04-102922 e
F 1 }
City of Federal Way Electrical Permit #:04 - 102922 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CREWS
Project Address: 2760 SW 312TH F) Parcel Number: 150320 0130
Project Description: Alter(1)circuit for new heat pump
Owner Applicant Contractor
Thomas C Crews OLD TIME ELECTRIC INC OLD TIME ELECTRIC INC
OLD TIME ELECTRIC INC OLD TIME ELECTRIC INC
PO BOX 39745 PO BOX 39745
LAKEWOOD WA 98498 (253)588-5045
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES January 19,2005.
Permit issued on July 23,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se 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: a 3 —0
040°)
U
THIS CARD IS TO REMAIN ON-SITE. , •
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102922-00-EL
Owner: THOMAS C CREWS
Address: 2760 SW 312TH PL
FEDERAL WAY, WA 98023-7811
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 By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) L Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date Q'_7...,„7"
❑ Under-slab groundwork(4295)
Approved
By Date
Federal WaY —0 ({ _ 162122
CDMMUNHYDEVELQPMEN7'SERVICES U L 2 2 7104 PERMIT SF MF CO MECEDL DE EN FP
33530 FIRST WAY . BOX 9718 'LICATIONFEDERAL WAY,,WA WA 998066 3-9718TD / /253-6614115•FAX 253-661-4121uww.dttroll'ederalwa4.com (CITY OF FEDEAZ
BUILDING DEPT,
The ollowin• is re•uired in ormation-an •fete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS —1 (pQ S L 13\cp-NA- \ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
' (Attach separate page for lengthy legal description(
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ LUMBING ❑ MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner •st N'me) eti)�
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER \ O'v- Crs-'e ( ) -
MAILING ADDRESS CITY STATE,ZIP
9-7 (p0 S w 3'iv- P 1 F -r-c& \mak 0a3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-
O\a Tit v E\tc c 1c `,96.30 \\ (.S3 ) 5--ET -x(13'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
6>c 3-?`f 5 cJtl `XLfl L3 ) /07? - 34 a(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
L9_-3 -1 as9 7 O - BL ia— / 3 /CV (053 ) Silt- 37x4
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
0 L 8T .. C- . Oa I 1-6 / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
Pb 0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
I CONTACT NAM PRIMARY PHONE E-MAIL ADDRESS
� � (asi ) (D..)? 35'c& `t _
LENDER Per RCW 19.27.095: Lender information is NAME
required if protect value exceeds$5,000
ip
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE —
EXISTING ASSES '/APPRAISED VALUE $ VALUE OF PROPOS % ' ORK $
SPRINKL v D BUILDING? 0 YES ❑ NO FI SUPPRESSION SYSTEM P'•POSED/REQUIRED? 0 YES !� NO
" • R SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIG INE 0 TAC! • 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHL lr ` • ATE(SEPTIC) •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOOR I SCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ES ATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed . relocated as p. • 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
BAT- BS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(toilet) MISC(Describe)
D HWASHERS 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 in ormation 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.
NAME/TITLE t v'v "` ` e-C, rrCs DATE 7— (33 —U")
)Signature) (Title)
RELATIONSHIP TO PROJECT 0 Own, 0 Agent [(Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑ NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—March 30,200'4 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ALV Single Family Square Feet Service or Feeder Each Add'n
(First 1300112-$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) Li 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
1 # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$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
❑ 401 -600 117.50 n/a
❑ 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 ❑ 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
0
(Per System(s) 1•I 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(i&ii)
t
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application