05-104243 City of Federal Way Electrical Permit #: 05 - 104243 - 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: HEYMANN
Project Address: 3963 SW 316TH ST Parcel Number: 873198 2110
Project Description: Adding(1)circuit and adding t-stat
Owner Applicant Contractor
Kenneth V Heymann ALL SEASONS,INC. ALL SEASONS,INC.
3963 SW 316TH ST 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-2151 (253)278-9344
Electrical Fixtures
Description Quantity Description .Description Quantity;
Circuits-Residential 1 Thermostat 1
PERMIT EXPIRES February 18,2006.
Permit issued on August 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.
Owner or agent: = .� Date: CD5
Y
THIS CARD IS TO REMAIN ON-SITE
CITY oF Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104243-00-EL
Owner: KENNETH V HEYMANN
Address: 3963 SW 316TH ST
FEDERAL WAY, WA 98023-2151
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) v Final-Electrical(4055)
Approved Approved Approved
By Date By Date By A v / Date C6Vefc
•
❑ Under-slab groundwork(4295)
Approved
By Date
..
_`_-1 _3
' CITY Of 0L2 -I -3
Federa�Way PERMIT SF MF CO M r PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718 APPLICATION ID /
/
FEDERAL WAY,WA 98063-9718
253-661-4115•FAX 253-661-4129
www at uoffede ral wa u.cam
The ollowi • is -• ired i ormation—an inco •tete • • •lication will not be acce• d. Please •rint le•ibi in in or • .
IN PROPERTY INFORMATION
SITE ADDRESS 3963 SW 316TH ST SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 8 7 3 1 9 8 2 1 1 0 LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate pagefarlengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
INSTALL 2 TON 10 SEER AIR CONDITIONER
PROJECT NAME(Name of Business or Owner Last Name) HEYMANN
• PEOPLE INFORMATION
NAME PRIMARY PHONE
PROPERTY KENNETH HEYMANN ( 253 ) 874-6593
OWNER
MAILING ADDRESS CITY,STATE,ZIP
3963 SW 316TH ST FEDERAL WAY, WA 98023
COMPANY NAME APPLICANT NAME OFFICE PHONE
CONTRACTOR
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION
ATE FAX
X NUMBER
B
19 98 105262 00 B L / /2005 ( 253 ) 879-9143
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A L L S E I * 0 3 0 5 5 12/17 /2005
COMPANY NAME APPLICANT NAME OFFICE PHONE
APPLICANT
ALL SEASONS INC ROBYN BRADSHAW ( 253 ) 278-9344
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5001 N 28TH ST TACOMA, WA 98407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other(Describe) (253 ) 879-9143
NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT DAVE BRADSHAW ( 253 ) 879-9144
LENDER RCW.t9 2?0995,,. oe i rr 3s NAME
ronuPla iipmfact vt4u4tiowohisSspcork
MAILING ADDRESS CITY,STATE,ZIP
EXISTING USE RESIDENTIAL PROPOSED USE RESIDENTIAL
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER n LAKEHAVEN n HIONT.INE n PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
musruo PROPOSEDTOTAL TOTAL EXIST=sr; TOTAL TSSOPOISD--sr TOTAL sr
NUMBER OF FLOORS
**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 $_2308.19
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
1 COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'hrb/shower Combo) SHOWERS WATER CLOSETS pose) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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 • : by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance • '_ city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. Q
ME
NA /TITLE • DATE Ce--1 / —�-5
( ignat j11)') (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent x Contractor ❑ Architect ❑ Other
dk
C7 NEW s t1 ADDITION Ct ALTERATION „a REPAIR a TENANTimPktoVEldENT
BUILDING .[.ONLY?
a YES et NQ BASIC Pte', YS ❑NO
Ol(II O DESIGNATION OF SE? ❑YES ❑NO
NEW ADDRESS REQUIRED? a YES n NO ! /SEi+A/811? YES ❑NO
PLATTED LOT? TES a RMI1 Li RI,R ? n YES.,. 'aa 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
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage U 101-200 amp 117.50 74.00
(Inspected with service) $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) El 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
U 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
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U 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 U over 1000 amp 369.50
❑ 201 -600 amp 117.50
U over 600 amp 177.00 U #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
2 #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- 1,000 amps or greater
SINGLE/MULTI FAMILY PLAN REVIEW CIMedical/Educational/Institutional Facility
❑. Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U 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
U #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50)
U 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
X1_#of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n
ei�- sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) _ (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System
❑ Voice Cabling U Additional Plan Review $87.00/hour
❑ Data Cabling (for modified submittals)
0
(Per System(s) lat 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) "Per WAC 296-46-910(5)(b)(i&u)
i
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application