04-103690 a
al Way
CommunCity ofity Deedevelopment opment Services Electrical Permit #:04 - 103690 - 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: MAKSIMENKO
Project Address: 32906 7TH tSV.:„_ Parcel Number: 182104 9034
Project Description: Install t-stat wiring
Owner Applicant Contractor
Andrey A Maksimenko MIDLAND MECHANICAL MIDLAND MECHANICAL
1018 SW 354TH ST MIDLAND MECHANICAL MIDLAND MECHANICAL
FEDERAL WAY WA 11212 SE 179TH ST 11212 SE 179TH ST
98023-6952 RENTON WA 98055 (425)228-4715
Electrical Fixtures
Description 'Quantity Description IQuantityl Description [Quantity
Thermostat
PERMIT EXPIRES March 13,2005.
Permit issued on September 14,2004
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: r Date: 2 ^ ( t/ — 0 y
FINALED
C/\9
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 041103690-00-EL
Owner: ANDREY A MAKSIMENKO
Address: 32906 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
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
•
t i ' Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
/ Approved Approved Approved
`By -.!✓1' Datee44//i By Date By G Date/% 0•
.❑ Under-slab groundwork(4295)
Approved
By Date
rnreF'1 ` - l/ 3 (o ei I/
Federal Way PERMIT
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325AVENUE •PO BOX 9718 APPLICATION -TD
FEDERAL WAY,,WA WA 9 98063-9718 / /
253-8352607•FAX 253-835-2609
www.at uoffederal wa u.cum
The following is required information—an incomplete a••lication will not be acce•ted. Please •rint legibly(in ink)or type.
, . - PROPERTY INFORMATION
SITE ADDRESS C%6 h
7- C f S`i/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4-0 f # Li
(Atlah separate page for lengthy legal description)
■ 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)
T- 5T 1(1-1"
PROJECT NAME(Name of Business or Owner Last Name) Y"L/LK 5 1 Elk)Kt)
NI PEOPLE INFORMATION
PROPERTY NAME J PRIMARY PHONE
OWNER M 1 vest.) ko ( )
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME I APPLICANT NAME OFFICE PHONE
/1"1:di (c�.42, / /14 e c—lico7•c. ( 7 p m4-td'e r- (112.51 22( -.197/5.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
f{ z ( Z sE' ('7 ,--1-- sT A,t., — W-i, 95/6.5-3- ( )
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
/`1 1 L> L A /L1L 9 ? ? CT 9_ / 3o / aS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER r NAME
�� Per RCW 19.27.095:=Lender information is°;
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? 0 YES 0 NO
I WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE 0 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
TOTAL EXISTING TOTAL PROPOSED TOTAL miasmic AND 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 WOODSTOVES
BBQS FANS HOODS(commoru.t) MISC(Describe)
FIREPLACE INSERTS RANGES
BOILERS
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(roue) MISC(Describe)
BATHTUBS(or Tub/Sho•arCombo) SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
SUMPS RAINWATER SYST
GAS PIPE OUTLETSHOSE BIBBS
WASHING MACHINES URINALS
LAVS(Bathroom sinks{
VACUUM BREAKERS ELECTRIC WATER HEATERS
s r'=DISCLAIMER/SIGNATURE BLOCK - _ -
I'eertify under penalty of perjury that the information furnished by me is true and correct to the best of ismymade.knowlel dge, an further,
u h to hold
that I
am authorized by the owner of the above premises to perform the work forwhich the permit application
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.
4
/� —°
NAME/TITLE (Tide(
DATE (
(Sig aturel
RELATIONSHIP TO PROD Owner 0 Agent 0 Contractor o Architect 0 Other
FOR OFFICE USE ONLY I
o:TENANT IMPROVEMENT
o NEW o ADDITION o ALTERATION o REPAIR
( BUII.DING SHELL ONLY? o YES a NO
BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\I tandouts—Revised\Perinit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
-
NEW COMMERCIALJINDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
I (First 1300112-$87.00;Each add'n 50010-$28.00) ❑ 101-200 amp 117.50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Inspected with service) $36.50
0
❑ 401-600 amp 256.50 103.0
❑ Detached outbuilding or garage 332.00 103.00
(inspected separately) $58.00 CI 601-800 amp 405.50 140.50
❑ 801 - 1000 amp
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
f Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 - 6 400 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 to 200 amp $ 94.50
ALTERED
SINGLE FAMILY ❑ 201 -600 amp 220.50
❑ 601 - 1000 amp 332.00
Service or Feeder 369.50
❑ 0 to 200 amp
$ 72.50 ❑ over 1000 amp
❑ 201 117.50 600 amp ❑ #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
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBII HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50
Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
a
❑ 401 -600 117.50
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
I
CI #of Signs
l #of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First $43-50;add'n $13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ Low Voltage
Square Feet to be served by system(s) (Includes additional circuit,if required)
$58.00
❑ Yard Pole meter loops
❑ Fire AlarmSystem $87.00/hour
❑ Securcittyy A Alarm System ❑ Additional Plan Review
(for modified submittals)
❑ Voice Cabling
❑ Data Cabling
(Per• System(s) 1°,2500 1t2-$51.00; .
Each add'n 2500 ft-13.50) •Per WAC 296-46-91 O(5)(b)( .)
Page 3 of 4
k\[landouts-Revised\Pennit Application
Bulletin#100-March 30,2004