02-100150 City of Federal Way
Community Development Services Electrical Permit #:02 - 100150 - 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: GUTIERREZ
Project Address: 33211 37TH SW Parcel Number: 109961 0910
Project Description: ELE-Adding new circuit for furnace
Owner Applicant Contractor
Juan M&Bertha A Gutierrez WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES(electric
33211 37TH PL SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199-2997
98023-2959 (206)282-4700
Electrical Fixtures
Description Quantity . ,Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES July 10,2002,IF NO WORK IS STARTED.
Permit issued on January 11,2002
I hereby certify that the above / ormation is correct 'd 8.t the co. t
. - ruction on the above described property and
the occupancy and e use wi/be in accorda s - � � laws,//s and r-_ lations of the State of Washington and
the City of Fede : .y. /
Owner or age t: GPi''rn' . H F 0/ Date:
c cep l
( >'AN-10-02 20:31 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-138 P 03/05 F-574 6.7t
� f-�Y , � f r""'-+ APPLICATION NUMBER: infr a - r
APPLICATION NUMBER: _ -
1 2°5 APPLICATION NUMBER: - _ _ • _ _
S*The foilo04 is required information—Please print(In ink)or type**
L vgAY
Please note: Electrical, Fire F�rev i'4 ` ptrand Engineering permits may require a separate application. '
1111111111111111111 .• , • . :. .■ PROPERTY INFORMAT/ON . ••
SITE ADDRESS: 3 3€ i > -7CIG SA) ASSESSOR'S TAX/PARCEL#: 'O 3 9 12 ` -Q ct
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• ,. , . ; • ., _• 1l: PROSECT INFORMATION • • . • '• • . •
TYPE OF PROJECT(This application): 0 BUILDING ,LUMBING 14.MECHANICAL ❑ DEMOLITION
• LECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
(Provide detailed description): '
PROJECT DESCRIPTION
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PROJECT NAME:
.• • . . • . . ':".111:.• PEOPLE INFORMATION •,
PROPERTY OWNER: NAME; •—
DAYTIMJ4-0 G txr i / r (2S Pko 0 _ 2
-
MAAIN(i 7.KESS(STREET ADDRESS;CITY,STATE,ZIP): `�
: . 3 - 0 L Std -,MI' ° ,_ g v).3
CONTRACTOR: NAM
DAYTIME PHONE:
Nscm (gib -N7,45v
MAILING;ADDRESS(STREET ADDR`lEESSSS;CITY,STATE,ZIP): EVENING PHONE:
CITY OF FD RAI-aloe_KiESS LICE.N E Y,N(JM- F 3-C [Q p Qr�` 'O(I l i e ( )
FAX NUMBER:
( ) _
CONTRA:TORS REGISTRATION NUMBER EXPIRATION DATE:
S 1+ 1L- S� go c_ .1_ a I/ laz
APPLICANT: NAME: 1 DAYTIME PHONE:
1/l1 t-S c-p ( ) _
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP); EVENING PHONE:
(
RELATIONSHIP To PROJECE: — FAX NUMBER
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):_ ( ) _
E•MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ► •NTRACTOR
■ DETAILED BUILDING INFORMATION • .
EXISTING USE: 7
EXISTING BUILDINQ ASSESSED/APPRALSED VALUATION $
PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: $ 61)9 0. •_
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
t .AN-10-02 20:31 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-138 P.05/05 F-574
• TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $44.25 _0 of Thermostats(First-$33.50;add'n-$1�0.50ca)
(Fist 1300 ft=$67.00;Each:tdd'n 500 ft1-S21.50) _Service and feeder $72.25 fl of L.ow voltage fire or burglar alarms
Square Feet:- _ ?Tat 2500 ft1-538.75;Each add'n 2500 fta-S 10.50
Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet: .
--(Inspected with service) _it of service or feeders •Per WAC 294-46-910(5Xb)(i&ii)
Each outbuilding or garage........__._._ $44.25 (First service/feeder-$44.25;Add'n service/ _f!of Signs(First sign-$33.50;add'n sign
(inspected separately) feeder-$28 each) _Progress fiction per%hr S33.50
_Swimming pool,hot tub,spa 67.00
_Yard Pole meter loops 44.25
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
$72.25
_Up to 200*rap.-...... ....$72.25 $21.50 Feeder _201-600 169.00
_201..400 amp....•
..... 89.75 44.25 _0 to 100 S 9225 $44.25 601-1000 254.50
401-600 amp 123 25.-_ 61.50 _101-200 89.75 56.25 over 1000 282.75
j _601-800 amp...............158.00 84.25 _201-400 169.00 67.00 _#of circuits '
_Over 800 amp...._...........225.25 169.00 ,401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY
_601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.7$ Temporary Service
Service or Feeder `�,_Over 1000 339.00 181.00
_. -50
0 to 60 $38.75
1 0 to 200 amp $61.50 _Over 600 volts surcharge SG 25 61-100 44.25
201-600 amp 89.75 7` _Mast or meter repair 61.50 T 101-200 56.25
^over 600 amp 135.25 T 201-400 67.00
Mast or meter repair 33.50 _401-600 89.75
�_P of circuits _over 600 97.75
(1.4 circuits-544.25;Add'n circuits$5 ca)
((service is greater than 200 amp.a plan review is req'd.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is 567.00/hr.
•
4iin GTuREDES(31iIp, 01l LA' frz r J E.+'TEE-FROM:XA.BLE.3:;(Sy:; .Fir:,NUMSErusbE iNlTS7CC)5$11. ° •,i'it 1.4.4'1 TOTALc!(A):;b:zi,g:,.:';::;,;L
,../NiA.,114.n41.4.44. frim
.TOTAI.`iCOLIJMN'(D)'.
• Total Column(o)
Estimated Permit Fee: (12)
Estimated t'crmt fcc from Inc 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
MIIIIIMIMIll ■ DEMOLITION
. Estimated Permit Fee: (14)
- Bond Amount:(:IS)
' ■ ENGINEERING
•
Estimated Penn it Fee:(16)
Bond Amount: (17)
■ OTHER FEES
•
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23) _
Total(Pages onea.Two): Ut els)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)1-(20)+(21)+(22.)+(23)= (24)
Bulletin#100-August 29,;!000