04-100150 •
i . 4
City of Federal Way
Community Development Services Electrical Permit #:04 - 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: MEADOWLANE ONE,LOT 7
Project Address: 3435 SW 343RD 5r Parcel Number: 542090 0070
Project Description: Provide 200-amp service and wiring for new single family residence.
Owner Applicant Contractor
CRESCENT HOMES*BOB THOMPSON* PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
425 PONTIUS AVE N SUITE 125 PO BOX 59284 PO BOX 59284
SEATTLE WA 98109 RENTON WA 98058 RENTON WA 98058
(425)271-4648
Electrical Fixtures
Description ;Quantity Description Quantity Description Quantity
Service: -Residential 2200
PERMIT EXPIRES July 19,2004.
Permit issued on January 21,2004
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 accord with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: - Date: vc I 0 4/
/— 4 S �.� ` A- reve�j
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,„,4.._ RECEIVEDCONSTRUC.I ION PERMIT APPLICATION
Af 1 Federal \NayAPPLICATION NUMBER: 0 q _ i Q 01 ST - 6
JAN 1 6 2004 APPLICATION NUMBER: _ _ _ _ _ _ _- _ _
[APPLICATION NUMBER: - - i
CITY OF FEDERAL WAY ___
"The followingRiljelNiMe[)Ei%Tmation—Please print(in ink)or type"
Please note: Electrical, Fire Prevention Systems ana Engineering permits may require a separate application.
SITE ADDRESS: o5 `� `l ' ��3Q-D T- 'ASSESSOR'S TAX/ ARCEL :: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
'T _ _ - PROTECT INFORMATIONi=_ - - -'=
TYPE OF PROJECT(This application): a BUILDING a PLUMBING a MECHANICAL a DEMOLITION
CiELECTRICAL 0 EENNGINEERINGn❑ FIRE PREVENTION SYSTEM
C/`
PROJECT DESCRIPTION (Provide detailed description): W/\1,v�p SeA v`q i w 1 QA(t fo12-- S r2.
PROJECT NAME: 1V`eridiDV A/ ''"(Ile 1--Ok-—1
.ti= = -- _ =R. NFO TIO �,.=;- s ;.�:-
- _ - - _. _ , _. , PEOPLE I - RMA N��..<� _._� � �:. `7�-.-�-<---- -.. .- - < - -- :•._ „
PROPERTY OWNER: ' N''Ajj��ME:j `` �'' �'v�MM,y1/�J (� DAYTIME PHOT P /7
MAILING A ESS(STREET ADDRESS;�( ]STATE,ZIP). I `�s3 ) �� /
2'j Pp,)ji1OS �l e N,112J3 5e 1� 7 \ e U 1 Opt
CONTRACTOR: [ N iE' ; DAYTIME PHONE
0J\de F-1ec - 1 (2-s3 ) La31 - 1
-63
1V.D '
AILING ADDRESS(STREET ADDRESS,CITY.STATE.ZIP). I EVENING PHONE'
DDS x1.2� i1(� K I ( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: I. FAX NUMBER:
- - ( , )(3) - -7-76A-
CONTRACTORREGISTRATION NUMBER: I EXPIRATION DATE•
c Y of card required) l7 P- G NI 1 e L L •D b C 2 ; 2 "" 22 '-�z-i-
APPLICANT: .< ME: p {- y DAYTIME PHONE
uttc ,
AILING ADDR"SS(STREET ADDRESS;CITY,STATE.ZIP): i EVENING PHONE
RELATIONSHIP TO PRC IECT �r1���7 'I ` ,, FAX NUMBER
I 0 ARCHITECT a TENANT THER ( DESCRIBE): OL ' \ l( y ( ) - (�
// ``� ; I-MAI_ADDRESS p�J'\ot- /1,iT
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT a CONTRACTOR '')C�l'1aeIVotk • l
11 --"
r`= = ==_ - = _-' �--_' - - ■
DETAILED'BUILDING INFORMATI -- _r-?_ - _- '-` _ -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 1
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE o TACOMA n PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN t) HIGHLINE o PRIVATE(SEPTIC)
' **NAV RESIDENTIAL CONSTRUCTION ONLY**
/ t
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,- ■ PROSECT FLOOR AREAS
FLOOR EXISSTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
-FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
—
TOTAL:
—
Indicate number,of each type of fixture
MECHANICAL Value of Mechanical Work: $
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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC 0 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,induding the undersigned,and filed against the City of
Federal Way,but onl where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information --plied to city as a part of this application. 1 I /�
1 tk
NAME/TITLE: I DATE: I 1 '7/ V
l
❑ PROPER . NER ❑ AP NT XONTRACTOR
.:FOR OFFICE USE ONLY:
7±1-54EW_'i eADDTTIbilr =a'ALTERATIOIV ` oi,REPAIRS----0 TENANT IMPROVEMENNIT'-',-
'CENSUStoo Ee: = ='ztzkl ' Lt '. :LOT SIZE: k; :7-: :.--,:;::-Lt.=:',.. ---,= -
'ZONING DESIGNATION _.=t = BUILDIPiG SHELL`ONLY?<=d YES =:a NO` .- 1 . -F-:
:=to-641:17
.-
=COMP.PLAN DESIGNATION = _ ; =,- _:-:; . :BASIC PLAN? :YES -6'N0=`_ ':i-:-.----:± z-:--' -'-'....:::1- :- _
:SECTION:== TOWNSHIP; f`'!.RANGE':E'44-a ,PIEWADDRESSREQUIRED?_•-''1'.t-,4:--1:3 YES4a-a NO
`PL4ATTE6 LOT?: ❑YES-=.'r NO .tel s•r:7,-t= 2^-'-- 'CHANGE OF USE?- ;- ;-.1 D YES=`�:t7 NO-- -7-,- --'K' -
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO IIOX 9718-FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
Ww w,C1tY04Tecl rhvdY-Com
1
. - - . t ELECTRICAL •
✓ 1.
TABLE B
r
KW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only .557 00 a of Thermostats(First-543 00,add'n-513°ilea)
(First 1300 ft'-SKS 50.Each add'n 500 ft`-527 50) _Service ari i(ceder .. .- . . S93 00 _a of Low voltage fire or burglar alarms
square feet 7)-\(. \,(DQ __ First 2500(i'-S50 00 Each add'n 25(10 ft'-5 13 ill,
_ Each outbuilding or garage 535 50 MOBILE HOME/RV PARK Square Fect
(Inspected with service) _ff of service or feeders • Per WAC 296-46-910(S)(b)(i 8- it)
_Each outbuilding or garage . . 557 00 (I it t service/feeder-557 00,Add'n service, _a 01 Signs(First sign-513 00,add'n sign
(Inspected separately) feeder-537 each) 520 00 each)
_Swimming pool,hot tub,spa 585 50
Yard Pole meter loops. 557(5.
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIA( I COMMERCIAL/INDUSTRIAL
(Include<three units or more) Altered Service or Feeders
Service I ceder Amps Scrv,cc or Add o _kilo 200 5 9 au
_tip to 200 amp . 5 93.00. . ..5 27 50 Feeder _201 -600 .. 210 50
_201 -400amn 115.50 . . 5700 _oto 100 . c 9300. 5 5700 _401 - 1000 .- .. o
32&5
_401 -600 amp 158.50. . 78 50 _101 -200 ... 115.50 72.50 _over 1000....... 363 00
_601 -800 amp 202.50.... . . 108.50 _201 -400. 216.50....... 85 50 k of circuits
_Over 800 amp . . . ...289.50 ... . .. 216.50 _401 -600... ... . 252.50 ... . 101.00 i I-5 circuits-572 50.Add'n circuits,5( eat
ALTERED SINGLE/MULTI FAMILY _601 -800...... ... .. .. 326.50 138.00
(When inspected separately front the services) _801 -1000 399 00....... 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434 50........232.00 Residential/Multi-Family/Commerciai/Industrial
_0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0- 100 S 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200........... .. 72 50
_over 600 amp ... 174.00 _201 -400. .. .. . .. . 85 50
_Mast or meter repair . . .. .... . . 43.00 _401 -600 ... .- . . . . 115 50
a of circuits _over 600.... ...—
t 2S 00
(i-+circuits-557 00,Add'n circuits 56 ca)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required Fee is 35%of
nerntit fee+572.50 Add''plan review for other submissions is 585.50/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) -41.,
I
I
. i r -
i
I ' t
( i
TOTAL COLUMN(D): I
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
_. - _ �_■ OEMOLI ION
Estimated Permit Fee: (14)
Bond Amount: (15)
• - *,-.-.,..-1.-:-.--E„,- ,,,r,.,-_,-. ._..- .. �,• -- __= -:.-ENGINEERING:-:-::'--;- __- - _ - _ ---- ;_= .,. - _ =-_ -_
Estimated Permit Fee:(16)
Bond Amount: (17)
-.,-
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pagesone srwp): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)-(20)+(21)+(22)+(23) = (24) i.
_
Bulletin #100-December 23, 2002