02-103251City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Ir
Electrical Permit #:02 -103251 - 00 - EI,
Project Name: SILVERWOOD, LOT #59
Project Address: 705 SW 363RD
Project Description: ELE - Install (1) thermostat in residence.
Inspection request line: 253.835.3050
Parcel Number: 779645 0590
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 I
PERMIT EXPIRES January 27, 2003, IF NO WORK IS STARTED.
Permit issued on July 31, 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: _711110 Z
-?� Pli s gel
P rat -e
CONSTRUCTION PERMIT APPLICATION
VV f3Y RECEIVED APPLICATION NUMBER:
APPLICATION NUMBER:
JUL 3 1 2002 APPLICATION NUMBER:__
**The followin is re wired information — Please print (in ink) or type**
CITY O�FED�RAL WAY
Please note: Electrical, Fire 06%iftChs and Engineering permits may require a separate application.
SITE ADDRESS: �7OS ,3(/�✓c� G ASSESSOR'S TAX/PARCEL #: -1 -7 ` 4r 01yQ
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)'
/t%G� Go ✓J S�✓'��fi p v, .g % n Sit--%►.�,; ki
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGGIIjN�EERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �' " Aiz, — f- Sit f tis , r n I
PROJECT NAME: S11VC✓ WOD-- I �110'f 1 y l
PROPERTYOWNER: NAME: 1
Ql.(Q� ✓u,n-I
MAILING ADDRESS (STREET ADDRESS;
P a 1 13-0
CONTRACTOR:
V -p rw ('
(, STATE, ZIP):
?A.C�--✓ur- &V 4 190D
DAYTIME PHONE:
( Y24 �sr-029'00
NAM
C�ci �L � �
iii✓
DAYTIME PHONE:
(V,2 J-) -
�(ff
MAILING ADDRESS (STREET ADDRESS STATE, ZIP):
11&33
9?jfO3y
EVENING PHONE:
-
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER:
2seZ., 1I-_?3'-/oS5
#7-0
FAX NUMBER:
( ) -
CONTRACrOR,s REGISTRATION NUMBER:
(copy of card required)p
Zj/ ♦ t�
/_ i- /9 D 2
_L ` &
EXPIRATION DATE:
2- / >c• l 03
APPLICANT: NAME:
DAYTIME PHONE —
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
0 DETAILED 13UILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: POSED VALUATION FOR IMPROVEMENTS- s
SPRINKLERED BUILDING?
WATER SERVICE PROVIDE
SEWERS CE PROVIDER:
❑ YES ❑
PROPOSED/REQUIRED: ❑ YES ❑ NO
tJ—LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVA
11 LAKEHAVEN 11 HIGHLJNE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
In ' to number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERG
S) GAS LOS) REF . SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOOD VE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BA:NKING
(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DIASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
D FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
APIPE OUTLETS) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) 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 rises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the My s a part of this application.
NAME/TITLE: DATE:
7/7r/oz
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cKyoffederalway.com
I num o
ENTIAL SERVICES
milt' =
MOBILE HOMES
Service or feeder only .........................
$50.00
MISC EQUIPMENT/TEMP SERVICES
1 # of Thermostats (First -$37.50; add'n-$1 I.SOea)
0 $ 0 - ch add'n 500 ft=
*ch
-$24.00)
_
Service and feeder ...............................
$81.00
# of Low voltage fire or burglar alarms
First 2500 ft2443.50; Each add'n 2500 ftZ-$11.50
_uiIdingo rage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
_ Each outbuilding or garage ...........................
(Inspected separately)
$50.00
_ # of service or feeders
(First service/feeder-$50.00; Add'n service/
feeder -$32 each)
' Per WAC 29646-910(5)(b)(i & ii)
_ # of Signs (First sign -$37.50; add'n sign
$17.50 each)
Swimming pool, hot tub, spa...............$75.00
_ Yard Pole meter loops .........................$50.00
NEW MULTI -FAMILY
(Includes three units or more)
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ..............................................$ 81.00
_ Up to 200 amp .............. $ 81.00................
$ 24.00
Feeder
_ 201-600 ....................................... ...... 189.00
_ 201 - 400 amp ................ 101.00.................... 50.00
_ 401 - 600 amp ................ 138.00.................... 68.50
_ 0 to 100 ......................... $ 81.00
_ 101-200 ........................ 101.00
....... $ 50.00
........... 63.50
_ 601-1000 ............................................ 284.50
_ over 1000 ............................................. 317.00
_ 601 - 800 amp ................ 176.50....................
94.50
_ 201-400 ........................ 189.00...........
75.00
# of circuits
_ Over 800 amp ................. 252.50..................
ALTERED SINGLE/MULTI FAMILY
189.00
_ 401-600 ........................ 220.50...........
_ 601-800 ........................284.50.........
88.50
120.50
_
(1-5 circuits -$63.50; Add'n circuits, $5 ea)
(When inspected separately from the services.)
_ 801-1000 ...................... 348.00.........
145.50
TEMPORARY SERVICE
Service or Feeder
_ 0 to 200 amp ...............................................
$ 68.50
_ Over 1000 ...................... 379.00.........
_ Over 600 volts surcharge ......................
202.50
63.50
Residential/Multi-Family/Commercial/Industrial
_ 0-100 ................................................ $ 50.00
_ 201 - 600 amp .............................................. 101.00
_ over 600 amp ................................................ 151.50
_ Mast or meter repair ................................... 37.50
_ # of circuits
(14 circuits -$50.00; Add'n circuits $5 ea)
_ Mast or meter repair.............................. 68.50
_ 101-200 ........................... .....................63.50
_ 201-400 ................................................ 75.00
_ 401-600 .............................................. 101.00
_ over 600 ...............................................109.00
��, •, a�•,t„ ., gcaic, �a now v1 aiacicu Kcsiucnuai b(AVI" is grcaicr roan wvv amps, a pian review is regmrea. t-ee is .tS /e of
permit fee +$63.50. Add'I 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 + ( I X .35) = (13)
Estimated Permit Fee:
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount- (17)
Mitigation Fee: (18)
SBOC Surcharge: (19)
(20)
(21)
■ DEMOLITION
■ OTHER FEES
(22)
(23)
TOM (Pag-One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin #100 - February 19, 2002