05-101110 a
City of Federal Way Electrical Permit #: 05 - 101110 - 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: HOLMES
Project Address: 35852 13TH SgirV/4VCSW Parcel mber 13 0460
Project Description: Install thermostat.
Owner Applicant Contractor
TIM&SANDRA HOLMES INDOOR COMFORT SYSTE DOOR COMFORT SYSTEMS TNC
5005 39TH ST NE 118 VIOLET MEADOWS Si S ' VIOLET ME: •WS ST S
TACOMA WA 98422 TACOMA WA 98444 T. ,MA W• .444
(253) ` 4
Electrical Fix •
F Description Quantityl r Description •uantity] M, tion ' ntity
Thermostat 1
II
PERMIT . 'IRES Septemb 6,21 V
Permit issue. • March 2005
I h by certify that the above info n is correct and that construction on escribed property and
the cupancy and the use will be in a dance with the law les d Von the State of Washington and
the ty of Federal Way.
O or agent: Date: 7 7-
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101110-00-EL
Owner: TIM & SANDRA HOLMES
Address: 35852 13TH AVE SW
FEDERAL WAY, WA
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ,❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
4.B s_oeDate 5,/f_c,r By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
1
�or C9 - I 0 t 1 j 0
Federal Way RECEIV ED PERMIT
coMMUNl7YDEVELOPMENT SERVICES SF MF CO ME E1)3L DE EN FP
33325 8°1 AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9 71 AR 1 0 20oAPPLI CATI O N TO
/
253-835-2607•FAX 253-835-26
www.aiuo federalwati.com
�
ITY • F ' • ;Y X Tort inco •lete a••lication will not be acce• ed. Please •rne. (in in or
The ollowi • is'Yd•, SI:'a : i1y-rtit libl
'
■ PROPERTY INFORMATION
SITE ADDRESS 3 S lJ S- / 3 tom " S 4-, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach
separate page for k gthy legal desoiptionl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1--..---
c,, 74—
PROJECT NAME(Name of Business or Owner Last Name)
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER F/0 �`-5 (2 -7 ) -
MAILING ADDE $S�z- i 3 til r I CITY, ZIPJ4,----00-7 /•+?90a?
CONTRACTOR NAME (�I APPLI NT NAME OFFICE PHONE
oO ' (o ,----' ' C.4.-T-../ ,,t-l-.. ) ( - )53? -C`fc-c-7/
1
7INDD
Rcy�,STATZIP � t�f HON
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( ) -
- - B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHO
ge_rt-LI J--1- AC
__,.......C..-- e-e--€ 1/ 1-�`) (z q 7 e C-c9 it /
AILING 6S/4 / `` -4-B0-.d.per",- -eI,�P 't/'.'C-f,,l4f.fef tizi (STATE,ZIP ELL PHONE -
RELATIONSHIP TO PROJECT ` CO.`t----
FAX NUMBER
❑ Architect 0 Tenant 0 Agent `t Other(Describe) / ( ) -
CONTACT NA •(- - -/,'•/
/ //r--e4 ,-o'r )
., ,. , ..
..-.
PR3c11✓ I_ /y"Are,
�`
E-MAIL ADDRESS
LENDER , � 5s der normarrttsNAME
-•: roetie exeds ,00Q4 4.....,,..._ la a aa+a "-4 Y z
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑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 ❑ CARPORT❑
=snits PROPOSED TOTAL TOTAL EXISTING st .TOTAL PROPOSED SP R TOTAL Sr r ;%',
NUMBER OF FLOORS
**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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commSrdai) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoaerCombo) SHOWERS WATER CLOSETS goikt( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sixks) 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
ant 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 DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ent ❑ Contractor ❑ Architect 0 Other
� IM IO x k i AL]'ERATION AIR'S #! "t IMI YEMENT
o REP � ,f1N roRO�
t
e i NL O BASIC PLAN? � � I a YES
1 G ESIGNA ION �' r titA-IGE OF TSE? * YESO t -r°
-'1!-ARE—SS' •UIRED? g I tFS I(IO UP/SEPA/SU?,*_ :4 P YES C NOS
O. .,.z _'DEMO:PERMTT TIMER?
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
Service or Feeder Each Add'n
❑ Single Family Square Feet
(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 ❑ 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
1:1601 -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
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
U 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 ❑ #of Signs
( st-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$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)
O Data Cabling
❑ El Automation Fee on all Permits .. $5.00
(Per Systern(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46910(5041&i#
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application