05-100816 _4. +,
City of Federal Way Electrical Permit #: 05 - 100816 - 00 - EL
Community Development Services
P.O.Box 9918
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE,LOT 11
Project Address: 34209 13TH SSP'pi sw Parcel Number: 640370 0110
Project Description: Provide electrical 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 _JQuantity
Service: -Residential 2522
PERMIT EXPIRES August 21,2005.
Permit issued on February 22,2005
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. op //— j
Owner or agent: ej
Date: Z - ZZ— 06
0 ,07. c.‘
5- �c
i
THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100816-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34209 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) ❑ 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 0 3_t 1- S By Date
Rough Electrical(4225) ❑ Ceiling Cover(4020) V: • Final-Electrical(4055)
Approved Approved Approved
By C 1.4„%.4.N Date ,2:1,..3.)1-05 By Date By NI Date 0 ttoK.
❑ Under-slab groundwork(4295)
Approved
By Date
I
A. ,--
.o _ L o 0 j_ L _La
.:. -eratWay RECEIVED PERMIT SF MF CO M ELEL PL DE EN FP
„CO+tt&,:/ffYQE%'F�P��SF. 3 �'`l
- 0 WAY
FEB 2 2 2.PPLI CATI O N �' / . /
F'�E4'17C�Y.7Xi 9dQ63A7l8 r
wrRaataoRectemdtyatzama�t����++���
The foU.ewLRq is're4aa•rs t - aizteomalete=affection will not be accepted. Pfaase orbit tsg{b&j fin ink)or'type.
y: •1931-441 '1Y•jNtilcytl[•i'
SITE ADDRESS 3 ,4-A09 i5 i - SW SUITE/1=T>7
ASSESSOR'S TAX/PARCEL # ` '16 3 `'f 0 - 0 / L0 LOT SIT(s!)
LEGAL DESCRIPTION(e.g.acne Estates, Lot 1) OP-C-141 L) 1. n 7'1\/G •f LOY I I
f�rJt�T�terigrh',�=aQddr��+
PROJECT INFORMATION -
TYPE OF PERMIT C BUILDING C PLUMBDCG c MECHANICAL
c DEMOLITION XELECTRICAL C ENGINEERING C FIRE PREVEZITION SYSTEM
PROJECT DESCRIPTION(Provide detarIed description of work included on this oertnit maul
ADO AMP Sao t.€ ¢ bV t ie/ N C.-
PROJECT NAME(Name of Business or Owner Last Name) P+"v VI DENT ELEG 1 fJ ( C . / Al Ci .
PEOPLE INEORMATIOt
PROPERTYNAVE
Rlb41RY
OWNER 4+A-(�110 Lk 2 foo M.e6113(:),G-3;7711 -..2.24 3
MAILING ADDRESSCIC?.STATE.ZIP
33q-bo 9 I Ave S. I red cru.i WC'- t WA. q goo 3
COMPANY NAME APPLICANT NAME OFFICE PHONE
CONTRACTOR {?12 OVt DEn i EL.CC i k l G �Ltrc v) (G153) (o 51 - 1150
-MAILING ADDRESS CITY.STATE. CELL PHONE
, PO To)c 6aa.2� I Q ZIP ni► WA- (1805V ( ) -
a Y OF FEDERAL.WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I / (0153) l0 31 ' 1194
CONTRACT ORS REGISTRATION NL MSER(oop'ad card required Irish awls application, E PIRATION DATE
2 i_. Q V .1 e t L Q 5 G -2- A- /a-a- / 0!o
APPLICANT COMPANY NAME I APPLICANT NAMEOFFICE?'.TONE -I (
MAILING ADDRESS I C.T.YSTATE. ? IC(ELl.?HONE I
) -
BELTTIONSI I?TO PROJECT ."AX NTJ`.3ER
_ Architect = Tenant =Agent C Ot =(Descbe) I ( ) -
I ?Rhda ?1iCNE I E.uAt1..DD.RE S
CONTACT It t.2.Ctreirl I (�-Sji (0 31 - 11.0 1
LEDER 7
. Per RCW 19:37-095 Zetder in/armasian I xa"Na I
required ifproject 7atzzs asaeds S.4,000
M. LINO i.DD,RESS. I ..."^. .STATE.2 1
I ,
LIFT,* El)BUILDING INFORMATION
EXISTING VEE PROPOSED VEE .
EASTLYG ASSESSED/A? RAISED VALUE S VALUE OF PROPOSED WORK S
SPRL9fSLER3D BU'ILDtNG? =YES = NO FIRE SVP_.E ION SYSTEM PROPOSED/ S t .ED? C Y'W C NO
WATER SERVICE PROVIDER C LAFCEAVE...N = HIGHI.NE C TACOMA C PRIVATE(WELL)
br:w i.SERVICE PROVIDER C LAB=HAITEN = HIGH.INE c PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION ( EXISTING SQ. FT. I PROPOSED SQ. FT. I TOTAL
BASEMENT
1)i?I'AR'I.MI:N'I' OF LABOR AND INI)U\'I I IF'
FIRST
SECOND -
LICENSED AS PROVIDED BY LAW AS
THIRD ELEC CONTR GENERAL
I FOURTH .LICENSE 1t 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 Cu tea°ADD
MOTO®
"NEW HOMES ONLY" NUMBER OF BEDROOMS 1 ESTIMATED SELLING PRICE $ _
FIXTURES
---
Indicate number of each type offvaure to be installed 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 REMO.SYSTEMS
BBQS FANS HOODS icommeid.) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PL MISC(Describe)
BATHTUBS Tub/Shams(xCombo) SHOWERS WATER CLOSETS Roiteq
DISHWASHERS SINKS DRINKING FOUNTALYS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Madeoo Stasi VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider 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. y�n
/;
NAME/TITLE —1/�vcr Yl v CX-64-f6"0.-J DATE ot I ot,t I 06
(Signazurel MCA
RELATIONSHIP TO PROJECT C Owner C Agent C Contractor C Architect C Other
FOR OFFICE USE corm ;<:-"' I
NEW =ADDITION =ALTERATION =REPAIR =TWANT T INIPROVEM NT I
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 PERMIT REQUIRED? =YES =NO
w
Bulletin#100—March 30,2004 • Page 2 of 4 Ic\Handouts—Revised\Pertnit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL Xis,Single Family Square Feet a 501,A4 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 ❑ 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
U 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 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)
❑ # 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
❑ # of service or feeders
(First service/feedcr-$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
❑ 4 of Thermostats ❑ # of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
El Voice Cabling (for modified submittals)
❑ Data Cabling
❑ CIAutomation Fee on all Permits .. $5.00 •
(Per System(s) l•i 2500 ft2-$61.00;
I.
Each add'n 2500 ft2-16.00) 'Per WAC 296-46-910(5)(b)(i&ii)
t
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Bulletin#100-January 7,2005 Page 3 of 4 k\Iiandouts\Permit Application