04-103064 tr
City of Federal Way
Community Development Services Electrical Permit #:04 - 103064 - 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: WILLISON
Project Address: 33315 5TH`S ' Parcel Number: 729801 0220
Project Description: Installing thermostat for A/C
Owner Applicant Contractor
Ross C Willison &Judith C Willison PUYALLUP HVAC INC PUYALLUP HVAC INC
33315 5TH PL SW 130 15TH ST SE 130 15TH ST SE
FEDERAL WAY WA
98023-6181 \PUYALLUP WA 98372 (253)845-0581
Electrical Fixtures
Description Quantityj L Description Quantity Description Quantity
Thermostat L 1
PERMIT EXPIRES January 30,2005.
Permit issued on August 3,2004
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 and
the City of Federal Way. 2
Owner or agent: kppticat Date: 71(
15)
00i9 -1(/
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THIS CARD IS TO REMAIN ON-SITE , , ,,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103064-00-EL
Owner: ROSS C WILLISON
Address: 33315 5TH PL SW
FEDERAL WAY, WA 98023-6181
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
L❑ Temporary Power(4275) �❑ Service(4235) 1❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By •
Date By Date By Date
El Rough Electrical(4225) ❑ Ceiling Cover(4020) �� Final -Electrical(4055)
Approved Approved G�, Approved
By Date By Date 14.37 Date dl= 7e— mac
❑ Under-slab groundwork(4295)
Approved
By Date
• RECEIVED BY 6
"' 4kalptigrY DEVELOPMENT DEPARTMENT
ri�.' COMMUM1YDEVELO SERVICES
CITY OF 4p.........-
Federal AUG 0 3 2004 33530 FIRST WAY SOUTH•PO BOX 9718
Y Way PERMIT APPLICATION FEDERAL WAY,WAX: 98063-9718
253www.ci15•FAX: lwattcom
V i��ww.cilyo((edera7wau.com
For Office Use Only D 1 _ f 0 3 I_ q _ t-72 TD: / /
FW File Number: ��,ff -,6( -IY!/1 � {/i/
The oilowi ! is • ired i ormation-an moo •lete • v•lioation will not be . .. Please •rint ib . in i or _j• .
l • PROPERTY INFORMATION
SITE ADDRESS: S'6';IG ( 5W SUITE/APT#
ASSESSOR'S TAX/PARCEL#: 1 2 q % D i - (2. u 2e Q SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) _ -
di-
- _
y(Attach sepct+�lte page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ? UIL lG ?PLUMBING ?MECHANICAL ?DEMOLITION
?ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlunS I &i lYA3 41G (4 o1/4-4/1
PROJECT NAME(Name of Business/Owner Last Name): 0 )0 ill 01 It .4' g A1(
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY
/ PRIMARY PHONE: �
OWNER: 1�1tO-% W 1\k.c«Y (2s-3 1 3 - I2 2
,/1G MAILING SSc(STREET PCS QS ,STAT. V� ' 1 'tOi3
CONTRACTOR: ,-,
NAM COMPANY OFFICE PHONE: 1
PUQUWK byc - (zs3 ) -lS ocj
MAILING ADD SSSSTREERESS;): CITY,STATE,ZIP CELL PHONE:
('O \CL ssE Pui ycd( �H-ax31 z. ( ) -
CITY OF FEDERAL WAY BUSIN SS LICENSE NUMBER: EXPI TION DATE: FAX NUMBER:
1 - 6-
-.i 0 5 s -Q Q 1.2../3/ b (�3 )C ( -CgX
CONTRACTOR'S REGISTRATION NUMBER: +� /� EXPIRAATION DATE:
(copy of card required with each application) C Lk`��In t 4 - — — — e�) r
LENDER: NAME: DAYTIME PHONE: `��'
(H Proposed Vans>15.000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe): ( ) -
CONTACT PERSON FOR THIS PR' ' : ?Property Owner Contractor ?Applicant E-MAIL ADDRESS:
I • 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 ?HIGHLINE ?TACOMA ?PRIVATE_(WELL)
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
o
.�,
o
x .
U PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL WESTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
U FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
• )iSCI.:A",' .N .-.,AA"I1;121'_ HLQL1
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 authorised 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, n theadothe information supplied to the city as a part of this application.
11
NAME/TITLE: I I" /WIDATE: �O (/q
Q l
RELATIONSHIP TO PR ECT: ? Property Owner et ' Contracto ? Architect ?
FOR OFFICE USE ONLY:
?NEW ?ADDITION ?ALTERATION ?REPAIR ?TENANT IMPROVEMENT
BUILDING SHELL ONLY? ?YES ?NO BASIC PLAN? ?YES ?NO
ZONING DESIGNATION: CHANGE OF USE? ?YES ?NO
NEW ADDRESS REQUIRED? ?YES ?NO UP/SEPA/SU? ?YES ?NO
PLATTED LOT? ?YES ?NO DEMO PERMIT REQUIRED? - ?YES ?NO
Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application
•
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ASingle Family Square Feet: I00Serviceor Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.4)) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.01
(Inspected with service) $36. 1 ❑ 201-400 amp 220.50 87 00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 1. .00
(Inspected separately) $58.f 0 U 601-800 amp 332.00 40.50
NEW MULTI-FAMILY(three units or .ore) CI 801- 1000 amp 405.50 169.50
Service F.--•der ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
U 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
U 601 -800 amp 206.00 110.00 ALTERED COMMER i INDUSTRIAL
U Over 800 amp 294.54 220.50
Service or Feeders
ALTERED SINGLE MULTI AMILY U 0 to 200 . • $ 94.50
(Inspected separately from .-rvice) ❑ 201 -601 amp 220.50
.ceorFeeder ❑ 601 - 400 amp 332.00
❑ 0 to 200 amp '. 72.50 ❑ over 000 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 t. .e added/altered
(1-4 circuits-$58.'I;Add'n circuits$6.00/ea) OMMERCIAL INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
❑ Mast or meter r pair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE MUL' FAMILY PLAN REVIEW
U Service Over '00 amps
$74.'i plus 35%of Permit Fee
MOBILE OMES TEMPORARY SERVICE
❑ Service • feeder only $58.00
❑ Service .ad feeder $94.50 Commercial Residential
U 0- 100 $58.00 .00
MOB 1 E HOME RV PARK U 101 -200 74.00 51.00
U #of service or feeders ❑ 201 -400 8 :• n/a
irst service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
U over ••1 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
■ TE;s?>. . ...ostats U #of Signs
(Firs -$43.50; ...d'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
ni ,,; •_ U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): la 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5Mb*&a)
•
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application