04-104329 •
City of Federal Way Community Development Services flectrical Permit #: 04 - 104329 - 00 - EI
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: ORCHID LANE LOT 43
Project Address: 34224 13THç2 Parcel Number: 640370 0430
Project Description: 200amp service&wiring with security
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 1Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 3500 Service: -Residential 3500
PERMIT EXPIRES April 19,2005.
Permit issued on October 21,2004
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: &.6) ppliexAiral Date: PI 2i ibq
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THIS CARD IS TO REMAIN ON-SITE
CLYDE Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104329-00-E L
Owner: HARBOUR HOMES, INC.
Address: 34224 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) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) r-4Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
d
By Date By, \I Date i By Date
mis
Rough Electrical(4225) ❑ Ceiling Cover(4020) Eli, Final-Electrical(4055)
Approved Approved Approved
By ii Date ! 0 By Date By Q.)* �j Date a 1_d
e ,
l
❑ Under-slab groundwork(4295)
Approved
By Date
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RECEIvED -a - -5- 2-
7-f ral Way PERMIT ,O C T 2 1 ZSF MF CO M 'L DE EN FP
coa morn!osvuoP axrSERVICiS
33530 FEST way SOUTH•PO BOX 97I8 AP P LI C A'I'QF D E RAL W• ° / /
FEDERAL WAY,WA 98063-9718
2E2461-4I15•FAX 253.661-1129
wum.c+mofedaafwaw BUILDING DEPT.
The o • • is re• fired in orneatiort-an Inco -tete • •olfaction will not be accented. Please • t le• " lin inJc)or 1-
PROPERTY INFORMATION
SITE ADDRESS 3 4 c2 4 1 3 A PL 5 V Y svrrE/vivrr i
ASSESSOR'S TAR/PARCEL ft - /_ _ _A /_ LOf7
�T SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 0lam••C.,1-1- L i LiI v E/ LoY 1-1-3
3
punch wean=page"cc Unwire legal desavisay
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING C PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
AiDO AMP Seg.,1 166 4 W i i2 i Nom- - LO1( VOLT WI R l h16- 4--
b 56 ON 9 Padcay, curt VVo-e-ikam 6 (n
PROJECT NAME(Name of Business or Owner Last Name) P 12-0V I DENT G LG T P( c, 1 / Al G
PEOPLE INFORMATION
PROPERTY NAME ' PRIMARY PHONE
�"A(2
OWNER 0 u0, f4O NL ES (d-S3) (o( - !0 3
MAILING ADDRESSCITY.STATE,ZIP
3 3 4-b0 9* Ave 5 1 red era-I Wary , WA- 6i''o0 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PR,OV' DENT AG.i i L k.G.rein ( 3) to 31 - 1150
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
Pp Zox 501 3-,S Q t, W r ago5g• ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - BL / / (023) to31 -.- i
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
24- QV _icI £ 3C4- a' laa.. / 040
APPLICANT COMPANY NAME APPLICANT NAME OFFICE?HONE -
(
MAILING ADDRESSCTI.STATE.ZIP CELL?HONE
I ( ) -
ELATIONSHIP TO PROJECT FAX NUMBER
C Architect C Tenant C Agent C Other(Describe) { ( ) -
NAME PRLMA ?'?ONE o MAILADDRESS
CONTACT 1/iu ev1 I (a- 3) !v 3( - 110
C y
LENDER Per RCS'1927:095: Lander information is NAME I
required ifprotect value acceeds$.1,000
MAILING ADDRESS I CITY,STATE.3P
I
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINELERED BUILDING? C YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES C NO
WATER SERVICE PROVIDER C L HEHaVEN C HIGHLLNE C TACOMA u PRIVATE(WELL)
SEWER SERVICE PROVIDER C LattEHAVEN C HIGHLINE C 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 Rffi5TfIO TOTAL PROPOSED TOTAL SCLITI210 AND PROPOS`°
**NEW HOMES ONLY" NUMBER OF BEDROOMS 41" ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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 REFRIG.SYSTEMS
BBQS FANS HOODS(commerc(aq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'hib/Shower Combo)
SHOWERS WATER CLOSETS(role( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS sarluoom 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. /�y� ,, �
NAME/TITLE 1 ► l CPC K t J DATE 1 0/,
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 Other_
FOR OFFICE.USE ONLY
c NEW =ADDITION ❑ALTERATION c REPAIR =TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES c NO BASIC PLAN? c YES =NO
ZONING DESIGNATION CHANGE OF USE? =YES =NO
NEW ADDRESS REQUIRED? ^_YES = NO UP/SEPA/SU? =YES ❑NO
PLATTED LOT? =YES = NO I DEMO PERMIT REQUIRED? =YES c NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
0. Single Family Square Feet 3600 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) S 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 U 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $ 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
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 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) ❑ 201. -400 87.00 n/a
❑ 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
XLow Voltage 31 1 -7 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑
Voice Cabling (for modified submittals)
❑ Data Cabling
❑ O,-J-Q / VA.Cuum SLIS1eM
(Per System(s) 1.t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per W.4C 296-46-910(5)(b)fi&i)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application