07-103444 . City of Federal Way Electrical Permit #: 07-103444-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CONNERS
Project Address: 2648 S STAR LAKE RI) Parcel Number: 516000 0230
Project Description: Thermostat(1)
Owner Applicant Contractor
ROBERT J CONNERS PUYALLUP HEATING&AIR CONDITIONING PUYALLUP HEATING&AIR
BETTY JEAN CONNERS 130 15TH ST SE CONDITIONING
2648 S STARLAKE RD PUYALLUP WA 98372 PUYALHA975L4(06/24/2007)
FEDERAL WAY WA 98003-6918 130 15TH ST SE
PUYALLUP WA 98372
Additional Permit Information
Electrical Fixtures
Thermostat.:.. 1
PERMIT EXPIRES Friday, June 20, 2008
Permit Iced on Tuesday,June ,2CKIII,
I hereby certify; hat the above information Is correct and that dte constructi. in the above described property and
the occupancy and ttth use will &din accordance with the laws,rules and regulates of the State of Washington
and the City of Federal Way.Owner or agent: See Application Date: 7(070
rt
•
•
• THIS CARD IS TO REMAIN ON-SITE
CITY OF ""' ' s.r* Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103444-00-EL
Owner: ROBERT J CONNERS
Address: 2648 S STAR LAKE RD
FEDERAL WAY, WA 98003-6918
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) .❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
L❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By v Dated W,.2.a,.p1 By• Date By Date
❑ UFER Ground(4295)
Approved
By Date
For inspector reference only __
0 Rough Electrical 0 • FINAL-Electrical
Approved Approved
By Date By Date
le �,r„A RECEIVED BY RECEIVED 07 - I 0 4- ±L
Federal wgMMUNITYDEVELOPMENTDE T�fif �T IT — -- --- -- 1
AIAMt VIIYDEVEIAPMEN SERv1�FS JUN [ 2 L�11��1Y! 5 20Q7 SF MF CO MEVii, L DE EN FP
3332E D AVENUELA7H•639OXSI'd �A pLI CATS' N
FEDERAL WAY,WA 98063-9718 TD
253-835 2607•FAX 253.835-2609 / /
www.cittvtTederalwau.com CITY OF FEDERAL WAY
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS w La Li P) S C^ 'Cl,. Q ;IP SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 I 6 (
D 6 D - 3 0 Z LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) _
(Attach separate page for lengthy legal description)
■ 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)
7Th- rrnO?c
PROJECT NAME(Name of Business or Owner Last Name) v CNN)
ORS
• PEOPLE INFORMATION
PROPERTY ' NAME { PRIMARY PHONE
OWNER _ O .l ( ) -
CITY.STATE.l V Z/5 S!ajiat len / rOPrLN GJP �'�/ l�// <U E-MAILADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME. V OFFICE PHONE
t� C `kms 1��D4 PtRS3 )2�fs -v5
MAii ADDRESS eift -STATE,ZIP CELL PHONEtoo Is sfSG ill u �$3 8 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER N DATE FAX NUMBER
ifr ag- 1(WO 1Z 3a/0 (253 )gyp -OSIS
CONTRACTOR'S REGISTRATION NUMBER nEXPIRATIONDAAATE E-MAIL ADDRESS
ed
'with mit COPY of pp ti p0 / AL.plication (Tall.'
�.0 /V!/ 1")LJ
APPLICANT COMPANY NAME y� APPLICANT NAME OFFICE
PHONE(
H NNE
3
PiV ADDRE.9E TE.ZI CELL PHONE -�(
l �6 (S S fi s(�, �u I(�i trU a-c�3 Ba-1) FAX( NUMB)
ER
RELATIONSHIP TO PROJECT
Cl Architect 0 Tenant 0 Agent 0 Other (2,c3 )6(_// -45-21:s
PROJECT N �y� j,, PRIMARY PHONE E-MAIL ADDRESS
CONTACT tan►C� ,- ( 3)EN I - Licloo
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
• 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? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
MI PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
�. N.FT. SQ.FT. SQ.FT.
BASEMENT
SECOND --'���`
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
-MISTING PROPOSED TOTAL TOTAL ESRil•.O SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOM55ANLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain,- -
•I CAL
V.m- : ',,- hanicai Work $ ._ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED t'' •`PLICATION)
_ AIR HANDLING UNITS EVAPORATIVE COOLERS 'PE OVTT.LIS WOODSTOVES
BBQS .k.S GAS WATER HEATERS _ MISC(Describe)
BOILERS FIREPLAC N11- HOODS Icommrodall
COMPRESSORS FURNAC RANGES
DUCTS -- OG SE ib • RIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/S mato, LAVS(Bathroom Strom) URINAIS - •- tribe)
DISHWASHE:- _ RAINWATER SYST VACUUM BREAKERS
DRI .. FOUNTAINS SHOWERS WATER CLOS;IS[oil-ti
,.....--ELECTRIC WATER HEATERS SINKS WASHING MACHINES
i HOSE BIBBS SUMPS
SIGNATURE Ii
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 t city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. GACtkilitbi
NAME/TITLE
1J`�"' (lir 03 DATE r� O
g0,,...fr.,14
i I'ttUe)
RELATIONSHIP TO PR ❑ Owner ❑ Ag ❑ Contractor 0 Architect 0 Other
ffialltOilettlEITSE ONLX,, ; .,
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-January 1,2007 Page 2 of 4 k%HandoutsWermit Application
19 - 7 - .
'
- ELECTRICALPERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
Single Family Square Feet
(First 1300 ft2-$111.00:Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage U 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
- Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 U Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL.
U 601 -800 amp 262.00 140.50
' 'a Over 800 amp 375.50 280.50 Service or Feeders •
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ __#of circuits to be added/altered
❑ over 600 amp 225.50 0.-5 circuits-$94.50:Add'n circuits.$7.00/ea)
❑ . #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00:Add'n circuits$7.00/eal • $94.50 plus 35%of Permit Fee
❑ Service- 1.000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00:each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
#of Thermostats U #of Signs
(First-$55.00; add'n-$17.00/ea) (First sign-$55.00; add'n sign$26.00/ea)
U Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit.if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
❑ Security Alarm System U Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.00
El
1•t 2500 ft2-$65.00:
Each add'n 2500 ft2-17.00) •Per WAC 296-46-910(5)(bllt&W
Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application