05-105120 City of Federal Way ' Electrical Permit #: 05 - 105120 - 00 - EI
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: FOREST
Project Address: 2704 SW 341ST Parcel Number: 010921 0580
Project Description: Altering(3)circuits for new outlets
Owner Applicant Contractor
Tryee P Forest &Eunice P Forest Tryee P Forest Tryee P Forest
2704 SW 341ST ST 2704 SW 341ST ST 2704 SW 341ST ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7601 98023-7601
Electrical Fixtures
Description Quantity Description QuantityDescription
Quantity
Circuits-Residential 3
PERMIT EXPIRES April 3,2006.
Permit issued on October 5,2005
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. dd
Owner or agent: j / r /-674 Date: / Dr-NOS—
,
NO S—
, ♦
N,‘
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105120-00-EL
Owner: TRYEE P FOREST
Address: 2704 SW 341ST ST
FEDERAL WAY, WA 98023-7601
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) 0 Service(4235) - 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date By l Date ,z`�� t-----
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVES 5100 3 ��
1
...� DS- J. 4_5_ 1_ 2— 0
Federal Way —. —
COMMUNITY DEVELOPMENT SERVICES OCT 4 5 2005 PERMIT SF MF CO ME •L DE EN FP
33325 dM AVENUE SOt177f•b tlOX 27/11
ro
s5s83WAY,W5=79TVoFFEpERATP
LICATIONpa�aduoaa! BUILDING DEpTAY
The ollowi • is re,uired in ormation-an Inco •fete • ••lication will not be acce•ted. Please •rint le• •1 n or p .
[� CAO
■ PROPERTY� INFORMATION
SITE ADDRESS 2 70 T v 6'((&i' J!!�1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lawth kg&desartptton)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 61"ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit maid
Sar/Et,, r 0u Ts.— k1l-tfl vkrif CA(CuiF `
PROJECT NAME(Name of Business or Owner Last Name) .'-'0 r(.4"
• PEOPLE INFORMATION
PROPERTY NAME �,/�/ PRIMARY PH NE
OWNER 1 ► L ( m- $�& '
MAILING -3stip
C` ) 3 1 Pl K� �
CITY,STATE.ZIP
� Ott/ �/ -(( r0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
O W (. ) -
MAILING ADDRESS CITY,STATE,ZIP "CELL PHONE
• ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / (
CONTRACTOR'S REGISTRATION NUMBER(cop?of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME owISjl_ APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS l CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant a Agent 0 Other(Describe) ( )
CONTACT NAME j2� Cil PRIMARY(151)Hh - 63 7A� DRESS e QO160t4
LENDER
•f•,t,-• 1,;im,(.;• ,.,.y,t, ,2.0„t•.'Fr.'!es,
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO '
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) A
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
_ SQ.FT. SQ.FT. SQ.FT.
BASEMENT4.
FIRST - •
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS 1013371110 PROPOS= TOTAL111511111.11K3 I lL.
**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(C.mmer,14 WOODSTOVES
BOILERS •... FIREPLACE INSERTS RANGES ' MISC(Describe)
- • COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/Shower Combo( SHOWERS WATER CLOSETS(roues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS - SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(e.tFneom.si,em VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAII<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 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 rel ce of the ci including its o ere and employees,upon the accuracy of the information supplied to the city as a part of
this application. C
NAME/TITLEDATE �� "�"
(Signature)
\. atim,
Critic)
RELATIONSHIP TO P OJECT ❑ Owner ❑Agent
CI 0 Architect ❑ Other
v
.. ,11
0,0"1- - - ,ut)01,0(4:110 -- - ,1I1t :r};_o',6,!Pr;(c),:L - ia :4-V•tl,4, ,'}`'1tr.GO'!'1I I'r'CY0t,;:A11:?nt.i' -
.
-
0;11,t)e,*, .):ect.F, e),•p[..'r:, .;,y�; •R.; •• E 1.4.0(c ,at,,¢;�. ' (.�)
%cl?Pl;fa° _c_)cjy(=) 4.t'V(F)?( C)
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;6 1"( ,Ec)0;45::t} ;q✓oltfllf)iiY7 •,P:::i r ;ro, i 170: :i, :ir.' :r.- , Tri?.
'(: z) `(e} -- rj{�) �(, "�.4C4!.CNt :43;c,r917:r5: '�f,..`i �r^.Z
Bulletin#100—January 7,2005 Page 2 of 4 kTlandouts\Permit Application
r
•
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 Q2-$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 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 amp 398.50 . 168.50
0 801 - 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
❑ 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 0 201 -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
• - • ^ • ❑ 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) CommerciaMndustrlal Service or Feeder Ampacity
❑ 0-100 amps ._ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats CI #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O 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
0
(Per System(s) 1k 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) Per WAC 29646.910(5Rl4 as)
Bulletin#100-January 7,2005 Page 3 of 4 NHandouts\Pennit Application