05-103657 r r
4
Community City Development Services
Federal Way Electrical Permit #: 05 - 103657 - 00 - EL
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: BROWN
Project Address: 2162 SW 322ND 51' Parcel Number: 932430 0010
Project Description: Altering an existing circuit for furnace changeout
Owner Applicant Contractor
Raymond E Brown &Patsy Brown HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
2162 SW 322ND ST 9001 PACIFIC AVE 9001 PACIFIC AVE
FEDERAL WAY WA TACOMA WA 98444 TACOMA WA 98444
98023-2516 (253)539-8709
Electrical Fixtures
--- ----- ---
DescriptionQuantity! Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES January 22,2006.
Permit issued on July 26,2005
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,rul and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: / �� Date: 7701,44C
694\741/1,
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 05-103657-00-EL
Owner: RAYMOND E BROWN
Address: 2162 SW 322ND ST
FEDERAL WAY, WA 98023-2516
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.
O 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 Date By Date
❑ Rough Electrical (4225) 0 Ceiling Cover(4020) /..4 Final-Electrical(4055)
Approved Approved Approved
By Date By DateB i Date •
Goo '
❑ Under-slab groundwork(4295)
Approved
By Date •
_LO___ S` Federal Way PERMIT
333253flNVENUE LOP1(EN VI 6 2.005 SF MF CO ME L DE EN FP
" an,AVENUE SOUTH•�ti lr 9 d
1.
53-83
FEDERAL WA 9do FEDERAL WA APPLICATION TD
25J d35 2607•FAX253d�S
www.dfwlreclaF
BUILDING DEPT.
The ollowl • is • fired in ormation-ani c•,4y,•Fete • ••lication will not be acce•ted Please •rint le• •1 n in or
0:4 PROPERTY INFORMATION
SITE ADDRESS A 1 6 A 5 tV a: '
pie' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sA)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
FDIaah Grp raarag.fari e kW,dewipUon)
el PROJECT INFORMATION
TYPE OF PERMIT - 0 BUILDING ■ PL ,,I:ING * HANICAL
0 DEMOLITI 6 N EL a. RICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed des.Atio�n of •rk' ., -ed on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) 134 g..rnv
Li PEOPLE INFORMATION
PROPERTY NAME fl
PRIMARY PHONE
OWNER G -/•�
AO4) �� ) 8.��� L /3
M
CITY STATE,ZIP
21( 2 st' 3 as - . , te/n ,ge.2 3
CONTRACTOR •' PANY NAME APPLICANT NAME OFFICE PHONE
- 901C.- Cd?‘‘. .“,a161& (ash 9‘01%s--aati
UNG i I,.- - L ' tt'kc 'wq
ZIP CEL.PHONE a
WIZ/FEDERAL
�F EDSFII;WAY BUSIN NSE NUMBER (_.FAX N 3?UMBER -/` 4
(CC�T11lYYYL-92-1 Q 2�o & 2-B /EXPIR / (25-3)5-39---8'?07
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
If-egLT y --14YLYfa '97I ,?6, 1&G
APPLICANT *TTCO1FANY AME )04,, CANT N OFFICE PHONNE
g74Laiel&
MAII/LINO A _ ( L 2S-3) /,A0 AA U
STATE,ZIP CELL PHONE
gdie/ J am- 9.dWL ( 30 37,-= 4,/7
RELATIONS P TOP ECT FAX NUMBER
a Architect a Tenant ❑Agent KOther(Describe) e-114 PLD YE, (RS-.3)637- _4C7'2&p
CONTACT Nag &LIfietsed
PRIMARY PHONE
(as3) faar aur/ E-MAIL ADDRESS
LENDER : ;,%' ' ,"e,,--, r ,,r� i lr,��t, '•i, �; NAME
MAILING ADDRESS C TIY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
s
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS seasasa 'aortas= TOTAL ,,,.�,�rx, •, <!'' �. - -
**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(Cemmarotas WOODSTOVES
BOILERS .. FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orne/ShoaerComho) SHOWERS WATER CLOSETS(woad) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sw,y 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 �< ,
.. / • '‘401 , //0/ � � ATE 7/14/e;S°"
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner a Agent ❑ Contractor 0 Architect OtherE/i f1JLr7 ir/o
,E4'.'r t(I)t 9t • .'- t t)(0),:t ,‘1e? '-.- .. t� �h Ott 1Yt..);Ye Aes
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{➢� !,a�a ay.� daJt(a;� e 1 r .cp ire/ D* ;
.ar)c@i;i*®l,•>
•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
` ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet 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 ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 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 0 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 0 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
CIO
to 200 amp $87.00
❑ 201 -600 amp 141.00
212.50
❑ #of circuits to be added/altered
❑ over 600 amp (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
J❑ / #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
I MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Conunerciai/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats 0 #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O Low Voltage 0 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 Systems)-14 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5j(6Jfi&ti/
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application