05-103734 }
City of Federal Way Electrical Permit #: 05 - 103734 - 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: HOItrQUIST,H.
Project Address: 3233''817 HOYTS W Parcel Number: 142103 9102
Project Description: 200-amp service for new single family residence; low-voltage T-stat.
Owner Applicant Contractor
HARV HOLMQUIST HARV HOLMQUIST HARV HOLMQUIST
3011E 182ND ST 3011E 182ND ST 3011E 182ND ST
TACOMA WA 98446 TACOMA WA 98446 TACOMA WA 98446
(253)847-4366
Electrical Fixtures
Description Quantity Description IQuantity Description Quantity
Service: -Residential 2300 Thermostat II 1
PERMIT EXPIRES January 24,2006.
Permit issued on July 28,2005
I hereby certify that the-above information is correctx nd that the construction on the above described*operty an
the occupancy and the use will be in accordance with the laws,rules ancfregulationikof the State of Washington •
the City of Federal Way.
Owner or agent: Date: 7/2.-C/o s—
•
i►
\e )
THIS CARD IS TO REMAIN ON-SITE •
R
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103734-00-EL
Owner: HARV HOLMQUIST
Address: 32338 HOYT RD SW
FEDERAL WAY, WA 98023-1926
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.
0 Slab/Concrete Floor(4255) ' ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
- - -#
•
'❑ Temporary Power(4275) el', Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By `4 Date <6\\R\ , By Date
•
14-14 Rough Electrical(4225) •❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved 1 Approved
By ler Date p -- i ,By Date By ®��i tv Date/ �j
J.❑ Under-slab groundwork(4295)
Approved
By Date
I„
G C°\ t,L) 4 44
0 &_.- ,
' A. RECEIVED
.. 0
Federal Way8 1.05- — 7e4-
PERMIT 2
cOMMU107YDEVELOPMENT SERIRCES $F MF C• PL DE EN`FP
333258TMAVENUE SOD1Tf•POBOX 9718
FEDERAL WAY,WA 98063-9718 A�"I R-/ 6 APPLIC /�.��ttt���ttt ' �A�WAY
DEPT'
/
253-835.2607.FAX 253-835-2609
rinD I
www.cituoffederaltuau.com
The ollowi ' is , fired in ormation-an inco •tete . ••iication will not be acce•ted. Please ,rint le• ,I n or
IN PROPERTY INFORNIATION
l?
SITE ADDRESS 3 23 3 /kYr c-F . y 5 ,W/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / L(' '- I 0 > - 9 / 0 2.— LOT SIZE of) 2A--
LEGAL
kLEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) °Len 3 117:1414/3'(/i s0, p/7-,,to?-/013,2s-00
(Attach+eParaaraafor Ie etv int d�„q
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION A ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide detailed description of work included on this permit onlu)
5,`K itf'wf y CS r
�Pt I'' f-vc
0 ' f —Sa--
PROJECT NAME(Name of Business or Owner Last Name) ` ' '' L'e LI l‘ci
al PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER /7 /-t/ /4/ 6 oil-r- (23-3 1 Ty-7 - V-3(ls�
MAILING ADDRESS CITY,STATE,ZIP
34// a /V2 5T; a o-ra (V-i— t? V--.4'-c
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5''e (-F' ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
. .. (, )'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— _ _gL / / (
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application' EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
w /41""ii-L--to ,..,,,,---r— — . ( )
LING ADDRESS CITY,STATE,ZIP
CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
54F*1 e 45 ei k.//t is r- ( ) -
LENDER :2 z P,; ,r e 4 44 lr,,(4/%4;4447 , NAME, /
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE N+P W PROPOSED USE /p—a`t#'clC.t C.C
EXISTING ASSESSED/APPRAISED VALUE $ / G/ llVO VALUE OF PROPOSED WORK $ ..5/ a-ro
SPRINKLERED BUILDING? ❑ YESIiO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES NO
WATER SERVICE PROVIDER a LAREIIA VEN O HIGHLINE TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER .AKEHAVEN a HIGHLINE a 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 tt ama PROPOSED TOTAL � �:r�, 1 4 a )
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comieereias WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS on-Tub/shower Combo) SHOWERS WATER CLOSETS bake MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIIIER/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 W t to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be ma. - by - y person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of - ,including its offic- and employees,upon the accuracy of the information supplied to the city as a part of
this application._— �
NAME/TITLE fi ; DATE 7/2 �/ e S---
.� (Signature) (Title) /
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect 0 Other
PW.? L6)f)L't,(e)ii ti ..tats 6
1�� ��.� *���� >.YI,. t✓�.1b SPI lil.%`YfAF� I��t __.y,....-..
4F7.II.fe' :�)�t(s)�4:�I J.I
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRI -MIT INFORMATION
I.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Ce
Single Family Square Feet -3 CT 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
❑ Detached outbuilding or garage las 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 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
❑ 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
❑ Service and feeder $113.50
TEMPORARY SERVICE
• MOBILE HOME/RV PARK ResIdentIalMuiti-Farnily $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/1'ndustrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ f01-200 amps 89.00
❑ 201-400 amps _ 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
/ it of Thermostats 0 #of Signs
• st-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'nsign$24.50/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 $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) 142580 ft2-$61.00;
Each add'n 2500 ft2-16.00)*Per WAC 29646-910(5/(14 I&ti)
Bulletin#100-January 7,2005 Page 3 of 4 kkHandouts\Permit Application