04-103691 r
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City of Federal Way / -416"lectrical Permit #:04 - 103691 - 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: LISITSYN,L
Project Address: 32904 7TH S Parcel Number: 182104 9067
Project Description: Install new t-stat wiring
Owner Applicant Contractor
LEONID LISITSYN MIDLAND MECHANICAL MIDLAND MECHANICAL
2400 SW 308TH PL MIDLAND MECHANICAL MIDLAND MECHANICAL
FEDERAL WAY WA 98023 11212 SE 179TH ST 11212 SE 179TH ST
RENTON WA 98055 (425)228-4715
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat I
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: ^it) . c.-�Z Date: —
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ACommunity-Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103691-00-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
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
. .5-4,
Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date .•1 8 By Date By Date
.❑ Under-slab groundwork(4295)
Approved
By Date
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Federalof Way _
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PERM I•T SF MF CoM iiip PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUESOUTH•P9718
FEDERAL WAY,WA 98063-9718 APPLICATION
- U / /
253-835-2607•FAX 253-835-2609
u ww.atuolfederdwau.corn
The following is required information-an incomplete ap'lication will not be accepted. Please •rint legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 32_7 / 4.
Cf 5 tiLJ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT
LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) f -1,�1' 3
(Attach separate page far lengthy legal desc ippon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION .LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME � / PRIMARY PHONE
Alt V`A 1/f t'Lfc-t5- l c7 ( )
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME p� / c...,c...,j APPLICANT NAME OFFICE, PHONE
M CPC4 61)1 M B St
G u n i. ,l `S t P etc:-t'z., (' Zs) "7-2X - 4715
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ [ a( Z .. r f 7 y s IZerf{t.-, w, , 58'o5s ( ) -
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
,4t r 01.-- 4 Lg7 G ? lav1c,5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
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 5 Pec,I2CW 19.27.095:;Lender information is", ' NAME
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? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
' WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o 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 EXISTING 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 $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS
OS HOODS(comm<mtai) WOODSTOVES
BFANS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBINGM[SC(Describe)
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS lroaet)
DISHWASHERS SINKS DRINKING FOUNTAINS
RAINWATER SYST
SUMPS
GAS PIPE OUTLETS HOSE BIBBS
WASHING MACHINES URINALS
LAVS(Bathroom su,R:I
VACUUM BREAKERS ELECTRIC WATER HEATERS
' --INSCLMMER/SIGNATUREBLOCK
-.'s-
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. •
; :7•
NAME/TITLE li'Z�-, DATE
,r71 (Title)
RELATIONSHIP TO PROJ• 0 Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION a REPAIR ❑'.TENANT IMPROVEMENT
( _BUII.DING SHELL ONLY? ❑YES o NO
BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO _UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
,
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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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) LI 101 -200.amp 1 17.50 74.00
CI Detached outbuilding or garage ❑ 201 -400 amp 220.50 87.00
(Inspected with service) $36.50
0 401-600 amp 256.50 103.00
❑ Detached outbuilding or garage 332.00 140.50
(Inspected separately) $58.00 ❑ 601-800 amp
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
o 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
CI 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
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Feeder
Service or
❑ 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
LIMast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 pins 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
CIService or feeder only $58.00
O Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
❑ # of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) n/a
O 401 -600 117.50
❑ over 600 127.00 n/a
' MISCELLANEOUS SERVICE/EQUIPMENT
Xi ❑ #of Signs
` # of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First-$43.50;add'n $13.50/ea) CISwimming pool/hot tub $87.00
❑ Low Voltage i Square Feet to be served by system(s) (Includes additional circuit,if required)
1 0 FireAlarm
System served by ❑ Yard Pole meter loops $58.00
$87.00/hour
❑ Securciittyy Alarm System CI Additional Plan Review
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
System(s) 1•"2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(5)(b)((&ii)
Page 3of4
k\I landouts-Revised\Pennit Application
Bulletin#100-March 30,2004
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