04-100127 City or Federal Way
Community Development Services ,Electrical Permit #:04 - 100127 - 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: CIOTTA
Project Address: 325 SW 293RD 5'r Parcel Number: 119600 1480
Project Description: New 200amp service for new single family home
Owner Applicant Contractor
Matthew R Ciotta &Julie A Ciotta Matthew R&Julie A Ciotta Matthew R Ciotta
1439 SW 296TH ST 1439 SW 296TH ST 1439 SW 296TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3411 98023-3411
Electrical Fixtures
Description [uantity Description Quantity Description Quantity
Service: -Residentia'. 3100
L
PERMIT EXPIRES July 13,2004.
Permit issued on January 15,2004
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: 7 ; i /. //%/eDate: P19 CP (-7
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COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
Cof �� �00� FEDERAL WAY,WA 98063-9718
Federal Way P��, ,cPERMIT APPLICATION 253wwlwot�lfedemlw ti 661-4129
corna
For Oa UseO93k,$ 1g V►"I leN umber: pg. - 1 0 0 L c . t7 - a ) TD / /
The oliowin. is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please .rint le.ibl (in ink or . .
• PROPERTY INFORMATION
SITE ADDRESS: 3 2- - `7 W . 2 C?`y; 1e SUITE/APT#
ASSESSOR'S TAX/PARCEL#: 4 i q '221 - L4 C60 SQUARE FOOTAGE OF LOT: (,Z 2y '.5(17‘70',
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
lit/ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): /�` Yg, _/ i .e.f.(f
i .dA_i _ - I /2,-4llieete
PROJECT NAME(Name 0 Business/Owner Inst Name): a' i i J' ,-
■ PEOPLE INFORMATION
PROPERTY NAME: ` PRIMARY PHONE:
v
OWNER: f f�P :���H D ^ ) - YSq?
MAIL! SS(BYRE ADDRESS;): CITY,STATE,ZIP
i 4 5.,W 7-�&M .7rF -GUy (14 .
CONTRACTOR NAME COMPANY OFFICE PHONE:
2tL ,Z
MAILING DRESS(STREET ADDRESS;: CITY,STATE,ZIP CELL PHONE: •
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER NAME: DAYTIME PHONE:
of Proposed V.tae r=5,000) ( ) _
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
/�A /E (
MAIUNGADD S(STREET A D :
CITY,STATE,ZIP EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ Architect 0 Tenant ❑ Other(Describe). ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: '�/ / i PROPOSED USE: 4v-eel 1:C2 , r
t
EXISTING ASSESSED/APPRAISED VALUE $ K //n, VALUE OF PROPOSED WORK: $ 00//,
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 13 -7 67
SECOND t 2:6$J
THIRD lL�
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? ram EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"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 HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roue) 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
V/ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha + • 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,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)10/t/t,
part of this application.
/ DATE: /G j I7
NAME/TITLE: �� � �%I;
tgnature) (Title)
RELATIONSHIP TO PROJECT: /Prope Owner Applicant Contractor 0 Architect 0
FOR OFFICE IISE'ONLY= ;.. ,
"a NEW a ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SII? a YES a NO
-PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
I;uiai .i :tl:
.. .... . . Page 2
■ ELECTRICAL' •ERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: 431
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
LI 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
11 ❑ 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
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #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
LI 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- 100 $58.00 $51.00
MOBILE HOME/RV PARK .ae'101 -200 74.00 51.00
i ❑ #of service or feeders LI 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats LI #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage ❑ 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 $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s): lrt 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46910(5)(b)i h ii)
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