02-100835 o
City of Federal way
Community Development Services Electrical Permit#:02 - 100835 - 00 - EL
41 j
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: NWCH INVESTMENT
Project Address: 34815 PACIFIC i Pac1, t i'lky S• Parcel Number: 202104 9042
Project Description: ELE-Remove 400amp CT can and replace with(2)200amp meter sockets
Owner Applicant Contractor
NONE CLOVER CREEK ELECTRIC CLOVER CREEK ELECTRIC
1413 CENTER STREET 1413 CENTER STREET
TACOMA,WA TACOMA,WA
NONE 98409 (253)627-6648
4
•
Electrical ' t
. DeSeri tiOrt.. : uar*tity : D. uantit .Description:..:. . . :jQtlantity
Service/Feeder: 101-200 amps-Comm1 2 `
PERMIT EXPIRES August 24,2002,IF NO WORK IS STARTED.
Permit issued on February 25,2002
•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: 411.4 ' AO Date: ,,-- 3-'j
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Cnr OF = CONSTRUCTION PERMIT APPLICATION
+��j� L APPLICATION NUMBER: -/ 35-
\%\� APPLICATION NUMBER: 9 -
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.
•
• PROPERTY INFORMATION
SITE ADDRESS: v`(: °_ ` ), ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑pILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
E ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): \?__Q�Q J " 't
II
, _ — 14
- �►'L . , _ A. _...i...,. __ _
PROJECT NAME: ki Ca
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME., DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME• DAYTIME PHONE.
C,U )eC C -� (—' .e—JC--)k, 3)G2L) -(4.4A4
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
i 41 CsstAdt--t ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 131. FAX NUMBER:
t Qi. -CI,aj lO<C;G5610 - UC' fzs'3J (p-, - C;C:pci t,
CONTRACTOR'S REGISTRATION NUMBER. r /�'�`�� yy�� (� {,,,, /� EXPIRATION DATE: C-)1.-
APPLICANT:
X (copy of card required) I CLQ 31J�� 2° LP _ 4 � 'CJt
APPLICANT: NAME: ^ OS
DAYTIME PHONE: -
MAILING ADDRESS( 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
• • DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. _ - ■ PROJECT 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 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 arises out of the reliance of the city,including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: i DATE: 24-3SX—,��
❑ PROPERTY OWNER PPL NT I/�CONTRACTOR
FOR OFFICE USE ONLY:
❑ 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 Cl NO CHANGE OF USE? ❑ YES ❑ NO
l'nr..ra t.1.Tv r,ran nor.1rniT cr-alnrrc. 0,111 Hoer WAY crn ITU•v(1 anv 071R•FFn-RAl WAY WA 98061-971A•751-661-4000•FAX• )S7-rA1-4170
X
, ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only ..............$44.25 _#of Thermostats(First-$33.50,add'n-S I0.50ea)
(First 1300 ft2-$67.00,Each add'n 500 ft2-$21 50) _Service and feeder.....
$72 25 #of Low voltage fire or burglar alarms
Square Feet First 2500 ft2-$38.75,Each add'n 2500 ft2-$10.50
_Each outhuildingor garage................ $28 00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Per WAC 296-46-9!0(5)(h)(i&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25,Add'n service/ _#of Signs(First sign-$33 50,add'n sign
(Inspected separately) feeder-$28 each) $16 00 each)
_Progress inspection per' hr... ......$33 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 amp. 5 72.25 $21.50 Feeder _201-600 169.00
_201-400 amp........... .89.75 44.25 _0 to 100......... ...........$72.25 $44 25 _601-1000 254.50
_401-600 amp . 123.25........... .. 61.50 _101-200 89.75 56.25 _over 1000. 282.75
_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 (I-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 310.75 129.75 Temporary Service
Service or Feeder _Over 1000...... . 339 00. ... 181.00 _0 to 60 . . $38.75
_0 to 200 amp ....$61 50 _Over 600 volts surcharge 56 25 _61 - 100 44.25
_201 -600 amp . ... 89 75 _Mast or meter repair 61 50 _101-200 .........................56 25
_over 600 amp .............. 135.25 _201 -400 67.00
-Mast or meter repair.. ............ .33.50 _401-600............. .....................89 75
_#of circuits _over 600 ...97.75
(1-4 circuits-$44 25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56 25.Addl plan review for other submissions is$67.00/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: $56.25 + 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 3, 2001