05-103324 •
City of Federal Way Electrical Permit #: 05 - 103324 - 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: MATHEWS
Project Address: 34429 9TH'L� Parcel Number: 132171 0420
Project Description: Install T-stat for gas furnace and AC
Owner Applicant Contractor
Scott J Matthew &Megan Matthew GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
34429 9TH AVE SW 3802 AUBURN WAY N 3802 AUBURN WAY N
FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002
98023-8412 (253)931-0610
Electrical Fixtures
DescriptionI Quantity Description Quantity Description Quantity
_
Thermostat 1
PERMIT EXPIRES January 7,2006.
Permit issued on July 11,2005
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 / f! >
Owner or agent: ��1- ' Date: e ///
o/O
FINq
QED
THIS CARD IS TO REMAIN ON-SITE '
CITY OF A • • . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103324-00-EL
Owner: SCOTT J MATTHEW
Address: 34429 9TH AVE SW
FEDERAL WAY, WA 98023-8412
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 By6.2-5 Date —.?o-K
❑ Under-slab groundwork(4295) -
Approved
By Date
----federal Way p -�� - .1._ s2 ��-- r'
I ta--DEVEtor aNr�ECEIVE PERMIT' SF MF COM PL DE EN FP
, 3. AFENUB SOUTH•PO BOX 9718
TFSEJDE3RWFWAX�9SSJOd63,5du L 1 1 2 o oA P P L I C AT I O N
ITD / /
yiww.dludTedei waaoao
The olio • 4 •l•a •_ ,+ •4„+f._-,_, &Van Inco .tete • ••iication will not be acce•ted Please •rint Ie• •1 or j• .
• PROPERTY INFORMATION
SITE ADDRESS 34142-41 C4k-.Acte_ Ski i ULA a'L' Wit SUITE/UNIT#
ASSESSOR'S TAX/PARCEL I J.:322.,_ 1 t - (4 0_ LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Alach illWalg MOM WOW Marl dc.dpday
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING _ :MECHANICAL
0 DEMOLITION)LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide detailed description of work✓included on this permit only)
.1Z411A � �.LI c � f inn P.f , -
':
U.'s1k5
PROJECT NAME(Name of Business or Owner Last Name)
MI PEOPLE INFORMATION
PROPERTY �A PRIMARY PHONE '
OWNER Nti L1\t 1 v ct_kl J i
(2S3) 3y3 - `--)(o k
MAILING ADDRESSy Lq QSTATE,ZIP
3tt �1� 1, ,3 4ti,noi Wot. 1/0., ( ert),
CONTRACTOR COMPANY NAME APPLICANT NAME
`\ _ - OFFICE PHONE
aa-�- ar.s eta 0.1 ayik6 it (4).53) J131 -0(.010
MAILINGS STATE,ZIP CELL PHONE
43/i02- in 13 *301 NATAL � A%O (, ) -
• CITY OFFS .WAY BUSINESS U ENSE NUMBER EXPIRATION DATE - FAX NUMBER
l cl.-`1 Y -.1 Cls_ _15-i-B k IZ/ ) i / oc (253► yp4 -Dj(ln0
CTOR S REGISTRATION NUMBER(copy e[said r.(.I ad with sack application) EXPIRATION DATE
APPLICANT PANY NAMEl, APPLICANT NAME OFFICE PHONE
�IIti .h A 2-1 I S►'�'Dl,sl.$lt,L 6 +t (25; 931 -a010
MAIUNG A rn � � �J� CITY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT 1 A��,", C1 2_ ( )
❑ Architect ❑Tenant ❑Agent ''Other(Describe) c�Olfl rQ_ote,r FAx NUMBER
CONTACT N!►M�� PRIMARY PHONE E-MAIL ADDRESS
VOki*arA11040/41AILy,,hey.
LENDER NAME
MAILINO ADDRESS CM.STATE,ZIP
■ 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? ❑YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGRLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
I
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• BASEMENT SQ.FT. SQ.FT. SQ. FT.
FIRST
SECOND _
THIRD •
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING rROOD 7OTA! "ib"
25„ XPR°r°6W:SI r.} '•. .• AL arils
"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.
MECKARICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODSco
BOILERS HOODS( .da9 WOODSTOVES
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(otitis/shower combs SHOWERS WATER CLOSETS
DISHWASHERS gases MISC(Describe)
SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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 relianceof the city,incl •big officers and employees,upon the accuracy of the information supplied to the city as a part
this application. /
of
NAME/TITLE 40,41111,/, ,SL
DATE 7/// 0
(S nature) (Title) / S
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor ❑ Architect ❑ Other
lDi:7 st)t)('il(t:)4 ,ei 4°);4,ttr)CE)kF ,2 .4te,Y t' � �,t+r ii: .L • y!,/0At`
.9,P14'� 05,,,-10)4, e(c)4 �
/o) r c IA,
�4'� gym 5.�
E� ..
IJ?�i ift
4 ie
l.,P/..
•
(e" ��3 Q r :2ar)6si7 'ri
Bulletin#100 January 7,2005 Page 2 of 4
k\IiandoutslPermit 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 fta-$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
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $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
11 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/lndustrial 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
Iii, I #of Thermostats ❑ #of Signs
irst-$52.00;addh-$16.00/ea (First sign-$52.00;add'nsign$24.50/ea)
1- tage ❑ Swimming pool/hot tub $87.00
•uare to be se -• .y system s) "e f (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)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits $5.00
(Per System(s) 1t 2500 ft2-$61.00;
IEach add'n 2500 ft2-16.00) •Per WAC 296-46-910(5%456s ii)
g
Bulletin#100-January 7,2005 Page 3 of 4 k}Iandouts\Permit Application