05-104571 City of Federal Way Electrical Permit #: 05 - 104571 - 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: NESBITT
Project Address: 31625 9TH�SW l - Parcel Number: 555731 0330
Project Description: T-STAT �--�
Owner Applicant Contractor
Donn J Nesbitt &Debra K Nesbitt GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC
31625 9TH PL SW PO BOX 18206 PO BOX 18206
FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118
98023-4703 (206)722-1545
Electrical Fixtures
Description Quantity Description Quantity',L Description Quantity
Thermostat 1
PERMIT EXPIRES March 7,2006.
Permit issued.on September 8,2005
I hereby certify that the above informati 1 i ' correct and.that the construction-on the above described property apd
the occupancy and the use will be in < core.I ce with the laws,rules and regulations of the State of Washingtonand
the City of Federal Way �'
Owner or agent: i Date: (6(70 .g !
1.)
flit\INIS
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104571-00-EL
Owner: DONN J NESBITT
Address: 31625 9TH PL SW
FEDERAL WAY, WA 98023-4703
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.
O 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ i al-Electrical(4055)
Approved Approved Approved
By Date By Date y S Dateu_
❑ Under-slab groundwork(4295)
Approved
By Date
ttE—
. orr�F G
RECEIVED CONSTRUCTION PERMIT APPLICATION
ziAPPLICATION NUMBER: 06--- I(2l
Fme SEP 0 7 2005 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUJLDIN
**The following is information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 31625 9th pl sw ASSESSOR'S TAX/PARCEL#: 5557310330
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
rLECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): low volt for thermostat
PROJECT NAME: is 6�
• PEOPLE INFORMATION
PROPERTY OWNER: NAME:Don Nesbitt DAYTIME PHONE:
(253 ) 9413892
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
31625 9th pl sw
CONTRACTOR: NAME: DAYTIME PHONE:
GENESEE (206 ) 722 - 1545
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE;
3616 S GENESEE ST, SEATTLE WA 98188 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: ''ll EXPIR/ATION DATE:
(copy of card required) N�S 0 V Gtr l
APPLICANT: NAME: DAYTIME PHONE:
Don Nesbitt (253 ) 9413892
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
31625 9th pl sw ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: f ° - EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 200.00
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
r
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
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: o 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 o - .era ay - 7; any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such cl-" ,which m• de by any person,including the undersigned,and filed against the City of
Federal Way,but only where suc• claim arises o of reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to e city as a pa• of thi application. 0 �/,
Apr G/l
NAME/TITLE: DATE: l
WAligir
o PROPERTY OWNER o APPLICAN `ONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES o NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES ❑ NO CHANGE OF USE? o YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
Nww1N.Cit}offederalwaycorn
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES / 'S EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 ( I of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: Fi_rst 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 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 $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
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 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp • 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_ (1
601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401 -600 220.50 88.50 -5 circuits-$63.50;Add=n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 1.2
Estimated Plan Review Fee: $63.50+ ( 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-February 19,2002