05-101203 City of Federal Way % Electrical Permit #: 05 - 101203 - 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: KOVALIK
Project Address: 33506 10TH S 9% S Parcel Number: 926501 0030
Project Description: Install(5)thermostats.
Owner Applicant Contractor
KING COUNTY AIR SYSTEMS ENGINEERING INC. AIR SYSTEMS ENGINEERING INC.
500 4TH AVE 3602 S PINE ST 3602 S PINE ST
SEATTLE WA TACOMA WA 98409 TACOMA WA 98409
98104-2337 (253)572-9484
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 5
PERMIT EXPIRES November 22,2005.
Permit issued on May 26,2005
I hereby certify that the above information is correct 001a the construction on the above described o; and
the occupancy and the use will be in accordantWith theslaws,rules and regulations of the State of W gton and 4
the City of Federal Way. uz �
Owner or agent: &'U2_- / �c z� J Date: S G - U'
P1ti�
4 o
io
iiiiik
THIS CARD IS TO REMAIN ON-SITE -
CITY OF 411.1 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 05-101203-00-EL
Owner:
Address: 33506 10TH PL S
FEDERAL WAY, WA 98003-6306
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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
va Rough Electrical (4225) ‘ ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By 4S Date \t-1 By Date 3 Date!/ g
ie_ ---cz-------
,❑ Under-slab groundwork(4295)
Approved
By Date
Vii
Ai-E0
,TY oF RECEIVED f v i g 0 3
Federal Way PERMITrZoe SF MF CO ME
COMMUNITY DEVELOPMENT SERVICES �� + : PL DE EN FP
33325 8TM AVENUE SOUTH•PO BOX 9718
FEDERAL WAY.WA 98063-9718 APPLICATION).ERAL WAY / /
• 253-835-2607•FAX 253-835-2609
www.citpotiederalwaq.com BUILDING DEPT.
The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or .
• PROPERTY INFORMATION
SITE ADDRESS ,5 -J fi 3 e / 1Z-2-';'4"-e.��
' 1LL (:5"jr�j7 a SUITE/UNIT# /fel
ASSESSOR'S TAX/PARCEL# Z/ 2 / i / - //' • _. LOT SIZE(sf) IL
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) _5 i/Z L L{ (/✓rJl��111` �' ' -�/z, I�!� 2 ��/f d%T,h ��X
(Attach separate page for ien5rl�;gat de I`74/. ' .
El PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ■ ' UMBING `MECHANICAL
111 DEMOLITION .11 ELECTRICAL ❑ ENGINEERING II FIRE PREVENTION SYSTEM
PROJET DESCRIPTION(' ou..--7detailed descrip...n of Ivo /'Inc .ed on this .•rmit on , , -
Ire
t ,. ,i, •IMPAPPAMEffiraPICV 4,
i
1/f / /r !. ♦ ��"i�i/1;1-i, 11 �� 1
;';' -‘.:4,
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PROJECT NAME(Name of Business or Owner Last Name) KD v e-11 C-
M PEOPLE INFORMATION
PROPERTY NAME "f - PRIMARY PHONE
OWNER ///ZLil(4;; ( ) -
MAILING ADDRESS Y yc
CITY,STATE,ZIP
CONTRACTOR COMPANY NAME // / / APPLICANT NAME /.`; OFFICE PHONE
4 Jf -�i / . ` %/X'(2 "/' �`. 6•Le/Mfr e- ,`/6) (-�J5) c�� - ,f1301
MAIL AD S CITY,STATE,ZIP ,,CELL PHONE
} i i C 7/ v'/��c' 4 . %-�l /�y of 1 `A ( ) 4( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE / FAX NUMBER
I' 1 -C C_ L L_ (L `" -B L ' 2 /,)V / ( ) ? 3 0)52
CON CTOR'S REGISTR9TION NUMBER(copy of card required with each application) EXPIRATION DATE
1-1.1,014i A
APPLICANT COMP ('lAME -I APPLICANT NAME / OFFICE PHONE L 1
:x171/ t�� y' //`.S 2/;,iw/i l�4,. ,t/w ft ,r*/ (,)5,;) c-1.),. - J�
MAILING ADORES*. d CITY,STAT ,ZIP , CELL PHONE
.>'/. l.2 •j4 ,////-''( 'It Rei tri 77'/ f ( )
RELATIONSHIP TO PROJECT - FAX NUMBER
❑ Architect ❑Tenant ❑Agent [Other(Describe)%//,rLf' 4,G/6c-- ( ) -
CONTACT NAME 1 �1 PRIMARY PHONE.. E- L ADDRESS `
it i'/ii; % /lfL. (7 -i) ; <- 7 L' :1i h(�`'1fj e i J/1
LENDER R*1:0 r95 Lender tnforri a wn�s p *. NAME
..jrequlr-4,0:0rgjee,i aZue a ceeds 45,d6d rt
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
• BASEMENT
/Z//f'/A j /1 \r/
(I
1(2/1
FIRST ,n ,j c;.S S/72-
SECOND b (� /� `f �'
THIRD
FO Aliett
ADDITIONALFLOO 'IESCRIBE
DECK(COVERED?)
i*".1
GARAGE 0 CARPORT❑ /t •`
merino rrt• .rrarAL aueThr 9!' .16l,
NUMBER OF FLOORS ! � _
•`•NEW HOMESONLY" NUMBER OF BEDROOMS _ MATED SELLING PRICE $e 2//7 5
FIXTURES
Indicate number of each type offixture ixture to be ins . d or relocated as ..• of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
V AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOG REFRIG.SYSTEMS
BBQS FANS HOODS(co. WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES (/ MIS (Describe)
COMPRESSORS FURNACES GAS WATER HEATER- 7- , g5)kr
DUclb GAS PIPE OUTLETS ice'/My
PLUMBING
BATHTU:. (or rlab/sho,rr Combo) SHOWERS WATER CLOSETS(rodeo ISC(Describe)
DIS • HERS SINKS DRINKING FOUNTAINS
•:PIPE OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathmomsduks) 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 6t4 DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner 0 Agetg 0 Contractor 0 Architect 0 Other
lo.
1 ` .�..� ''• B ! _*" ALTEJtAT O n S�r RE• - - §I,1 ! i -1 a y... - -
! EOM�' Apc'����" � I �� O
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Bulletin#100—January 7,2005 Page 2 of 4 k\Iandouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE /-02 /(4*
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 fta-$104.50;Each add'n 500 fta-$33.50) 0 to 100 amp $113.50 $69.50
U Detached outbuilding or garage 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage U 401-600 amp 308.00 123.50
(Inspected separately) $69.50 U 601-800 amp 398.50 168.50
O 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
U 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
U 401-600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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 U 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)
U #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
U Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 U Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
U Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
U #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
U 101-200 amps 89.00
U 201-400 amps 104.50
U 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
X ❑/"' •' #of Thermostats
#of Signs
t-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
Low Voltage U 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 U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ U Automation Fee on all Permits .. $5.00
(Per System(s) 1.t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(50)(t&W
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application '