03-100875 City of Federal Way
Community Development Services Electrical Permit #:03 - 100875 - 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
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•
Proame NORRIS HOMES
Project Address: 613 SW 361ST 51' Parcel Number: 743680 0050
Project-Description: Install low-voltage thermostat wire
Owner Applicant ._ Contractor
NORRIS HOMES INC ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC
10516 172ND CT SE 1515 S CENTER ST 1515 S CENTER ST
RENTON WA 98059 TACOMA WA 98409 TACOMA WA 98409
(253)383-7718
Electrical Fixtures
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Thermostat 11_1
PERMIT EXPIRES August 30,2003.
Permit issued on March 3,2003
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.
Owner or agent: See Application Date: 0 3 — 03 -03
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- `«� CONSTRUCTION PERMIT APPLICATION
- ji1EJL.00MUWrryDEVE1h1EDBYMEOPME DEPARTMENT
APPLICATION MUMBEI i { '
MAR 0 3 2003 a ola €A NtiMo•tk
PPA NUMBER,
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems an `ngineering permits may require a separate application.
�j� ■ PROPERTYROERINFORMATION
?�
SITE ADDRESS: 6/I 5' V t/ f 7 T. ASSESSOR'S TAX/PARCEL#: 2 q a G EO - 00 6.0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PRO7 ECT INFORMATI N
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
ii ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Low Voltage Thermostat Wire
PROJECT NAME: Lot # Rosewood Lane
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PROPERTY OWNER: NAME: DAYTIME PHONE:
Norris Homes ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
ALL-WAYS AIR CONTROL INC. (253 ) 383 - 7718
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1515 S. center St. Tacoma, WA. 98409 ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
19 - 92102806 -OOBL (253 ) 383 - 7736
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) ALLWAAC004JQ 4 / 18 / 04
APPLICANT: NAME: DAYTIME PHONE:
Bernie Chapman ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Same ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT X OTHER(DESCRIBE): C.00Tvul ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ic CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO
WATER SERVICE PROVIDER: 0 L.AKEHAVE!I ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
t*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
•
• DISCLAIMER/SIGNATURE BLOCK
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: ,.//treA-Inet/°Oi DATE: --3 -(33
3
❑ PROPERTY OWNER a APPLICANT CONTRACTOR
:..FOR OFFICE.USE ONLY
❑. I W o ADDITION a ALTERATION ..:.::.;...Q REPAIR:.:.::; .....❑:TENANT:IMPROVEMENT
l'i
CENSUS CODE; E;L?T:SIZf:.. .:
ZOhi(NG DESIGNATION.. ... BUILDINCLSF L.1 I Y?:...❑.TES ❑ NO
COMP PLAN f ESIGNATION ;:; - $ASIC PLAN? Ch YES Ct NO
SECTION TOWNSHIP RANGE :. NEW Ai DRESS REQUIRED? 0 YES a NO `
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.com
■ ELECTRICAL
w
r
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MYIS,C EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $50.00 l#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(bXi&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 $ 81.00
Up to 200 amp $ 81.00 $ 24.00
Feeder _201-600 189.00
201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp 101.00 Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair37.50 _401-600 101.00
_#of circuits over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr.
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MigagiaTOTALtaitiillittaig
Total Column(D)
Estimated Permit Fee: (12) , iti()
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
IN DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
■ ENGINEERING
-
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 18,2002