04-104056 City of Federal Way Electrical Permit #: 04 - 104056 - 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: MCNUTT
Project Address: 4721 SW 325TH h Parcel Number: 873219 0510
Project Description: Installing a new circuit for the installation of a new gas furnace
Owner Applicant Contractor
Douglas A McNutt &Beverly A McNutt OVERLAKE ELETRICAL INC OVERLAKE ELETRICAL INC
4721 SW 325TH PL 17828 SE 40TH PL 17828 SE 40TH PL
FEDERAL WAY WA BELLEVUE WA 98008 BELLEVUE WA 98008
98023-1919 (425)643-5881
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
Circuits-Residential 1
PERMIT EXPIRES April 3,2005.
Permit issued on October 5,2004
I hereby certify that the above information isorrect and that the construction on the above described property and
the occupancy and the us will b- in accordance '`th the`laws,rules-and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: ���`i Date: /WO D
THIS CARD IS TO REMAIN ON-SITE •, .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104056-00-EL
Owner: DOUGLAS A MCNUTT
Address: 4721 SW 325TH PL
FEDERAL WAY, WA 98023-1919
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.
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) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical (4225) 0 Ceiling Cover (4020) t? Final-Electrical (4055)
Approved Approved Approved
By Date By Date By(Aj Date i •
.❑ Under-slab groundwork(4295)
Approved
By Date
ECEIV _02c/ - _L 0 `1 0
FedERMIT
Federal Way �"
COMMUM7Y DEVELOPMENT SERVICES
SF MF CO ' PL DE EN FP
3332DUBOX97I8 o C T MLfCATI O N t5ERAL WAY"AVENUE W8063-
253-835.2607•FAX 253-835-29
/ - /
""w'pt>prredernn„ttt,'aOta
CITY
RR''OFRRFEDERAL WAY
The ollowing is required infbY'ri6LYa1 g 1:11Ttompiete ap•lication will not be accepted. Please •rint legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS /-1742-1 1 CJ 5 H Pi_ . SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desomption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) ,
C4,Ze c--,‘r e. .f'4- 4k t S /ur/vc;c
PROJECT NAME(Name of Business or Owner Last Name) lr
t" 1kit"—
'
MI PEOPLE INFORMATION
PROPERTY NAME m m PRIMARY PHONE _ q
OWNER �IOLA* ii /C l/r)(.A MI6 ) -713 6
MAILIN ADDRESS / ITY,STATE ZIP
P.1-1 _ ‘) -S` ®.i. t G l W 747oU3
CONTRACTOR COMPANY NAME , f APPLICANT NAME V OFFICE PHONE
Otte r-iw�e E:LeJ - 1 L •S J r/4_ /�-e,6� V2s)6Y 3 - s's-/ _
MAILING ADDR6l\�J[� ��/// CI /p(�S(�TTATE,ZIP CE7LL PHONE
P O0 FEDERAL WA HUS[NESS LIDO A/NSE NUMBER Re 4)
02- WA
EXPIRATION DATE36(5 (2FAX )71-.3
NUMBER7) -6K 20
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card requiredwith each application) EXPIRATION DATE
QVC1ZL. Erol ? LJ / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
P s
MAILING ADDR S �/ CI ATE, IP ( CELL. PHONE
�REIATIONSHI6O P ECT 16/74/ �� (!- ,(U AX V )E 6� / O
UM
o Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
,it,N f ec- 1 .e r ( 2o ) .'" .3 - 66.5'7
LENDER ,Per RCW 19.27.095: Lender information is
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
I '
■ DETAILED BUILDING INFORMATION - •
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES E] NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER CI LAKEHAVEN a UIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
------- OTAL
AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•Si..FT.
SillIllIllIllMIIIIIIIIII
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL LXLSTIXO
TOTAL PROPOSED TOTAL LX(STIXC ASO PROPOSED
HOW MANY FLOORS?
"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 $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS W FRIG.SYSTEMS FANS HOODS(commonofd) MISC(Describe)
BOIL FIREPLACE INSERTS RANGES
BOILERS GAS WATER HEATERS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS Roa�y MISC(Describe)
BATHTUBS lorruc/snow«combo) SHOW ERS
SINKS DRINKING FOUNTAINS
DISHWASHERS RAINWATER SYST
GAS PIPE OUTLETS SUMPS
URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAYS(Bathroom Sinks)
,DISCLAIMER/SIGNATUREBLOCK
I cerci under enal oor u that the information furnished by k e I s which te he permit applicatit on f my made.lel further gree to hold
I
Iy n I � ry i
e
hart harmless the by the Federalathe above premises tc perform the uro I fees incurred in the investigation and defense of
suhclaim),
the City of Way as anyto arty claim including
theg understs, ignexpenses,, ndfiled against the City of Federal Way,but only where such claim
such eiaimj, which may a made by ipersoncluding
including the undersigned, 9
arises out of the reliance of the city,including I,-o fixers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
DATE
NAME/TITLE 't (Title(
"i_ = ire)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
d:TENANT IMPROVEMENT
a NEW ❑ADDITION o ALTERATION n REPAIR a YES o NO
BUILDING SHELL ONLY? ❑YES oNO
BASIC PLAN?
CHANGE OF USE? ❑YES ❑NO
{ ZONING DESIGNATION
UP/SEPA/SU?. p YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
PLATTED LOT? o YES o NO
Bulletin 0100-March 30,2004
Page 2 of 4 k\Handouts—Revised\L'ermit Application
•
.^y ELECTRICAL PERMIT INFORMATION
COMMERCIAL
RESIDENTIAL . ,
r
NEW COMMERCIAL SERVICE
NEW RESIDENTIAL SERVICNEW c_
Each or
ServiceFeeder Add'n
❑ Single Family Square Feet ❑ 0to100amp e 94.50 $ 58.00
(First 1300 ftp-$87.00;Each add'n 500 ftp-$28.00) 0 101 -200 amp 1 17.50 74.00
❑ Detached outbuilding or garage ❑ 201 -400 amp 220.50 87.00
(Inspected with service) $36.50 ❑ 401-600 amp 256.50 103.00
❑ Detachedoutbuilding
separately)ng or garage 58.00 ❑ 601-800 amp 332.00 140.50
(Inspected $ ❑ 801 - 1000 amp 405.50 169.50
or 0 Over 1000 amp 442.00 236.00
NEW MULTI-FAMILY(three
Services Feeder more)
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -46 00 amp ❑ Over 600 volts surcharge $74.00
117.50 58.00 ❑ Mast or meter repair $80.00
❑ 401 -600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp
294.50 220.50 Service or Feeders
0 0 to 200 amp $ 94.50
ALTERED SINGLE MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
369.50
❑ 0 to 200 amp
$ 72.50 ❑ over 1000 amp
❑ 201 -600 amp 117.50 ❑ #of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
��#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
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE MULTI FAMILY PLAN REVIEW
O Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00 Residential
❑ Service and feeder $94.50 Commercial
0 0-100 $58.00 $51.00
MOBII,E HOME/RV PARR ❑ 101 -200 74.00 51.00
O #of service or feeders 87 00 1.
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 117.500n/a
/a
❑ 401 -600
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
CI of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First-$43.50;add'n-$13.50/ea) $87.00
❑ Swimming pool/hot tub
❑ Low Voltage (Includes additional circuit,if required) $58 00
Square AlarmaSystem served by system(s)_-- ❑ Yard Pole meter loops
❑ Fire r $87.00/hour
❑ Additional Plan Review
❑ Voicecurity Alarm System (for modified submittals)
❑ Cabling
❑ Data Cabling
(Per❑ System(s) 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(W&"1
�,
Page 3of4
k\Handouts-Reviscd\Pennit Application
Bulletin#100-March 30,2004