07-103683 r
1 Community Development Services City of Federal Way Electrical Permit #: 07-103683-00�-EL
P.O.Box 9718 +
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-30`60
r .." 7 7 Project Name: HARTWELL ,, ':j ta
Project Address: 2101 S 324TH ST Space 139 ti 69-4`12 Parcel Number: 162104 9037
Project Description: Installation of(1)service to a Manufactured Home.
Owner Applicant Contractor
JUANITA HARTWELL HARRINGTON ELECTRIC HARRINGTON ELECTRIC
c/o BELMOR PARK 20312 46TH AVE E HARRIEI012R0 12/20/2007
2101 S 324TH ST SPANAWAY WA 98387 20312 46TH AVE E
FEDERAL WAY WA 98003 SPANAWAY WA 98387
Additional Permit Information
Electrical Fixtures
Service or Feeder-Manu./M.H.P 1
PERMIT EXPIRES Thursday, July 3, 2008
Permit Issued on Monday, July 9, 2007
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
nd t City f Federal Way. / /
Owner or agent: Z"
-
Date: G.7 I U (d
p
,
THIS CARD IS TO REMAIN ON-SITE •
are CP A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103683-00-EL
Owner: JUANITA HARTWELL
Address: 2101 S 324TH ST Space.139
FEDERAL WAY, WA 98003
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) i❑ Feeders/Sub-panels(4045)
Approved Approved Approved
.i4-2--
By Date By Date 7 r`fl By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date 10 67
❑ UFER Ground(4295)
Approved
By Date
ik lji()
.
- • .
For inspector reference only —I-
0 Rough Electrical 0 FINAL-Electrical
_ Approved Approved
By Date •
By Date
1w
CITY OF V —R' C — — l 03 Gc, �
Federal Way plcNED PERMIT
- COMMUNITY DEVELOPMENT SERVIC S S F M F C O M E P L D E E N FP
33375 8T"AVENUE SOUTH•PO BOR 9718
FEDERAL WAY,WA 98063-9718 20 P P L I C AT I O N TO -
753-8352607•FAX 253-835-2609 J U L U 9 / - __ J
The following is QfT j' $ lerWAr!n incomplete application will not be accepted. Please print legibly(in ink)or type.
•
• i
Ili PROPERTY INFORMATION
SITE ADDRESS 7l. 1 0 1 7+ 2 4!f. -S f- t SUITE/UNIT # 13
ASSESSOR'S TAX/PARCEL# L k, 7 1 0`{ - O 3 '' LOT SIZE(sJ)
/ /^ A
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) /� A rU V` ( p
(Mineseparate page for lengthy legal description)
in PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION pk ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide de iled description of work incl de on this permit only)
zO� 41 cry- i=r f-c) �Gh( e e
PROJECT NAME(Name of Business or Owner Last Name) GI r 4 (A-ie-
• PEOPLE INFORMATION
PROPERTY NAME
p� PRIMARY PHONE
OWNER 1:3 -.r (C— U,56-'?„-----C ( ) -
MAILING ADDRESS C� W E-MAIL ADDRESS
CONTRACTOR COMPANY NAME / APPLICANT NAVE � OFFICE PHONE
HCI r1�',t C°✓I 5.(e i IN/14. ,. ev'R (r .1 c, rJj5 ( ) SY7- g1 Y3
MAILING ADDRESS- ITY STATE,ZIP CELL PHONE
2-. ..3I L Y6 t1 G9tt 1, ....5„,,4 w4i(/' (453 ) 60 ---?2 C -,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIt1'ION DATE FAX NUMBER
/!� FAX
) -
COPY o1 card required CONTRA R'S R GISTRATION NUMBER EXPIRATI9N DATE E-MAIL ADDRESS
with each application 1 I+,r r ii t 0 1 ^� ( ` � I A
APPLICANT COMPg4'NAM% Il 2. �I APPLICANT NAME [_/ /v OFFICE PHONE
LO✓1 GI-(-•''")h - ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
! ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECTNA ' _ y- PRIMARY PHONE E-MAIL ADDRESS
CONTACT C r 1 eo e-KC (7)cD/--/3 7
LENDER NAME er RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE „
EXISTING ASSESSED/APPRAISED VALUE$ \\ ....VA-BE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE r'PRES •N SYSTEMSYPROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN rT
' IGHLINE ❑ ACOMA 0 PRIVATE(WELL)
a
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE Cl PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL•
• SQ.FT. SQ. FT. SQ. FT. i
BASEMENT' •
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 .
NUMBER OF FLOORS EXISTVW PROPOSED TOTAL TOTAL=STOW ST '•TOTAL PROPOS=D sr - TOTAL Sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixtwe to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) j
i
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS WATER HEATERS - MISC(Describe)
BOILERS FIREPLACE INSERTS HOOP commerdaq
COMPRESSORS FURNACES RANGES
DUCTS ' GAS LOG SETS REFRIG.SYSTE
PLUMBING
BATHTUBS torrub/shower combo) LAVS .athroomSinks) URINALS MISC(Describe)
DISHWASHERS • 'WATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS croneqI
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS j SUMPS
V
SIGNATURE
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 o0' cers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
01
NAME/TITLE //,/ ,t,j � -rTitleI /0
(Signature) DATE 7�C�
(Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent I Contractor 0 Architect 0 Other
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? • o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO •
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
s
Bulletin#100—April 2,2007 - Page 2 of4 k\Handouts\Permit Application •
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--:: ,-;::-...'-'•,-,,--,-t:-,'-....'':-',-,-;• -:''.-::-: - ELECTRICAL-PERMIT-INFORMATION .: ;. ..;
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
Li Detached outbuilding or garage 0 101-200 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 0 601-800 amp 423.00 179.00
0 801 - 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 0 Mast or meter repair $102.00
O 401 -600 amp 205.00 102.00
0 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
O 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 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
O 4 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94,50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
O Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
„❑"gervice an1eeder 41-^29:50--
TEMPORARY SERVICE
MOBILE HOME/RV PARK •Residential/Multi-Family $65.00
4 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
O 201 -400 amps 111.00
0 401 -600 amps 149.50
0 over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
o 4 of Thermostats ❑ II of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System 0 Additional Plan Review $111.00 hour ;
❑ Voice Cabling (for modified submittals)
❑ Data Cabling Automation Fee on all Permits $5.00 r
❑1"2500 ft2-$65.00; ,
'ach add'n.2500 ft2--17.00) 'Per WAC 296-46.910(5)(b)(i 6 ii)
it 2,2007 Page 3 of 4 k\Handouts\Permit Application