04-100141 City of Federal Way
Community Development Services Electrical Permit #:04 - 100141 - 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: GRAFF
Project Address: 2231 S 287TH Yr Parcel Number: 027120 0050
Project Description: Provide circuit for new air-conditioner(installed on separate permit).
Owner Applicant Contractor
George H Graff&April Graff LINDER ELECTRIC INC LINDER ELECTRIC INC
2231 S 287TH ST 7004 180TH AVE NE 7004 180TH AVE NE
FEDERAL WAY WA REDMOND WA 98052 REDMOND WA 98052
98003-3300 (425)885-2789
Electrical Fixtures
Description Quantity Description ,Quantity Description ,Quantity
Circuits-Residential 1
PERMIT EXPIRES July 14,2004.
Permit issued on January 16,2004
I hereby certify that the above information is •.ect and that the construction on the above described property and
the occupancy and the use will be ' acc• •• ith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
/ l
Owner or agent: Date: 6/0
`9- 1
,,,.. ERECEIVED
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
ERAL
AY,WA 98063-9718
Federa way PERMIT APPLICATION SAN 1 6 ,_4461-4115.wuno�Wneats� 'mI29
For Office Use OW - / I, B U I L I N G D - f /
FW File Number: -
The ollowin• is re•uired in ormation-an inco .lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or .
ii � ■ PROPERTY INFORMATION
��)
SITE ADDRESS: ✓ S i Z p/' Sr- SUITE/APT#
ASSESSOR'S TAX/PARCEL #: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
op.8t CTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work r
work included on this permit onlu
(flit Oar' (S-14 — 9- TovG(l a/T- f - i#01-- CiHro/77osY�.k__
PROJECT NAME Name 0 Business/Owner Last Name):
■ PEOPLE INFORMATION
PROPERTY NAME: / '/x PRIMARY PHONE:
OWNER: 604/ I- ( ) -
MAILING ADDRESS(STREET ADD ESS;): CITY,STATE,ZIP
2231 c9. ?- 1 P-` S T— e-rr r-c. (vw141
CONTRACTOR: NAME COMPANY Mllt'F j _fin - OFFICE PHONE:
t• b��l' c- � C/ (q1 ) 'S -2--7S
MAILING.ABDRESS(ST ADDRESS;): CITY,STATE,ZIP CELL PHONE:
7co`C (�O NF R02l.`t00r0 O — M3dlZ_..(et '.-) 86 y - ((I72__..,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - / / (7Et-i )f ' -P'74/
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER: NAME: DAYTIME PHONE:
of Proposed value>85.000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect a Tenant ❑ Other(Describe): ( ) -
ICONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
1
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: a YES Cl NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS ;---
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
i
TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? TOTAL EXISTING
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIM ED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relo ed 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 HOODS(c.o....HA) WOODSTOVES
BOILERS FIREPLACE INSERTS s RANGES MISC(Describe)
COMPRESSORS FURNACES --�\ GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shomr Combo) SHOWERS WATER CLOSETS(roikq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
■ 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 investigatio and defense of such claim), which may be made by any person,including the
undersigned,and filed against the City • -deral Way,but only where such claim arises out of the reliance of the city,
including its officers an mp I yees, he accuracy of the information supplied to the city as a part of this application.
I
1/6/42NAME/TITLE: I��, DATE:
(S-,.. (Title)
RELATIONSHIP TO PROD • ❑ Property Owner ❑Applicant Contractor 0 Architect 0
FOR,OFFICEUSExONLY -
n NEW - a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? a YES o NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SII? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Ilu.:t'I;I - :ii. ..a .... - Page 2
■ 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 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
U over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
X/ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
0 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) .
0 401 600 117.50 n/a
1 ❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
O Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling $87.00/hour
(for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5/MO&a)
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