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05-103735 R t1 . 4 • City of Federal Way Electrical Permit #: 05 - 103735 - 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: LISITSYN pc46 Project Address: 30414 24TH SW Parcel Number: 889420 0020 Project Description: Install 200-amp service for new 4,931-square-foot,single-family home. Owner Applicant Contractor ANDREY LISITSYN ANDREY LISITSYN NONE - 2255 S 287TH ST 2255 S 287TH ST FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Electrical Fixtures Description Quantity L Description Quantity Description 11Quantityj Service: -Residential 4931 1, PERMIT EXPIRES January 24,2006. Permit issued on July 28,2005 I hereby certify that the above information,is correct an ,that the construction on the above described props rt ,ind the occupancy and the use will be in : ordarn to with the laws,rules and regulations of the State of Washington and the City of Federal Way. ! Owner or agent: Date: 7/2 70 �,t ti THIS CARD IS TO REMAIN ON-SITE CITY OF A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103735-00-EL Owner: ANDREY LISITSYN Address: 30414 24TH AVE 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. ❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ 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. ` v Date V t 0 By Date VRough Electrical(4225) ❑ Ceiling Cover(4020) ► Final-Electrical(4055) Approved Approved Approved B1Date 40\oc By Date B'; ��, Dat• Sao. On redU -slab groundwork(4295) Approved By Date err. '` . RECEIVED C - _LQ_ 3 �- Federal Way PERMIT - 3 COMMUNITY DEVELOPMENT SERV L 2 8 2005 SF MF CO ME EL PL DE EN FP 33325dmRAAL WA ,WA 9•POBQX 9 1 , PLICATION j FEDERAL WAY,WA 9dOG4-97Id r 2.33-835= o7•FAX 3u-e OF FEDERAL ` wa`�� way ` N.)/pi_L__ ----,---__ BUILDING DEPT, The oilowi • is -. fired in ormation-an Inco .tete • ••lication will not be acce•ted. Please 'tint le,ibl n i or . . NI PROPERTY INFORMATION SITE ADDRESS 3 D( / 2 ! , SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ LOT SIZE OD LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) L(-_7c( # 2_ 0 (/42Gt-4,k IA-C (Attach sePwateM eller iengthIl legal des icni _. ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work inc�lu-ded on this permit onlu) E/ 4"l 2_ µv ( 4- + _ . 2 rx) - A- F.�)u� P • PROJECT NAME(Name of Business or Owner Last Name) L ,sZ""(�,S • PEOPLE INFORMATION PROPERTY NAME (Mae- � L.Q / � PRIMARY PHONE OWNER (Mae- i IS'.i (, (ZS 3) 3 341 - 22222— MAILING ADDRESS CITY STATE,ZIP 2 --S---S--- 5 �V711 S� jQ� I,J t0 - ,1©6 CONTRACTOR COMPANY N E APPLICANT NAME OFFICE PHONE (A Ls/4(s/^1 ( ) MAILING DRESS CITY,STATE,ZIP CELL PHONE ;7-2-s-5— ... 5 (- S4- F' e �( 14- (v- 33� 2-2:2-'12-2:2-'1._- z2-2:2-'1._CITY OF'FEDERAL WAY BUSINESS LICENSE NUMBER EXPIA' DATE FAX NUMBER / I — — —B L ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMP NY NAME APPLICANT NAME /� ��5/ Z.(S/A ',du OFFICEP( HONE - MAILING ADDDRES6 CITY,STATE,ZIP CELL PHONE —Z--Z-<-s _s 21 7 S � i—' ,e�G/ 1,.�,4 (2,c)) 33�-22- 22- RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant a Agent 0 Other(Describe) ( ) CONTACT NAME A PRIMARY PHONE E-MAIL ADDRESS 71L�- �t s i —h i-r ( z s.1 33 Y- 2 z Z*-2_ LENDER a :b _w 0?y.-4 ,,r 4a !,'0')n,, to, s NAME --,•,•i4 LMC ,4,ty,1.(,,,k r•4-,,,,19..i. MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE I EXISTING ASSESSED/AP�$AI I $ VALu y1r.j9 InsED WORK SPRINKLERED BUILDING? YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKERAVEN 0 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 12121111110 PRorosso Toru. ti,t ;`our .4t?� ty **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type off tune 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(commed,q WOODSTOVES BOILERS c.<.. FIREPLACE INSERTS RANGES MISC(Describe) • COMPRESSORS FURNACES OAS WATER HEATERS DUCTS OAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/shoaerCoral* SHOWERS WATER CLOSETS(roses MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS OAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(Bom,eomsldoal 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,incl officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. 74:>NAME/TITLES DATE 7/2"." (Signature) (Title) RELATIONSHIP TO PROJECT Qwner ❑Agent ❑ Contractor ❑ Architect ❑ Other ,L '.'f .`,40 )('P`111.l t ai Vei71 N E4t.II •:.o°E. :.: I, c)E4 ) °�� s) gs.'f: ny i("e) 't�)(t a"I ..•- ( i, .- _ /c � +tel. `�y � 4 ,c 7 ti€) 54)-1p7e ao-:i re, ,ij+� 1y. ) ;.1 Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Petmit Application • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ,111 Single Family Square Feet 6°C Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each addh 500 ft2-$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 O 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 ❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 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 ❑ 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 0 Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential Multi-Fwnily $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Cornmercial/Industrial Service or Feeder Ampacity O 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 0 #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage 0 Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) O Fire Alam System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System 0 Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 (Per System(s)•1.t 2500 ft2-$61.00; Each addh 2500 ft2-16.00)•Per WAC 29646-910(5J(bkI&aJ Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application