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02-103388City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: SILVERWOOD LOT #63 Project Address: 706 SW 363RD Project Description: ELE - Installing new IN Thermostat Electrical Permit #:02 - 103388 - 00 - EL Inspection request line: 253.835.3050 Parcel Number: 779645 0630 Owner Applicant Contractor QUADRANT CORPORATION *KATRINA TO PACIFIC HEATING PACIFIC HEATING PO BOX 130 825 7TH AVE 825 7TH AVE BELLEVUE WA 98009 KIRKLAND WA 98033 KIRKLAND WA 98033 (000)889-9345 Electrical Fixtures C7escri . tl©ti � > Q i Thermostat 1 PERMIT EXPIRES February 3, 2003, IF NO WORK IS STARTED. Permit issued on August 7, 2002 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 wi the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: -76- . Rough -in inspection: -rn r/ilm d Date Service inspection: Date FINAL inspection: ;55:x j2 —¢--Gz Date **The fo"1416d information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ✓✓✓ PROPERTY O. MATION I SITE ADDRESS: !� VJ �A L� � ASSESSOR'S TAX/PARCEL 0: LEGAL DESCRIPTION OF SUBJECT SEPARATE ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ PEOPLE INFORMATION NAME: DAYTIME PHONE: _ ((-iii p n,r , MAI G ADDRESS (STREET Arm QTY, STATE, ZI 7 I � � NA DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; QTY, STATE P): EVENING PHONE: QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: — — — — _ — — — CONTRACTOR'S REGISTRATION NUMBER: p_ L j— E)MRATION DATE: I� / (copy of card required) (3 C o Q St V WIT I1MC YF7UI11': -004 4 _ MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP): I EVENING PHONE: RELATIONSHIP TO PROJECT: 1 FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ) (Lu,<&9- 0 E-MAIL CONTACT PERSON FOR THIS PROJECT: ,& PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: $ FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILER(S) THIRD RANGE(S) MISC. ( COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHERS) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) 3ISCLAIMER/SIGNATURE RLC 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 author* d by owner of the ab premises to perform the work for which the permit application is made. I further agree to hold ess a Ci F eral as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and de ns of ch m), I be made by any person, including the undersigned, and filed against the City of Federal Way, but ly a uc clai s o of the reliance of the city, including its officers and employees, upon the accuracy of the informatio su li o th city a of this application. _ NAME/TITLE: ❑ PROPERTY OWWR ❑ APPLICANT ,CONTRACTOR DATE:Z ca- COMMUNITY a COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cltvoffederalway.com N 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( INTERCEPTORS) SUMP(S) 3ISCLAIMER/SIGNATURE RLC 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 author* d by owner of the ab premises to perform the work for which the permit application is made. I further agree to hold ess a Ci F eral as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and de ns of ch m), I be made by any person, including the undersigned, and filed against the City of Federal Way, but ly a uc clai s o of the reliance of the city, including its officers and employees, upon the accuracy of the informatio su li o th city a of this application. _ NAME/TITLE: ❑ PROPERTY OWWR ❑ APPLICANT ,CONTRACTOR DATE:Z ca- COMMUNITY a COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cltvoffederalway.com TABLE B NEW RESIDENTIAL SERVICES Single Family MOBILE HOMES Service feeder $50.00 SC EQUIPMENT/TEMP SERVICES # Thermostats _ _ or only ......................... of (First -$37.50; add'n-$11.50ea) (First 1300 fP-$75.00; Each add'n 500 fl? -$24.00) _ Service and feeder ............................... $81.00 _ # of Low voltage fire or burglar alarms Square Feet: First 2500 W443.50; Each add'n 2500 fV-$11.50 _ Each outbuilding orgarage ...........................$31.00 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 ........................... $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 -601-1000 _ 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 repair ....................................... 37.50 _ 401-600 .............................................. joi.00 _ # of circuits _ over 600 ...............................................109.00 (1-4 circuits -$50.00; Add'n circuits $5 ea) _ rr a new Of a icreu urmrncrcrar service is Luu amps or greater, or a new or altered residential service is greater than 40u amps, a plan review is required. Fee is 35% of permit fee +$63.50. Add'1 plan review for other submissions is $75.00/hr. Estimated Permit Fee: (12) Total Column (D) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 + ( X.35) = (13) Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) (20) (21) ■ DEMOLITION ■ OTHER FEES (22) (23) Total (Pages One &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100 - February 19, 2002