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05-104010 , City of Federal Way Community Development Services Electrical Permit #: 05 - 104010 - 00 - EL P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253)835-305C Project Name: BISSEGGER Project Address: 30100 21STtSS Parcel Number: 798300 0040 PCV Project Description: Altering(1)circuit for new furnace Owner Applicant Contractor M S Bissegger HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC 30100 21ST AVE S 9001 PACIFIC AVE 9001 PACIFIC AVE FEDERAL WAY WA TACOMA WA 98444 TACOMA WA 98444 98003-4260 (253)539-8709 Electrical Fixtures Description ,Quantity Description Quantity Description Quantity Circuits-Residential 1 1 PERMIT EXPIRES February 6,2006. Permit issued on August 10,2005 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 Washingtonarta the City of Federal Way6 . //� Owner or agent: L LDate: 710/0 THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104010-00-EL Owner: M S BISSEGGER Address: 30100 21ST AVE S FEDERAL WAY, WA 98003-4260 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) 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) ❑ Ceiling Cover(4020) gi Final-Electrical(4055) Approved Approved Approved By Date By Date By IF!4" Date S It(fic— % ❑ Under-slab groundwork(4295) Approved By Date 4 RECEIVED atraf _0.5_ tag_ i 0 Federal Way AUG 1 o on . PERMIT cOUMUMTYDEVELOPMENTSERVICES SF MF CO M L DE EN FP 333TSd�AVENUE SOIrTH• ' P P LI CATI O N FEDERAL WAY,WA 980�17�1d �F FE D E RAL�Amawitygfraaymen / ss3aass6o7•FAX asse3s-BUILDING DE, i / I The ollowi • is . fired in ormation-an ince •tete . ••lication will not be acce•ted. Please •tint to. •1 n in or ■ PROPERTY INFORMATION SITE ADDRESS 3(9//9 /2i 423 - / _ SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sJ) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach+Ywcopr e/ak.� J Meal d.aipHay - • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBINGECHANICAL - 0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on t ' .ermit onl %.,.� i;,./', ,�. .:6- -4441.a1,2e,fergd,s-fg,4 6 2 . ilisa:7-6 of„,yalaus.e • PROJECT NAME(Name of Business or Owner Last Name) ' I sce - • PEOPLE INFOR1IATION • i PROPERTY NAME rP,RIMARY PHONE OWNER iiti D'' & ��A� L W n3 )g35, -1 L//(7 IWNO ADD STATE,ZIP 36ioo al°xa , °. wi4 9gee 3 CONTRACTOR COMPANY NAME APPLICANT NA OFFICE PHONE LNQ • .- z (2 (as3) y?a -?-a a E,ZIP CELL PHONE CITY OF FERE WAY BUSINESS LICENSE NUMBERA EXPIRATION DATE -- FAX NUMBER B L / / (2S. ) 5-3 8 7©y CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each appRcatiouj EXPIRATION DATE dE. R. rI• FrflotM0 ?lab lv‘v APPLICANT MPANY NAME UCANT M � � L&AT ' OFFICE PHONELINO L��- DL. _// L��'p E, L `CELL PHONE y'aoRELAT1 i IP Tetie ROJECI lam/ amt /c�'j'I ("-" 3)T)� -1" 6 7 FAX NUMBER O Architect 0 Tenant ❑Agent Gather(Describe) (4/S-316-3/ - ii,,tV CONTACT �/`�i X PRIMARY PHONE E-MAIL ADDRESS (,2s s) q?-a-- a a i 1 LENDER t), 0,,p, , r , 'eY,i.-, r ,,,1 #,,,,,,,„"„:,,,T ice. NAME MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ V 0,- = • •OPOSED WORK SPRINKLERED BUILDING? o YES 0 • .1 SUPPRESSION SYS 0.. •ROPOSED/REQUIRED? a YES 0 NO WATER SERVICE P:• AD =- ■ LAKEHAVEN a HIGHLINE 0 TACOMA 0 P• ' L) SEWER SERVICE PROVIDER p LAKEHAVEN 0 HIGHLINE O PRIVATE(SEPTIC) • a PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL _ SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD • ADDITIONAL F e• I CRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS =scum reorosr.o TOTALtr xa 7117,-- **NEW HOMES ONLY"'' 'e ' :ER 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 furfures to remain. MECEIANICAL Value of Mechanical'Work $ � ay..LOC • .L. AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS pemmeretas WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) • COMPRESSORS . FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or•Nb/stwroerCombo) SHOWERS WATER CLOSETS(cedes 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 L—. 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 of the city,including its officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. NAME/TITLE ( E2 &tzejoiee,/hi � DATE 71®/QS (Signature (Tide RELATIONSHIP TO PROJECT ❑ Owner a Agent O Contractor o Architect 0 Other L)Lif'°O./4 ,'et ODk4zi•(e#.t: ai4DIVAna4; t nib u�F r i,Ki.) Ze"F5''n?ht` a ;1f,tl Estec, Etc,.F.? ,F , 4(1) r.(fe rat xfr) (©i / I..1te'. "I( )4. )4 ger Qa. ;lo� ele) )y.� ; d9)ti¢ 4-le"�7jP t stir z Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pennit Application 4 ELECTRICAL PERMIT INFORMATION RESIDENTIAL I , COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each addh 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50 O 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder - ❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL 0 601 -800 amp 247.00 132.00 • ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 A LTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 • ❑ 0 to 200 amp $87.00 ❑ 201 -600 amp 141.00 / #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Addh circuits,$7.00/ea) g" V # circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW • (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $52.00 . ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 . TEMPORARY SERVICE MOBILE HOME/RV PARK Residential(Muitf-Family $61.00 ❑ #of service or feeders (First aervice/feeder-$69.50;each add'n-$45.00) Commerciat/Industrial Service or Feeder Ampacity ❑ 0-100 amps _ $69.50 O 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps - 141.00 ❑ over 600 amps 152.50 III MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats 0 #of Signs (First-$52.00;addh-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) El Alarm System ❑ Yard Pole meter loops $104.50 CISecurity Alarm System O Voice Cabling ❑ Additional Plan Review $104.50/hour (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits $5.00 . (Per Systerim(s).1a 2500 ft2-$61.00; Each addh 2500 fts 16.00)•Per WAC 29646910(5)(b)(&a) Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutsTermit Application