05-101142 City of Federal Way Electrical Permit #: 05 - 101142-'00 - EL
Community Development Services
P0.Box9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE,LOT#14
Project Address: 34201 13TH SEW P I SV) Parcel Number: 640370 0140
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
Description Quantity Description Quantity Description Quantity
Service: -Residential II 3239
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 use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: CZ) 1\ ` 5
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THIS CARD IS TO REMAIN ON-SITE ~ ` '
CITY OF Community Development Inspection Record
Federal Way . IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101142-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34201 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.
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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By 4.--t..v
Date L4 9 05 By Date
Ir Rough Electrical(4225) '❑ Ceiling Cover(4020) , _j Final-Electrical(4055)
Approved Approved Approved
rI \
By kt\ Date 4 • `By Date • By A,fiy\ Date (0 l r
11111111
❑ Under-slab groundwork(4295)
Approved
By Date
. ,� RECEIVE..L�� - _.L ..52 _/_ _L__ _ �—
';`�'��;raX Nay PERMIT
SF MF CO ME EL PL DE EN FP
�3 � � APPLI CATI O. R 1 1 20
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FEDERAL.WRY,WA M0614718
toroutcatteffedoredwastart
CITY
� )OFnFEEDERAI-W V
The o 4. . .,is , • -- in ormation-an incomplete aDDiicatiort wtiLt'tCoelD ; nud. Please print -• I. > lire ink)or -J-
PROPERTY IIaFORMA IO1[K
SITE ADDRESS 34, 001 1 3t-_11 PL. S vV SmrE/va1T 1
ASSESSOR'S TAX/PARCEL # d 3 ? o- Q L i. . 1 LOT SIZE(s;
LEGAL DFSCRTPTION (e.g.Pane Estcttes, Lot I) 0R*G I 1) �rV E1 L_OY /7
PROJECT INFORMATION -
TYPE OF PERMIT C BUILDING 0 PLUMBING c MECHANICAL
C DEMOLITION XELECTRICAL C ENGINEERLRG C FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this oermir oniv)
,Q.DQ AMP SER.U r cE 4- titin i i2. I N
PROJECT NAME(Name of Business or Owner Last Nome) PP-o v( DEN 1 Ecz-L P ( C• i � NCi.
PEOPLE INFORMATION
PROPERTY NAME . PRIMARY PHONE
OWNER }'i' 'BOLA-P., i-fCM,ES 161.53) .1(o( -.Lite 3
MAILING ADDRESSCITY.STATE.ZIP
3 3 q-()0 9 / Ave s. I t-ccl dru I W&f , vvA- a g00 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
?12-ov i DENri el-CC 1 C (_Ci.rcv-) (d531 to BI ' 1150
MAILING ADDRESS CELL PHONE
Po "60)( 5a1.4- ICRQ „ Ni, W asoS ( )
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EVIRATION DATE FAX NUMBER
_ - - .-- - -•• - -- L / / 10 -1
3) 31 - 1 '.
CONTRACTOaS REGISTRATION NUMBER(copy at card!°4ox.d Lith each appllcatba) RA
TION DATE
� 2W4. QV1 .c! 1. Q3 �- / o� / Ole,
APPLICANT COMPANY NAME 1 APPL:CANT NAMEI PHONE -
� ( )
MAILING ADOa S I CITY.ATS.Z.? CELLNE
PHO -
i I ( )
I REL'TIONSI-M3:O PROJECT 2 -
C Architect C 0 Tenant AgC er ent Oth (D =teI FAX .13E
esc
e) I ( )
N��+ PeaLar. PHONE M LADORESS
CONTACT I V..Gtv'ev' 1 (21 tc 3( - 17 ,0
LENDER 1. Per.CM'19..27.095: Under taformarton is 1 Y' C.
-
rerstrusi((project vahmt=sods$S,000
1 Ne.AL.4.,G ADOR.SS I CITY.STATE.
DETAILED BUILDING:0/FORMATION
FORMATION
EXIST=VSE PROPOSED USE .
EXISTL'tG ASSESSED/APPRAISED VALDE S VALUE OF PROPOSED WORX S
SPRLNELERED BUILDLYG? = YES = NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRZD? =YES C NO
WATER SERVICE PROVIDER =: T SIM AEVENHIGELLVE C. TACOMA C PRIVATE(IML)ER
SEWSERVICE PROVIDER C. L M HAVEN = HIGHLENE = PRIVATE(SEPTIC)
' `4 ` . PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING SQ.FT. I PROPOSED SQ. FT. I TOTAL
BASEMENT i
1)I?I'ART(�11:NT OF1.:AI14)R AND INI)l)ti' RI%S
FIRST
SECOND `
LICENSED AS PROVIDED BY LAW AS
THIRD CLEC CONTR GENERAL
FOURTH .LICENSE if EXP. DATE
ADDITIONALFLOORS(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 ru.Macao ria rsoroaa
••NEW HOMES ONLY" NUMBER OF BEDROOMS '-C ESTIMATED SELLING PRICE S.
FIXTURES
Indicate number of each type offvawe to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IIifECHAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS teommeeeiss W OODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLU313ING MISC(Describe)
BATHTUBS IarTub/ShwvGmbo) SHOWERS WATER CLOSETS fresco
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS mate =sink* 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 bast 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 mei defense hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation
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.
•
NAS/TITLEDATE 3/ 1 1 / 0 5
isi aide,
RELATIONSHIP TO PROJECT C Owner C Agent C Contractor C Architect C Other
p-FOR OFFICE.USE ONLY i ,
=NEW =ADDITION =ALTERATION =REPAIR =TENANT INII3ROVENMIT
BUILDING SBELL ONLY? =YES = NO I BASIC PLAN? _YES n NO=YES =NO
ZONING DESIGNATION I CHANGE OF USE? qq
NEW ADDRESS REQUIRED? =YES = NO I UP/SEP A/SU? =YES =NO
PLATTED LOT? =YES = NO I DEMO PERMIT REQUIRED? =YES =NO
•
Bulletin#100—March 30,2004Page 2 of 4 k\Handouts—Revised\Ptrrnit Application
•
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ASingle 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 ❑ 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 Li Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
0 401 -600 amp 193.00 96.00
CI -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
❑ 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
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑
41 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)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
O Security Alarm System ❑ Additional Plan Review $104.50/hour
❑
Voice Cabling (for modified submittals)
O Data Cabling
1:1ElAutomation Fee on all Permits .. $5.00
(Per System(s) 1st 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) 'Per WAC 296-46-91O(5)(b)(i
Bulletin#100-January 7,2005 Page 3 of 4 k\Ilandouts\Permit Application