05-103710 s
City of Federal Way Electrical Permit #: 05 - 103710 - 00 - EL
f. Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph;1253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
w
Project Name: STOVIN ,31
Project Address: 35616 13TH/SW Parcel Number: 713780 0335
Project Description: Adding(2)circuits for new addition
Owner Applicant Contractor
Jeremy J Stovin &Kristi W Stovin Kristi W Stovin Kristi W Stovin
35616 13TH AVE SW 35616 13TH AVE SW 35616 13TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7238 98023-7238
Electrical Fixtures
DescriptioniQuantity]L 1 Description Quantity Description _Quantity
Circuits-Residential l 2
PERMIT EXPIRES January 25,2006.
Permit issulon July 29,2005
I hereby certify that the above i '. ation is- correct and that the construction on the a described property and
the occupancy and the .e * e: in accordance with the . • ru s and regulations of the State of Washington and
the City of Federal , .y. � '''
Owner or agent: 4l��_r /� r----- Date: 7/-29'45
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- THIS CARD IS TO REMAIN ON-SITE
„�OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103710-00-EL
Owner: JEREMY J STOVIN
Address: 35616 13TH AVE SW
FEDERAL WAY, WA 98023-7238
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) 0 Ditch cover(4030) 0 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 Date By Date
.
❑ Rough Electrical(4225) ElCeiling Cover(4020) ❑ inal-Electrical(4055)
Approved Approved Approved
By�<<jDate 7 ' By Date G Da 7(7(
❑ Under-slab groundwork(4295)
Approved
By Date
- RECEIVED /
Federal Way ��- / �� 7
COMMUNITY DEVELOPMENT SERVICES JUL 2 7 2005 PERMIT SF MF CO ME EL L DE EN FP
33325 81n AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 9806397{�;ITY OF F E D E R To
253-835-2607•FAX 253835-26x9
PLICATION
www.attiollederdwau.com BUILDING D �
The following is required information-an incomplete a.•lication will not be acce•ted. Please •rint legibly(in ink)or type.
I. PROPERTY INFORMATION
SITE ADDRESS 356/6 7 /3-k-7?-'4,4-5,-z2;, G"?2 fJW,(LIQ, j2CX..SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# l 3 7 p 0 - C .3 ✓ 5 LOT SIZE(an
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ,4j/L/ie:12- 11147L/ /4(')0/ 1G//V
(Attach separate page for lengthy legal desoipeon)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
l MU5T1W(U 1?- /0 'X a.6 "19-1)D11 'C' l au this;Gni) QFe'sTli 57`4: - Alain c• ,
77, 5 40 D 177 cri3O Got i-4- I CFS 77,e" rnif-Srx" i3e,-D icvvl 4-,(.tp
A)1 coc- i mac.✓C)c- /r1/1TZ--rC E r kWo -t. e di l4_ / 4.) Ctx 5 c- -
PROJECT NAME(Name of Business or Owner Last Name) V/A3
PEOPLE INFORMATION
PROPERTY NAME/ PRIMARY^ PHONE
OWNER [7
r 4�1�'�L -Y 570 17//u �c 53) 638 -780 I
MAILING ADDR SS j� CITY,STATE,ZIP /„ e a Q
go-2 3
CONTRACTOR COMPANY NAME APPLICANT NAMEOFFICE PHONE
V 1 ' x1 ,', 57; a - / //id (5:3) q'7 - ?t,71
MAIL •ADDRESS u, CI •h TE,ZIP . t:
4- 7 -;� il, , 5)7610
C •F FEDERAL W US -S LICE NUMBER I EX.I• DATE R
- -) age _31-415— — — — L
• RACTOR [STRATI U -° d requir- ith each`- - -do• • • TION DATE
_ ‘ 0 6i- /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
'g7&n1 '37?)t4 II (;253)835 -•780
MAILING ADDRESS CITY,STATE,ZIP .CDU Ili LONE W 41.1:....
:356;6, t `74t�c, S'cu. L -/ AA LJ4.M' 3 (eb )) b-7L1 -779-00
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant ❑Agent XOther(Describe) O ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDERperRCW 9,,,,2 095 Lender znfoimation is NAME
required-if protect value exceeds$5,000 �f z. F
MAILING ADDRESS CITY,STATE,ZIP
'35674, t. ,—/ . S a) data, /r', LJ�e , g oa 3
■ �DpETAILED BUILDING INFORMATION
EXISTING USE S//L(Gt. �C> i�?" /C r j l 0 C")t/(:Ir PROPOSED USE/790/17041 .C9/:".f% /,fJ`j) 13 Die #i
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0440 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ANO
i . WATER SERVICE PROVIDER C<LAKEHAVEN 0 RIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE XPRIVATE(SEPTIC) 4
•
• PROJECT FLOOR AREAS
.
•
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST //e let t cv `o ` 3 O.1"/�
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
—
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
/
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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(comm rciml WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoaerCombo) SHOWERS WATER CLOSE IS gouctl MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS j
IAVS(BathroomSinkz) VACUUM BREAKERS ELECTRIC WATER HEATERS
<'- . •_ DISCLAIMER/SIGNATUREBLOCK _._ _
I certify under penuty of perjurstittat the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorizea_by the owner of the ve 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, expensesfand attorneys'fees incurred in the investigation and defense of
such claim), which mai be made by an son,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relian a of the city, •ing its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
dr i
NAME/TITLE A. _ l • OW e R— DA / � /0
(St. lure) k (Talc)
RELATIONSHIP TO P'O XiOwner 0 Agent o Contractor o Architect ❑ Other
( FOR OFFICE USE ONL
o NEW o ADDITION o ALTERATION o REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES oNO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?: o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
f
.1
j Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
1
•1
a-' FORMATION
RESIDENTIAL COMMERCIAL
1 NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
'4 :ing1e . ily :quare Fe . 'o "7(.) , T704' Service or Feeder Each Add'n
(First 1300 -$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 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 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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
l'4 • to 2•! , p 7 . • ❑ 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'n circuits,$6.00/ea)
ch r It 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 ❑ Service over 200 amps
❑ 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 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ II 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 submittals)
O Data Cabling
o
(Per System(s) 1•12500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(Gl(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\handouts-Rcvised\Permit Application •