05-100075 City of Federal Way Electrical Permit #: 05 - 100075 - 00, EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
„ Ph:(253)835-7000 Fax.
(253)R35-2609 Inspection request line: (253) 835-305C
Project Name: ORCHID LANE LOT 1
Project Address: 34317 13TH SIW PL 5W' ' Parcel Number: 640370 0010
Project Description: Provide electrical service for new 3,117 square foot single family residence with attached 618 square foot
garage.
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
Description Quantity Description Quantity Description "Quantity
Service: -Residential 3735
PERMIT EXPIRES July 6,2005.
Permit issued on January 7,2005
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 accordancc w fth the laws,rules and regulations of the State of Washington and
the City of Feder'Way.
f 4 I1
Owner or agent: Date: \ 1 ) 05
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• THIS CARD IS TO REMAIN ON-SITE • -
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100075-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34317 13TH PL SW
FEDERAL WAY, WA 98023
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.r❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) 1 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
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❑ Temporary Power(4275) IX Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By C.4,1/4....1 Date I— -)..{1...0,...., By Date
.prRough Electrical(4225) '❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
4�L
ITS( _ Date�_Z By Date S Date $—
❑ Under-slab groundwork(4295)
Approved
By Date
`- eras way ' RM IT SF MF co M L DE EN FP
COM31•4 1 DEVELOP T SERv7C�S
• F WA SOUTH 80667-iia 18 JAN Apow LI CATI O N '713 / . /
253.6614415•MX 253.661-1129
rmwr emtafeelerdtunv es n
CITY OF FEDERA •
_ The o • . • is •. -- in .: - :(l1 L':=.!,, • 'tete application tiff not be accented. Please print It• • tin ink)or )• -
'` PROPERTY II-FORMATION
SITE ADDRESS 3`/ 3 1 ' 13411 pt. 5 VV SUITE/UNIT!
ASSESSOR'S TAX/PARCEL i — — — —C LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acne Estates, Lot 1) D ieG 1-11 ,LlW E I LOY I
IAM*upon=pogofor lengthy legal eieserpowv .
PROJECT INFORMATION -
TYPE OF PERMIT C BUILDING ❑ PLIMIBING ❑ MECHANICAL
0 DEMOLITION XELECTRICAL C ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this oermit only)
„zoo Amp SER.Urc.E 4- wlie INC-r
PROJECT NAME(Name of Business or Owner Last Name) PP-0 V ( DEN T EL Ec-1 P t L ; I /VC/ .
PEOPLE INFORMATION-
PROPERTYPRIMARY PHONE
f
OWNER NSE A le BO u.12 AD/0"ES (�53) .214i - (0 3
MAILING ADDRESSCITY.STATE.ZIP
334-00 9 i± Ave 5. I rederu ( Way , WA- q soo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ePP.OVt DENT EL-CC-1-4 1 L i t.re v- (01531 to 31 - 115-o
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
PC boK 5a a,g Q N, WA- cao5e ( )Cl? -
OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE AX(01-53)M ER 1
- B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
24. QVICILQaC_ 2- a. /aa' / 04
APPLICANT COMPANY NAME 1 APPLICANT NAMEOFFICE PHONE -
I ( )
MAILING ADDRESS I Ca?.STATE.IP CELL PHONE -
I (
RELATIONSHIP TO PROJECT FAX NUMSE.R
Architect C Tenant ::gent C Other(Desa oe) I ( ) -
NAME i ?RIMiRY?'TONE '7 E-MAIL ADDRESS
CONTACT �LG•1rev� 1 -sJl 6a 3t - 1 1 �0 I Il
LENDER Per RCW 19.27.099: Leader information is I
required ifproJ.ee value oecueds$S 000
MAILING ADDRESS I CITY.STATE.ZIP
(
DETAILED BUILDING INFORMATION
=STING USE PROPOSED USE .
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRENELER.D BUILDLYG? C YES = NO FMB SUPPRESSION SYSTEM PROPOSED/REQUIR D? C YES C NO
WATER SERVICE PROVIDER 0 LAEEEAVEN G IIGR.L'IE C TACOMA C PRIVATE (WELL) '
SEWER SERVICE PROVIDER C Ls3EBAVEN C. BIGHLINE C PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING SQ. FT. I PROPOSED SQ.FT. I TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT I 1
HOW MANY FLOORS? II TOTAL ISCL5a TOTAL PROPOS TOTAL=moo eau nPAroeao
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE s _
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(Commercial1 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLOMBING
BATHTUBS(or Tub/5howerCombo) SHOWERS WATER CLOSETS(mile MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
_ LAVS Bathroom smtw 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.
NAME/TITLE k-0"-Q-M YY\et-LC-kJ DATE I ( I 0 5
(Signature) lTittel
RELATIONSHIP TO PROJECT ❑ Owner C Agent ❑ Contractor C Architect ❑ Other
FOR OFFICE USE ONLY'.
)
NEW =ADDITION =ALTERATION =REPAIR =TWANT IMPROVEMENT
BUILDING SHELL ONLY? =YES =NO I BASIC PLAN? _YES c NO
ZONING DESIGNATION 1 CHANGE OF USE? a YES =NO
j NEW ADDRESS REQUIRED? =YES = NO UP/SEPA/SII? =YES 2 NO
PLATTED LOT? =YES =NO 1 DEMO PERMIT REQUIRED? =YES =NO
•
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application-
4
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
' NEW RESIDENTIAL SERVICE 7 NEW COMMERCIAL/INDUSTRIAL SERVICE
)31Single Family Square Feet 335 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
U 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
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 486.50 203.50
Service Feeder ❑ Over 1000 amp 530.50 283.00
❑ Up to 200 amp $113.50 $33.50
❑ 201 -400 amp 141.00 69.50 U Over 600 volts surcharge $89.00
❑ 401 600 amp 193.00 96.00 •
0 Mast or meter repair $96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $113.50
❑ 201 -600 amp 264.50
Service or Feeder ❑ 601 - 1000 amp 398.50
❑ 0 to 200 amp $87.00 ❑ over 1000 amp 443.50
❑ 201 -600 amp 141.00
❑ over 600 amp 212.50 ❑ #of circuits to be added/altered
(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
❑ Mast or meter repair $52.00 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $69.50 TEMPORARY SERVICE
❑ Service and feeder $113.50
Residential/Multi-Family/Commerciai,Industrial $61.00
MOBILE HOME/RV PARK
❑ #of service or feeders Commercial/Industrial Service or Feeder Ampacity
(First service/feeder-$69.50;each add'n-$45.00) ❑ 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 U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U 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 U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1"2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(501(i 86 ii)
Bulletin#100-December 8,2004 Paee 3 of 4 k\Handouts\Permit Application •