07-103165 City FederalWayy Electrical Permi07-103165-00-EL
Community Development Services #:
P.O.Box 9718
Federal Way,WA+08463- 7'.3
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VANDERVLUGT ic- -22
Project Address: 3924 S 325TH PL Parcel Number: 614400 0040
Project Description: Replace 200-amp panel and wire for furnace.
Owner Applicant Contractor
SCOTT&JUDY VANDERVLUGT MATT HANNUM RIMROCK ELECTRICAL
3924 S 325TH PL RIMROCK ELECTRICAL RIMROES975MT(7/30/07)
FEDERAL WAY WA 98001-9622 PO BOX 13327 PO BOX 13327
DES MOINES WA 98198 DES MOINES WA 98198
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps-I 1
PERMIT EXPIRES Saturday, December 8, 2007
Permit issued on Monday,June 11,2007
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
d the City of Federal Way.
7/H/te411/1///t7LOwner or agent: Date: (,/;//o 7
,,.
1 - ,.9 L - % .5.- eA^ ,_
llitk .
THIS CARD IS TO REMAIN ON-SITE .
CITY OF
• Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253)-835-3050
PERMIT#: 07-103165-00-EL
Owner: SCOTT & JUDY VANDERVLUGT
Address: 3924 S 325TH PL
FEDERAL WAY, WA 98001
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) 0 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 By \, Date k, l S
❑ 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 Y RECEIVED -C• - 4- -0- - -L -Cit --5-
Federal
Wa PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 AVENUE SOUTH• 971 97 N 1 1 'APPLICATION TD
1 FEDERAL WAY,WA 9806363.97]8 /
- 253-835-2607•FAX 253-835-2609 /J
unuw.dluot7ederntumu.`ii,TRY OF FEDERAL WAY
The following is regtK�tt—an incomplete application will not be accepte• Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS_ 6721---7 rI 32C. ' CCL_ SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 4 l (I q O 0 - 'v D
- LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoiphon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
6'fl . _ )(f "jrl
s71CCWit-'' ZI\ i kez, tA \fir ki�
.�
\-.,-- 1--_, _ r' re t t:,:fit /r✓ I,I1
PROJECT NAME(Name of Business or Owner Last Name) V v`r�-elr v 9 t
V
Ili PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
(/ G( I)(l
OWNER 'C , J (f ! ,1y Zf (Z S3) 6 �/ - 96 3'
MAI DDRESS , CITY S ATE,ZIP E-MAIL ADDRESS
�21l ;l..s -�ti- y' ` G�'�,`
CONTRACTOR C,EIMPANY NAME r APPhICAN NAME/ OFFICE PHONE
).--1) rti,r�c li f (.1 / /1/4 /474-It:t�(..:,,t,, (-reel,..) -70. - . z/y
M Iy
AILING A9RESS CITY,STATE IP CELL PHONE
C / C '/_� z7 r���' /; 5 ' /7 Cc ) ? sC - r32- (y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(79) 3S -65-C
COPY of card requitedCONTRACTOR'S REGISTRATION NUMBER EXPIRATION DAT E-MAIL ADDRESS
with each application "-'
APPLICANT C PANY NAME �_ APPLICANT AME OFFICE PHONE
\, ��oG"l �. 2/ it/1 t* ` 1tWit)v;-4-'\ (2e ) 73o- 3j2 /`/
MALLING AIRESS _ CITY,STATE�,;,Z�IP/ CELL PHONE
C 4c�- /3 2_ 7 iii- S / tet,tc3 r1�/Ye (7 ) 730 -3-t 161
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other V5 )I35-- °5S6
-c_
PROJECT NAM PRIMARY PHC2NEE-MAIL ADDRESS
CONTACT >('‘:71-71 �-i;l i �'-1-4 / �4) .t (z 6.6 ) - 3V
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
101 IIN ST
ADDRESS CITY, ATE,ZIP PHONE
1 77 J .,. ( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 175-0 O
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION 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
NUMBER OF FLOORS Exams PROPOSED TOTAL. TOTAL WSTINO SF TOTAL FROTO==D eF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS (MATED SELLING PRICE $
FIXTURES
•
Indicate number of each type of fixture to be installed or elocated as part of this proje Do not include existing fixtures to remain.
•
MECHANICAL •
Value of Mechanical Work$ (A COPY F BID OR ESTIMATE MUST BE INCLUDED • 'PLICATION)
AIR HANDLING UNITS EVAP'RATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS. FA GAS WATER HEATERS • MISC(Describe)
BOILERS PLACE INSERTS HOODS(commerd4
COMPRESSORS ' RNACES 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 goo
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/TITLED L � / ; G /L� LC�T�LC�I DATE �"/C`
(Sig ture (Title)
•
RELATIONSHIP TO PROJECT 0 Owner 0 Agent /4 Contractor 0 Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? o 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 a NO
Bulletin#100—April 2,2007 Page 2 of4 k\Handouts\Permit.Application
•
1 .
, : '-, - - ELECTRICAL-PERMIT INFORMATION
T
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL.SERVICE
CI Single Family.Square Feet
Service or Feeder Each Add'n
' (Mist 1300 ft2-'$111.00;Each add'n 500 ft2-$35.50)
O 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00
$74.00
CI 201-400 amp 280.00 111.00.
❑ Detached outbuilding or garage C3 401-600 amp 327.00 131.00
(Inspected separately) 0 601-800 amp 423.00 179.00
O 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
O 201 -400 amp 149.50 74.00 0 Mast or meter repair $102.00
O 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
❑ 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
I '2 0 to 200 amp $92.50
I ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
1 ❑ 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
(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 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK •Residentia
1/Muiti-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
O 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
i
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ # 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
0
1.12500 ft2-$65.00;
Each add'n.2500 ft2-17.00) "Per WAC 296-46-910(5)(14i&ii)
Bulletin 1100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application