04-100120 r4
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City of Federal Way Electrical Permit #:04 - 100120 - 00 - EL
Community Development Services
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: CURRAN CUSTOM HOMES
Project Address: 33160 42ND SW pi Parcel Number: 327905 0130
Project Description: Install electrical service for a new 4045 square foot home.
Owner Applicant Contractor
CURRAN CUSTOM HOMES INC J R ELECTRIC CONSTRUCTION DESIGN IN' J R ELECTRIC CONSTRUCTION DESIGN IN1
33180 42ND PL SW 3716 42ND AVE NE 3716 42ND AVE NE
FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422
98023-2667 (253)952-2081
Electrical Fixtures
L Description Quantity Description Quantity Description Quantity
Service: -Residential 4045
PERMIT EXPIRES July 12,2004.
Permit issued on January 14,2004
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 w'• the laws,rules and regulations of the State of Washington and
the City of Federal' ': . /
Owner or agent: �._;r Date: /7/5/0 7 _
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RECEIVEDCOMMUNITY DEVELOPMENT SERV/CES
an,of �, 33530 FIRST WAY SOUTH•PO BOX 9718
Federal Way14 2oo 'ERMIT APPLICATION FEDERAL WAY,WA 98063-9718
JAN �� 253-661 1175•FAX 253-661 1129
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For Office Use Only C�1 ., 1,, (, - 1 �t _ L 0 /^ t_ P, \� - O ` TD / /
The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •Tint le•ibl (in ink)or .
7 ■ PROPERTY INFORMATION
SITE ADDRESS: 141, 0 �� . \ Q S AJ 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): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
f
PROJECTPROJECT DESCRIPTION(Provide detailedddescriptiioon of work included on this permit only):
Jtv ' 1,,AA1( f' - ) C_(J(�S1-,
PROJECT NAME(Name 0 Business/Owner Last Name):
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER ucro. j Gusto v.,•._ `\ IJ-
O + (
MAILING ADDRESS(STREET ADDRESS;)- CITY,STATE,ZIP
CONTRACTOR rAttE � COOMMPANY OFFICE PHONE:
altf ��-,-' 2 / z�' R ELL`k \ ( (
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MAILING ADDRESS(STREET
DDDR SS(STREET(DDRESS;): CITY,STATE,ZIP S/� CELL PHONE:
37(6 ` WZUS\SC-ItE `�K.9\1g'z /Z )?
e/5 l
CITY OF FEDERAL BUSINESS ENEXPIRATIONDATE: FAX
- - / / ( ) -
CONTRACfOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(coPy of card required with each application) / /
LENDER NAME: DAYTIME PHONE.
(If P.opoaed Value>=5,0001 (
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
(
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE.
1 RELATIONSHIP TO PROJECT: FAX NUMBER
a Architect 0 Tenant 0 Other(Describe): ( ) -
t
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
in DETAILED BUILDING INFORMATION -
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL _
BASEMENT i
)
FIRST
1
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED J
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
IN 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(Commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showr Combo) SHOWERS WATER CLOSETS(roaecl 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 investiga•on and defense of such claim), which may be made by any person, including the
undersigned,a led against the Ci, If Federal Way,but only where such claim arises out of the reliance of the city,
including its o s and empj' ee- pon the accuracy the information supplied to the city as a part of this application.
•
NAME/TITLE:4 _ ,�_ ' ` A� DATE: V( // ' /
(Sig :tune (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant 0 Contractor ❑ Architect 0
FOR OFFICE,USE ONLY:
a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: - CHANGE OF USE? a YES o NO
_
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
.... - - t Page 2
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
YiSingle Family Square Feet: 410115 50.0- Service or Feeder Each Add'n
(First 1300 ft2-$87.00, Each add'n 500 ft2-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101 -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) CI 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ Over 600voltshe $74.00
CI 201 -400 amp 117.50 58.00 surcharge
❑ 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
❑ 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
❑ 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 ❑ 101 -200 74.00 51.00
❑ #of service or feeders CI 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
CI over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ 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
CI Voice Cabling $87.00/hour
(for modified submittals)
❑ Data Cabling
CI
(Per System(s): 1•i 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) *Per WAC 296-46-910(5)(6)(i&ii)
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