05-103204 City of Federal Way `__ Electrical Permit #: 05 - 103204 - 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: GULBRAA
Project Address: 33357 20TH,V Ave- Parcel Number: 797820 0101
Project Description: Install one circuit
Owner Applicant Contractor
Peter S Hest in OVERLAKE ELETRICAL INC OVERLAKE ELETRICAL INC
30117 11TH PLS 17828 SE 40TH PL 17828 SE 40TH PL
FEDERAL WAY WA BELLEVUE WA 98008 BELLEVUE WA 98008
98003-4147 (425)643-5881
Electrical Fixtures
Description Quantity Description 'Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES January 1,2006.
Permit issued on July 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.
Owner or agent:�@ (1Y1Date: -7-5-of
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ` Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 •
PERMIT#: 05-103204-00-EL
a
Owner: PETER S HESLIN
Address: 33357 20TH AVE S
FEDERAL WAY, WA 98003-6838
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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date q let\c)
❑ Under-slab groundwork(4295)
Approved
By Date
p
g.oF RECEIVED
Federal Way PERMIT -
COMMUNITY DEVELOPMENT SERVICES J U�_ 0 5 2005 SF MF CO ME EL L DE EN FP
3332E D AVENUE SOUTH•PO 9718 ,LI C ATI O N
FEDERAL WAY,FAX
98063-9718TD / /
253-835.2607•FAX 253-835-2609
www.cltuoffederalwau.com CITY OF FEDE
BUILDING DEPT.
The ollowin! is •uired i ormation-an incom•fete a••lication will not be acce•ted. Please • 'Tit le!ibl (in ink)or
IIIPROPERTY INFORMATION
SITE ADDRESS 33_357 .2044- A v� - S
ASSESSOR'S TAX/PARCEL# - l 42 Z 0 /� ( / LOT SIZE( #
- �/ 0 l LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
attach separate page for lengthy legal description!
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4 /C- C t'rC�it-t I A_
PROJECT NAME(Name of Business or Owner Last Name) 4 CAI6 ra,e,
Ili PEOPLE INFORMATION
PROPERTY NAME k--, iPRIMARY PHONEp- G� /GOWNERc1 ) 1 c— ( 1Jr� (253') 53n - ( SS
MAILIN DRESS CITY,ST TE,ZIP
Cr- 3335-7 .20� r/.,� S � G 1 Bbl ( OJA . 7 g"603
V CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
N OJ�Jc k L i.1,--,c,� , the..,. te
- r (y2 S) 6(/3 .
- i/
MAILING DRESS S //� CITY.STATE,ZIP (/�J� CELL PHONE
R
tt (7 $FEDERAL)-1 WAY BUSINESSLIL 0.NSE -- &/t v !RATION- ?DAFaX ( 6 )FAX 7 73
- ‘6 q-q
CITY OF,_V l', a -L -Y it 6 1 0 0—B L •i V / ✓( / C'/ ) 7V2 5 77
`` ' CONTRACTOR'S REGISTRATION NUMBER(copy of Gerd required with each endieeticm) EXPIRATION DATE
0 0 V �2L LSO Leh ?"- / /
(\6 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C^ 1 MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
�.V ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT PRIMARY PHONE E-MAIL ADDRESS
4(7. • # . (-z0c,) 7y 3 - 6<5i ? ova- a ek ,(Ck
LENDER ;41A: '
1 : ' „ g ' , g NAME
: r ass
MAILING ADDRESS CITY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 94
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO -
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ I'IIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- !
$
PROJECT FLOOR AREAS
TOTAL
I AREA•
DESCRIPTION EXISTING PROPOSED.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
1.
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS smrna �
esorasso ,`:
**NEW HOMES ONLY•• NUMBER OF BEDROOMS 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 REFRIG.SYSTEMS
Brigs
HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or 7Lb/shower Combo)
SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bath,00m 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—urther,that I
am authorised 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 coats,espenses, 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 • the city,including Its t - and employees,upon the accuracy of the information supplied to the city as a part of
this application. A 1 ,
NAME/TITLE ►... _ DATE 7..o Q�
IS:+ ature) mile)
RELATIONSHIP TO PROJECT 0 Owner 0 rent / 3 Contractor ❑Architect 0 Other
•••• 4 § 4� INCI R'j t"+Yu"bate PIM:
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Bulletin#100-January 7,2005 Page 2 of 4 kU Iandouts\Permit Application
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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
❑ 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 ❑ 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 ❑ #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 Mann 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•e 2500 ft2-$61.00:
Each add'n 2500 ft2-16.00)•Per WAC 296-46.910(5W(bXI&IO
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Bulletin#100-January 7,2005 Page 3 of 4 k Handouts\Permit Application