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05-102942 City of Federal Way Flectrical Permit #: 05 - 102942 - 00 - EL Community Development Services - P.O.Box 9718 Federal Way,WA 98063-9718 Ph (253)8354000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: DAVIS 496 Project Address: 32842 23RDISW Parcel Number: 894510 0340 Project Description: Adding/alt(2)circuits for new addition Owner Applicant Contractor L W Davis CEDAR RIVER ELECTRIC,INC. CEDAR RIVER ELECTRIC,INC. 32842 23RD AVE SW 21629 SE 245TH ST 21629 SE 245TH ST FEDERAL WAY WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038 98023-2806 (425)432-5834 Electrical Fixtures Description Quantity) Description !Quantity Description 'Quantity Circuits-Residential PERMIT EXPIRES December 18,2005. Permit issued on June 21,2005 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: _ C. Owner or agent: L ��/ Date: 2 1 -o S SNA j`(< (Dfi ,z (--/6-7(1( THIS CARD IS TO REMAIN ON-SITE CIA Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102942-00-EL Owner: L W DAVIS Address: 32842 23RD AVE SW FEDERAL WAY, WA 98023-2806 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) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date IN Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved ill ` B lOk\�� Date 1.2`zz\tBy Date B -1?---- Dates_t Q—c .❑ Under-slab groundwork(4295) Approved By Date 1 ..A RECEIVED Federal Way JUN 2 1 2005 T� — R A. P ERMSF MF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT :.t a' 3332AVENUE SFEDERAL PLFEDBRAt WAY,W 98063-971" 2534354607•£AX?53,Q35-264UILDING DEP I CATION lTD / / J y+urw.atyofederal •y.cotq ) The ollowi • is -• fired in ormation-an inco •tete • ••lication will not be acce•ted. Please •rint le•ibl in i or IN PROPERTY INFORMATION SITE ADDRESS 3 2 9 y 2- 2 3 /41/e , SO./ • SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page%r le gthy legal description/ - IN PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL - 0 DEMOLITION $ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide dravd.clescription of work included on ' permit only) 1, otot t -fin rt6- %.• , tqe...5 *evci sa ( . ( 1f 1 Cc fa(c45 (pi- o-ute PROJECT NAME(Name of Business or Owner Last Name) 1,G1 e/i 3 • PEOPLE INFORMATION PROPERTY NAME i PRIMARY PHONE OWNER DO l/ L c ( ) - MAILING ADDRESS CITY,STAT ,ZIP 328'1Z 23 , 4e, see) /C'eJ / &o vit. ?Y06 3 CONTRACTOR COMP NAME APPLICANT NAME OFFICE PHONE Ce car R'vet- Fie-. ..6...Th . ke ij'LL)/'Ater (yzs)y3Z :SS'3MAILI G ADDRESS STATE,ZIP CELL PHONE CVRLwJ �� • N DPYa7e 4. ,Z%) 4 l i" -i317 FEDEASINE IBER EXPI N E . FAX / / (4'2Si y37. .5g3 s L CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE CEJ I4ii & E. Q1- LDf 3 / i7 /® 7 APPLICANT COMPANI NAME , APPLICANT NAME OFFICE PHONE C401 arRfLCf rle_ .l^c gest . 4),ft. ?Le_,- ( 1 - MAILINGG ADDRESSREc /CIITTY,STATE,E,ZIP'` I J� ed CELL PHONE R / ",? { c5 L./s / a,c/e V CI I�`�/ (lJA• FAX NUMBER REIATTONSHIP TO PROJECT / a Architect a Tenant a Agent a Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) LENDER ,d .,,0;•,, ,-!...r,- 4,:,),,,, , NAME i •8 a[ g I...YC-'.i •°(,- .1., t,•Xti` MAILING ADDRESS CITY,STATE,ZIP I 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? a YES ❑ NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a 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 NUMBER OF FLOORS wasrua PROPOSED TOTAL , x9 r ,, "Sr__ "'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(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orThb/showercomm► SHOWERS WATER CLOSETS(Tones MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(sathmomsham) 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 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 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. NAME/TITLE / / j. _ A ' DATE C 1 —©� (S': ¶'Fe) - (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑Architect 0 Other `rV i 00L)Plq.C) i 91 rt a},�,+t CrJ ( P'. V1, 't1 1,V. II:41c7 :01,ali t ?iii L1 ts, $t eait,c €� (b > r:. ,;(0 , s 4) " t,�; ) £ . � !(0) ',etc.#4 le yyi�4� x�t(e# y b0f �§b B ��. b�0 6 B A _ • _ _ k. ;011,41T= te . f lgy *Co} [ 4f*CC 1_Df14IT.Tlit ula€)B;��jl®l3 ' 0-4; i Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL P RMIT INFORMATION r' RESIDENTIAL COMMERCIAL Pit NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 82-$104.50;Each add'n 500 lt2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 l ❑ 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 0�over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) 2 #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 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/Industriai 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 Alarm System ❑ Additional Plan Review $104.50/hour 1 ❑ Voice Cabling ❑ Data Cabling (for modified submittals) ❑ Automation Fee on all Permits $5.00 (Per System(s) 1.2500 ft $61.00; Each add'n 2500 ft2-16.00) •Per WAC 29646.910(5/(6J(&ti/ Bulletin#100-January 7,2005 Page 3 of 4 IdHandouts\Permit Application