04-104161 City of Federal Way Electrical Permit #: 04 - 104161 - 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) 835-305C
Project Name: ORCHID LANE LOT 37
Project Address: 34307 13TH‘ VN. Parcel Number: 640370 0370
Project Description: 200amp service and wiring
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
Description Quantity Description ,Quantity Description Quantitv1
Service: -Residential 2598
PERMIT EXPIRES April 10,2005.
Permit issued on October 12,2004
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.
Owner or agent: Date: /D0,ZIs
3-- t - o 5
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104161-00-EL
Owner: HARBOUR HOMES, INC.
Address: 34307 13TH CT 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) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By1-> S Date 1_ (.._b By Date
la Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
Byl G S Date I _ 4. _(.4 By Date By, , Date 3_1_-- t...
❑ Under-slab groundwork(4295)
Approved
By Date
-. •
.., ..gr,.....,_ n,,G \Niso z 4 - __I _a . .. _Li_ 6' I_
:Federal-Way PERMIT
COALWX1TY DEVELOPMEAT SWIMS 1 1 2 204 SF MF CO ME �'L DE EN FP
33530FIRST ERALWAAY,WA 9 634718O BOX 71o� R PLICATION TD / /
FEDERAL WAY,WA 98063.9718
253-661-+115•FAX 353461-5129 `(
. .Wm G1TY OF FEoEB --r
QQ�`i1l,, .11\1 DV
The> o is re• irea-rn ormation–an Inco •tete • •plication will not be accepted. Please •rint -• • (in ink)or f• .
�
/ PROPERTY7INFORMATION
a
SITE ADDRESS S 4 V o 1 1 3 ✓/ ,y5 W SUITE/UNIT*
ASSESSOR'S TAX/PARCEL i — — — — — —, 1 — — J)
—,� —r LOT SIZE(s
'7
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) 0P-CFI l 1) L�f /G/ LOT" 3
PROJECT INFORMATION
TYPE OF PERMIT C BUILDING a PLUMBING a MECHANICAL
a DEMOLITION X ELECTRICAL C ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
,WO AMP SER.UrcE 4- intlX2., N - w/ Low VOLT Fog
A-5c. cAi - ) PA-cJAlsE, f-1c tAE 7?-IeATei2, P1 - wt R,E r-02- Sr-
PROJECT NAME(Name of Business or Owner Last Name) P R-o v 1 DEN T Ct.EG P ( C'' , / /VG .
PEOPLE INFORMATION
PROPERTY NAME 2 /1 PRIMARY PHONE
OWNER "f'"r[/�1/�.X70U-iv ME5 61s3) •24( -o io3
MAILING ADDRESS 1 CITY,STATE,ZIP
334-b0 q'th Avz 6 I icdera f Way , WA- gfoo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
?R-OV i DENT el,e c i k IC W...a.rev) (c153) la 5f - "1150
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Pc Zoic 5q a-Szt O14, w ctgo5 ' ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - B L
/ / (0253 !pal - 7-15
CONTRACTORS REGISTRATION NUMBER(copy of card regmired with each application) EXPIRATION DATE
2 Oildel £ Q3G2- A /.1.a' / 04
APPLICANT COMPANY NAME I APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS I CITY,STATE,ZIP 1 CELL PHO)
(
RELATIONSHIP TO PROJECT I FAX NUMBER
C Architect C Tenant C Agent C Other(Describe) ( ) -
LPHONEPRIMARY NAME 1 >CU evI I (.2-S- 14GCA ( - { I�O NE I E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lander information is 1 NAME
required ffprolect value exceeds S5,O00
MAILING ADDRESS I CITY,STATEZ-I?
i
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRiNKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGBLLNE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER c LAKEHAVEN C HIGHLINE a PRIVATE(SEPTIC)
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) •
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=ST= TOTAL PROPOSED TOTAL=MT=AND PROPOSED
"NEW HOMES ONLY"' NUMBER 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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orrubishowercombo) SHOWERS WATER CLOSETS(Toilet) 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
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'fess 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 �� n I/�(� /�I`""/�' �
�� DATE / 0/ // / (4
(Signature) (Tide)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
c NEW ❑ADDITION c ALTERATION c REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? =YES NO BASIC PLAN? =YES c NO
ZONING DESIGNATION CHANGE OF USE? =YES T.NO
NEW ADDRESS REQUIRED? =YES =NO UP/SEPA/SII? a YES c NO
PLATTED LOT? c YES = NO DEMO PERMIT REQUIRED? c YES c NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—'Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet fA 561 O C� Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
O 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
0 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50 ,
❑ over 600 amp 177.00 0 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage o9 5.1 g ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
IR Si E on/- a) pKG-
(Per System(s) 1u 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46.910(SW a ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts 2 ReviseddPermit Application