05-104469 •
City of Federal Way Electrical Permit#: 05 - 104469 - 00 - EL
Community Development Services
1 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: WERTH QV
Project Address: 37641 18TH/S Parcel Number: 721265 0830
Project Description: Adding(1)circuit for new AC
Owner Applicant Contractor
JOHN WERTH WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
37641 18TH PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Electrical Fixtures
r Descri tion "
p Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES February 28,2006.
Permit issued on September 1,2005
I hereby certify that the above information is correct and that the construction on the above described property and 1 ,r
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 Way19.
Owner or agent: // CDate: f�/ °"----
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTON REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104469-00-EL
Owner: JOHN WERTH
Address: 37641 18TH PL S
FEDERAL WAY, WA 98063
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) 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) Final-Electrical(4055)
Approved Approved- Approved
By Date By Date By � Date q
❑ Under-slab groundwork(4295)
• Approved
By Date
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AUG-2P-205 13:23 FROM: :12538352609iit P.12
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PROPERTY
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PROPERT(Y�INFORMATION
SITE ADDRESS 2)-74 I p / �j ►" + SUtTE,IIliI1"I
ASSESSOR'S TAX/PARCEL a al 2 .O _ 0 I i LOT SIZE(4)
LEGAL DESCRIP'T'ION(e.g.Aane Estates,Lot I) I
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING O PLUMBING O -• : �I
a DEMOLITION yELECTRICAL O ENGIN 3INNS O PIR PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed de aiption of work included an this permit only i
X 01 115_ 1 a bv4. C.( rcu 1 �1,.
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PROJECT NAME(Name of Business or Owner last Name) ltJv.r441 ,
PEOPLE [r;;FOR.MATIOr:
"'PROPERTY /
OWNER 0-i i h Ligt1/44) pFtq¢ Y -251 e
NuADDD { ` -/) 0 [ L G�'T/
3_i I P1S l ZIP L, pi'4_ R 3
CONTRACTOR _QOM�I ANY NAME APPLICANT NAME !
mew PHONE
�l(lRSI iYt t( i ; , a(2�3 -(eAt
2000 1 wrnQyK a Aue(J Tr tc,Pur, CBEb t+iWNE -
anr ott> .S"plt . ' : (9f ( )
6DEAL WAY BUSINESS Uteicse MEER EX I AndNFAX NUMBER
.24:1* 03 l0ce2.3VI-c9*-E L 7 / ; A' ( ) -
co NTRACrgRafototoN NUMBER itilly At ssN regtred with wIt apossm talo • i• EYfRAtION DATEt f s t o0 I � q /
/ e:1-
APPLICANT COMPANY NAME Appj' i�a oPfC$PI1OIf
`774 `1--o► ilL E�et vel «/.,[(�- eta_ a ,. t -
rt r•ADDRp,B= CITY,STATE,ZIP I 1 i CCU.PHONE
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� ?arc 'Zo3 ' a:tru Wit ' '3 (P') 7�- 37 '
ai • ^HI TO --• KAXNUMBER
0 Architect 0 Tenant Agent 0 Other(Describe) ( ) -
CONTACT ...4.1
NAM(
)oue 4 E-IAIIADDRESS
Fe l G[r..L� o-rnci jf 1-Ari -7 •- !
S,w:RGiP10` 7405: LendoeViabitiaiiW MANE
MAIUNOADDRE # 0�
CITY,STATE,ZIP I
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DETAILED 13L1ILD[r:G INFORMATION
EXISTING USE I I•
PROPOSED USE )
EXIST►to ASSESSED/APPRAISED VALUE S VALUE OF PROPO -•a . ORK _
SPRINKL$RED BUILDING, 0 YES C NO FIRE SUPPRESSION SYSTEM PROPOS
/ UIRED? 0 YES ONO
WATEEt SERVICE PROVIDER O LAK:HAVEN 0 HIGHLINE CI TACOMA O P• ,' (WELL)
SEWER SERVICE PROVIDER 0 I.AKERAVEN o HIGIILINIS a PRIVATE(SEPTIC !
I
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AUG-22-2005 13:24 FROM: TO:12538352609 P. 15
PROJECT FLOOR AREAS
^
AREA DESCRIPTION EXISTING 8•.FT. PROPOSED : •.FT. TOTAL
BASEMENT ■
FIRST
SECOND
•
THIRD —_
FOURTH _■ _
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) ■
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL.CJUSTD10Milliff W TOTALWSTga MD ntOrosca
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of cath type of facture to be installed or relocated as part of this project. Do n. include existing fixtures to remain.
MECHANICALr
Value of Mechanical Work $ 5780 80 t.
I
` MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.an millWOODSTOVES
BOILERS FIREPLACE INSERTS RANGES I MISC(Describe)
COMPRESSORS FURNACES GAS WATER FMK-CRS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS for Tub/Shower Combo) SIIOW ERS WATER CLOSETS tt q MISC(Describe) '
DISHWASHERS SINKS DRINKING FOUNT` NS
OAS PIPE OUTLETS SUMPS RAINWATER SYS'11
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATE 1HEATERS
DISCLAIMER/SIGNATURE BLOCK
J eert(fy 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 applic' tion is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incuI-ed in the investigation and defense of
such claim), which may be made by any person,including the undersigned,and filed against the City o 4��'P"""ederal Way,but only where such claim
arises out of the reliance o the city, t�ding its officers and employees,upon the accuracy of the infe►mation supplied to the city as a part of
this application. •
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NAME/TITLE C,- • 'V . r DnTE d1/2-216�
(Signature)
(Titk)
RELATIONSHIP PROJECT 0 Owner a Agent a Contractor 0 Architect 0 Other
FOR OFFICEL[SE ONLY
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMP OVEMENT
BUILDING SHELL ONLY? a YES a'NO BASIC PLAN? t o YES d NO
ZONING DESIGNATION CHANGE OF. USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?. o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRE ? a YES a NO
?410‘..- ?_— Tin— 61/64,
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Bulletin#100—March 30,2004 Page 2 of 4 '\Handouts—Revised\Permit Application
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AUCs-22-2005 13:23 FROM: TO:12538352609 P. 13
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL CO ',MERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INAUSTRIAL SERVICE
ID Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87_00;Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 194.50 $ 58.00
O Detached outbuilding or garage 0 101 -200 amp .1117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 4)5.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
0 Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair, $80.00
O 601 -800 amp 206.00 110.00 i
/1L
ALTERED COMMERCl /INDUSTRIAL
❑ Over 800 amp 294.50 220.50 1`
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp 1 $ 94.50
O 201 -600 amp 220.50
Service or Feeder. 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50 II
0 over 600 amp 177.00 U II of circuits be added/altered
(1-5 circuits-$74.0 Add'n circuits,$6.00/ca)
COMM
#of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) ERCIAL/INDUSTjIAL PLAN REVIEW
$74.00 plus 35%of Perttit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 arriv
0 Medical/Educationaj.!Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW 1
❑ Service Over 400 amps 1
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Comore ria( Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.,(9 $51.00
❑ #of service or feeders 0 101 -200 74.06 51.00
.(First service/feeder-$58.00;each add'n-$37.50) I
O 201 -400 37,90 n/a
❑ 401 -600 117.5/Q n/a
0 over 600 127.90 n/a
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MISCELLANEOUS SERVICE/EQUIPMENT I
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❑ it of Thermostats 0 #of Signs
(First-$43.50;add'n-$13.50/ca) (First sign-$43.50;add'n prign$20.50/ea)
0 Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,l'required)
❑ Firc Alarm System 0 Yard Pole meter loops.. $58.00
o Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 13•2500 1t2451.00;
Each add'n 2500 0-13.50) •Per WAC 296-46.910(5)(L)(i&ii) 1
------ I4A1P6.,- 41//141VV1-6.2_ ul or/z
Gil
-March 30,2004 ?4,6re.....
Page � ���� ..r andouts_ �vGd\permit Application
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