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05-103283
t f City of Federal Way Electrical Permit #: 05 - 103283 - 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: TERRY Q Project Address: 32514 36TH Parcel Number: 873195 0920 Project Description: Adding one circuit for new fireplace insert Owner Applicant Contractor Robert L Terry &Normandie M Terry Robert L Terry Robert L Terry 32514 36TH AVE SW 32514 36TH AVE SW 32514 36TH AVE SW FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-2601 98023-2601 Electrical Fixtures Description 'Quantity Description Quantity Description Quantity Circuits-Residential 1 PERMIT EXPIRES January 4,2006. Permit issued!on July 8,2005 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: 1`0j Date: ...76.1 t31, 'YQ f‘1\11\ °) , THIS CARD IS TO REMAIN ON-SITE — . CITY OF 44A Community Development Inspection Record _. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103283-00-EL Owner: ROBERT L TERRY Address: 32514 36TH AVE SW FEDERAL WAY, WA 98023-2601 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 ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date Date?V 74 t❑ Under-slab groundwork(4295) Approved By Date I i yr..Of RECEIVED 3. _ - _/_(:) Z Federal Way •RMI COMMUNIYDEVELOPMENFSERVICES JUL 8 �0� T SF MF COM EL L DE EN FP 33325 8TM AVENUE SOUTH•PO BOX 9718 PEDERALWAY,WA 9 8 063-9 718 CiITYOF,FEDI P ',,LI CATI O N D / / 1 T53 8352607•FAXT53d35-2609 I www.cituo/rcderalwau.cmrr BUILDING DEPT. The ollowi • is • fired In ormatlon-an Inco •fete . ••lication will not be acce•ted. Please •tint le•ibi in I or • PROPERTY INFORMATION SITE ADDRESS 3 2 5 11+ 3G0ll^A VQ, S:W, I rpcl.e.AGA (N , W q. C(64:32-.3 SUITE/UNIT it Th. ACc©uNI" µa, ASCASSOWS,., XPARCE1(# $ L 3_ E_- _a. 2 _Q _.., O 2 LOT SIZE(s) 5 Z 5 O LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 5 A.R. a'Ka cktd Sli,.Q.1 µamnseparate page for lengthy legal description, • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL _ 0 DEMOLITION lItNELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) VACC.A WON/.AC. ♦n rLIIn Wel e.(er ('cdA. lig ir..a c as -Ctv� v p lag-e_ ,k.e154•/2_v i Li•r,•rt. .JJit ( bt ituy, off Q4- avrN .exke -tr')c} <(v Li 14 , Wovk, kt vl s ticLAA a circ I i vt.t a'vqd -e t v t.¢.v-1- I g Sato m t 4 d m r )e ' ou�a t _4.t 1, r A,.,M._t E- c 1 , c&r Q r' a("31/9 w({'k.1 t In t c o+1e.. PROJECT NAME(Name of Business or Owner Last Name) T C R R"( • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Rv be/A- L, anrdl New enok.41,_cis.t. M, 'CQ if r`y (253 ) 9 SZ- "(G t Ic MAILING ADDRESS CITY,STATE,ZIP 325I4 3CQ411A4.1Q 5,W , (=Q,eA,ea W°u'4, klA.. 6lA©23 CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE r ( ) - MAILING ADDRESS j#,, ATE, P I 1 CELL PHONE ali CrFY OF FEDERAL WAY BUSI ,/ �" ) EXPIRATION DABER TE FAX NUM ilk _B / jl / / ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME =PHONE r RO be y# L, \21/rt., (253 ) °152 - 1 X00 Cv MAILING ADDRESS CITY,STATE,ZIP ._ CELL PHONE 315(i+ 3fo11' A.te. 5,W , Ir=edeva lwcu•1,WA, ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect 0 Tenant 0 Agent (kOther(Describe) onto nre.r ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS (dab - L .T�„r ( 253) 9 5 1- -1 c,o L LENDER d d.,,, :r;;-, , ,,,,, ,,,r, r, r:,; x NAME ,fir, 1-0{-_•i i',,'-<Y,.4,f•=.`k":,/t0; MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO SERVICE PROVIDER a LAKEHAVEN ❑ IUGIILINE 0 TACOMA 0 PRIVATE(WELL) - SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS • AREA DESCRIPTION PROPOSED TOTAL bct.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND ( THIRD { FOURTH . ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 RUs1'WO PROPOSRD TOTAL 34,:,...,)1.1..1!.1-,S^ .,ALlR 3 NUMBER OF FLOORS ` r,t ' 1 **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. WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS DUCTS OAS PIPE OUTLETS PLUMBING BATHTUBS(orT,b/Shower Combo) SHOWERS WATER CLOSETS([veep MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(auhr..msenkei 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. —�+ ---14 NAME/TITLE }eAk DATE V(J I tl 7) 2.e O S aturo) (Title) / RELATIONSHIP TO PROJECT °g'Owner ❑Agent Contractor ❑ Architect 0 Other .0.n ('J6 :,'Wt,a LYEir+(tJ € .'-,a:w'ter +,:..i. . I .�ejee,t)€ €V(k'•. •raj .(o; :s'i.)f€ i ? Rat,(e" Oazi(a)�G_(I(r)r .._ l'tv;(r)1 Ja . I I: � guo- c .0 )tre-0-5 0TN')� q \ i o : pIINZ . .' 't i E f.�zi +10 � .at,� a4e' c cj = L ' �D'._ *�0� 1'0 (0}� a?`Q r_,aac�epi > >� - . - as Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsWermit Application L ELECT:ICAL PERMIT INFORMATION it ' RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$104.50;Each add'n 500 Ra-$33.50) 0 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 ❑ 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 0 Mast or meter repair $96.00 ❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL 0 601 -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 0 #of circuits to be added/altered 0 over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) �s /altered Cady! bYa�ce COMMERCIAL/INDUSTRIAL PLAN REVIEW #of circuits to be (1-4 circuits-$69.50;Add'n circuits$7.00/ea)gkt kvcv;i) $59.00 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 ❑ I01-200 amps 89.00 O 201-400 amps 104.50 AV"\c ;----"---- ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs v (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) 1 ❑ Low Voltage 0 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 0 Additional Plan Review $104. 0 hour 0 Voice CablingCI (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits $5.00 1 (Per System(s) 1i 2500 ft2-$61.00; r Each add'n 2500 ft2-16.00)•Per WAC 296.16910(5)(b$&5) lEI t Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application! mionammimmillimmazzimmumniimil This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive. PERMIT FEES Building,mechanical,and fire prevention system fees are based on the following schedule. **Electrical and plumbing fees are calculated separately** TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR (1)$1.00 to$500.00 (1)$31.00 • (2)$501.00 to$2,000.00 (2)$31.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including $2,000.00 _-(3)$2,001.00 to$25,000.00 (3)$91.00 for the first$2,000.00 plus$18.50 for each additional$1.000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$516.50 for the first$25,000.00 plus$13.50 for each additional$1.000.00 or fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$854.00 for the first$50,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,304.00 for the first$100,000.00 plus$7.50 for each additional$1.000.00 or fraction thereof, to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,304.00 for the fist$500,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to and including$1,000,000.00 • (8)$1,000,001.00 and up (8)$7,304.00 for the first$1,000,000.00 plus$5.00 for each additional$1.000.00 or fraction thereof. Table A PLAN REVIEW FEES • Building Permit 65% of Building Permit Fees • Mechanical Permit • 25% of Mechanical Permit Fees • Plumbing Permit 65%of Plumbing Permit Fees • Additional Building Division Review $63.50/hour PLUMBING PERMIT FEES • $26.50 Permit Fee plus $9.00 per fixture OTHER FEES (Vary according to project type and scope) • WA State Building Code Council(SBCC) Surcharge $4.50/issued permit • Fire District#39 review fees (commercial only) 15% of building permit fees • Public Works review fees Hourly/varies by project • School District impact Fees (new residential only) $3,011.50/single-family residence • $950.50/multi-family unit • Automation fee on all permits $5.00 • Demolition permit fees • Required bond(s)/deposits If you need assistance completing the permit application form, or have questions concerning the application process, please contact: Community Development Customer Service Counter at(253) 835-2607 8:00 am to 5:00 pm, Monday through Friday t i Bulletin#100—January 7,2005 Page 4 of 4 k\Handouts\Permit Applicatb'