06-105583 111
City ofFedy
Community Developmentpment Services #:Electrical Permit 06-105583-00-EL
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: AAA WASHINGTON
Project Address: 2122 S 314TH ST P. -1 Number: 04 9053
Project Description: Altering up to 5 circuits to install 16 lights & 18 receptacles f ice odel
•
Owner Applicant Contra
ROSEN HARBOTTLE NORTH STAR ELECTRIC RTH STAR EL
1715 114TH AVE S 1905 S JACKSON S NORTHS 60' •/ '
SEATTLE WA 98144 190 CK'•N •
BELLEVUE WA 98004 WA 9814,
•
Additional Pe it Informatio
E Fixtures \0\111
Circuits Commercial
p RM P S Sund 'I 29, 2007
on. sd 0.V13219:2006
31, 2006
I hereby comfy that above inf• - on orrect and that th onstruction on the above described property and
the occupancy and t se will!be .a•rdance m the la 'rules and regulations of the State of Washington '.
and i City of Federal hay.
d
Ow gent: � � �� Date: (U '3 • oG
"~ , THIS CARD IS TO REMAIN ON-SITE '� " •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105583-00-EL
Owner: ROSEN HARBOTTLE
Address: 2122 S 314TH ST
FEDERAL WAY, WA 98003
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) ❑ 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) ❑ Final -Electrical(4055)
Approved Approved Approved
By Date By Date By Date
O Under-slab groundwork(4295)
Approved
By Date
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CCEIVED - D 5 2] 5
Federal vl a'
PERMIT SFMFCOMg DE EN FP
COMFMEDDUEENRRIAAYLL DEVEIAPMENTSERVIC,ES
33325
WAY.WA80P8(3971847l43• 1 2006
AP P LI CATI O N
• /
253-835-2607•FAX 253-835-2609
www.ciL ojlederalu+gt�onF FEDERAL WAY
The of • C,1isti ,I QIe D Tin—an into •lete a• •lication will not be acc- •ted. Please •rint le!'•1_ (in ink)or _ .
• PROPERTY INFORMATION
SITE ADDRESS Z , 7 L S 3 / V/ ' St SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 — — — LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Avach sepmv/e P .fa lengthy 1 d N
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ja ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Ins k /I /6 L :S ,f,-s f/Br_ecP f ftictes p- ,Ai,s lei, ej ) , re re/'..€,2I
PROJECT NAME(Name of Business or Owner Last Name) 4n A W'A-S^t)1 #r'
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME / APPLICANT NAME OFFICE PHONE
NDrtk 3/ t f `frc t Nevi-k sal- Electr&. (L06 ):3 2 1 - /5 It
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PPC S 1-.:'. C,cSael e‘-41-‘.( W� � r�(4 ( 20‘ )-n3 ��i �G
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
z v — oQ —i 6 1 6 1 q L f2. / 3 ( / 06 (to 6 ) 37f - iii3'7
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
.erII4L 1 a 6 0 1 / '° .7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Skwe ( ) -
MAIIING ADDRESS CITY.STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME fi PRIMARY PHONE _ E-MAIL ADDRESS S
yre f 1J�ti iLi i'l (7 OG ) •; - (5 `I 6 �j/h 6"I15>tr,/e.0
LENDER Per RCW 19.27.095: Lender*formation is NAME
required ifpngject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
; nEXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ") , -'- V
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
NUMBER OF FLOORS PROPOSED TOTAL TOTAL zcere,o sr TOTAL PROPOSID SF TOTAL OF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Inriirnte 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 $
AIR HANDLING UNT S EVAPORAITVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cemmeretsq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT TUBS(or Tub/Shower Combo) SHOWERS WATER CLOSE Ubi)e) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(BoJ,,00mSiks) 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 ,including officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE J DATE J�a/l 1/6'
(Signature) mile)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent tie Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage U 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801- 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 U Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
U 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
U 201 -600 amp 145.00 j #of circuits to be added/altered
U over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
U Service- 1,000 amps or greater
U Mast or meter repair $53.50 U Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Conunercial/Industrial Service or Feeder Antpacity
❑ 0-100 amps $71.50
U 101-200 amps 91.50
U 201-400 amps 107.50
U 401-600 amps 145.00
U over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
U Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
❑ Security Alarm System U Additional Plan Review $107.50/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits .. $5.00
(Per System(s) Pt 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910I51/bl(t 8 W
Bulletin#100-January 1,2006 Page 3 of 4 k Handouts\Permit Application