04-104375 i
City of Federal Way Electrical Permit #: ✓04 - 104375 - 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: HOYT ROAD PAD B
- Project Address: 34024 HOYT SW Parcel Number: 308900 0320
Project Description: Installing 5 new thermostats
Owner Applicant Contractor
HOTIE TOYTIE,LLC CIO NICHOLSON INVE UNIVERSAL REFRIGERATION INC. UNIVERSAL REFRIGERATION INC.
2333 CARILLON PT PO BOX 614 PO BOX 614
KIRKLAND WA AUBURN WA 98071-0614 AUBURN WA 98071-0614
98033-7353 (253)939-5501
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat I 5
PERMIT EXPIRES April 30,2005.
Permit issued on November 1,2004
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 age _, „P.' Date:,dg 401Date: /
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THIS CARD IS TO REMAIN O'N-.SjTE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104375-00-EL
Owner: BRENT NICHOLSON
Address: 34024 HOYT RD 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
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0 Temporary Power(4275) ❑ Service(4235) �❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
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0 Rough Electrical(4225) ❑ Ceiling Cover(4020) v Final-Electrical(4055)
Approved Approved Approved
.By Date By Date
C5 DaterZ., is
❑ Under-slab groundwork(4295)
Approved
By Date
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V CITY Of ` """G N ` - L I �_( V - 5
Federal Way PERMIT -.1�-
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zQQ4 SF MF CC) M EL L DE EN FP
ICATI
tit'? '7E FEDERALV A i _ N —
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BUILDING DE
The oliowin• is re uired in orotation-an incorn lete a. lication will not be acce ted. Please .rint Ie•ibl in ink or t •e.
' ; PROP,aRTY INFORMATION.
SITE ADDRESS .c-7 ` i ./ -)4 Az SUITE UNIT#
ASSESSOR'S TAX/PARCEL# 7 C- r L L - _i 27 C� LOT SIZE(sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
i.ltrnrh sepnrn,e fMrpn A'':e7 fly legal rlescnptuVnl
'' ` " ' PROJECT INFORMATION • -
TYPE OF PERMIT n BUILDING ❑ PLUMBING ,MECHANICAL
DEMOLITION \ELECTRICAL o ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
•
011 L-I'14t f$L L7 , -- ) `:- ?<Lu:-L, - 74;4-1 J io-, L i./Cyt'4'i4'
' Lill .--mY 11 c)o,S*-rs i
PROJECT NAME(Name of Business or Owner Last Name) fl t 771. A ce-4,,{ ‘---,,.4c;A ". - ei' ' h .� t�. g
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PEOPLE INFORMATION
PROPERTY NAMEL PRIMARY PHONE
OWNER H-�0y'f(•C / o 7---/ .__- -£ ( ) -
MAILING.ADDRESS CITY,STATE,ZIP
��
- 3 Vii.lo''i (/c /' K G:(3,.,.41, t,,.., .
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
LIN -e-V-5 ( 1 rv541 � e : �-r-C P�� ( Zn) q -yJ0/i
MAILING CITY,STATE,ZIP CELL PHONE
/---7 7c ' 616 --(n,i,—v. 7r`'G7/( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
L `Z --9L- C-7 .67 7 _- B L / '( 1c."/ (25-3)73-- - ‘132.-
CONTRACTOR'S REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
/IV/I, )^'/ i'5--::2A-/ - / o'
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
I -1 t t, i;r si: ( }{ ;,�.1 ,��c (25-3 ) 9 � - -5-0/
MAILING ADDRESS
/ CITY,STAAVE,ZIP ,,� CELL PHONE -
) :), //V LZ<'"�i v1�'G-I /Z/,' lL'6 7/ ( )
RELATIONSI-IPPTO PROJECT l� FAX NUMBER
C Architect ❑ Tenant 1Q Agent ❑ Other (Describe) (2S- ) 7�" -7y
CONTACT NAME PRIMARY PHONE E MAIL ADDRESS
---/-el ?- Nc,e - '" (z53) 17 ct - j-.-5-6--' /
LENDER NAME
Per RCW 19.27.095: Lender information is -"77 k
required if project value exceeds$5,000 (/"(i-t i.,. c fi /'41/44-e-("L[.et
MAILING ADDRESS CITY,STATE,ZIP ---�
l/ , /� c e /4 , 6i g 70y
DETAILED.BUILDING INFORMATION
EXISTING USE PROPOSED USE
._
/
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / g'3 41'0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
A
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? rotw+ueTING TOTAL rxoeosm• TOLD EXISTING AND
PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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 $ ��3�0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 6, FANS HOODS(Commercial)
WOOD STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Collet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(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 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 �� DATE /0 ��7
(Signal (Title) 1
RELATIONSHIP T ROJECT ❑ Owner 0 Agent (Contractor ❑ Architect 0 Other
���' �;�YC USE CM��X
NEW ,AbbITION a ALTERATION,," ._ei REPAIR `` a TENANiT IMPROVEMENT
I7II>Il!IG SHEI,L ONLY? € SES.;cl N0 BASIC PLANT?
r ___. 7 .i �YES. ANO
7.C31(fiING DESIGNiAT1ON `CHANiGEOP USE? ,,.,..,....i,,,7•'
n YES NQ,
NEW A'ESI REQUIRED ;ci"YES,`? Ni0. , - UP/SEPA/SU? - ca`YES ca Nd.. "
PLATTED' oP, '_ .•
a:YES v NO • DEMO PERMIT REQUIRI•D?• €r YE5 n NO_ :>'
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 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
U 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) Ll 801 - 1000 amp 405.50 169.50
Service Feeder U 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)
U #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
U 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 ❑ 0- 100 $58.00 $51.00
U #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
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
Cif 7 #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
LiLow Voltage ,a ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) t-'3,7,/,...' (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops t` ')0
❑ Security Alarm System ❑ Additional Plan Review `)/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1st 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) *Per WAC 296-46-910(5)(b)(i&ii)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application