03-101221 City of Federal Way
Community Development Services Electrical Permit #:03 - 101221 - 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: STAR LAKE VISTA LOT 8
Project Address: 2717 S 275TH PI Parcel Number: 796820 0080
Project Description: Install new T-stat
Owner Applicant Contractor
SCHNEIDER HOMES,INC. HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD 9001 PACIFIC AVE 9001 PACIFIC AVE
TUKWILA WA 98188 TACOMA WA 98422 TACOMA WA 98422
(253)539-8709
Electrical Fixtures
. Liffflii1Z,6*-ntirm a an 0,. ',',;;;. 00,s0000 000, - CkliOnti
Thermostat I
PERMIT EXPIRES September 24,2003.
Permit issued on March 28,2003
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 .
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Rough-in inspection: ,amu IJ Co -(0-63
Date
FINAL inspection: /vake-t) � 8.-t?��
Date
co„„_ RECEIVE
unit FY
DEVELOP MD g DEPART je. ONSTRUCTION PERMIT APPLICATION
CITY Or MAR 2 7 AIPI t' ON NUMBER:
Federal WayAPPUCAT/ON NUMBER. . � . ., .� _ .. r.,
APPLIC k1ION NI MBER:
**The following Is required information—Please print(in Ink)or type**
Please notes Electrical,Figs Prevention Systeme and Engineering permits may rt4uire a separate application.
PROPERTY INFORMATION
SITE ADDRESS:621 I 1 5 +{\ pc ASSESSOR'S TAX/PARCEL#:Ti Co 8 Z V - 0 O 8 V
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S Pit
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑BUILDING ❑PLUMBING ❑ MECHANICAL ❑DEMOLITION
7LECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): S F(L
PROJECT NAME:
® PROJECT INFORMATION
PROPERTY OWNER; NAME: DAYTne:PHONE:
�ch cur_ Ho
(2d0 ) 254 19 - 2.y 7 )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): _
(.o 51 S��-h..�e ��cr BCV SvI4-c I �CJ(w41 c;.
CONTRACTOR: NAME: DAYTIME PHONE:
-" i &-e -- (2.5) )922_- LZ'f
ADDRESS =ET ADDRESS;CITY,STATE,ZIP). ^ EVENING PHONE:
Zb)1. A-G c-u, Nuri _J A t,o -- GA- /9 ` ( ) -
aF FDERALWAY eUSINISS LICENSE )G( 444. l o7(" 4 c L PAX NUMMI: _
CONTRACTOR'S RE661RATION NUMBER: '- - (253) 33,7Yi7
(cony of cod.Swua.a) /7G EXPIRATION
(cof ( f (.J
APPLICANT: NAME: DAY11ME PHONE
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENDVG PHONE:
( ) -
RELATIONSHIP'TO PROJECT: PAX NUMBER:
CI ARCHITECT ❑TENANT ❑OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT a CONTRACTOR
■ PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: ❑LAKEHAVEN ❑HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
**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 COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FANS) _. HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) _^ MISC.( ,)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
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.( )
INTERCEPTORS) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information famished by me is Wm and correct to the best of my knowled0er and
further,that I am authorized by the owner of the above premises to perform the work far 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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information to as a pa ' application. g
NAME/TITLE: DATE: L-�ki/93
o PROPER OW APPLICANT o CONTRACTOR
pFL icg USE ,x:
NEW
t3 ADDITION... R ALTIRA ON ' REPAIR [7IMPROVEMENT ..,
CEI USCODE LOT SIZE:
ZONING DESIGNATION :: BOILDE GG`SHELL ONLY? o:YES o NO
COMP PLAN DESIGNATION BASIC PLAN? Vit:YES El NO
SECTION :::. TOWNSHIP RAN _NEW 1ADDREE*REQUIRED? YES' Er<,NO
I LA'f'1E i. o:YES. q NO
OtANGE OFaiSE7 -ci YES o N�C1
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO 8OX 9718•FEDERAL WAY,WA 98063-9718.253.661.4000•FM:253-661-4129
www_rihonf atlnndwav_rnm
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES NIISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 1 #of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) ,_Service and feeder $91.00 4 of Low voltage fire or burglar alarms
Square Feet: First 2500112-$50.00;Each add'n 2500 112$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) #of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n0 to 200 $ 93.00
_Up to 200 amp $ 93.00 $ 27,50 Feeder ^201-600 216.50
_201-400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.E __601-1000 326.50
401-600 amp 158.50 78.50 _I01-200 115.50 72.50 _over 1000 363.00
601-800 amp 202.50 108.50 _201-400 216.50 85.50 _#of circuits
_^Over 800 amp 289.50 216.50 _401-600 252.50 101.00 Tr-5 circuits -$72.50;Add=n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201-600 amp 115.50 _Mast or meter repair 78.50 101-200 72.50
T over 600 amp 174.00 __.201-400 85.50
Mast or meter repair 43.00 r 401-600 115.5Q
-_#of circuits _over 600 125.00
(1-4 cjrouits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+572.50.Add=I plan review for other submissions is$85.501hr.
E.DEscluinVal(lt): `IX 'URE FEE.FROM TABLE BM iiiUMBERVie UNC(C)::: TOTAL. '):. .. ..... .. .
_. TOTAL CoLDBOAl ist?):
Tome Column(0)
Estimated Permit Fee: (12) y 3 . ----
Estimated
Estimated Permit fee tram line 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
B DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Feet(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge:(19) (21) (23)
•
Total (Pry one&-wo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)