07-102743 •
I City of Federal Way Electrical Permit #: 07-102743-00-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: KIDD
Project Address: 2531 S 286TH ST Parcel Number: 552900 0020
Project Description: Add outlet for gas fireplace. •
Owner Applicant Contractor
AUDREY C KIDD NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
ANTHONY KIDD 10228 29TH ST E NORTHES015CK 2/12/09
2531 S 286TH ST EDGEWOOD WA 98372 10228 29TH ST E
FEDERAL WAY WA 98003-3323 EDGEWOOD WA 98372
Additional Permit Information
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Saturday, November 17, 2007
Permit Issued on Monday, May 21, 2007
I hereby certify that the above information is correct and that the construction on the above described ro rty 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: / . Date: S 7/-e
tai
41.111141115/
1
THIS CARD IS TO REMAIN ON-SITZ: '—
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102743-00-EL
Owner: AUDREY C KIDD
Address: 2531 S 286TH ST
FEDERAL WAY, WA 98003-3323
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. ,
❑ 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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date BOAZ t/ Date s/2 g(
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF RECEIVED 0 a? ( 6 Z. 7 (--( 3
Federal Way PERMIT
• COMMUNITY DEVELOPMENT SER V/ SF MF CO ME ( I PL DE NFP
-
33325 AVENUE SOUTH. 2 1
200
FEDERAL WAY,WA 98063-9718APPLICATION TO
253-835.2607.FAX 253-835.2609 --
www.dtuoffeden:lwwC '(OF FEDERAL WAY
BVILIN* DEPT.
The following is requiredin ormatton-an incomplete application will not be accepted. Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS 7 a/ 5 `,, �) t , SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# .J� l '7 v v CD - 0 e c' LOT SIZE(sJ
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 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhi)
eimura- c (e..jj & ief- -6-r- ,-s -alp. -e_ )
PROJECT NAME(Name of Business or Owner Last Name) 41,�
II PEOPLE INFORMATION
PROPERTY NAM4/WV
, PRIMARY PHONE
OWNER x / IC ) ( )HOq` -5ogN
MAILING ADDR
CITY,STATE,ZIP E-MAIL ADDRESS
Z63/ S . ?8(1 ; 61- l(,+,C, , 9019i
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/(JcrM L. s�- Ciedirytc. te" C ,10 ( 3..3) /14/, -7629
MAILING ADDRESS C TY,STATE,ZIP /��//��Q� l�j��l 7 CELL PHONE
CITY OFEDERALWAY USL LICENSE NUMBER i.. PIRATION DATE ,7`
FAX NUMBER
/ /0 6 Pt Lf ov (t ' - 7 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of ear �•i q-nd \�
with eat?-"PPO vairL/F3D/SC z-1 Z- oq -
APPL 1'T COMPANY NAME APPLICANT NAME OFFICE PHONE
Stet (aS o.)yve....- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other ( ) -
PROJECT NAMEPRIMARY PHONE E-MAIL ADDRESS
2
CONTACT tAbe(1 CC&/_YY.. (Z53 ) 653 - g"7/Ca
LENDER NAME Per RCW 19.27.095:
Lender information is required tf project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
Mi DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO •
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) .
Axr✓A lir:5t tuY1'IUIv EXISTING PROPOSED TOTAL
• SQ.FT. _ SQ. FT. SQ.FT.
BASEMENT •
•
FIRST
,SECOND .
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(0 COVERED OR 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
• S OSTlmo PROPOSED TOTAL TOTAL LS8rrN6 el TOTAL PROPOSED Al' TOTAL Al
NUMBER OF FLOORS •
.
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
• FIXTURES
•
•
Indicate number of each type of fixhtre 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)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER•HEATERS • MISC(Describe)
• BOILERS FIREPLACE INSERTS HOODS(cemmerdo)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best platy 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 if 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.
•
NAME/TITLE l / • DATE S-rz/--7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent /Contractor 0 Architect 0 Other
•
•
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASI.0 PLAN? o YES n 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? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
•
•
•
•
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application
1 n.
ELECTRICALPERMIT INFORMATION .
•
RESIDENTIAL COMMERCIAL
•
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
I ❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-'$111.00;Each add'n 500 ftp-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 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 •
I 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
0 401.=600 amp 205.00 102.00
❑ 6o1 -800 amp 262,00 140.50 •
ALTERED COMMERCIAL/INDUSTRIAL
I ❑ 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
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
0 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ 4 of circuits to be added/altered
I ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
1
Xf it of circuits to be added/ tere COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circus 00/ea) $94,50 plus 35%of Permit Fee
O Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES .
❑ 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
❑ o- 100 amps $74.00
❑ an-200 amps 94.50
O 201-400 amps 111.00
❑ 401-600 amps 149.50
O 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 0 Pole meter loops $74.00
❑ Security Alarm System
El Voice Cabling 0 Additional Plan Review
(for modified submittals) $111.00/hour
❑ Data Cabling
. ❑ ❑ Automation Fee on all Permits .. $5.00
I"2500 ft2-$65.00;
Each add'n,2500 ft2-.17.00) •Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application