04-100064 >r • Tt
Cityof Development Services eveWay
CommunityElectrical Permit #:04 - 100064 - 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: HANSON .ple/
Project Address: 30219 23RD'SW Parcel Number: 012103 9085
Project Description: Repair service mast&installed new meter
Owner Applicant Contractor
Howard J Hanson FULLER ELECTRIC FULLER ELECTRIC
30219 23RD AVE SW FULLER ELECTRIC FULLER ELECTRIC
FEDERAL WAY WA 37107 12TH AVE S 37107 12TH AVE S
98023-2368 FEDERAL WAY WA 98003 (253)661-7181
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Mast or Meter Repair-Residential/M 1
PERMIT EXPIRES July 6,2004.
Permit issued on January 8,2004
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 accordance with the laws,'rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: PC%ti& Date: C —C
sERWcES
cry
of R ,4 ,;'1 '* -Po aoxrna
Federal Way . PERMIT APPLICATION AY,5. 3
i :EMU
-029
Fir Oboe Use Only: ' - / V I —' ' - — to TD: '
FW File Number: 1!-
�ITBOLD NG DEPT�Y
The olio • is -• • in ormtation-an inco 'fete • • •lication will not be acce•ted. Please . t Ie. , • ink)or j,
• PROPERTY INFORMATION
SITE ADDRESS: 3o /9 o43 r� Ve Sc ., ASSESSOR'S TAX/PARCEL 1: -
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT:
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING a PLUMBING a MECHANICAL ❑ DEMOLITION -
)<ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): •
R e p cc;r e cA J-er ii i c e / e S-71. a n d 1-/Z.S le i/ed e'(,[> r eJ e,
PROJECT NAME Name 0 Business/Owner Last Na =: sin ym
• PEOPLE INFORMATION
PROPERTY NAME:
PRIMARY PHONE:
OWNER: r/or ma n c e l-/Q n.Son • (2,53 ) 927 2709
MAIUNG ADDRESS(STREET ADDRESS): CITY,STATE,ZIP /�
36X/9 a 3 r''l �?ve.S u/ iz e de.ate" GO c eJ/1s3-79?;z)y7
CONTRACTOR: NAME COMPANY OFFICE PHONE:
rki/er F k mfr,'c r�//e ,E/fir,•c (as3) 6.6/ -?/ '/
MAIUNG ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP 98003 CEL,PHONE:
37/U? / t`` /9 ve Sc red e So✓ UJ/q ( .2.6i) 0.4 -83 9y
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE: FAX NUMBER:
CL3 - ) 033 6 47' - 0C.) .6/ /L/ Y/ 1.20c-)e/ ( as3)66/ -622 '
CONTRACTORS REGISTRATION NUMBER }� Q` p` /� EXPIRATION DATE:
(copyIc of required with each application) u ' ( l 0 .2 6 it / /j I. /z006,
LENDER: uEI vNAME: DAYTIME PHONE: it
0001 ( ) -
MAIUNG ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: 'c' IR ( COMPANY OFFICE ONE: -
MAIUNG DRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER
❑ Architect ❑Tenant 0 Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner )<Contractor 0 Applicant -, fraA,Mra/Tn_/,Co.
■ DETAILED BUILDING INFORMATION �
'MpLaMat
• �[.y�• T•Yy T• ..v+�".PROPOS,, -:;f • " �Y 1;A ti�,-
•-.i- „�e Pa'�•i'� 410-il-• _ --ti.:-.,. ..,7-- ,- .i.• - _ --
F.aISTir ASSESSED/APPRAISED VALUE - .•�I- R _. . _'y-=•• ,[+i'4t., _ it c;•47 t
_^��,y � '�r•+ _ _ _. ^� _ .-.- VALUE OF PRiOPOSEtk"WORK: � t i •=• - ^-FrP ;+��'T>'r�=
•
ikitoispRizacrxRED BUI:DING?:4: >❑YES„. ❑NO -FIRE SUPPRESSION ' PRD'•SED REQUIRED- „y 3,. _' " . • . t-
*-6--.t7 HIGHLINE= ❑-T CO ,. Q- ' •r • TE •• :>• i'-•” _ i�r,i `';',,, ,;;,1 ":',;,.-6-
SEWER SERVICE PROVIDER: 0 LAICEHAVEN O HIGHLINE ❑ PRIVATE(SEPTIC) •
410141000100;t011 .94 -:;;•• r f?' rF i€ 'r.;�._.1:,.tr:.'• . . , - p a,y y H i t`-
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL r,nec ,:,} �AL PROPOSED r• - .TOTALnasm o roal
or•
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS
rw9 BOILERS FIREPLACE INSERTS RANGESMI�D(Dsrnbe)
)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS - GAS PIPE OUTLETS
•
PLUMBING
BATHTUBS lo.Tub/Sh.wrCombol SHOWERS WATER CLOSRlS
FOUNTAINS M1SC(Describe)
DISHWASHERS SINKS •
DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BathroomSmk VACUUM •LI<.:::•..-,•.
■ DISCLAIMER/SIGNATURE BLOCK
I certify under pertaltu of veriur•y that the information furnished by me is true and correct to the best of my
knowledge,and further,that I am auuaor-.zea ay the owner of the ..o perform the worrcjur wrawn.ane permit
application is made. I furtiver 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 ac ur //of the information supplied to the city as a part of
this application.
NAME/TITLE: P� 1 `�'GL �` '�'� •
r't S•U DATE: / y
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner 0 Applicant -contractor ❑ Architect ❑
•
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• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet •
Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 f12-$28.00)
❑ Detached outbuilding or garage ❑ 0 to 100 amp $ 94.50 $ 58.00
(Inspected with service) $36.50 ❑ 101-200 amp 117.50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Inspected separately)- $58.00 ❑ 401-600 amp 256.50 103.00
0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more)
Service Feeder ❑ 801 - 1000 amp 405.50 169.50
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 1000 amp 442.00 236.00
0 201-400 amp 117.50 58.00
❑ 401 -600 amp 161.00 80.00 ❑ Over 600 volts surcharge $74.00
❑ Mast or meter repair $80.00
0 601-800 amp 206.00 110.00
❑ Over 800 amp 294.50 220.50 •
ALTERED COMMERCIAL/INDUSTRIAL
ALTERED SINGLE/MULTI FAMILY
• (Inspected separately from service) Service or Feeders
Service or Feeder ❑ 0 to 200 amp $ 94.50
' ❑ 0 to 200 amp $ 72.50 ❑ 201 -600 amp 220.50
O 201-600 amp 117.50 0 601- 1000 amp 332.00
, -0 over 600 amp 177.00 ❑ over-1000 amp 369.50
' ❑ K of circuits to be added/altered ❑ Sof circuits to be added/altered
-4 circuits-$58.00;Add'n circuits$6.00/ea) (-1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
•
Mast or meter repair $43.50
SITIOLE/117117 F LY DTJ V..`T 7:27`.7".7 COMMEPCLAL/TNDTJSTRT 4"PLAN REVIEW
❑ Service Over 400 amps ❑ Service over 200 amps
$74.00 plus 35%of Permit Fee ❑ Medical/Educational/Institutional Facility
MOBILE HOMES $74.00 plus 35%of Permit Fee
❑ Service or feeder only $58.00
❑ Service and feeder $94.50
. MOBILE HOME/RV PARR
1 0 M of service or feeders
• (First service/feeder-$58.00;each add'n-$37.50)
I.
j MISCELLANEOUS SERVICE/EQUIPMENT TEMPORARY SERVICE •
❑ 1«of Thermostats
^.:,,,..erciai Rc.idential
(First-$43.50;add'n-$13.50/ea) ❑ 0-100 $58.00 $51.00
❑ Low Voltage ❑ 101 -200 74.00 51.00
Square Feet to be served by system(s): ❑ 201-400 87.00 n/a
0 Fire niarm System ❑ 401 -600 117.50 n/a
❑ Security Alarm System
❑ Voice Cabling ❑ over 600 127.00 n/a
• ❑ Data Cabling -
- ❑
(Per System m-.1..t 2500 ft2$51.00;Each add'n 2500 ft2-13.50)
•Per WAC 29616910(S)NICf a 4
U #of Signs
• --(Firstsign-$43.50;adder sign$20.50/ea) _
❑ Swimming pool/hot tub..... $87.00
(Includes additional circuit,if required)
❑ Yard Pole meter loops $58.00
-0 Additional Plan Review $87.00/hour - .
(for modified submittals) •