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05-103476
.�. r r . * City of Federal Way Electrical Permit #: 05 - 103476 - 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 ti Project Name: TOLLOTSON Project Address: 2232 SW 307TH S1 Parcel Number: 416770 0090 Project Description: Add a circuit for firebox fan. Owner Applicant Contractor Steve Tillotson SUNDANCE ENERGY SERVICES,INC. SUNDANCE ENERGY SERVICES,INC. 2232 SW 307TH ST SUNDANCE ENERGY SERVICES,INC. SUNDANCE ENERGY SERVICES,INC. FEDERAL WAY WA 98023 10228 MAIN ST 10228 MAIN ST BOTHELL WA 98011 (425)481-9660 Electrical Fixtures Description IQuantity Description Quantity Description Quantity Circuits-Residential 1 PERMIT EXPIRES January 14,2006. Permit issued on July 18,2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wi be ' _ ordanc-e'with the laws,rules and regulations of the State of Washington and the City of Federal Way • Owner or agent: Date: /� U 5 V (j VO *\ \ • THIS CARD IS TO REMAIN ON-SITS. CITY OF gii Community Development Inspection Record , Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103476-00-EL Owner: STEVE TILLOTSON Address: 2232 SW 307TH ST FEDERAL WAY, WA 98023-7876 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) 0 F' al-Electrical(4055) Approved Approved Approved Date�� ;) By Date By Date y C O 47J ❑ Under-slab groundwork(4295) Approved By Date iipIPfLCGqVgb RECEIVED 4i.dikii 2k- JUL 1 8 2005 Y CIT OF AFF . ,,,j i, Y CITY OF FEDERAL WAY 5-- 0 3 Ll Federal Way � D 7`'a• 'L aP W E R_I/i rrDING DEPT. coe-mTUN1n DEIXLOPnren^sERl7ces SF MF CO ME EL PL DE EN FP 33325 8 SGE SOUTH•PO BO?9718 FEDERAL PrAYI.= 98063-9716 APPLICATION i, / / 253-836-2697.FAX 253-83572605 WWI,'.rtnioftccirniu'au.con, I The following is required information-an incomplete application will not be accepted. Please print legibly fin ink)or type. PROPZIRTYIQNFORMATION !y sly is "7 1-4' r—f' SITE ADDRESS L' 4:---,, Z.— gi J''J ,C' / �/, SUITE/UNIT# y ASSESSOR'S TAX/PARCEL l / / It, 2 ? C - ° 1 0_ LOT SIZE (sf) e;go LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) Q L -,• 40-r-.4 P'GlS4 o S' 1)/V (Aao,h separa,v page fur lengthy legal gess-theoB 111 WOJECTThFORMATION TYPE OF PERMIT ❑ BUILDING E PLUMBING E MECHANICAL C DEMOLITIONELECTRICAL ❑ ENGINEERING C FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) r i. i t rL4 6 drfae � -e r/486k f n17 Al 0 /7S,oo Last �/ /{ PROJECT NAME(Name of Business or Owner Lt Name) , ' EG� f" PROPERTY NAME � MARY PHONE 1 OWNER V f- //G„L,7�c�'�! ( ) la v -h2S j MAILING ADDRESS ' CITY.STATE ZIP .2-152- 544/ '3(37-7*,-, t�4 tA4r PIM f 50d 55 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE �. /'xkPi�.� 11,V - � .� ( 125) yr/- a (3, MAILING ADDRESS CITY. ATE.ZIP CELL PHONE /o?-2 M' i'' V rta lgO//( n) 25�- s',s9 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Zo—o© — ! 0 G oGrs - B L /Z/ 13 / °- ( q2-$) '/ 'q -9Q4y C NTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE ' � 1✓1.�A 5 0 6) T f q i i i 0 S APPLICANT COMPANY N E r APP'IC T NAME OFFICE PHONE � A N'� ✓ J �.v1.4 (Y ) 'i -fflt-,4,n MAILINGADDRE //IAl/� , �� STATE,ZIP fry/ (2E')N^- - szro RELATIONSHIP TO PROJECT ,,// FAX NUMBER ❑Arch ..t5-)itect a Tenant 0 Agent ther(Describe) tiW �/r ( yy$') - 91 f CONTACT PRIMARY PHONE_ E-MAIL ADDRESSNAME çI/k444 - uf (r�L ) / _ 169 Co Q Sihfl1S41 -&N /geoufA4r .; LENDER Per ROW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP M DETAILED DU1 DING INFORMATION ' EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ , SPRINKLERED BUILDING? a YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO ' WATER SERVICE PROVIDER C LAKEHAVEN C HIGHLINE a TACOMA D PRIVATE(WELL) SEWER SERVICE PROVIDER C LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) PROJECTFI:OOR AREAS AREADESCRIPTION EXISTING PROPOSED TOTAL sg.FT. sg.FT. sg.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE LI CARPORT❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S "FIXTURES Indicate:number xt.. nof each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL 0 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS 1Commerciau WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS toV GAS PIPE OUTLETS PLUMBING BATHTUBS(orTub/Shower Combo) SHOWERS WATER CLOSETS crones MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(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, including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �I NAME/TITLE11 I I1 1014016 DATE 7--/L-0S f�y':nar re) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent contractor ❑ Architect 0 Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES a NO ZONING DESIGNATION CHANGE OF USE? o YES o NO' NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application 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 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 ❑ 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 ❑ 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 t(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 I 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 O 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 ❑ #of Thermostats ❑ #of Signs (First-$52.00;add"n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ 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 ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) Cl Data Cabling ❑ Automation Fee on all Permits .. $5.00 0 (Per System(s) 14 2500 ft2-$61.00; Each add'n 2500 f12-16.00)•Per WAC 296A6910(5)(b)(&ti) % it Bulletin#100-January 7,2005 Page 3 of 4 klfiandouts\Permit Application