Additional Plan Review our
❑ Voice Cabling for modified submittals)
❑
0 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 296-46-910(5/(A&W
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application