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02-103373City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 .rw. Electrical Permit #:02 - 103373 - 00 - EL Inspection request line: 253.835.3050 Project Name: NGUYEN Project Address: 855 S 312TH Pa Number: %104 9225 Project Description: ELE - Electrical work to replace (1) new wire for existing cove try for residences; Owner Applicant actor Sean & Anna Nguyen Sean & Anna Nguyen & An guyen 855 S 312TH ST 855 S 312TH ST 8 ST FEDERAL WAY WA 98003 IFEDERAT -CIC13 FE L WAY WA 98003 trical Fixtures JI tion k uantity - Des n tity Descripti Circuits - identia 1 PERMIT E ebruary 2, 200 IF IS STARTED. Permit issue n Augu 00 I hereby certify e above i tion is correct and that the the above described property and the occupancy an will accordance with th111a,;1 nd at 1 sof the State of Washington and the City of Federal Wa . Owner or agent: Date: d RECEIVED ;of G CONSTRUCTION PERMIT APPLICATION ILL fa r�APPLICATION NUMBER: ©� - uV w AUG 0'6 ,�:' — — —-3 73 •w APPLICATION RUMBER: CITY OF FEDERAL WAY APPLICATION NUMBER:_ - BUILDING DEPT. ___ _ _ - - - .- - - - **The following is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: 66E�-j0 � � 2 T� � � J^ ASSESSOR'S TAX/PARCEL #: Q 5? Z-_[ O LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): - - ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION &'-ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT ■ PEOPLE INFORMATION F PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME:DAYTIME PHONE: e� P6,�� czs3) MAILING ADDRESS (STREET � ADDRESS; CITY, STATE, ZIP): r . 2 - NAME: DAYTIME PHONE: MAILING ADDRESS (STREET AAJD/DDRESS; CITY, STATE, ZIP): EVENING PHONE - {r [{"iceve ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) NAME: DAYTIME PHONE. 6 ) 2,-U MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: D ,q g , S.( ) RELATIONSHIP TO PRO)ECr: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR DETAILED 13UILDING\ INFORMATION 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) 11 LAKEHAVEN 11 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: 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 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) 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) 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 ;applied to the city as a part of this application. NAME/TITLE: (` /�/J,i/f..�l«_ �� G�-- "j %DATE: 69101, t ❑ PROPERTY OWNER ❑ APPLICA I0 ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 253-661-4000 • FAX: 253-661-4129 W W W.dtV0ffedM1Way_Com Ohl ■ -ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _ Service or feeder only ......................... $50.00 _ q of Thermostats (First 437.50; add'n-S 11.50ca) (First 1300 ft' -$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 ft' -$43.50; Each add'n 2500 ft' -$11.50 _ Each outbuilding or garage ........................... S31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ # of service or feeders ` Per WAC 29646-910(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 .............. S 81.00................ $ 24.00 Feeder _ 201-600 .............................. ............... 189.00 201 - 400 amp ................ 101-00 .................... 50.00 _ 0 to 100.........................$ 81.00....... S 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 ................... _ over 600 amp ................................................ 151.50 _ 201-400 ................................................ 75.00 Mast or meter repair ....................................... # of circuits 37.50 _ 401-600 .............................................. I OI.00 over 600 (14 circuits -$50.00; Add'n circuits $5 ea) _ ...............................................109.00 Z! a new v1 aucicu wnuncrcial service is 200 amps or greater, or a new or altered residential Service is greater than 4U0 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: (1 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) ■ DEMOLITION ■ OTHER FEES (20) (22) (23) fOtal (Pages one &Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100 - February 19, 2002