06-105415 r q M
City of Federal Way Electrical Permit #: 06-105415-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KLAIBER
Project Address: 33020 29TH AVE SW Parcel Number: 894530 0070
Project Description: L/V for Furnace.
Owner Applicant Contractor
KERI D KLAIBER GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC
37648 40TH AVE S PO BOX 18206 GENESFH37006 9/1/07
AUBURN WA SEATTLE WA 98118 PO BOX 18206
98001-8902 SEATTLE WA 98118
Additional Permit Information
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES Saturday, April 21, 2007
hermit Issued on Monday, October 23, 2006
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 e in accordance wit.hfithealaws, rules and regulations of the State of Wa hington
and the ity of Federal Way.
Owner or agent:, is IZ - Date: / la (3�
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14ki THIS CARD IS TO REMAIN ON-SITE -'
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105415-00-EL
Owner: KERI D KLAIBER
Address: 33020 29TH AVE SW
FEDERAL WAY, WA 98023-2714
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) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) �❑ Ceiling Cover(4020) r:/ Final-Electrical(4055)
Approved Approved Approved
4,
V l
By Date By Date B �i' } Date ii Ll t
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
ein or A
D 6 - i 0 5P-
Federal Way OCT 2 3 2006 PERMIT
COMMUN YDRVSLOPMEN SF MF CO ME PL DE EN FP
33325d BMAY,WA SOUTH 95 -973 IIL FNG PLICATION T°
253-835.4607•PAX 253435-2609�'�'NG 1
www.dtwlIederahoau.cont
The ollowin• is , fired ormation-an Inco .late a•-lication will not be acre.ted. Please ,rint le•Ibi n or
■ PROPERTY INFORMATION
SITE ADDRESS 33v2 V — q C \I 5SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 6 '16/ 550_- 00 -1C.) LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefar lengths/legal deso{ptlu,)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONCTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCC ION vide detaj�d description of work included on this permit only)
lD7 I-44g_ ---ente-._ (---CctiVi)-c-J2 ----b— 57Ct..1"----
PROJECT NAME(Name of Business or Owner Last Name) {/—`C( y2.G-r
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER .L253) 87
y-601/7: J
MAA CITY,STATE,ZIP 3O 9 IA 'eat
r c78-0 -3
CONTRACTOR CO IY NAME 1.7.-- A APPLIFiNT NAME OFFICE PHONE
MAIL!.- MR= CITY,STATE,ZIP CELL NE
Ii.o ;3�Ce ( ) -
'F FED • SWAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with(wch application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
r(LIcVYv� 43 ro n tc ( ) -
NG ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑'Tenant a Agent 0 Other(Describe) -
CONTACT NAME \ PRIMARY PHONE E-MAIL ADDRESS
DriCv� h92)62)-729- /- `g�
LENDER NAME
MAILING ADDRESS ATE PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ \ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES . NO - SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a L .f N ❑ HIGHLINE ❑ TACOMA Ci PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
i�
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
**NEW HOMES ONLY NUMBER OF BEDROOMS ESTJMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed o locat-• as part of this project Do not include existing fixtl4res to remain.
MECHANICAL O
Value of Mechanical Work $
AIR HANDLING UNITS APORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS OODS ICommeret.Q WOODSTOVES
BOILERS FIREPLACE INSERTS • GES MISC(Describe)
COMPRESSORS FURNACES GAS TER HEATERS
.DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoverClmbo) SHOWERS WATER CLOSETS(ro MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAVS IB.throomSinks) 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 the city,including its officers and employees,upon the accuracy of the information sup• led to the 'ty as a part of
this application.
NAME/TITLE / 4°,417A
DATE 2-
Signa rel fade)
RELATIONSHIP TO PROJECT C) • •-• 0 Agent U Contractor O Architect 0 Other •
1.
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Anlletin#1011—.Tannery I.2006 Pare 2 of 4 k\Handouts\Pennit Application
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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-$107.50;Each add'n 500 ft2-$34.50) 0 0 to 100 amp $117.00 $71.50
O Detached outbuilding or garage 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
0 Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50 0 601-800 amp 410.00 173.50
O 801 - 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
1 0 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
CI 601 -800 amp 254.00 136.00
0 Over 800 amp 364.00 272.00 Service or Feeders
O Oto 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY 0 201 600 amp 272.00
O 601- 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
❑ #of circuits to be added/altered COMMERCIALJINDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
O Service- 1,000 amps or greater
0 Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50 •
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentialMuiti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampactty
O 0-100 amps $71.50
0 101-200 amps 91.50
O 201-400 amps 107.50
O 401-600 amps 145.00
O over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
pir- 1 #of Thermostats . ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign.$25.00/ea)
O Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System 0 Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
Q Data Cabling
❑
0 Automation Fee on all Permits .. $5.00 -
(Per Systeni(s) 1"2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5J(6Jri&ii) .
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