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05-105556
0 City of Federal Way Electrical Permit #: 05 - 105556 - 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: HARBOUR HOMES Project Address: 33400 9TH S Suite210 Parcel Number: 926501 0060 Project Description: Installation of(2)new L/V T-stats. Owner Applicant Contractor GOLDEN STONE LLC UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC. 33400 9TH AVE S PO BOX 614 PO BOX 614 FEDERAL WAY WA 98003 AUBURN WA 98071-0614 AUBURN WA 98071-0614 (253)939-5501 Electrical Fixtures Description Quantity Description Quantity Description !Quantity Thermostat j 2 PERMIT EXPIRES April 25,2006. Permit issued on October 27,2005 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 Wa ` Owner or agent. / ' Date: /0 '--Z 7 .05 66 / v \07 • THIS CARD IS TO REMAIN ON-SITE '- CITY OF A Community Development Inspection Record . Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105556-00-EL Owner: Address: 33400 9TH AVE S Suite 210 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date .P Rough Electrical(4225) ❑ Ceiling Cover(4020) cstaFinal-Electrical(4055) Approved Approved , Approved By fly \ Date`\ Z By Date By,i Date ' (�� #❑ Under-slab groundwork 4295) Approved By Date D RECEIVE CITY Of 05- I 005S Federal way PERMIT OCT 2 7 200 — — — COMMUM7YDEVELOPMEMSERVICES SF MF CO Me3LDE EN FP 333258ERALAVENUE AY.W1TI!•roBOX 9718 AppLICATI FEDGEIFN' AY_ FEDERAL WAY,WA 98063-9718 / 253-835-2607•FAX 253-835-2609 ING DEPT, _/ • www.cityofederalwau corn The ollowin• is re•uired in orination-an Inco •tete a••lication will not be acce.ted. Please •rint le•ib1 (in in or III PROPERTY INFORMATION SITE ADDRESS .572- c- -- 0( - 006 lill r/, PteS 2 . • SUITE/UNIT# ..Z/0ASSESSOR'S TAX/PARCEL# -( 2- c 0(' - () O 6 0 LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Aust*separate page for kngthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITIO a LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) 4II (z� A4., x.,,ho� Y s/Ss PROJECT NAME(Name of Business or Owner Last Name) G1,,Y`ICJD//` f(t�GyP_S • PEOPLE INFORMATION PROPERTY NAME / //�'� / r. PRIMARY PHONE OWNER (*C)��t/( .S:-/--C'✓u _ Dom( cep 1, ( ) - MAILING ADDRESS CITY ST TE(ZIP 3 lila) qfW 4C,r 5 redee,-z1.( 1✓"7/ G✓4 . x'8 007 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 6/11L v 1 r `IPfw� \Jeiv� (JO) q�7°/ ��6( MAILING ADDRESS CITY STAT ,ZIP CELL PHONE r© (� - FK 6� q8 CITY OF FED RAL WAY BUSIN LICENSE NUMBER EXPIRATION DATE FAX(2',.,) 7 --- N•UMBER 3102-- CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE U L .L VEE / 5:s902 ..c, / / 2_0/ t APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE - ( MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER o Architect ❑Tenant `Agent 0 Other(Describe) ( ) - CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS 74, qa vtin / q- --5- ' ?:vt r-' uCW927095 Leni[er in ormattori is; `r, NAME • I4.-•"�nq'ttir��i ,..IuE?Grceeds�S;flOt7-a. - MAILING ADDRESS ' CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VAL VALUE OF PROPOSE 0 ' • •- SPRINKLERED BUILDING? a YES 0 NO FIRE SUP• : =•;■. 'STEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER a 4 - •- 0 HIGHLINE 0 TACOMA ❑ • -+ • i' LL) SEWER SERVICE PRO u • ■ 4 • VEN 0 HIGHLINE 0 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 EXISTING PROPOSED TOTAL TOTAL=STEED RP- TOTAL PROPOSED Sr TOTAL Er NUMBER OF FLOORS "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(commercul) WOOD STO V ES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Sbowercombo) SHOWERS WATER CLOSETS(Toile) M1SC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(BatbmomSinks) - 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 i officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 4 NAME/TITLE DATE (0 -Z7 �© (Stgnatu (Title) RELATIONSHIP T PROJEC ❑ Owner 0 Agent ❑ Contractor ❑ Architect 0 Other J J• ';s°_ LE-i3ATXDi:.;.:*N . - ALTERATION n REPAIR --.an TENANT-IMPROVEMENT t! 'NG SHELL-ONLY'?.• r.vr'S t3 NO r Ac.... <V Y_ S n : . .-_ .PLAN? ' ; .� •o YES n'iVv..• 4_1441 H • a YES L'irESIGNATIbN : CHANGE OF USE?3; ELECTRICAL P: ` IT 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 0 201-400 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 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 530.50 283.00 Service Feeder _ O Up to 200 amp $113.50 $33.50 0 Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 0 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 ❑ Oto 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 ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 1 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 �csa4)hermostats _ . I ❑ #of Signs( 0;add'n-$16.00/ea) • ' (First sigr}-$52.0Q:add' cit_ ;24.50/ea) e ❑ 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 0 Voice Cabling (for modified submittals) ❑ Data Cabling ❑ A Automation Fee on all Permits $5.00 ) (Per System(s) 1•t 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAG 296-46-910(5W&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application lis