04-102759 o
City of federal Way
Community Development Services Electrical Permit #:04 - 102759 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ORCHID LANE,LOT 27
Project Address: 1208 SW 342ND I)) Parcel Number: 640370 0270
Project Description: 200amp service and low votage security wiring
Owner Applicant Contractor
HARBOUR HOMES,INC. PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1300 DEXTER AVE N PO BOX 59284 PO BOX 59284
SEATTLE WA RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
j Description Quantity Description Quantity Description Quantity]
Low Voltage Burgler Alarm-Residen 3078 Service: -Residential 3078
PERMIT EXPIRES January 8,2005.
Permit issued on July 12,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the will be in accord• 5 e with the laws,rules and regulations of the State of Washington and
the City of Federal W
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Owner A4 Date: 7 / i 2/ J
Owner ora en,./
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-I' . lki6, THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102759-00-EL
Owner: HARBOUR HOMES, INC.
Address: 1208 SW 342ND PL
FEDERAL WAY, WA 98023
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
El Temporary Power(4275) Er Service(4235) ,❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Bye Date 7,_u 4,, By Date
eE
Rough Electrical(4225) ❑ Ceiling Cover(4020) TilFinal-Electrical(4055)
Approved Approved Approved
By('GG. Date 7—73.04- By Date By i Dat l
1
❑ Under-slab groundwork(4295)
Approved
By Date
PROJECT NAME (Name of Business or Owner Last Name)i2D
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
1oki.
EXISTING USE
NAM
PRIMARY PHONE
(ZSR
MAILING ADDRESS
33400 q G So
CITY, STATE, ZIP
C=EU
Federal Way
PERMIT�
OFFICE PHONE
(25-� (,31 - -� -q
i/•�
COM,WI^7TYDEVELOPM&WSERVICES
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER FXPIRATION DATE
_-B L ) )
SF MF
CO ME PL DE EN FP
33530 FIRST WAY SOUTH • BOY 9718
FEDERAL WAY, WA 98066 3-9718
253-66]-0115• FA,r 253-661-4729
APPLICATION
T°
OFFICE PHONE
t W.cituofl'ede"I' ".MM
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
The followina is required information - an incoMelete avvlication will not be acce ted. Please z2rint W_q1&Ly.JJn in or e.
PROPERTY INFORMATION
NAME
L\ P n1 O4-
PRIMARY PHONE
253 to 31 - -- --f SO
E-MAIL ADDRESS
SITE ADDRESS ZD U
�YV ��-~p
MAILING ADDRESS
CITY, STATE, ZIP
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #
_ -
L SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �� Q.1� 1 Q L�HtV C
`
LOT
--OST
Z T
(Attach separate page for lengthy legal description)
PROJECT• •
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work inclu ed on this ermit onl
200
�S� Me� v ( crz 1 KI
i
0 � C) eo kL
-1E
PROJECT NAME (Name of Business or Owner Last Name)i2D
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
1oki.
EXISTING USE
NAM
PRIMARY PHONE
(ZSR
MAILING ADDRESS
33400 q G So
CITY, STATE, ZIP
C=EU
COMPANY NAME APPLICANT NAME
�V ► bC NT � �c, i C, "
OFFICE PHONE
(25-� (,31 - -� -q
MAILING ADDRESS CITY, STATE, ZIY Q
P. O . (-10 X S q 2 &8 -- pis &-
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER FXPIRATION DATE
_-B L ) )
FAX NUMBER
(2S--�(v31
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE
P i2 O V E I- l 0 3 C 2 z/ Z 2/ a(p
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
NAME
L\ P n1 O4-
PRIMARY PHONE
253 to 31 - -- --f SO
E-MAIL ADDRESS
Per RCW 19.27.095: Lender information is
required if project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ NEW ❑ ADDITION
ii ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
I
❑ YES -_ NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
YES
c NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
FOURTH
7 YES
❑ NO
PLATTED LOT? ❑
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
= YES
c NO
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
?
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower combo(
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks(
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commercial(
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toilet)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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), whi y be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out oft relic ce of the city, includ�ng its officers and employees, upon the accuracy of the information supplied to the city as a part of
this aoolicati n. - A
(Signature)
TO PROJECT ❑
❑ Agent 1� Contractor
❑ Architect ❑ Other
TE T Z
OR OFFICE USE ONLY
❑ NEW ❑ ADDITION
ii ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES -_ NO
BASIC PLAN?
YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
YES
c NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
7 YES
❑ NO
PLATTED LOT? ❑
YES ❑ NO
DEMO PERMIT REQUIRED?
= YES
c NO
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application
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I ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 3
n7t-�
Service or Feeder Each Add'n
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 117.50 74.00
(Inspected with service) $ 36.50
❑ 201 - 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 256.50 103.00
(Inspected separately) $ 58.00
❑ 601 - 800 amp 332.00 140.50
NEW MULTI -FAMILY (three units or more)
❑ 801 - 1000 amp 405.50 169.50
Service Feeder
❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 - 400 amp 117.50 58.00
❑ Over 600 volts surcharge $ 74.00
❑ 401 600 amp 161.00 80.00
❑ Mast or meter repair $ 80.00
❑ 601 - 800 amp 206.00 110.00
ALTERED COMMERCIAL/ INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY
❑ 0 to 200 amp $ 94.50
❑ 201 - 600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
❑ # of circuits to be added/ altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
❑ # of circuits to be added/ altered
(1-4 circuits -$58.00; Add'n circuits $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Mast or meter repair $ 43.50
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
❑ Service or feeder only $ 58.00
TEMPORARY SERVICE
❑ Service and feeder $ 94.50
Commercial Residential
MOBILE HOME/RV PARK
❑ 0 - 100 $ 58.00 $ 51.00
❑ # of service or feeders
❑ 101 - 200 74.00 51.00
(First service/feeder-$58.00; each add'n -$37.50)
❑ 201 - 400 87.00 n/a
❑ 401 - 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$43.50; add'n-$13.50/ea)
(First sign -$43.50; add'n sign $20.50/ea)
Low Voltage
❑ Swimming pool/hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops .................... $58.00
Security Alarm System
❑ Additional Plan Review $87.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data ablin
(Per System(s) Ist 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) "Per WAC 296-46-910(5)(b)(i 3 ii)
Bulletin #100 - March 30, 2004 Page 3 of 4 k\Handouts - Revised\Permit Application