02-103400City 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: WATERS
Electrical Permit #:02 - 103400 - 00 - EL
Inspection request line: 253.835.3050
Project Address: 36232 6TH SW Parcel Number: 302104 9131
Project Description: ELE - Electrical wiring for new hot tub in back yard & jacuzzi in main floor of house
Owner
Applicant
Contractor
Douglas Waters
WILDERNESS ELECTRIC INC.
WILDERNESS ELECTRIC INC.
36232 6TH AVE SW
23220 MAPLE VAL- BLK DIA RD SE SUITE.'
23220 MAPLE VAL- BLK DIA RD SE SUITE:
FEDERAL WAY WA
MAPLE VALLEY WA 98038-0250
MAPLE VALLEY WA 98038-0250
98023-7215
1
1 (425)432-1747
Electrical Fixtures
Owner or agent:
Ditch cover inspection:
Rough -in inspection:
Service inspection:
FINAL inspection: 4N 9�
0
Date
8 -gmcq ,
Date
�Date
Date
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERIP� ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ( 84 c4 r%
_l v
PROJECT NAME: r V l l f m �-J
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAMED DNA `-T cat W & I cfs (A253) OV '� -112-6
MAILING ADDRESS (STREET ADDRESS; C STATE, ZIP);
f) p2 Z- - or A\P. �W��d e �'� 1 �l1(,LU � I,(1 G � 8075
NAMwl E'
ld �� cl eIl.11� �'W i 1 !
DAYTIME
(4zS )OZ
-'14-1
M7AILIN--G77 ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): _ ff
EVENING PHONE: -
CITY OF FEDERAL WAY BUSINESS L[CENSE NUMBER:
YC ce V" 1 q
FAX NUMBER:
(4Zs) 4
CONTRACTOR'S REGISTRATION NUMBER:EXPIRATION
(copy of card required) 1;1k Qi � t , 1 L
DATE:
-7 /
/ 0�1
Inu. (UaS)N3)- -1101
MAILYNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: -
WS ( )
RELATIONSHIP TO PROJE :/�/�/�-�/�/' �j�� FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): 1�11�1-!l�LS�J S� M9 -S Mgl -N q1
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $ tZ�too . w
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
;A
ITr of AG
E
v �
BUSINESS REGISTRATION
License Number 19-78-000016-WBL
Non -Resident Business
Registered: WILDERNESS ELECTRIC INC
23220 MAPLE VALLEY B WY UNIT205
MAPLE VALLEY, WA 98038 EaQires: 12/31/2002
Category: 1730 - Contractors- Electrical Work
Conditions: This license is non -transferable.
Please notify the City Clerk's office of any change in your business such as a new
location or business name.
City CI City o F era Way
This;catifies that the above entity has been issued the registration or license listed.
City.4Federal Way- Licensing (253) 661-4072 33330 1st Way S., Federal Way, WA 98003-9718
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY-LAW AS
ELECT-.CONTR;._GENE 5:-
�rr
#i G EXP . � DATE
EC01 WII;DEE4?M4 07f'24�2004
EFFECTIVE 'DAT 07/24'/,1986
WILDERNESS"r'ELECT INC
2 3 2 2 0 MAPLE VALLEY 'HW 0 5
MAPLE VALLEY WA 98038-0250
F62-14-12-ItIII 111911
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
7� - ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
■ " DISCLAIMER/SIGNATURE BLOCK
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 Aefense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but ly where such cl arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informatio ci uppligd to�the i as a part of this application.
NAME/TITLE:
❑ PROPERTY OW411 ❑ APPLICANT WONTRACTOR
DATE: 6 8 oz--
ODMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 •253-661-4000 • FAX: 253-661-4129
www.dtvoffederalway.00m
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family
_ Service or feeder only .........................
$50.00
_ # of Thermostats (First -$37.50; add'n-$ 11.50ea)
(First 1300 ft2-$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 ft2-$43.50; Each add'n 2500 ft2-$11.50
_ Each outbuilding or garage ...........................
$31.00MOBILE
NOME/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 .............. $ 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
_
800 amp ................. 252.50..................
189.00
_ 401-600 ........................ 220.50...........
88.50
(1-5 circuits -$63.50; Add'n circuits, $5 ea)
-Over
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 am .......
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
(14 circuits -$50.00; Add'n circuits $5 ea)
n a new or anerea commercial service is tun amps or greater, or a new or anerea resiaential service is greater man quu amps, a plan review is requirea. t-ee is sD%u of
permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr.
FIXTURE DESCRIPTION' A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
TOTAL COLUMN (D):
Estimated Permit Fee:
Estimated Plan Review Fee: $63.50 +
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
- Mitigation Fee: (18)
SBCC Surcharge: (19)
Total Column (D)
Estimated Permit Fee from line 12
X .35) = (13)
■ DEMOLITION
■ OTHER FEES
(20).
(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