04-104622 City of Federal Way Electrical Permit #: 04 - 104622 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-(253 Ins ction re est 1' j((253 835-3050
Ph:(253)835-7000 Fax (253)835-2609 P l
Project Name: ORCHID LANE LOT 31
Project Address: 34226 13TH SW of P el Number: 6, 1370 0310
Project Description: Install 200-amp service and wiring for new - l y residence.
Owner is C* .r
HARBOUR HOMES,INC. PROVIDE C, C. ANN L' C,INC.
1300 DEXTER AVE N PO OX 5928 92
SEATTLE WA REN WA NTON WA 98058
(425)271-4648
oectrical Fixtures
D- criptio IR .rte!/ I. Description Quantity Description Quantity
Service: - . denti ` 52
PERMIT EXPIRES May 11,2005.
Permit issued on November 12,2004
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: - % 111, - Date: Vt f J /® '-1
TRIS CARD IS TO REMAIN ON-SITE
CITY OF ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104622-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34226 13TH CT 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) Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date BB`S Date Z7, , i By Date
gyp" Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
BK?7, Date /47—g7--a By Date By Date
.❑ Under-slab groundwork(429 )
Approved
By Date
A 04 - 16_ I. _6 ,2-I .-
etaiWay PERMIT
• � CE�V MF CO ME EL L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
.33530 FIRSTFEDERAL
WAY,WA •PO98063-97 9718 APPLICATION r Zoog --� �--
FEDER.°l:Q4Y,WA 9806J-9718
252-6614115.FAX 253.661-1129
wwto:aroofederaIWan.rnm OV
The at • • • is re• ired in ormation-an inca tete • •ulication ,411;4..;,,,,-„ .4y ,:v.„ .. . it ass • t Ie• • fin ink)or -1-
I r PROrtJ 1Y INFORMA• TCT
SITE ADDRESS 3'-1 ( I 3 t 0.-T 514 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # - _� /_ LOT SIZE(4)LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) 0 G&1 1L) L/?,v E/ LOT 31
(Muth separate pan for tri t y legal desavaloni
PROJECT INFORMATION
TYPE OF PERMIT a BUILDING ❑ PLUMBING a MECHANICAL
a DEMOLITION XELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
SAD AMP .SUR.0 c 4 W i 12.i NCs
PROJECT NAME(Name of Business or Owner Last Name) PP-0 v i DE-1\-) ) CLEC T P-, ( L i / Al C'
•
PEOPLE INFORMATION
NAME PRIMARY PHONE
PROPERTY /�/�{� �/� �(�,,
OWNER '�'f-!'f1�-BO11v 1 0MECJ' 0-C3) .110/ -.2.-6
MAILING ADDRESS CITY,STATE,ZIP
3 3 4b0 0 Ave• I red Cra.j Way n W I• a?Co 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W..ovtLENT ELaGikiL �Gtrev) ( 3) (o3( - '1?5O
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
Po Tx)( 5a a,211- Q raN► W a805e ( ) -
CICY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
—
_ _ _ / / 3) l0 31 - 1194
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
24- Q V .1 cl £ Qac , , / ' / 04
APPLICANT COMPANY NAME APPLICANT NAMEOFFICE PHONE -
I (
MAILING ADDRESS CITY,STATE,ZIP I CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other(Describe) ( ) -
CONTACT NAMEPRIMA+R PHONE I E-MAIL ADDRESS
i2.G,rev� I (a-S-3 ) l0 3( - 11'O
LENDER Per RCPT 19.37.09 Lender information is Il f NAME
required if project value exceeds SS,000
MAILING ADDRESS I CITY.STATE.
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER Ct AKEH VEN a HIGHLLYE a TACOMA a PRIVATE(WELL)
SEW rat SERVICE PROVIDER a LAI SHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL MEWING TOTAL PROPOSED TOTAL!METING Aro PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be instniled or relocated as part of this project. Do not include existing fixtures to remain.
MBCEANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(oommercias WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Showor Combo) SHOWERS WATER CLOSETS(roikt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 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 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. JJ���A �
NAME/TITLE � .Av 1 '`(" " C-_"- J DATE It 112404
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
c NEW ❑ADDITION c ALTERATION c REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES c NO BASIC PLAN? c YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES c NO
NEW ADDRESS REQUIRED? c YES c NO UP/SEPA/SU? c YES ❑NO
PLATTED LOT? c YES c NO DEMO PERMIT REQUIRED? c YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
• . 1 .
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 3 f 6.4% Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601- 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 lotus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50; add'n sign$20.50/ea)
U 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.E 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)i&a)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application