06-103982 City of Federal Way Electrical Permit #: 06-103982-00,-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: HENDRICKSON
Project Address: 224 SW 301ST ST Parcel Number: 233730 0380
Project Description: Installation of thermostat
Owner Applicant Contractor
DANIEL HENDRICKSON PUYALLUP HEATING&AIR CONDITIONING PUYALLUP HEATING&AIR
224 SW 301ST ST 130 15TH STREET SE CONDITIONING
FEDERAL WAY WA 98023-3934 PUYALLUP,WA PUYALHA975L4(06/24/2007)
98372 130 15TH STREET SE
PUYALLUP,WA
98372
Additional Permit Information
Electrical Fixtures
Thermostat, 1.00
PERMIT EXPIRES Tuesday, February-61 2407
Permit Issued on Thursday,August 10, 2006
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will •- 'n accordance with the laws, rules and regulations of the State of Washington
41111,`► •e City of Federal Way. �1 p- I
Owner or agent:' Wry rgid Date: O !(7 �Cf
FINALE®
ATHIS CARD IS TO REMAIN ON-SITE
OF. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103982-00-EL
Owner: DANIEL HENDRICKSON
Address: 224 SW 301ST ST
FEDERAL WAY, WA 98023-3934
This card is part of your required inspection document& 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) 0 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
By0wk_v Date Q-31_t\ By Date B,�G5 Date ��G—el
❑ Under-slab groundwork(4295)
Approved
By Date
i
R�CE�VE
� - 1_ o a 2
Fe°CteralWay. AUG 10 2p13ERMIT
. commit=nsyscopi ar suers SF MF CO ME` SPL DE EN FP
93325 Pi
DERAL A .SOUTH9•pa BOX 9718 I C AT I O N
2353835-2601 Frx2957835-2 GIT off'i� r�i r• TO
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www.dtuoffedervJuxzu.aont
The oilowt , is re• ired i ormation-an Inco ,tete a-•lication will not be acce•ted. Please •rint 14,1131 n in or 1•
■ PROPERTY INFORMATION G
•
SITE ADDRESS as 3 A 3O I S} vim- r2 cx.2ro.Q a)c ilJl)f ciOOo�3 SUITE/UNIT 1
ASSESSOR'S TAX/PARCEL 4/ 2 3 3 T 3 C) - U �..J '0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Which w+wauagwhrrownvr+ a i
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIOECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
-i1-1o5+o 4
PROJECT NAME(Name of Business or Owner Last Name) 3 fes! J br o o kP 14 o v i es l- -Qy1 Ci r I‘C,1‹-S O tm
• PEOPLE INFORMATION
PROPERTY NAMERY PH
OWNER _ 3.., •, la - rw l� 10-i "��V��htl��1 V A (PRIMA3 ) �IONE( 3,o(
MAILING ADDRESS CITY,STATE,Z10
CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
(A� 0 AO m Cv1 c �{ (4_53) `2`15 - OSS(
MAILI ADDRESS l CITY,STATE,ZIP `/ CELL PHONE
) -‘S'-m S�, t uu®wact8 3-3a ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 'EXPIRATION DATE FAX NUMBER
i /- 9' ' - t o S s o B L ' la_ 131 /aAo� (as$) �-(( - S8Y
—
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with etch application) EXPIRATION DATE
P Ul y 4 L }-( icV 9'g S L LI / /
APPLICANT COMPANY NAME APPUCANT NAME OFFICE PHONE
UILAC1a ate c ,inc (a-C., (a-33 ) F4,) ose)
MAILINGJDD CITY,STATE, CELL PHONE
YbD - (S jr S'-Si, hti .j atjAmflANA ctqc1.1 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑:Tenant ❑Agent ❑ Other(Describe) (
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
® `DETAILED BUILDING INFORMATION Q
EXISTING USE' ►V() W( fl)t fib PROPOSED USE i1, fC.L t�'�1C1.( DO(_,
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1Q1 0 • (DO
i
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 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. SQ.FT.
BASEMENT
FIRST
SECOND .
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
anemic PROPOSED
NUMBER OF FLOORS
""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS p.m.!) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or7Lb/Shower Combo) SHOWERS WATER CLOSETS Ira.,) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Withal VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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/ -4114111
Q q
P1
, DATE 0 (?— Lo —CNe
/� (�
a re( � (Title)
RELATIONSHIP TO PROJECT a Owner • Agent 0 Contractor o Architect ci Other •
Rutl�tin
411111—Innuaru 1 7i1116 Paae 2 of 4 k\HandnutsTC1mit.Application
i
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 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage 0 401-600 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) 0 Over 1000 amp 546.00 291.00
Service Feeder
O Up to 200 amp $117.00 $34.50 ❑ 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
El 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 ❑ 201 600 amp 272.00
❑ 601-.1000 amp 410.00
Service or Feeder
0 over 1000 amp 456.50
❑ 0 to 200 amp $89.50
O 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
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 CI Medical/Educational/Institutional Facility
{
MOBILE HOMES
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residenticc
I/Dfutti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commerciai/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
gI #of Thermostats . ❑ #of Signs
(First-$53.50;addh-$16.50/ea) (First sign-$53.50;addh sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System CI Yard Pole meter loops $71.50
0 Security Alarm System ❑ Additional Plan Review $107.50/hour
D Voice Cabling (for modified submittals)
Q Data Cabling
Automation Fee on all Permits .. $5.00
(Per 8yateni(s)1•t2500 R2-$63.00;
Each add h 2500 ft2-16.50) •Per WAC 296-46410(5M(bJ(1&ii)
a
Bulletin MOO--January 1.2006 ._.._ P...'t ofA uv-_a.....ans.,...::. A....1:.....:....