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10-101617 � . I --� ElectricaY City of Federal Way "� Community Development Services -� �� Permit #. �0-101617�oo-E L P.O.Box 9718 Federal Way,WA 98063-9718 �.�3 inspection Request Line: (253)835�050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: ST CLAIR Project Address: 28913 15TH PL S Parcel Number: 516210 0300 Project Description: Adding/altering(5)circuits wn r Aoplicant Contractor CARL R ST CLAIR HILL ELECTRIC CORPORATION HILL ELECTRIC CORPORATION 28913 ISTH PL S PO BOX 1095 HILLEC*045B9(1/29/12) FEDERAL WAY WA 98003-3757 WOODINVILLE WA 98072-1095 PO BOX 1095 WOODINVILLE WA 98072-1095 w� � �„ �; � „ � � , � �J,_. .. ., ,�, . . E .„?. ,�a ;f,�� .�, � .�. .a. v'^;� , ,.,z,�..,,., . . �,Fm�, , ,�. , ��x . Is Use Educational or Institutional?.......................No �� ..�^w i `�°n.��F ��- € � � �" � c x`�'�3`�``�L��pre ��'�� , g, �� .. �� ' �� , � ,�. �� , , �. � '. �„�� a� �:%s��a�-..c. � �� ;��,�� .��et�. �.�.. ��,. � �� ...� ess�5..�—��, 4 ,�,4�, _ �.w ,�..sa>a. .F. 'A.�:,:, , Circuits-Residential...................... 5 PERMIT EXPIRES Thursday, April 21, 2011 Permit Issued on Wednesday, April 21, 2010 I hereby certify that the above information is correct and that the construction on the ove described property and the occupancy and the use will be in accordance with the laws,rules and regulation��,iSt��n y ��v See ��t��jLy��e,�,�ral Wa . d 11 Owner or agent: ' Date:_�ApTpr$ � �n��n� APR 212010 � FIP�L"�'� � � � p ;�� l 1 � . THIS CARD IS TO�IN ON-SITE , ��F '''�" Construction Inspection Record Federal Way INSPECTION REQLTESTS: (253)835-3050 PERMIT#: 10-101617-00-EL Address: 28913 15TH PL S Owner: CARL R ST CLAIR FEDERAL WAY, WA 98003-3757 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 cazd. � UFER Ground (4295) � Ditch cover(4030) � Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date � Pool Bonding(4195) � Temporary Power(4275) � Service(4235) Approved Approved Approved By Date By Date By Date � Feeders/Sub-panels(4045) � Rough Electrical(4225) � Ceiling Cover(4020) Approved Approved Approved By Date By Date _��_ By Date � Final-Electrical(4055) Approved � By � Date� � .� � � .:9 y � Rough Electrical � Final Electrical � Right of Way -^ Approved Approved Approved By Date By Date By Date CITY OF � . e I�� - � � O ' � ` � Federal V�� pE RM IT SF MF CO ME L L DE EN FP COMMUN(7'Y DEVELOPMENT SERVICES � �� y 333258TMAVENUESOUfH.�BOX��R z � 2��o�ppLICATION � FEDERAI,WAY,WA 98063-9718 - / / 253-835-2607•FAX 253-835-2609 wu%w.ciiuoltederulwuu.com (`T O� F��ER/�L W�Y The follo�Dfft ' re�uired�ry,f'o ati.on-an incom lete a licati.on wili not be acce ted. Please rint legibly(in ink)or type. . � . � . � SITE ADDRESS ��I�� 'l�� SUITE/U1�iIT# ASSES30R'3 TAR/PARCEL# �� Z- L U - � � d � LOT SIZE(s,� �'S�� LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) ��-(�.L.C—�j/?-�� Ll�1�� (Aftach separate page for lengthy legal descrlptloN ' • • ' • TYPE OF PERNIIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL O DEMOLITION �ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Prouirle detailed description of work included on this permit onlu) ,'� S�>..)�'TG�Y� "�"�-l�Yi ZO ��<��P'�'Cct',c..�T-�� ! �I" L.6��t'T' '�'��(-f�AR-�•s.?. .3 SNt�c��c l�C��F-� PROJECT NANII:(Name ojBusiness or Owner Last Name) c�T. �—�--�ri 1� • � • • • PROPERTY NAME PRIMARY PHONE OWNER ��_y� �` (Z �.{�Z�� "�I - O MAILING ADDRESS CI1Y,STATE,ZIP �3 -t5` � S W �3�a3 CONTRACTOR COMPANY NAME APPLICANT NAME OFF(CE PHONE < < _ � -�,� �� 4�z,�- �3�i MAIL NG ADDRESS CI1Y,STATE,ZIP CELL PHONE �� C f o s' .1.�i>a�l�✓�u� �67 ��/ ) (� - .�� / CI1Y OF FEDERAL WAY BUSINESS WCENSE NUMBER EXPIRA170N DATE FAX NUMBER — — — / / WVG1 � S-� Ji3�0 B L i -t CONTRACI'OR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRA1lON DA7'E L L L � c. �o �-�- � 3 � � �� Za�a APPLICANT COMPANY NAME APPL[CANT NAME OFFICE PHONE < �,u, ( ) - G ADDRESS CITY,STATE,ZIP CELL PHONE � � - RELA'I10NSHIP TO PRQJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE �y E- L ADDRESS /'��L�' � � ' l o s`��:T-( u-✓'Ir� � �. �e�.'(�" LENDER 1°'er R+�p'Y 5�.�'7��d�: T�c�e�^i�fot�mui�ton is N`�''t �«(',p. Lb � (�l �n �e4iiir�eci�'�r*r�3+�ct vutue�ce��r$l�:�ba`; I MAILING ADDRESS CI'IY, TA'CE,Z[P PHONE � � - � 1 : 1 • ' • EXISTING USE 'S��b1 `-1'7`tK�l�-! �'��I{�� PROPOSED USE �� EXISTING ASSESSED/APPRAISED VALUE $ '�O J . SO� VALUE OF PROPOSED WORK $ �� i ` 3PRINKLERED BUII.DING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RE$UIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) 3EWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • • • • • AREA DESCRIPTION ERISTING PROPOSED TOTAL 3 .FT. S .FT. S .FT. BASEMENT �I� FIRST �)� SECOND THIRD FOURTH ADDITIONAL FIAORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ essayrra exoeossu rorw�. �rat�u.satBsarissz' �aa'r,u.rnaPio�sBnav rarw�.av NUMBER OF FLOORS •*NEW HOMES ONLY"'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fucture to be installed or relocated as part of this project. Do not include existing fuctures to remain. MECHANI('.AL Value of Mechanical Work $ AIR HANDLING UNI15 EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commerc�all WOODSTOVES BOILERS FIREPLACE INSEfYiS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUIYlBIIVG BATHTUBS�or�n/showercomno) SHOWERS WATER CIASETS�ronet) MISC(Describe) DISHWASHERS SINKS DRINHING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(HathroomSinks) VACWM BREAKERS ELECTRIC WATER HEATERS � � I cert�fy under penalty of perJury that the ir4j'ormation,furnished 6y me is true and correct to the best oJ my knowledge, and jurther, that I am authorized by the owner of the above premises to perjorm the u�ork,for whtch the permit application is made. I jurther agree to hold harmless the City ojFederal Way as to any claim(includtng costs, expenses, and attorneys',fees tncurred{n the investigation and de,jense oj such claim),which may be made 6y any person,including the understgned,and filed against the City of Federal Way,but only�uhere such clatm arises out of the reliance of the city,including its o,�'ficers and employees,upon the accuracy oJ the information supplied to the city as a part of this applicatton. NANIE/TITLE ` DATE T '��`"o �� atureJ (1'llle) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent �Contractor ❑ Architect ❑ Other � � €' ,�,a� �� ,.„E .:. .. ��i 9..�r,>'„ � �1.�,,f y� � . ":. C1�JFa��,�� . ,::.. �,. �I.�+'�F+,�i��r.��-'�: ', t5�+��. ;., .. .. E7��r��.�.'.��r��'� �1�A+�3�T�.i'SHE�rTe t��,r1'`? C1� Ci'��T�;,< ', �SIG`�'�' Ia Y�'+S o'N4 � ... � � � � � "' ��NG��flF U$E'�. o�� o��,N0 �CiN�11Tt�DE��C��A1`�A�f . � . �;. . ,�. � � . ,. 1V$W AD�R�59�t�?C�'tR��'� �a_� c�`,NQ :� ', ^ ' _ �;��,��'IT? '., n Y�S a NO ��A'�'!'ED T�T? o Y�S ta'N�iD L►EMO PERM[T R�C,jUtRED7 , o XES. o Nf? Bulletin#100—January 1,2006 Page 2 of 4 kU-Iandouts�Pernut Application ' . . . � . � RESIDENTIAL COMMERCIAL NEW RE3IDENTIAL SERVICE NEW CONINII.RCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Seruice or Feeder Each Add'n (Flrst 1300 ft2-$107.50;Each add'n 500 ftz-$34.50) ❑ 0 to 100 anlp $1 17.00 $71.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50 ❑ Detached outbuilding or gazage ❑ 401 -600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50 ❑ 801 - 1000 amp 500.50 209.50 NEW MI7LTI-FANIILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Seruice Feeder ❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 -600 amp 198.50 99.00 �,TERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Seruice or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FANIILY ❑ 201 -600 amp 272.00 ❑ 601 - 1000 amp 410.00 Seruice or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp $89.50 ❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 cfrcuits-$91.50;Add'n circuits,$7.00/ea) � CO1NIII�II.RCIAL/INDUSTRIAL PLAN REVIEW ,��#of circuits to be added/altered (1-4 ctrcu�ts-$�i.5o;Add�n cfrcuits$�.00/ea) $91.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MOBII.E HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBII.E HOME/RV PARK Resi.dential/Multi-Family $63.00 ❑ #of service or feeders (F1rst servtce/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Seruice or Feeder Ampacity ❑ 0- 100 amps $71.50 ❑ 101-200 amps 91.50 ❑ 201 -400 amps 107.50 ❑ 401 -600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub................ $107.50 Square Feet to be served by system(s) (Includes additional circuit,�f required) ❑ Fue Alarm system ❑ Yard Pole meter loops..................... $71.50 ❑ secur�ty Alarm system ❑ Additional Plan Review $107.50/hour ❑ voice Cabllng (for modifled submittals) ❑ Data Cabllng ❑ Automation Fee on all Permits .. $5.00 ( ❑ . (Per System(s) la�2500 ft%-$63.00: Each add'n 2500 ft2-16.50)•Per wAC 296-46-910(5)@I(t&,ip Bulletin#100-January 1,2006 Page 3 of 4 kU-Iandouts�Permit Application