04-103836 Communitya
Developmenttt'oF leServices eWay
Electrical Permit #:04 - 103836 = 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: LISITSYN,L
Project Address: 32904 7TII‘SParcel Number: 182104 9067
Project Description: Install low-vo age security alarm system.
Owner Applicant Contractor
LEONID LISITSYN LEONID LISITSYN LEONID LISITSYN
2400 SW 308TH PL 2400 SW 308TH PL 2400 SW 308TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)632-4414
Electrical Fixtures
Description Quantity Description Quantity Description rQuantityl
Lj Low Voltage BurglerAlarm-Residen 3916
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
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: f'�S7/S h a- Date: 0 Q //°'r
FINALED
THIS CARD IS TO REMAIN ON-SITE ,.
CITY of Community Development Inspection Rec rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103836-00-EL
Owner: LEONID LISITSYN
Address: 32904 7TH 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
becovered 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.
LDate❑ Slab/Concrete Floor(4255) % ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By
By Date By Date
❑ Temporary Power(4275) • �❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
MORough .ec.•:iLal(4225) ❑ Ceiling Cover(4020) �' Final-Eiectrical(4055)
Approved Approved Approved
By - D:.Di V-.:. .-to `� 3y Date — Date (2 +i
❑ Under-slab g �,.. dwark(421)5):
App:ovcd
By Putt..
• d - - .I v 3 8 3 r
Federal RECEIVED PERMIT �'
COMMUNIYDEVELOPMENTSERVICES SF MF CO M EL PL DE EN FP
333253-835-2607. AX 25SOUTH309 718 s E P 2 1 AoP P LI C AT I O N
FEDERAL WAY,WA 98063-9718 TD
unauh.dttrolfederaltthau.com CITY OFAFEDERAL_ yyAy
The following is requir�ti Y1r•A fe R,. an incomplete a.•lication will not be accepted. Please .rint legibly(in ink)or type.
. �j ry ( �/` . •IIPPROPERTY,INFORMATION
9,,SITE ADDRESS 0r V7 r h (3L S' f / 41//, 5iXeSUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoptlon)
' IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide d tailed description of work included on this permit onlu) /
cv - vo/ e s'eetL,e1� 2Jae/72
PROJECT NAME(Name of Business or Owner Last Name)
U PEOPLE INFORMATION
PROPERTY NAME' j PRIMARY PHONE
OWNER A-eo/rlc/ laS/ts(r/U (253 )g/J-- -098
MAILING ADDRESS CITY,STATE,ZIP
c00 SW fab A lot F i cvaf, wfr- 9SDes
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
0cvh6e ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
0 k/h ele ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Fifer RCW 1927095 Lender•information is NAME
requir' 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? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
i WATER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ RIGHLINE 0 PRIVATE(SEPTIC)
• . PROJECT FLOOR AREAS
----~------- PROPOSED S..FT. TOTAL
•
AREA DESCRIPTION
lliaIIIIIIIIIIIIIIIIIIIIIIII 111111111111
EXISTING S FT.
■
SECOND
THIRD 1
111111111111111111 IIIIIIIII
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
11111111111111111111111111111
DECK(COVERED?) 1111111111111111111111111
GARAGE/CARPORT TOTALIIIIIIIIIIII
EXISTING APED PROPOSED
TOTAL Wsrurc
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $ 1
j
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 $_________---
. REFRIG.SYSTEMS
EVAPORATIVE COOLERS GAS LOGS W FRIG.SYSTEMS
_ NR HANDLING UNITS FSS HOODS lcamm�r�wl MISC(Describe)
B• OILES
FIREPLACE INSERTS RANGES
OPRS FURNACES GAS WATER HEATERS
COMPRESSORS GAS PIPE OUTLETS
DUCTS
PLUMBING
BATHTUBS lar Tub/Shov<rCombol WATER CLOSETS nodeq MISC(Describe)
SHOWERS D
DISHWASHERS SINKS
RINKING FOUNTAINS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS Bathroom sins _
_ =°DISCLAIMER/SIGNATUREBLOCK= 1:. ,--,!„--L:_--:-_-
certi under penalty of perjury that the information furnished by me is true
and correct to the permit the best
stof op my knowledge,
further further,aee to hold
rofremises to perform the work j nes incurred in the de. I f urt a and defense l d
am authorized by the Federalwner Way the above p
f
andfiled against the City of Federal Way,but only where such claim
hcclailessm),
the City of as anyto any claim(includingincludingte under expenses, and attorneys
such claimo which may be made by ng, s the employees,ned, 9
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. �/ 0
DATE 0f
NAME/TITLE //57 /�� (Title)
` (Signature) f f
RELATIONSHIP TO PROJECT 0 Owner o Agent o Contractor o Architect 0 Other
i 1
}
E FOR OFFICE USE ONLY o:TENANT IMPROVEMENT
( o ADDITION ❑ALTERATION o REPAIR
a NEW BASIC PLAN? o YES a NO
i BUILDING SHELL ONLY? o YES o NO o YES a NO
3 CHANGE OF USE?
ZONING DESIGNATION UP/SEPA/SU? ❑YES o NO
t NEW ADDRESS REQUIRED? ❑YES o NO o YES ❑NO
PLATTED LOT? ❑YES ❑NO
DEMO PERMIT REQUIRED?
f
l _-
~ — Page 2 of 4 k\Handouts—Revised�i'ermit Application
Bulletin l00—March 30,2004
- ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00)
❑ Detached outbuilding or garage
0 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
O 801 - 1000 amp 405.50 169.50
` NEW MULTI-FAMILY(three units or more) CI Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ Over 600 volts surcharge $74.00
❑ 201 -400 amp 94.5 58.00
❑ Mast or meter repair $80.00
O 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
❑ 0to200amp $ 94.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 ❑ #of circuits to be added/altered
❑ over 600 amp (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
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
i ❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders
0 101 -200 74.00 51.00
i
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First-$43.50;add'n-$13.50/ea)
0 Swimming pool/hot tub $87.00
❑ Squareow Voltage System served by system(s)•-- C¢3/ �tYO (Includes additional circuit,if required)
1 ❑ Fire Alarm S-42 K
FeetU Yard Pole meter loops $58.00
1 f�Security Alarm System ❑ Additional Plan Review 87.00 hour
/❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per❑ System(s) 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5) h it)
Page 3 of 4 'k\Handouts-ReviscdWennit Application
Bulletin#100-March 30,2004 ,