02-103404City 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 #54
Project Address: 36318 8TH SW
Electrical Permit #:02 -103404 - 00 - EL
Project Description: ELE - Install (1) thermostat for new residence.
Inspection request line: 253.835.3050
Parcel Number: 779645 0540
Owner
Applicant
Contractor
QUADRANT CORPORATION *KATRINA TO
PACIFIC HEATING & AIR
PACIFIC HEATING & AIR
PO BOX 130
13633 126TH PL NE #350
13633 126TH PL NE #350
BELLEVUE WA 98009
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)889-9345
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES February 4, 2003, IF NO WORK IS STARTED.
Permit issued on August 8, 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 with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: CJ -L-
,6 —
2
£,— C7 — 6Z A*xt k-
6t — 5 --az �-- ulna l '�'
J
RECEIVED
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
LEGAL DESCRIPTION OF SUBJECT
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PEOPLE•• •
PROPERTY OWNER:
CONTRACTOR:
NAME: L j� ' _ DAYTIME PHONE: _
irr,
MAI G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP
L2,0 Ili WA -
APPLICANT: NAME: ^ '
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: J& PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN
PROPOSED VALUATION FOR IMPROVEMENTS: $
DAYTIME PHONE:
A
�1 OsG� 1
EVENING PHONE:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE P):
fh
`
SCS
EVENING PHONE:
w$
( G5
CITY OF FEDERAL WAY BU NESS LICENSE NUMBER:
FAX NUMBER:
(LM)
CONTRACTORS REGISTRATION NUMBER:
�.
{^ (
EXPIRATION DATE:
/ k
(caPY of card required)
t SL
o
APPLICANT: NAME: ^ '
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: J& PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN
PROPOSED VALUATION FOR IMPROVEMENTS: $
DAYTIME PHONE:
A
�1 OsG� 1
EVENING PHONE:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
..
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
I■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNITS)
FIRST
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
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 BLr
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 Cl F eral as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and de ns of ch m), 1 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 OWNER ❑ APPLICANT ,CONTRACTOR
DATE:•
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
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)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC.
INTERCEPTOR(S)
SUMP(S)
3ISCLAIMER/SIGNATURE BLr
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 Cl F eral as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and de ns of ch m), 1 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 OWNER ❑ APPLICANT ,CONTRACTOR
DATE:•
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com
TABLE B
NEW RESIDENTIAL SERVICES
Single Family
MOBILE HOMES
Service or feeder only $50.00
SC EQUIPMENT/TEMP SERVICES
# Thermostats
_
_ .........................
of (First -$37.50; add'n-SI1.50ea)
(First 1300 1ig-$75.00; Each add'n 500 ft' -$24.00)
_ Service and feeder ............................... $81.00_
# of Low voltage fire or burglar alarms
Square Feet:
First 2500 ftz-$43.50; Each add'n 2500 ft' -$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
_ 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 .............................................. 101.00
_ # of circuits
over 600 ...............................................109.00
(1-4 circuits -$50.00; Add'n circuits $5 ea)
_
1t a new or altered commercial service is iuu 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 +$63.50. Add'l 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)
■ DEMOLITION
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19)
(21) (23)
TOtal (Pages One & Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100 - February 19, 2002