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04-100391 I- City of Federal Way Community Development Services Electrical Permit #:04 - 100391 - 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: BARG yea e, Project Address: 32120 6TH'SW Parcel Number: 926490 0730 Project Description: Adding(3)circuits for furnace,air conditioner,and bathroom fan Owner Applicant Contractor Donald K Barg ALL SEASONS INC(ELECTRICAL) ALL SEASONS INC(ELECTRICAL) 32120 6TH AVE SW 5118 N HIGHLAND ST 5118 N HIGHLAND ST FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407 98023-5618 (253)879-9144 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Residential 3 PERMIT EXPIRES August 2,2004. Permit issued on February 4,2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ill be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: 6 Date: 02- O4l ZO O 4 Ntc, / iy,dcac-D FINALEDID v a/ 00 -49 (. 7 `:/"5 . CONSTRUCTION PERMIT APPLICATION ry d 0 4 2004 APPLICATION NUMBER: Of - 3 C/ t _ APPLICATION NUMBER: - �� vt t LDERALWAY APPLICATION NUMBER: - _ ©uii.ptNG DEPT. — — **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: 3.1 (0 1" -A-\J SUS) ASSESSOR'S TAX/PARCEL#: c Z to 4 c 0 - 0 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • • PROJECT INFORMATION TYPE OF PROJECT(This application): ,❑ UILDING 0 PLUMBING L /ECHANICAL 0 DEMOLITION • Ly ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM l PROJECT DESCRI• ON(Provide detailed description): • .L,: _��T►. (� ,,s ' - k r C�( Ci4 cj PROJECT NAME: Q ��` JJJJI.V � I • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: 0 -6 (253) 8 -b2-a5 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 3P--1 2o h ) S w FE t� k-O-POLI (k)A- Ci' c�1 3 CONTRACTOR: NAME: DAYTIME PHONE: PLL I_i C-- (2-5:4 e)q-ci - C MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: H ) k) -N1€:5WA-kJ D �r TAc- wB4-61- ( ), CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - (2s3) ?%:3-1 -9i1-3 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: t L 5 Z v a C S 121/ )APPLICANT: NAME: DAYTIME PHONE: ^--t—I ))3 (fJC- (253) - C 11 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ,. E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT L I CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ S 500 C O. SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:;❑ YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PRO]ECT FLOOR AREAS • FLOOR EXISTING 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 1-1'--- MECHANICAL •_ AIR HANDLING UNIT(S)- ___ EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) HOOD(S) WOODSTOVE(S) BOILER(S) I FAN(S)FIREPLACE INSERTS) RANGE(S) MISC.( ) COMPRESSOR(S) j FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET MISC.( ) GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) . 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 daim(indudingincosts, ex enses,and attorneand fys'feeeesinc the Citythethe Investigation and defense of such daim),which may be made by any person, of Federal Way,but only such dal •• es out of the reliance of t� nduding its officers and employees,upon the accuracy of the information su. • n-flw ri-v c act..051igic anrdiraNnn- •� DATE: 2'- zc� NAME/TITLE: _ v 4. ❑ PROPERTY OWNER 0 AtIKICANT •E Y/CONTRACTOR (FO-S OFFICE"USE O-NLY a E4;: r_ , ❑ DTON :- _rri1' E�RATO_-_ i'f :-*01---, II', -_.. Eit0J '4 . ,, _ . XENSOS=CDE:_':- ;14.;;Z:7_;,'at :.,; =.f= -i,:__tr'_- , :1 =-• _ . _'-''. -- : . - _ _- OiI GrSIGArYON: 1;'=_:-__ -4.A1-1-' " �- "BUIL NG3ELLiO- Y? _O E ._11INO-4 _- __' t: _ ��al=flaiGNA�10N`r-- --. _.=T+ ' taSAIOLA N? w t _ _ 7tiif=x - :-_ _�;. wed�r`".'.':. TOV5oY?-,a,,__-_=tAGE=-:-- ,_ _ _ i-_ N_!uDESS •E•URED? r;�u� �YES_- a__ „, s ipATlU�LO ?t;,=-'❑ (�ES= `=�3N0 __ . ---tar= CEbE_USE? . ,''❑ SY, = 4O-�_�' -'- =_ _ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O-BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 • • • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-543.50;Each add'n 2500 ft2-S11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders 'Per WAC 296-46-910 5 ( XbXi&ii) _Each outbuilding or garage $50.00 (First service/feeder.$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 Yard Pole meter loops $50.00 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 $ 81.00 _Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _4 of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 Mast or meter repair 37.50 _401-600 101.00 /3_#of circuits _over 600 109.00 x(1.4 circuits-$50.00;Add'n circuits$5 ea) 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+$63.50.Add'I plan review for other submissions is$75.00/hr. .t lYe- CON 31 i_ on,Elc_ P3 -NIA-0-0k.)til FA ni • Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) • DEMOLITION Estimated Permit Fee: (14) Bond Amount(15) 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) D.,11.1-1., W r nn_r-0h.,m.v 10 7nm