02-100490 City of Federal Way
Community Development Services Electrical Permit #:02 - 100490 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
• Ph:253 661.4000 Fax 253 661 4129 Inspection request line: 253.835.3050
Project Name: SILVERWOOD LOT#22
Project Address: 829 SW 361ST Parcel Number: 779645 0220
Project Description: ELE-Temp.60 amp pole
Owner Applicant Contractor
QUADRANT MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
QUADRANT 11109 66TH AVE E 11109 66TH AVE E
PO BOX 130 PUYALLUP WA 98373 PUYALLUP WA 98373
BELLEVUE WA 98009 (253)848-5595
Electrical Fixtures
Description Quantity Description [Quantity] Description IQuantity
Temp.Service 101 amps-200 amps- 1
PERMIT EXPIRES July 30,2002,IF NO WORK IS STARTED.
• Permissued on January 31,2002
it
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: 63;1°
9�2�i: Date: //Pe-/o z
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CITT CONSTRUCTION PERMIT APPLICATION
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APPLICATION=N.UMBEi :....: ... ..-......... ... .. . . . -:... ....
APPLICATION.NUMBER::
**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.
�} 26 `
• PROPERTY INFORMATION / �7
SITE ADDRESS: 25 C, ` IQ
VJJ 3 Lot ST • ST ASSESSOR'S TAX/PARCEL#: /5 Z L D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
ELECTRICAL 0\ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Ln V vip ytAR pot,
PROJECT NAME: Si 142f #02-
•
92■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Quadrant ( 425)455 - 2900
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
P.O. Box 130 Bellvue WA 98009
CONTRACTOR: NAME: DAYTIME PHONE:
Meridian Center Electric ( 253) 848 - 5595
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
11109 66th Ave E ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2 0 - 0 0 -102162-00-BL ( 253)841 - 0892
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) MERIDCE318SG 02 / 28 / 03
APPLICANT: NAME: DAYTIME PHONE:
Meridian Center Electric ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
a ARCHITECT ❑TENANT a OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION —
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
4 la
a
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
- • - --. ■ PROTECT FLOOR AREAS •
•
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) -
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• • ■ 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)
BOILER(S) FIREPLACE INSERT(S) 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)
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: _ /
" • DATE: //31/C::) Z
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
:FOR OFFICE USE ONLY:
-D islE1iViti_`❑ ADDITION ❑ ALTERATION - D REPAIR ❑TENANT IMPROVEMENT -
-CENSUSCODE: _ _ = LOT SIZE: - -
,ZONING DESIGNATION: _ - _ _ BUILDING SHELL ONLY? ❑ YES- ❑ NO -
-COMP PLAN DESIGNATION • = BASIC PLAN?= _❑ YES 0 NO • - ' •
-SECTION_;_;_. TOWNSHIP RANGE_ NEW ADDRESS REQUIRED? _ ❑ YES 0 NO
• PLATTED LOT? _ ❑ YES- ❑ NO _- = _ - CHANGE OFUSE?-_rn ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityorfederalway.com
( •
• ' r
- ■ ELECTRICAL
TABLE B
•
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only.. ............. $50.00 _#of Thermostats(First-$37.50;add'n-S11 50ca)
(First 1300 ft2-575.00,Each add'n 500 82-$24 00) _Service and feeder.........................$81.00 _It of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft1-$11.50
Each outbuilding or garage.... $3I 00 MOBILE HOME/RV PARK Square Feet
_
(Inspected with service) _#of service or feeders * I'er WAC 296-46-910(5)(b)(i&ii)
if
_Each outbuilding or garage... .. .. . $50 00 (I ust service/feeder-$50 00,Add"n service/ _#of Signs(First sign-$37.50,add'n sign
(Inspected separately) feeder-S32 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 $ 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)
If service is greater than 200 amp.a plan review is req'd.Fce is 35%of pemiit fee+$63.50.Add9 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):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $6350+( X.35)= (13)
. - - ■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
- - • *■ ENGINEERING =-•- • - . - • • . - -
Estimated Permit Fee:(16)
Bond Amount: (17)
- . - . . - . - . - • . - ■ OTHER FEES ---• - • -
•
Mitigation Fee: (18) (20) (22) -
•
SBCC Surcharge:(19) (21) (23)
• Total (pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) -
Bulletin #100-January 18, 2002