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04-103188
t • City of Development Services eveWan CommunityElectrical Permit #:04 - 103188 - 00 - EL 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: BACKMAN Project Address: 1207 SW 329TH Parcel Number: 926494 1140 Project Description: New T-stat Owner Applicant Contractor John P Backman &Tammera L Backman PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC 1207 SW 329TH PL 7649 S 180TH ST 7649 S 180TH ST FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-5211 (425)251-0356 Electrical Fixtures Description Quantity Description Quantity Description Quantity Thermostat 1 -1 PERMIT EXPIRES February 6,2005. Permit issued on August 10,2004 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: ��©7.Ga iiii. THIS CARD IS TO REMAIN ON-SITE CITY OF t Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103188-00-EL Owner: JOHN P BACKMAN Address: 1207 SW 329TH PL FEDERAL WAY, WA 98023-5211 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) Y ❑ Feeders/Sub-panels(4045) Approved Approved Approved _____: By Date By Date By Date _I r[j Rough Electrical (4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055) • Approved approved Approved By Date `By Date By Dateif 6 i ❑ Under-slab groundwork(4295) • . Approved By Date --4., . i0 ani <. 0r c{ - 4):5__(___(6 5s Fera Way 4PERMIT SF MF CO ME COMMUNITY DEVELOPMENT SERVICES allp;L DE EN FP 33530 FIRST WAY SOUTH•PBOX 9718 APPLICATION FEDERAL WAY, 98063-97/8 r. / / 253-661-4115.FAX 253fi614129 unu w.df tiofe de ral wa p.o o m ) The ollowin. is re.uired in ormation-an into •lete a..lication will not be acce.ted. Please .rint le.ibl (in ink)or . - PROPERTY INIFORMATION • SITE ADDRESS /(QC 7 (3. W . x-II�i - SUITE/UNIT# ASSESSOR'S TAX/PARCEL# `T .2 is 4 q 4 - _L ± LI () LOT SIZE(sJ) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desorpton) . : PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PL LNG p142614,5,2 0 DEMOLITION ECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM r PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) j;tt , "TL 'Tl PROJECT NAME(Name of Business or Owner Last Name) 1 Q i (t f1 'S l\t .n e.e . : -,- - - ; _ - _ PEOPLE INFORMATION- PROPERTY NAME t_ 66--(-41/16-A1 � �{ ,, / PRIMARY PHONE / ‘-ii-e0.1.1/'I OWNER c J 4)4 66--l.�l�f N- (j53) - T 1 i-tY� MAILING ADDRESS CITY,STATE,ZIP l,?O' 5 Al 3(Q6P4-G'P/, F-e(ifr.'a/ lld 41_4, ,cc).,4- 9Ro3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONEPF:rkn .ee ge aiii L3I (p�/,hhh a- 01 0751 6115-10 }� �0 MAILING ADDRESS CITY, CEPHONE Ili d i 130i'l'r /' T1(_.ciA ggt-3a (Jou) ) - coq CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - t- S-0 Q 0 -G (4CZ- B L / I ( 1495j57 -0J__8.2.1 CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE D & L L) il ,'_ L 6 Kr 4 l j_q l .5--- APPLICANT APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 514f-(H( - ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME PRI ARY PHONE {cdd Ev a�i3 ( DT . --5/ - r' & _ ocic ,`.mcN1Lf LENDER Per RCW 19.27.095: Lender information is NAME h-ed hI'�; cdi required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION -. EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ 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 EXISTING TOTAL PROPOSED TOTAL EXISTING MD 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 $ t/�JI AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS ` FIREPLACE INSERTS RANGES MISC(Describe) ' COMPRESSORS I FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Showercomno) 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'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. " /n/ NAME/TITLE DATEénatur7' _'"_ (Title) RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 5,Kntractor ❑ Architect ❑ Other FOR OFFICE USE ONLY n NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? 0 YES ❑ NO ZONING DESIGNATION CHANGE OF USE? o YES ❑ NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? a YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO Bulletin#100-March 30,2004 Page 2 of 4 k\l landouts-Revised\Permit Applicatiol I / . a . - - ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft,-$87.00; Each add'n 500 h2-$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 Cl 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 ❑ 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) ❑ # of circuits to be added/altered (1-4 circuits-$58.00;Add'n circuits$6.00/ca) 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 5 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 G, 'it of Thermostats ❑ # of Signs 'rst -$43.50;add'n-$13.50/ca) (First sign-$43.50; add'n sign $20.50/ca) 61 Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit, if required) 9 Fire Alarm System U Yard Pole meter loops S58.00 ❑ Security Alarm System ❑ Additional Plan Review 587.00/hour 0 Voice Cabling (for modified submittals) O Data Cabling (Per System(s) 1"2500 ft2-$51_00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5100&ii) Bulletin#100-March 30,2004 I'age 3 of 4 k\I landouts-Revised\Permit Application