07-102389 Po
City of Federal Way Electrical Permit #: 07-102389-00-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: LARSEN
Project Address: 37301 17TH AVE S Parcel Number: 721266 0350
Project Description: Adding/altering(4)circuits for emergency generator switch,extensions and microwave
Owner Applicant Contractor
MICHAEL LARSEN NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
37301 17TH AVE S 10228 29TH ST E NORTHES015CK 2/12/09
FEDERAL WAY WA EDGEWOOD WA 98372 10228 29T1I ST E
98003-7595 EDGEWOOD WA 98372
Additional Permit Information
Electrical Fixtures
Circuits-Residential 4
PERMIT EXPIRES Monday, October 29, 2007
Permit Issued on Wednesday, May 2, 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
l Way.
and the City of Federal
Owner or agent: _mow" Date:_>"—s
Z �i7
FINALD
THIS CARD IS TO REMAIN ON-SITE 1
CITY OF ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102389-00-EL
Owner: MICHAEL LARSEN
Address: 37301 17TH AVE S
FEDERAL WAY, WA 98003-7595
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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date B � Date -(6
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF 4101/1 _C21_ - D .z 3_ $ci
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO SOX 9718,AY 0 2 ZAP p L I C A T I O N TD
FEDERAL WAY,WA 98063-9718 J /
253-835-2607•FAX 253-835-2609 /
unuw.ciluoHeden:lwau.com CITYOFF OERAL WAY
rma(NGlinPT
The followingis re uiruo -an incomplete
comPlete aPlication will not be accepted. Please print legibly(in ink)or type.
-7 0 PROPERTY INFORMATION
SITE ADDRESS 3730i / / Ate__ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ 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 XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit on/u)
fin-Pr�fv, s )-ch , 2 - L[rcvi -i- T i gcns .4,.
, 1C C/// '141-
72-2/.e'l'Y,6t/6 i--e_
PROJECTL e-�
NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME //// / - PRIMARY��/ PHONE
OWNER )�i/`e Lc�tc '\ (C-vlo) 39d,e(, 7z/
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
, '73 of l72 e_ ��CY \i /AJ,y ,,(Aiit 1teo3
CONTRACTOR COMPAr NAME APPLICA T NAME OFFICE PHONE
/ r 1,M,f sI- f%cv-fic 4 0 Ca ,-)6 (Z.,_ 3) L/tis-.7Gz 1
MAILI[INNG ADDRESS fes/ J• CITY,
�SjT T ,ZIP C��CELL PHONE
Ecl
bifg
CITY OFF WAY BUSINESS LICENSE NUMBER V ' 1 TION DATE T FAX NUMBER
( ) –
COPY:RIZ
o1 nrd regalrod CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with:soh rp4llcstiod I00127—PE-5
l Z l/E5 0 S/GK ^ -/Z- &5 -
APPLICANT COMPANY NAME APPLICANT NAMENAOFFICE PHONE
SGt rvve-
ci.S r-cir+,se ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX.NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
0
AREA DESCRIPTION EXISTING PROPOSED TOTAL rt
SQ.FT. SQ. FT. SQ.FT.
BASEMENT • . ••
.
FIRST
SECOND
THIRD . -
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS manna PROPOSED TOTAL TOTAL suSrmo SP TOTAL PROPOSED Sr TOTAL Sr
•
•
""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$ (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 tcommerciap
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower combo) LAVAS tsathroom sink,) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrouet)
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 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. —->
•
NAME/TITLE ✓ - DATE �—� 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO . BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a 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
•
--k. - = 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 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
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
0 401.:600 amp 205.00 102.00 ALTERED COMMERCIAL%INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
C3 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 ❑ 41 of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
' #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
,,Arq(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94,50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 • 0 Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
i 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 0- 100 amps $74.00
E 0 101-200 amps 94.50
• 0 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea)
❑ Low Voltage
(First sign-$55.00;add'n sign$26.00/ea)
❑ Swimming pool/hot tub $111.00
Square Feet to be served by systems) (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)
O Data Cabling ❑ Automation Fee on all Permits .. $5.00
1""2500 fta-$65.00;
Each add'n.2500 ft2-•17.00) 'Per WAC 296-46-91015)M&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application