05-101141 City of Federal Way Electrical Permit #: 05 - 101141 - 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) 835-305C
Project Name: ORCHID LANE LOT 12
Project Address: 34207 13TH SW P15bt! Parcel Number: 640370 0120
Project Description: Install 200-amp service for new single family residence.
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
j Description Quantity Description Quantity Description Quantity
L_Service: -Residential 2522
PERMIT EXPIRES September 7,2005.
Permit issued on March 11,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa .
?)44Owner or agent: Date: Obi 11 105
a,,,,,,,,
414k
THIS CARD IS TO REMAIN ON-SITE
CITY OF .� .
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101141-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34207 13TH PL 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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) #VI Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By,op Date 3( (c) By Date
•
Rough Electrical(4225) ❑ Ceiling Cover(4020) '4 Final-Electrical(4055)
Approved Approved Approved
B `•* Date 3( 4.1105--
. •By Date By • 10 Date v9(pc-
,•❑ Under-slab groundwork(4295)
Approved
By Date
77M6ral.Way RECEIVED PERMIT
SF MF CO ME O PL DE EN FP
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Zvi PPLICATI ON �-
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CITY OF FEDERAL WAY
?he O,. • . is --- ;...L..,':i •'Y,it Qn inccm tete avalication witl not be accented. Please print -- '. Fin btkj or -j_
PROPE3TTY INFOR!IAITOK
SITE ADDRESS 34-20-1 13t, PL s w SITrrE
ASSESSOR'S TAX/PARCEL # __([ __1.. Q ��_.2 a..- 0....L Z O LOT SI=(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) v g GT'7 I . n;E1 LO-r 1
Pinadt••vmor>eoSJb! .,N=omd••c v
PROJECT INFORhIdTIOK -
TYPE OF PERMIT C BUILDING C PLUMBING ❑MECUAMCAL
C DEMOLITION XELECTRICAL ❑ENGINEERING^. FIRE PREMITION SYSTEM
PROJECT DESCRIPTION(Provide detafTed description of work included on this oerma onluj
,WO AMP Selz vr c 4- w iIQ.1 N6-
PROJECT NAME(Name of Business or Oumer Last Name) P Fv V/( DEN) 1 6 G 1 P Ic-- i / Al G
PEOPLE ENFORMT1O1I
PPRIMARY PHONE
OWNER OPERTY R RTY NAGE -4Bo u.2 florae's (.s3) - 1 - &3
OWNE _
MAILING
�` ` ADDRESS
33q-bo 9 Ave 5. I cm.STATE,
d erne.f Way , WA- 1 'OO 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
{PP 4Oki t DE N i EL-g-GT4 IC- �rt..rev-) (ass) ( B 1 - 1150
MAILING ADDRESSCRY.STATE.ZIP CELL PHONE
Po ZOK 5.1144- I QE�nt,� INA- x805. ( )
MB
Cr!?OF FEDERAL WAY BUSINESS LICENSE UMBER EXPIRATION DATS FAX NUMBER
- - - s r, / / 3) ID Bi -7154
CONTRACTORS REGLSTR T/ON NUMBER(eopi ed card regained with emelt application) E'C?LRATION DATE
212. QV .1clio3G �.. s a. Ia..a- / 04
APPLICANT COMPANY NAME I APPLICANT NAME I OFFIC=?HONE -
)
MALTING ADDRESS I C.M.STATE.ZipCELLL?MOVE - I
IC
RELiTIONS1.1.'TO PROJECT { FAX YU;d3ER
C Architect = Tetseat C: eat C Ot c'(Desc=Lbe) ! C ) -
coNT.s,cT 1 NAME
1 LCi.ren 1 Zs !o Oi - 11 0
LENDER 1. . r1n� r t z I I.M.:
, t $5,000
IMAIL.`iG ADDRESS } .S-ATL
DErML DDI4i G INFORMATION
ECISTEM USE PROPOSED DEE
EXIST=ASSESSED/APPRATCFn VALUE $ VALUE OF PROPOSED WORE $
SPRImERED BUILDLNG? =YES = NO FIRE SUPPRESSION SYSTEM PROPOSED/BEQ1:1L2ED' =Y C NO
WATER SERVICE PROVIDER C LAN=RAVZN C RIGBL= C TACOMA C PRIVATE(WEELL)
Szw....L SERVICE PROVIDER C LAXZRAVEN _ RIG$LL-YE PRIVATE(SEPTIC)
t PROJECT FLOOR AREAS
AREA DESCRIPTION 1 EXISTING SQ.rr. I PROPOSED SQ.FT. I TOTAL
BASEMENT ' 1
DEPARTMENT OF LABOR AND INI)USTRIFS
FIRST
SECOND `
LICENSED AS PROVIDED BY LAW AS
THIRD ELEC CONTR GENERAL
FOURTH .LICENSE ill~ EXP. DATE
ADDITIONAL FLOORS(DESCI ECO1 PROVIEI103C2 02/22/2006
EFFECTIVE DATE 02/22/1990
DECK(COVERED?)
PROVIDENT ELECTRIC INC
GARAGE/CARPORT PO BOX 59284
HOW MANY FLOORS? RENTON WA 98058 CA`=WOO MD MOMS=MOMS="NEW HOMES ONLY" NUMBER OF BEDROOMS 1(� ESTIMATED SELLING PRICE S
FIXTURES
Indicate number of each type of fixture to be instalZed 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 RREFRIG.SSYST MS
mm
BBQS FANS HOODS(co .ri*D
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)BATHTUBS(or Tub/shame:Combo) SHOWERS WATER CLOSETS craike
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS reethreom swats VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIMERR/SIGNATURE BLOCK
I certify under penalty of pry that the information furnished by me is true and correct to the best of my knowledge,and further,that I
ant authorised 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 fled 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. I
NAME/' E ► Y t C ( DATE 3/ t 1 55
(sipanlre) (Rice(
RELATIONSHIP TO PROJECT C Owner C Agent C Contractor C Architect C Other
FOR OFFICEIISE.ONLF ; <: = 1
=NEW =ADDITION =ALTERATION = REPAIR =TENANT IMPROVEMNT
BUILDING SHELL ONLY? =YES = NO I BASIC PLAN? =YES =NO
ZONING DESIGNATION I CHANGE OF USE? =YES =NO
NEW ADDRESS REQUIRED? =YES =NO I UP/SEPA/SU? =YES =NO
PLATTED LOT? . =YES =NO I DEMO PERT REQUIRED? =YES _NO
Bulletin#100—March 30,2004 Page'_of 4 k\Handouts—Revised\Persnit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE �7 NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet a 5U1_a 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 ❑ 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) Li Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 Li 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
❑ Oto 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
❑ Oto 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
Li 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
❑ 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
(First-$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)
O 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
❑ ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•,2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-4e-910(5)(6)(&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\IlandoutsTermit Application "