04-100412 City of Federal Way Electrical Permit #:04 - 100412 - 00 - EL
Ghmnunity Development Services
33530 1st Way S
1#deral Way,WA 98003-6210
Ph:253 661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
i
Project Name: L'OREGAN MANOR LOT 17
Project Address: 785 SW 358TH Parcel Number: 768390 0110
Project Description: New 200amp service for new single family home
Owner Applicant Contractor
CARY LANG CONSTRUCTION CO MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
34815 PACIFIC HWY S 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
ki r'D,O4C 4iiiii' ,•**6'. :g : atilt, n4 ' cltiantit)t aSiik0'=.,«-1e' • mal 0 t,=CEt .i'
Service: -Residential 4320
PERMIT EXPIRES August 4,2004.
Permit issued on February 6,2004
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: ,4:70.4) 'v,rI i b Date: 6 /
2 - I o - a LI `' ,;,r. G,r,.,9 s ,.._:,„ 0 •.1,,9 X
02-05-•004 10:41AM FROM-Meridian Center Electric +253-841-0892 T-148 P.001/004 F-967 �16
W
CITY OF �� wN5 1RUCTION PERMIT APPLICATIO
Federal Way rp,410xEAPPLICATION NUMBER: 0__ i .Z- A,� 5—. APPLICATION NUMBER:
I - APPLICATION NUMBER:
. ..... ..7.7,..,...„.,--�
1 "The following is required information—Please print(in ink)or type* -
Please note: Electrical,Fre Prevention Systems and Engineering permits may require a separate application.
•
r PROPERTY INFORMATION
•
- -
y.SITE ADDRESS: 'S S $T1-) sr" ASSESSOR'S TAX/PARCEL#: •
_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING O PLUMBING a MECHANICAL a DEMOLITION
.XELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): _ 0 e
r vCi I i iL I A
I
e
PROJECT NAME: , 10lie C,et-w h Tey ,r n
V
. ■ PEOPLE INFORMATION-. . . .
: PROPERTY OWNER: NAME:
/{ A ` ii `_ ` . I IA (DAmMEE PhrON,E,:
MAILING',DOR ( - ET AD.- - :QTY,STATE ZIP, • , `Z`��l i -
1-_ A LELL. 11-/. 1_2_0____21 �t Vail-- w 49101)3
CONTRACTOR: NAME:
Meridian Center Electric i DAYTIME PHONE:
MAILING ADDR (STREET ADDRESS:QTY.STATE.ZIP): ' 253 ) NE- 5595
ESS
-
11109 66th Ave E Puyallup, Wa 98373 `EVENING PHp
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I ` )
20010-216200f FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: (253 ) 841 - 08 92 1
(copy mrd required) FPIRATION DATE;
MERIACE318S_G — 2 / 28 / 03
APPLICANT: �A�E
tCe?rl DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP);
EVENING PHONE:
RELATIONSHIP TO PROSECT:
O ARCHITECT o TENANT o OTHER(DESCRIBE):. I FAX NUMBER -
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT O CONTRACTOR LEMA!LADORE SS:
IN DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? OYES ONO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES o NO I
1
WATER SERVICE PROVIDER: O LAKEHAVEN a HIGHLINE
Ct TACOMA a PRIVATE(WELL) I
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
02-05:004 10:41 AM FROM-Meridian Center Electric +253-841-0892 T-148 P 002/004 F-967
L 'ANEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING .,Fr.
BASEMENT PROPOSED S.,FT. TOTAL
insIFIRST
MIN
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL •
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) __
GAS HOOD(5) WO DSTVE S SYSTEM(S)
BBQ(S) FAN(S) REFRIG.
BOILER(S) FIREPLACE INSERT(S) RANGE(S) ( )
COMPRESSOR(S) FURNACE(S) MISC.( )
DUCT(S) • GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S WATER HEATER(S)
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET O ELECTRIC ❑ GAS
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTORS) 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(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: ',e.i... 4) Ze-e .c,2_. _ DATE: •2'I /&
0 PROPERTY OWNER ❑APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY::'.L'
CC,NEWi.1:.;'d'A'O'ADDIi'IONV
• : a.AtLT5RgTION r• '��' e`rb 1R�P%IR...�...,.ILV
o
ltNANTIM. PROVENiEN
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i�.CENSUS CODE:.Ic';•,.1.,•,.. ;;• k w T1L;hits- ILOT,SIZE:tlla,kilcSl.iilnhlgi�'dr+ �e1SI1�,G��;F�,:,•nr���n,d.,l..
•1ZON�NGDESIGNATION't•''w.' . -.;q2 �m :•!:,+-114.i IBUILDINGSHELtOfsiY7 TilitrNi •:::1;.::4;1140,29-10,:
• .pOMPOIJNDESIGNATION`,a.:;:. •:r,i ! /. MP ,P .B.ASO AA ?„ „YYS +�NO" r�t'•~F * i "r15ECTIA( w�TWNSYP`i ::4:.4ANGE'��# IE9l 1ItiAlliD-et'RE ��t�lD ���a xaES;. dTNban
..,PI/TTED=OT +p.�•7YES&iYma.iVO.i 1511X112�:y11:rcANGEse?�� UII'. YS�1ilk :�YblA3: $.Pre W,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTh-PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-661-4000•FAX:253-661-4129
+nww.ltyegg eralwayst ri
02-05-0004 10:41AM FROM-Meridian Center Electric +253-841-0892 T-148 P.003/004 F-967
to ELECTRICAL
TABLE B
ItNVW RESIDENTIAL SERVICES • MOBILE HOMES
Singlc Family _Service or feeder onlMISC EQUIPMENT/TEMP SERVICES
(First 1300 f12-$85.50;Each add'n$00 Re-$27.50 •••••---•^•••••--_-••.557,00 w#ofTher of ag (Inst-$4 burglar
add'n-$13.00c3)
Square Feet ) _Service and feeder 593.00 _#of Low voltage fire or burglar alarms
Each outbuilding or garage_ $35.50 First 25001 $50.00;Each add'n 2500 ft-$13.00
(Inspected with service) MOBILE HOME/RV PARK Square Feet
_Each outbuilding or garage 557.00 #of service or feeders •Per WAC 296-46-910(5
(First service/feeder-$$7.00;Add'n service/ _#of Signs(First sign-543.00; )add'n sign
ii)
•
sign
(Inspected separately) -S37 each)
, S20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter Loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) COMMERCIAL/INevice or L
Service Feeder Amps Service or Add'n _0 to 2�Altered Service Feeders
_,Up to 200 amp $ 93.00 $ 2750 $ 96.50
201-400 amp 115.50 57.00 _0 to 100. Feeder 201-100
S 93.00 S 57.00 _601-1000 216.50
363.00
_401-600 amp 158.50 78.50 _101-200
601 -800 amp 202.50 108.50 201-400 2116.50 85.50 _over 1000 363.00
`Over 800 amp 289.50 216.50 =401_600 216.50.,,,,,,,...-85.50 _#of circuits
326.50 138-00 (1-5 circuits-S72.50;Add=n circuits,$6 ca)
ALTERED SINGLE/MULTI FAMILY _601-800
(When inspected separately from the services.) ,801-1000 399.00 166.50
Service or Feeder 399.00 166.50 TEMPORARY SERVICE
0 to 200 amp -Over 1000 434.50 232.00 ResidcntiaVMulti-Family/Commercia1/lndustrial
_001-000 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100
_over 600 amp 115.50 _Mast or meter repair 78.50 $ 72.50
174,00 _1 Ol-zoo 72.50
Mast or meter repair 43.00 r ,201-400 85.50
_#ofcircuits 4 to
_401-600 115.50
(1-4 circuits-557.00;Add'n circuits 56 ea) over 600 125.00
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
permit fee+572.50.Addul plan review for other submissions is$85.50/hr.
•
•"FIXTURE DESCRIPTION•(A) "r. :,FIXTURE•FEE•FROM TABLE:B•(B),; •' NUMBER OF UNITS(C) :_::•
«TOTAL(D)• -
• ••TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
• Estimated Ferret Fee from ane 12
Estimated Plan Review Fee: $7250+( X.35)
=(13)_
IN DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Feet(16)
Bond Amount: (17)
• OTHER FEES
4.
Mitigation Fee; (18) (20)
(22)
SBCC Surcharge; (19) (21) .
(23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(16)+(19)+(20)+(21)x-(22)+(23) - (24)
Bulletin#100-December 23,2002