07-104050 Emt
L
City of Federal Way Electrical Permit #: 07-104050-00EL
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: PAYNE
•
Project Address: 4128 SW 314TH ST � Ex �-��::,�
Parcel Number: 873199 0690
Project Description: (1)circuit for A/C unit
Owner Applicant Contractor
JERRY D PAYNE NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO
4128 SW 314TH ST 1345 GULF ROAD (WESCO)
FEDERAL WAY WA 98023 POINT ROBERTS WA 98281 WASHIES971OB 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Monday, July 21, 2008
Permit Issued OR Friday, July 27, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy nd the use will be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal W y.
Owner or agent: r\715 Date: 1 —01
r
THIS CARD IS TO REMAIN ON-SITE
. '' Ahh.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104050-00-EL
Owner: J E RRY D PAYNE
Address: 4128 SW 314TH ST
FEDERAL WAY, WA 98023-2173
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Byej Date 6 S ,)_.F_a 1
'❑ UFER Ground (4295)
Approved
By Date
, For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved j
By Date By Date
1
07-20-'07 15:28 FROM- T-460 P002/011 F-858
CM OF 41, RECEIVED 0 _ / 0 4 0 ! 0
Federal Way PERMIT
coMMWrrrYDDVEwPMaKrSERV{ � 2 3 2007 SF MF CO •L DE EN FP
9�aF D AVENUE SOUTH�8�9718 PI,I CA'I'I ON '� / /
FEDERAL WAY.WA 98083.97!$
"taw-,
it9 89b2B07•FAJr353• .�8�8
a,w 2.80.:ff2erda to T OF FEDERAL
BUILDING DEPT.
The •fowl , is :, (red i ormatton-lin tncom.fete a..((cation will not be acce'ted. Please .tint leg lb an ink)or _
• PROPERTY INFORMAL ION
SITE ADDRESS 4128 314TH ST { SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 8731990690 - _ _ LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Moth separate 1,02,511w C,igUIJ kgoe das*.titp,a.N .
I. PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 1MECHANICAL
0 DEMOLITION 0/ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM .
PROJECT DESCRIPTION(Provide detailed descriot(on of work included on this permit onlu) •
Replace a 3 ton Bryant AC - Model #165ANA036 and need electrical circuit for the AC
PROJECT NAME(Name of Busia(ess or Owner Last Name) JERRY PAYNE •
.11 PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER JERRY PAYNE (253 ) 874-7498 •
MAILING ADDRESS c(7Y.BTATE.ZIP
4128 314TH ST Federal Way, WA 98023
CONTRACTOR COMIS Y NAME APPLICANT NAME _OPrICE PHONE
WESCO (206 ) 378 - 6649
MAW()ADDRESS CITY,STATE,ZIP CELL PRONE
2800 Thorndyke Ave W Seattle WA 98199 ( ) - _
COY OP PEDE,RAL WAY BUSINESS LICENSE NUMREI? EXPIRATION DATi PAX NUMBER
a 4-9 _a- 1 9 4 2. 3 ,4- R L 12 / 31 /07 ( 1 -
CONTRACTOI2S REGISTRATION NUMBER(cop,of card raqui4d VIM oacp application! EXPIRATION GATE
WASHIES 9 7 1 0 B 09 / 02 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc Tania Reinecke (380 ) 945 -2787
MAILING ADDRESS - CITY'.STATE;,ZIP CISLI,PRONE
1345 Gulf Road Point Roberts,WA 98281 ( ) -
RE;'LATIONSHIP'ro PROJECT PAX NUMBER
0 Architect o Tenant veAgent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E.,--MAIL ADDRESS
Tania or Nelda (iso ) 945 - 2187 runti.nern.ponni corn Innisegnmstemlitmcnn
LENDERc= %idJ+ comely e r •" {° `"hill h'•ty� SIS•' NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING us SFR PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLENE n TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER' 0 LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
07-20-'07 15:28 FROM- T-460 P003/011 F-858
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S•.FT. S•.PT, SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDrONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
srternto rttosonm roto[ �' ,,. rrc Slf*or
NUMBER OF FLOORS iliG tEs !�e![(� 1'1 )f} ! :l!Ce-�1`P� �•,'k;911 111141.i�'•ig9i:t t
+Nuu:s•;,:r=ia��i{fi.�El�!.ir,+)iiP[�i '�[iiGl� � -`s.areiii;dlt"at:����,lc u`:�51iG11Ii3}5..�-'. .[lo-. is �
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••NEWI-PONES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offudure to be Installed or relocated as part of this project Do not include existing fixtures to remain.
mzOITANICAL 16717.24
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Icarnmerc[•q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES 1-3ton AC MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS IorT.b/ehowerCombo) SHOWERS WATER CLOSETS Ronal Mi$C(Describe)
DISHWASHERS SINKS DRINKING MOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
i
certtfy under penalty of perjury that the intbrmation furnished by me is true and correct to the best of my knowledge, artdfurther,that T
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 - - city,including its officers and employees,upon the accuracy of the information suppl ed to the ty as a part of
this application.
NAME/TITLE DA'L'E — O
(signature) (Tule)
RELATIONSIIIP TO PROJECT 0 •+. er G Agent 0 Contractor Q Architect 0 Other
of .IF') 1J97 J+4t '(Pax rYf•!s .�moi:( rl'r 1 �
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Bulletin#100—January 1,2006 Page 2 of 4 k\Hantlouts\Permit Application
07-20-'07 15:29 FROM- T-460 P004/011 F-858
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW cOMMNRCIAL/YtDusTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'rt
(First 1300 ft2-$107.50:Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71,50
U Detached outbuilding or garage ❑ 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage U 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801- 1000 amp 500,50 '209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
U Up to 200 amp $117.00 $34.50 U Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 6.LTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
U Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder U over 1000 amp 456.50
U 0to200amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218,50 (1-5 circuits-$91.50;Aeld'n circuits,$7.00/ea)
® #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1,4 circuits-$71.50:Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service-1.000 amps or greater
❑ Mast or meter repair $53.50 Cl Medical/Educational/Institutional Facility
MOBILE HOMES
Cl Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY.SERVICE
MOBILE HOME/RV P4pIt Residentia(/Mu(tiitamily $63.00
❑ #of service or feeders
• (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industria(Service or Feeder Ampacity
•
❑ 0-100amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First $53.50;add'n-$16.50/ea) (First sign-$53.50:add'n sign$25.00/ea)
❑ Low voltage ❑ swimming pool/hot tub $107.50
Square Feet to be served by systems) (includes additional circuit.If required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
O Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits ,. $5.00
O
(Per System(s) 1'2500 ft2-$63.00;
Each add'n 2500112-16.50)•Par WAC 296.46.910151 @)1!•W
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application