02-102428 •
City of Federal Way
Community Development Services Electrical Permit #:02 - 102428 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection re 1 • '1 ': 253.835.3050
•
Project Name: ROSEWOOD#8
Project Address: 618 SW 361ST Parcel Num, • 743680 0080'
Project Description: ELE-Low voltage wiring for phone/cable/network.
Owner Applicant Contrac
NORRIS HOMES ON SCREEN ENTERT ENT CREEN ENTERT i ENT
10627 SE 18TH ST ON SCREEN ENTERT MENT N SCREEN ENTERTA 1
BELLEVUE WA 98004 2877 15 9 AVE NE 2877 152ND AV E
D ^ '152 (425)882-1
CI) a
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•
•ctrical Fixt s
Description- "4th ItioomnS,10% oti : Quan ;=" cription = Quantity
Low Voltage-Other Residential 3213
PE' '4'IRES Dece •r 8, 2 NO WORK IS STARTED.
Pe •- 'ssue, t 1,2002
1111 hereby c \ that the above in .tion is co t dpi th; truction on the above described property and
the occupa id the use will b it accordance • the 1 e• • regulations of the State of Washington and
the City of Fe.. Way.
Owner or agent iii-..i7 A •_ L .4_ _ Date: 6/(r//V 2
G- t 3-a-z cv►-v-test aA. S
4110
CITY OF = RECEIVED CONSTRUCTION PERMIT APPLICATION
-11, FnERIFrL APPLICATION NUMBER: 92-- I 0 2-4z -o-Oi
uv FIV JUN 1 1 2002 - -,
APPLICATION NUMBER: -
CI,
MAW?
AY APPLICATION NUMBER: - - j
** wnng is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: / # < CC; '7 • (S -4.) _ , a ✓ 1.ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
QELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): L out ��c." .,k Q` �i c'� .. CA--- 0-a\32_1
C,a\clk, (\Q k l..k\tl
PROJECT NAME: AO5(0.02:Dd).
• PEOPLE INFORMATION
PROPERTY OWNER: NAME J DAYTIME PHONE
RCCCI(`f�� Q) \ o \s (iGg:
- _ 16-6
66 3
MAILING ADDRESS(STDRESS,CITY,STATE,ZIP
'0r)( L'-ac'd C*.j- ( A- 0(\jl.)30\,(kerr3q
CONTRACTOR: NAME. DAYTIME PHONE
en S Xe �)� kc\ i c1A- Ha3)S` - _,
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP) EVENING PHONE
ac,'4-'1- l0-cr-� (-- Q-. )C dr /(A9 .4M ( )
CITY OF FED`DERAALLL`WAX BUSINEEESSSS CENS NUMBER FAX NUMBER f�!
II/1(k\
I/1 t Q REGI RATION N 1 1U -n -
M (1-0EXPIRA )
ON _��� R
(copy of card required) 3 C it E. -LQ ®3 l=' e / /
APPLICANT: NAME I DAYTIME PHONE
( )
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP) EVENING PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
i
o ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT $ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING B ASSESSED/APPRAISED VALUATION $
PROPOSED US-. PROPOSED V UATION FOR IMPRO • $
PRINKLER-• BUILDING? o YES ❑ N• FIRE SU RESSION SY • PROPOSED •EQUIRED: ❑ YES ' NO
TER -VICE PROVIDER: & ,KEH• N o HIGHLINE o COMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
h r
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ )',--)()/ (X)0
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? a
TOTAL: 3, 1,3 $ ,ft.
■ FIXTURES
Indicate number of eadi type of fixture ! 1
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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.( )
INTERCEPTOR(S) 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 defense of sudi daim),whidi may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application. (�-
NAME/ •�O �ti 11. E L? �- • lar*(* DATE: 6!/
<</O
o PROPERTY OWNER ❑APPLICANT .CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: _ BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129
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1111111111111111M11.1111.1.111M1.1.1.1,1321111111111111111111111.11.1.11111.M
TABLE B
NEW RESIDENTIAL SERVICES 0 - MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family
1• _Service or fccdcr only $50.00 _#of Thermostats(First-S37.50;add'n-S 1 I.50ca)
(First 1300 ft2475.00;Each add'n 500 ft -$24.00) _Service.and fccdcr . $81.00 b of Low voltage fire or burglar alarms
• Square Feet:-. First 2500 ft2-543 ;Each add'n 2500112-5.11.50
_Each outbuildingor garage .:- ......$31.00 MOBILE HOME/RV PARK Square Feet: 3 56/F-7
• (Inspected with service) k of service or feeders ' Per\VAC 296-46-910(5)(b)(i&ii)
-I:ach outbuildingor garage bio UU (I int Scrvicc/fccdcr-S50 00,Addle seivice/ -I/of SloUc(I list sign-S37 50,add'n sign
(Inspected separately) fccdcr-532 each) S17 50 each)
'swimming pool,hot tub,spa 575 00
-Yard I'olc meter loops. . 550 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Scrvicc Feeder Amps Service or Add'n -0 to 200 . .... . . . .. s 81.00
_Up to 200 amp - - -- S 81 00 - 5 24.00 Feeder _201 -600. ... . . .. 189 00
_201 -400 amp.. . . . . 101 00 .. 50 00 _0 to 100. .. ... ... S 81 00 .. 5 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 _k of circuits
_Over 800 amp 252.50.... ........ 189.00 _401 -600. 220.50 88.50 (I-5 circuits-$63.50,Add'n circuits,SS ca)
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 S 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
k of circuits - 101 00
over 600 . . -- .--- - 109 00
(1-4 circuits-S50.00,Add'n circuits 55 ea)
Ifservice is greater than 200 amp.a plan review is req'd Fee is 35%of permit fee+563.50.Add'I plan review for other submissions is 575 00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 +( X.35) = (13)
• ■ DEMOLITION . - -
Estimated Permit Fee: (14)
Bond Amount:(15)
U ENGINEERING . r
Estimated Permit Fee:(16)
Bond Amount: (17)
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total (pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)4(19)+(20)+(21)+(22)4(23) = (21)
Bulletin #100-January 18, 2002