02-103405City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -103405 - 00 - EL
Inspection request line: 253.835.3050
Project Name: SILVERWOOD, LOT #60
Project Address: 703 SW 363RD Parcel Number: 779645 0600
Project Description: ELE - Install (1) thermostat for new residence.
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. p
Owner or agent: Date: a ✓ �z—
4
OF SUBJECT
ASSESSOR'S TAX/PARCEL *: —j1 1 v�� YO 5� 0
SEPARATE
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: !SIL 04M 466
PEOPLE•• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
(1J►�J�)H56 - 3907
MAI G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP •
I 'r�, ( &�fyllei WA-
NA
L
DAYTIME PHONE:
L 01 -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE P):
I fh
r
EVENING PHONE:
9$
( Q5
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
— — — —
— — — — —
`—IA—
CONTRACTOR'S REGISTRATION NUMBER: (�
(
EXPIRATION DATE:
Ike,
(copy of card required) (�
Q S�
C(S (yamv�5 `-°I3y'S
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): I EVENING PHONE:
rt��nivvanar iU rKU���i: /� MA NUMCtK:
❑ ARCHITECT ❑ TENANT El OTHER( ( DESCRIBE): -�/y (�.- (�
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ,& PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO 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
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
JISCLAIMFR/SIGNATURF BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 authori 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 h m); is 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 tit city a of this application.
NAME/TITLE:
❑ PROPERTY OWNKR ❑ APPLICANT ) CONTRACTOR
DATE:. LJ�i
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 or feeder only $50.00
ISC EQUIPMENT/TEMP SERVICES
# Thermostats 437.50;
_
(First 1300 ftp -$75.00; Each add'n 500 fP -$24.00)
_ .........................
_ Service and feeder ............................... $81.00
of (First add'n-$11.50ea)
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 fP-$43.50; Each add'n 2500 If -$11.50
_ Each outbuilding or garage ........................... $31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
* Per WAC 296-46-9 1 0(5)(b)(i & ii)
_ Each outbuilding or garage ........................... $50.00
_
(First servioe/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 ................................................ S 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)
it a new or auereo commercial service is zuu amps or greater, or a new or amerea resiaenuat service is greater man 4UU amps, a pian review is requirea. ree is 35 /o or
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)
Mitigation Fee: (18)
SBCC Surcharge: (19)
(20) (22)
(21) (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