04-104631 C r
City ofy D Federal Way Electrical Permit #: 04 - 104631 - 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: HABITAT FOR HUMANITY,LOT 40
Project Address: 33415 23RDSW G Parcel Number: 932090 0400
Project Description: Service and wiring for new single family residence.
Owner Applicant Contractor
Habitat For Humanity Seattle MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
13925 INTERURBAN AVE S#20 11109 66TH AVE E 11109 66TH AVE E
TUKWILA WA PUYALLUP WA 98373 PUYALLUP WA 98373
98168-5719 (253)848-5595
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service: -Residential 1440
PERMIT EXPIRES May 14,2005.
Permit issued on November 15,2004
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 Federa Way. h
Owner or agent: l� Date: NQL-) Zoo„
,ov
IC
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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#: 04-104631-00-EL
Owner: HABITAT FOR HUMANITY SEATTLE
Address: 33415 23RD AVE SW
FEDERAL WAY, WA 98023-2807
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
ID Temporary Power(4275) .vrService(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
a
By Date B v`1���11 Date l lBy Date
•#® Rough Electrical(4225) 4❑ Ceiling Cover(4020) • Final-Electrical(4055)
Approved Approved Approved
A
•ByJe c_, Date/ _ - -z--‘,, By• •By Date By/ ; 1141/4_....) Date s eej�
.❑ Under-slab groundwork(4295)
Approved
By Date
___A, CONSTRUCTION PERMIT APPLICATION
urio ./ RECEIVED PPIICATION NUMBER: • - iOY . LiQQ
Federal VVay APPLICATION NUMBER: -
NOV 1 5 2004
(APPLICATION NUMBER: - -
**TheJlT•�`I •r tblfmation–Please print(in ink)or type**
NG DEPT.
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
��
. SITE ADDRESS: 33 `I is 2 rcl !Nye,.J S) ASSESSOR'S TAX/PARCEL#: 9 3_1. O5 o- _o_V D 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - ,� Lot" � s
• PROSECT INFORMATION
TYPE OF PROJECT(This application): O BUILDING O PLUMBING a MECHANICAL a DEMOLITION
L- 1ECTRICAL oO ENGINEERING O FIRE PREVENTION SYSTEM Si
L
L
PROJECT DESCRIPTION(Provideretailed description): lila/ a me < iy V 1 �/ J {A C) rig
vvt yl -s s p I v Z1 �l
PROJECT NAME: Et OAD
i 4-0i4---C-75Y– lA (A:I (A9?(-- q 0
/
■ PEOPLE INFORMATION . .
•
L PROPERTY OWNER: NAME: i DAYTIME PHONE:
A4u001A-ct — fb -I NtekikAkAl I (7aa )2,12 - 52L6
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1 34iG 1nArUY1061,0 S Pt 714u/oil ®t q SILT
CONTRACTOR: I NAME: ; DAYTIME PHONE:
ii Meridian Center Electric 1; (253 )848 - 5595
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE:
11109 66th Ave E Puyallup, Wa 98373 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20010.216200 - I (253 ) 841 - 0892
CONTRACTOR'S REGISTRATION NUMBER I EXPIRATION DATE:
(copy of card required) MERIDCE318S i 2 / 28 / 03
APPLICANT: N Keri ! DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
O ARCHITECT 0 TENANT O OTHER(DESCRIBE): i ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER a APPLICANT O CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
f
MECHANICAL ?
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) • GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• 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: .e 1_,C �1 -,� L 1 f ) DATE: ' 1/ I t / Li
o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY:
❑:NEW ❑'ADDITION ❑ALTERATION 'D REPAIR !; ❑TENANT IMPROVEMENT
:.CENSUS CODE. LOT SIZE.
ZONING DESIGNATION.:
= - BUILDYNG SHELLL
ONLY? ::o YES
COMP PLAN DESIGNATION
SECTION: TOWNSHIP. RANGE NEW ADDRESS REQUIRED? .., o YES o NO Y
PLATTED LOT?, ❑YES`. dNO CHANGE--OF'USE? .fi.0YES ,.o NO .;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.dtvoffederaiway.com
ti.. ■ ELECTRICAL
' TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_✓Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 fl-$85.5q;Each add'n 500 ft-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Feet: 10 2-4 First 2500 ft-$50.00;Each add'n 2500 R2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601-1000 326.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00
_601-800 amp 202.50 108.50 _201-400 216.50 85.50 _#of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add=n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 ResidentiaVMulti-Family/Commercial industrial
0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.00 . _201-400 85.50
_Mast or meter repair 43.00 _401-600 115.50
_#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+$72.50.Add=1 plan review for other submissions is$85.50/hr.
"FIXTURE DESCRIPTION(A)%,t, -FIXTURE FEE FROM TABLE BTB) . NUMBER OF UNITS(C) =: = .•TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from One 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-December 23,2002