05-101582 •
City of Federal Way Electrical Permit#: 05 - 101582 - 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: HAGGINS \.:r
Project Address: 4727 SW 317TH/UnitD Parcel Number: 784300 0040
Project Description: 20amp circuit extension for light fixture
Owner Applicant Contractor
ELI HAGGINS ELECTRO SERVE LLC ELECTRO SERVE LLC
4727 SW 317TH LN 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA 98023 BELLEVUE WA 98005 BELLEVUE WA 98005
(425)451-3358
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Multi Family 1
PERMIT EXPIRES October 12,2005.
Permit issued on April 15,2005
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.
Owner or agent: Cc�a lt Date: L/// SIO
S�
Q—A — �--
THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101582-00-EL
Owner: ELI HAGGINS
Address: 4727 SW 317TH LN Unit D
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.
❑ Ditch cover(4030) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Elt Final-Electrical(4055)
Approved Approved Approved
12 —nS—flS
By Date By Date By CI Date itsigrEtsz"•
❑ Under-slab groundwork(4295)
Approved
By Date
..,..__ ......,._ 0 c - 1_5_ 5 2-
, Federal Way
PERI 'VED BY SF MF C EAP PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES �/p VELOPMENT DEPARTMENT
3332E STM AVENUE SOUTH•63 971 9718 /i P P L�44124.
TD /
FEDERAL WAY,WA 98063-971 B 1/�1 /
253-835-2607•FAX 253-835-2609
www a l uo fede ral wa to cum
The following is required information-an incomplete a.•lication will not be accepted. Please print legibly(in ink)or type.
SITE ADDRESS 14199- b(l~ i_/VSUITE/UNIT# p
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) .,---
(Attach
(Attach separate page for lengthy legal desaip6on)
t. `...- -. . „ _ . : ■:.PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING ❑0PLUMBING 0 MECHANICAL
0 DEMOLITION UELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descriptionof work included on this permit only)
cs3e) AI) ek44145Lalti y ( :lLt .2.
PROJECT NAME(Name of Business or Owner Last Name)
," PEOPLE INFORMATION - _
PROPERTY NAME L PRIMARY PHONE
OWNER cf./ f fi //45 (Zs ) t311 - 7
MAILING ADDRESS CITY STATE,ZIP
Loa %%) 614- LA (&IRAL WM( , (tea onbc,3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Y� oo 56 $P. `aT 51L-°105- =caLtk6 L A 9&OD$ (a3 ( - 6 c(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I g-1 S-.J 0 51 a(O- B L 207 / "1 / OS (q2S) 5y) - 1tc
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Cat I GIC,t IuS ( ) -
MAILING ADDRESS / CITY,STATE,ZIP CELL PHONE
GLS lk� - ( ) -
RELATIONSHIP TO PRO CT FAX NUMBER
0 Architect rant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME g(2 PRIMARY PHONE E-MAIL ADDRESS
M ft TWA,C * (t4/2S) - a _----
LENDER Per RCW 19.27.095:`Lender information is` NAME e-,------
,'
required ifproject value exceeds$5,000
MAILING ADDRESSCITY,STATE,ZIP, _
:' '.1','„ • --,f, 1 DETAILED BUILDING INFORMATION • -.
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
i WATER SERVICE PROVIDER 0 LAKEHAVEN ❑BIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) "
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE ❑ PRIVATE(SEPTIC)
sa ---
MK N IA e4 7 i
•
PROJECT FLOOR AREAS ' .
. ..... ----:-...-------------•--._ TOTAL
AREA DESCRIPTION
EXISTING S•.FT. PROPOSED S•.FT.
.ENT IIIIINIIIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIII
:SECOND 11111111111111111111111111111111111111
THIRD IIIIIIIIII■IIIIIIIIIIMIIIIIIIIIIII
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
IIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIII
DECK(COVERED?) IIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIII
GARAGE/CARPORT 1111111111111111111111111111111111111111
HOW MANY FLOORS? 111111iiiiiMaiii,M1111111"111
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES l',.---:::- -_ - 4.
• y L^! .` e adore to be installed or relocated as part of this project. Do not include existing factures to remain.
Y Indicate number ofeach type o fj
MECHANICAL
Value of Mechanical Work $_______--
_
GAS LOGS REFRIG.SYSTEMS
EVAPORATIVE COOLERS WOODSTOVES
AIR HANDLING UNITS FANS HOODS(comme«wl ES M1SC(Describe)
BOIL FIREPLACE INSERTS �G
BOILERS FURNACES GAS WATER HEATERS
COMPRESSORS GAS PIPE OUTLETS
DUCTS
PLUMBING WATER CLOSETS amid)
MISC(Describe)
BA
SHOWERS PRINKING
DISHWASHERS
le�T�b/sno+«com�1 SINKS RAINWATER NDRINKING
FOUNTAINS SUT
--
GAS
SUMPS
GAS PIPE OUTLETS URINALS HOSE_ BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS ts.u,�ams�tc: 17 r
` .1 DISCLAIMER/SIGNATURE BLOCK A ,
� � -_ andknowledge and further,that I
I certify under penalty of perjury'that the information furnished by me is true a the ect tito the on myis made. I further agree to hold
application
haam authorized by the Federal Way the above premises to sidiperform costs,the work f s� ees incurred in the investigation and defense of
ofeases, and attorney j Federal Way,but claim
such clailess the City of m as y any claim(i ding the der expenses,and filed against the City of (ted only the wherer such a Part of
such claim),which may be made byit any includingg,including ler the undersigned,
arises out of the reliance of the city, its officers and employees,upon the accuracy of the information supplied /
DATE
this application. (. �S
NAME/TITLE (T lel
e (Signa urc) Contractor ❑ Architect ❑ Other
S RELATIONSHIP TO PROJECT 0 Owner ❑ Agent
F
sft
( ;FOR YOFFICE USE ONLY o REPAIR );TENANT IMPROVEMENT
a NEW h a ADDITION ❑ALTERATION o YES o NO
D YES o NO BASIC PLAN? ❑NO.
BUILDING SHELL ONLY? o YES
CHANGE.OF:USE? o YES o NO
ZONING DESIGNATION Up/SEPA/SU?:
! NEW ADDRESS REQUIRED? o YES o NO REQUIRED? o YES o NO
PLATTED LOT? YES o NO DEMO PERMIT REQ4
f
j Bulletin#100—March 30,2004
— � Page 2 of 4 k\Handouts—Revised\I'ertnit Application•
i `
ELECTRICAL PERMIT INFORMATION :' _ . . :
. RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
' Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 f12-$87.00; Each add'n 500 ft,-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to.be added/altered
I (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
Itt #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 0 Service over 200 amps
0 Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
Cl # of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified subiiittals)
❑ Data Cabling
(Per System(s) 1. 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 2 964 6-9 7 0(5)(6)(1&it)
Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Revised\Permit Application