06-106185 •
City of Federal Way Electrical Permit #: 06-106185-00-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: NIEMEN GLASS T
Project Address: 34621 16TH AVE S Parcel Number: 889700 0080
Project Description: Installation of Low voltage data wire.
Owner Applicant Contractor
FRANCINE O.HOYT FRANCINE O.HOYT FRANCINE O.HOYT
14117 12TH SW 14117 12TH SW 14117 12TH SW
SEATTLE,WA SEATTLE,WA SEATTLE,WA
98166 98166 98166
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 2,500
PERMIT EXPIRES Monday, June 4, 2007
Permit Issued on Wednesday, December 46,2006
I hereby certify that the above information irrect and that the construction on the above described}property and
the occupancy and the use illbe in accordance with thle laws,rules and regulations of the State of Washington
KJ and the City of Federal Way.
Owner or ageni -- I Date: ��- �
. , .
THIS CARD IS TO REMAIN ON-SITE . - -
CITY OF Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106185-00-EL
Owner: FRANCINE O. HOYT
Address: 34621 16TH AVE S
FEDERAL WAY, WA 98003-6803
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) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date ` By Date
e-❑ Temporary Power(4275) �❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
ig Rough Electrical(4225) ❑ Ceiling Cover(4020) /�1 Final-Electrical (4055)
Approved Approved Approved •
By���rA� Date Z ,�Vico By Date B ,=`�� Date Z 11.%,„,
❑ Under-slab groundwork(4295)
Approved
By Date
CITY OF4P1 RECEIVED
- Federal Way �� — � v (4°' ) k =
DEC o 6 2006 PERMIT SF MF CO ME/PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325Pro AVENUE SOUTH•POBOX 9718PpLI CATI O N
FEDERAL WAY,WA 9806 OF FEDERAL TD /
253-835-2607•FAX 253-8
• wwu,citttoffederalwap.com BUILDING DEP
The ollowi • is r-• fired in ormation-an Inco •lete ••••lication will not be acce.ted. Please •rint le•ibl (in ink)or .
PROPERTY1111 INFORMATION
-_ `1 SITE ADDRESS 1- /C ' �!A f` VCS SUITE/UNIT#
�/ASSESSOR'S TAX/PARCEL# 41 1 d - 0 0 ' G LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal descnpnon) 1
■ PROJECT INFORMATION
• •E OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inclu ed on this permit only)
ft316 V alatC J t(2c' J
N f e tee"
PROJECT NAME(Name of Business or Owner Last Name) sis►ildir i., - - - -- - S
Ill
• PEOPLE INFORMATION
PROPERTY NAM (� p PR %ARY PHONE�f'
OWNER jl tal f e, Cart �s-LtP—,21. -- ,5�
MAILI G AnntxFsc �/t J61 CITY ATE,ZIP
/ire/I- 1/4,2 4 S - ,e)A- 9efi 6 _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
C7),L' t-.IL/t ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— — — B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME
APPLICANT NAME OFFICE PHONE
G�cti�l .— ( ► -
MAILING ADDRESS k CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME ]t w PRIMARY PHONE - E-MAIL ADDRESS
LENDER W �on - 'C
-1-4044112-: fPuobLe -' 5 *
MAILING ADDRESS CITY,STATE,ZIP PHONE
-4111 ( )
• DL'TAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ N• IRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKE : ' ❑ ' GHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 L . ' . •VEN 0 HI o -: INE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURT
ADDITIONAL FLOORS(DESC'. :E)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS f gammas I PR. - TOTAL. • asnum3F TOTAL mopes=sr sans sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTI i• •TED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be insta i or relocated as part of th roject. Do not include existing fvctures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerci ii WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRES S FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS froat) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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 city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
� if Zl P/Q7 tAME DATE
(Signature) (Title)
TIONSHIP TO PROJECT Owner 0 Agent 0 Contractor 0 Architect 0 Other
_FOR OFFICE USE.ONLY=
a NEW a,ADDITION a ALTERATION a REPAIR a TENANT-IMPROVEMENT
BUILDING SHELL ONLY? OYES•a NO ,\ - - BASIC PLAN?.. a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES oNO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
.r
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
i ❑ 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 $I 17.00 $71.50
LI outbuilding or garage CI 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 LI 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 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 U Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
❑ 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES ,
❑ 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) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
❑ 101 -200 amps 91.50
❑ 201 -400 amps 107.50
❑ 401 -600 amps 145.00
❑ 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)
V Vit Low Voltage ❑ Swimming pool/hot tub $107.50
��
Square Feet to be served by system(s) 1- (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
❑ voice Cabling (for modified submittals)
Data Cabling ❑ Automation Fee on all Permits . $5.00
❑
i
(Per System(s) 1s,2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 296-46-910(5)(b)i&u`
.
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application