05-102895 off
City of Federal Way Electrical Permit #: 05 - 102895 - 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: iNORTHLAKE RIDGE 2/70'
Project Address: 33113 41STIS Parcel Number: 618141 0700
V
Project Description: Installing a new L/V thermostat&wiring
Owner Applicant Contractor
NONE BOWS NEW CONSTRUCTION BOB'S NEW CONSTRUCTION
13633 126TH PL NE#350 13633 126TH PL NE#350
KIRKLAND WA 98034 KIRKLAND WA 98034
NONE (425)889-9345
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES December 17,2005.
Permit issued on June 20,2005
I hereby certify that the above inform 'on is corr-ct and that the construction on the above described property and
the occupancy and the use w 1 be in cordance ith the laws,rules and regulations of the State of Washington and
the City of Federal W.y.
Owner or agent: � 1�" Date: 6 -20 .-es
FINALED
A . THIS CARD IS TO REMAIN ON=SITE
CITY OF • Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102895-00-EL
Owner: QUADRANT CORPORATION, THE
Address: 33113 41ST PL S
FEDERAL WAY, WA 98001
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ 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.� Date9--7— By Date DateG c--
❑ Under-slab groundwork(4295)
Approved
By Date
JUN-17-2005 15 59 P.02
MT Of
Federal Way RECEIVED • C'
C - 1 U - as
..
con�uvNr,rtv�orrs6Rvress SF MF CO M
sarynv�Nu$ ourrr•Pot x9rre UN `� EL PL DE EN FP
SWAY,WA 95069 9778 . . PLE C1�,TI 0 N
7SM3S7607.�FAz2,S,3�3S26o9 -YD /
Lnt.�.-413 r 24421 uv.7r
Y OF FEDERAL WAY /
Th8 -IIo • is • trattilchahl,�En . ,
v -PTan ineonipkte •Ucation will not be accepted. Please •lintib
PROPERTY EITPOIiM/�TION k9 ' . .. -e_
SITE ADDRESS / ir I C
ASSESSOR'S TAX/PARCEL# / 1L / , - ` SUTI E/UNIT i
�1 LOT SIZE(s� \_i
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Nt.....,mpara..r•ga/sP twiggy lyd daa
•• .•. .. ...,•::, :: ....•;:.: •'.-•. ■ PROJECT TNI
• ' ORbIATION .. .. . . _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGIN 'RING C) FIRE
PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on .: a't o
PROJ'EC'T NAME(Name of Business or Owner Last Name) j •• A Z.-- /' r (:
- /'A�
_ : r •
.. . U PEOPLE INFOR ATION . •; ;
PROPERTY NAME f1■
OWNERit '%i._ �,/ aa�aiARrJ'HONI$
MAMINO Al a--....,..; I _ Q Y /
C .STATE,ZIP l
CONTRACTOR CO PONY NAME
�� i NAME OFFICE PHONE
. O ADDRESS rim) 7 ► -..� KI-25) ! Q _(Y
• 3rAT$,ZIP ( PHONE 7 7
CM OF-. •-RAL WAY BUSINESS LICENSE NUMBER � 4-,2(51 ,
r 9, - Q sem -B TION PATH PAX NUMBER -
REGISTRATION MAUR Iwpr of wd IO Ir with each aPPUaatien) /O ���•3�� -6‘. .
s N N C• CI 2 C 8 ��• Tl•N DATE
APPLICANT •coMPANY NAatg
APPLICANZ NAME oFF1CkR10 $
� MAILING AILING ADDRESS _
ow,.STATE.ZIP -CELL P410 E
RELATMNSHIP TO PROJECT
D Architect 13 Tcnarit 0 Agent D OLID Pescri.beFAX NU1RER
CONTACT NAME
PRIMARY PHONE
LSC �j
_Ai #2110 --J',
FrldA1LAD.REgg
LENDER a''r ..
r'i.-';t .f= �T? 4.7.4244' 3R1-'7Y 1..:. NAME
O ADDR
cni.STATE,ZIP
is'• : •`:1.<:' •;-. • ■ DETA1 .ED BUILDING INFORMATION . . _ ,
EX/STING USE
_PROPOSED USE
STING ASSESSED/.APPRAISED VALUE $
VALUE OF PROPOSED WORK $ ,
SPRLIIRI,EREI BUH.DUIG? 0 YES O NO FIRE SUpPRES5ION SYSTEM PROPOSED/REQT] D? O YES o NO
WATER SERVICE?ROMEO 0 LAICEHAVEN ❑HIGKYLME p TACOMA 0 PRIVATE(WELL)
SE-vErt BERVIM PROVIDER _❑LA omAVWN 0 HTOHLINE 0 PRIVATE(SEPTIC)
JUN-17-2005 16 00 P.03
_..., _. �:.�.� _:___.�_�--. .PROJECTFLOOfi1L AS _ • ' _ .
AREA DEScR TION EX.ISTHNG S e.F . PRO?OSED S e. ---T.-- TOTAL
BASEMEN'
-SECOND / S'.-S s�
THIRD .
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Tarn!.=tram rarnt►tweoseu Tcr r Az-unarma,,Jor.o
"rNFsWHOMES ONLY"` NUMBER OF BEDROOMS . ESTIMATED SELLING PRICE $
`,::`
•
. _ 1XT
.. - - '�F t1RE --
Indieate number of each type of flkture to be installed or relocated as,part,of this project. Da not induce existing fixtures to remain.
bsCTI�elllICAL
Value of Mechanical Work $ -
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS _ REPR{G.SYSTEMS
t BBQS _ FANS • HOODS Ic...,,d q WOODSTQVES
BOILERS - I FIREPLACE INSERTS .RANGES MISC(Describe)
COMPRESSORS f PURNACES 1 GAS WATER HEATERS
DUCTS , • 4/ GAS PIPE OUTLETS
J?I.MCB71Yr}
BATHTUBS l r?N,bfstrv.rc.mb.i SHOWERS • WATER CLOSETS moo . MISC(Describe)
DISHWASHERS SINES DRINKING FOUNTAINS
' GAS PIPE OUTLETS SUMPS RAINWATER 9YST
WASHING MACHINES URINALS _ 11055 BIBBS
LAYS :.awom .. ,... VACUUM BREAKERS ELECTRIC WATER HEATERS '
.• • .'...:.. .:: .:::••• .• ::'..-11.. -_ . . ..:.;DISCLAIbIhR/SIGilATURE MOM....:;°�..
I aert(fy under penalty of perjury that the information furnished by me is true and correct to the best of trty knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permie application is made. .I further agree to hold
hmintaaa the city of Federal Way as to arty claim(including costs, erpereses, and attorneys'fees incurred in the Investigation and dEf rue of
such claim), which may be made by any person,Including the undersigned,and filed against the City of Fedrriz 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.
Z....„=
ie
NAIriE/TrITE DATE c(?7
(Signature) _ - mac) .
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Aeon tractor ' 0 Architect D Other
•
0 N -o ADDITION . o A-LTEI ATION o IiZI'ATR •t ENANT 1<MPROVEMEIIT
BUILDING SHELL ONLY? o YES o NO ' BASIC-PLA.N?' ' 6-YES o NO
ZOMNQ DESIGN .TtoN • . . r Nq. PV,USS?_ o tAg o NO
IT=ADDRESS R IQVIRED? o`YES n NC)
vPIsAI,sIr;?, OBEs •o NO
PLAITED LOT? O YES O MO DEMO PERMIT
REQ, UIItEU? a YES o NO
.•
•
Bulletin ott 100—March 30,2004 — - Page 2 of 4 LAI-laredouts—Reviscd\Pesmit Application
JUN-17-2005 16 00 P.04
.. .- .. .••- - .. :.ELECTRICAL PERMIT-INFORMA'PION.::.--,,;'..::..,..•.• - . •- . .,. !
RESIDENTIAL COMMERCIAL,
' NEW RESIID)1NT1AT,SERVICEEta W COMMERCIAL./INDUSTRIAL SKI CE
A Single Family Square Feet_3 L Services or Feeder Each Add'n
/
(First 1300 ft,-$117,00;Each add'n 500 rt .$20.00) 0 0 to 100 amp $ 94,50 $ 58"00
0 Detached outbuilding or garage 0 101-200.amp 117.50 74.00
(Inspected with service) $36.50 d 0 201-400 amp 220.50 87.00
O Detached outbuilding or garage0 401-600 amp 256.50 103.00
(Inspected separately) $58.00
0 601--800 amp 332.00 140.50
0NEW ULTI-FAMILY(three units or more) 801 1000 amp 405.50 169,50
M_
Service Feedsr 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94-50 $ 28.00
❑ 201 -400 Amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00
12 mast or meter repair $ 80.00
O 601 -800 amp 206.00 110.00
ALTERED CO1V2MEROIAL/INDUSTRIAT.,
0 Over 800 amp 294.50 220-50 .
•
Serf foe or Feeders
ALTERED fCPW161,:i TI FJJvI] .Y 0 0 to 200 amp $ 94.50 -
❑ 201 -600 amp 220.50
Sen.ice or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201-600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'&circuits,$6.00/ea)
0 # of circuits to be added/altered. COMMERCIAL/INDUSTRIAL-PLAN REV .
(1-4 circuits-$58.00;Add'n circuits$6.00/ewa)
$74.00 plus 35%of Permit Pee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
O Medical/Educational/Institutional Facility
SINGLE/MULTI FAMItY T'I,Al'f REVIEW
❑ Service Over 400 amps
$74.00 plug 35%,0f Permit Fee
r
A HOMES
-
❑ Service or feeder only $58.00 TEM PORARY SERVICE
❑ Service and feeder $94.50
Commercial . Residential
MOBILE HOME/RV pA.R1c 0 0-100 $58.00 $51.00
❑ # of service or feeders 0 101-200 74.00 51.00
-(First service/lbcdet$5B.00;each add'n-$37.50)
0 201 -400 87.00 a/a
❑ 401-600 117.50 n/a
❑ over 600 127.00 Iva
MISCELLANEOUS SERVICE/EQUIPMENT
X / k of Thermostats 0 #of Signs
(First-$43.50;add'n-$13.50/Ca) (First sign-$43,50;add'n sign$20,50/ca)
LI Low voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by syatern(s) _ _ _ (Includes additional circuit,if required) .
❑ Firc Alarm System ❑ Yard Pole meter loops $58.00
El_Security Alarm System ❑ Additional Plan Review $87.00/hour
❑Voices Cabling (for modified submittals)
El Data Cabling
0
(Pcr System(s) 1"2500 112451.00;
Each add'b 2500 ft2 13.50) •Pv WAC29646.9J4'5l(1)(i&ii)
Bulletin 5100-March 30,2004 Page 3 of 4 ItUlandouts-RevisPCrmit Application '
cdl