04-103965 City of Federal Way Electrical Permit #: 04 - 103965 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HART
Project Address: 29501 10TH1Sav Parcel Number: 119600 2395
Project Description: Install low-voittaaage T-stat
Owner Applicant Contractor
STAN CHRISTIE &SANDRA HART PUYALLUP HVAC INC PUYALLUP HVAC INC
20925 7TH AVE S 130 15TH ST SE 130 15TH ST SE
DES MOINES WA 98198
\PUYALLUP WA 98372 (253)845-0581
Electrical Fixtures
Description Quantityl I Description Quantity Description Quantity
I Thermostat 17- 1 7
_L.
PERMIT EXPIRES March 28,2005.
Permit issued on September 29,2004
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 Washington and
the City of Federal Way.
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Owner or agent: See Application Date: 0 — 2.4? — 0
�pfi''o4
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THIS CARD IS TO REMAIN ON-SITE ,
CITY OF 4' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103965-00-EL
Owner: STAN CHRISTIE
Address: 29501 10TH AVE SW
FEDERAL WAY, WA 98023
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) 0 Ditch cover(4030) 0 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
Er Rough Electrical(4225) 0 Ceiling Cover(4020) ( Final-Electrical(4055)
Approved Approved Approved
J5 Date kp -27....c,A By DateBy (l`a� Date kkz 10111
�
❑ Under-slab groundwork(4295) %
Approved
By Date
RECEIVED BY
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a COMMUNITY DEVELOPMENT DEPARTMENT OOMMUM7Y DEVELOPMENT SERVICES
qT' 33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APP YfCA' N 253-661-9115•FAX:253-661-4129
C� b www.ntyoflederalwaU.rom
For Mee Use Only FW File Number: - L -L �- / /
The onowi ! is •uired i orntation-an i .. •lete • u•lication will not be , ..-, d. Please • nt -,,ib _ in i or j• .
• PROPERTYrINFORMATION
SITE ADDRESS: '1c C O Aue- W) SUITE/APT#
ASSESSOR'S TAX/PARCEL#: .L j g 1(7. - .23 g S SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this it onlut•
ink) u r)14 tVoy-rvice)
PROJECT NAME(Name of Business/Owner Last Name): ffd.r-1,,
■ PEOPLE INFORMATION
PROPERTY NAME: '1V�`` ay+ PRIMARY PHONE:/
OWNER: MAILING ADDRESS(o\E']ADD y+ CITY,STATE,ZIP (zoo) `�lL-YC co
CONTRACTOR: N E COMPANY OFFFIICCE3)PHONE:
kli
- MAILINGS ADD SSf ADD2ESSO: �q CITY.STATE,ZIP CELL PHONE: - /
l b -✓ l ( )
CITY,,OF FEDERAL WAY BUSINESS LICENSE NUMXPIRATION D E: FAX NUMBER:
l9_ B-0 '6-1 0 D_S�I0 _-00 r2 /s f 10/4 , (a3e-1 I -oStP
CONTRACTOR'S REGISTRATION NUMBER: _ EXPIRATION DATE:
(copy of card required aria each application) 117... .I":,flgu4_ - OCe/ Z /05
LENDER: NAME: DAYTIME PHONE:
Of Proposed V.toe>$5,0001 ( ) -
MAILING ADDRESS(STREET ADDRESS:): I CITY,STATE,ZIP
1
APPLICANT: NAME- COMPANY OFFICE PHONE:
•
MAILING ADDRESS( RE ): II3 CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?Contractor ?Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE: .
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ?YES ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
r
^f' • PROJECT FLOOR AREAS
- AREA DESCRIPTION ERISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
•
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
*'NEW HOMES ONLY'* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is 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(c..mma ) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS frodet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
UISCL.11\11 I,LUCi:
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 of Federal W , yy only where such claim arises out of the reliance of the city,including its officers
and employees, the * .ormation supplied to the city as a part of this application.
'i
NAME/TITLE: U� ' DATE: / C
( „tu (Tit*
RELATIONSHIP TO OJECT: ? Property Owner ? Applicant ? Contractor ? Architect ?
FOR OFFICE USE ONLY:
?NEW ?ADDITION ?ALTERATION ?REPAIR ?TENANT IMPROVEMENT
BUILDING SHELL ONLY? ?YES ?NO BASIC PLAN? ?YES ?NO
ZONING DESIGNATION: CHANGE OF USE? ?YES ?NO
NEW ADDRESS REQUIRED? ?YES ?NO UP/SEPA/SU? ?YES ?NO
PLATTED LOT? ?YES ?NO DEMO PERMIT REQUIRED? ?YES ?NO
Bulletin#100-January 13.2004 Page 2 of 4 k:\Handouts-Revised\Permit Application
■ ELECTRICAL PERMIT INFORMATION
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RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
El Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00
U Detached outbuilding or garage U 101-200 amp 117.50 74.00
(Inspected with service) $36.50 U 201-400 amp 220.50 87.00
U Detached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 U 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) U 801- 1000 amp 405.50 169.50
Service Feeder U Over 1000 amp 442.00 236.00
U Up to 200 amp $ 94.50 $ 28.00
U 201 -400 amp 117.50 58.00 U Over 600 volts surcharge $74.00
U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
U 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
U 201 -600 amp 117.50
U over 600 amp 177.00 U #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
U #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
U Service over 200 amps
U Mast or meter repair $43.50 U Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
U Service or feeder only $58.00
U Service and feeder $94.50 Commercial Residential
❑ 0-100 $58.00 $51.00
MOBILE HOME/RV PARK U 101-200 74.00 51.00
U #of service or feeders - U 201-400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
#of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)/b)(i&a)
Bulletin#100-January 13.2004 Page 3 of 4 k:\Handouts-Revised\Permit Application