04-100021 -111110 111111
t
I City of Federal Wan
Electrical Permit #:0' 160021 — 00 — EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253 . 050
Project Name: SNYPP
Project Address: 29338 18TH Su Ave?/S Parcel Number: 3152?
5 20
Project Description: Service for new single family residence.
Owner Applicant Contractor
MONARCH CUSTOM HOMES,INC. EDISON ELECTRIC INC 1 bELECTRIC INC
31000 39TH AVE SW 2417 104TH STREET CT S TH STREE CT
LAKEWOOD WA 9849 OOD WA '9
\FEDERAL WAY WA 98023 3)583-0700
ec rical Fixtur
Description lQuantityl! Ity' Ipti• , ••Quantity
Service, -Residential -I 2756
11,
IT EXPIRES July 3,2
'ermit issued on January 5,2004
I hereby certify that th- , we informati correct and that the construction on the above described property and
the • - cy and the us 'il be in rdance with the laws,rules and regulations of the State of Washington and
th• ity • Federal Way.
O ,ter or agent: See Application Date: / — 5 — O ,3
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I` Tor G. RECEIVED BY CONSTRUCTION PERMIT APPLICATION
ErierzFIL. COMMUNITY DEVELOPMENT 7)77 °T"" ` -
T � . ► R: aLDQ0a21
RE���VFO 6Y F ARSE C 2 4 2003 A:pu O,N - -
��Tn AFPLI ti)NI-NU BBR: -
i,F .i (t*rnwiollowing is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
C� j�■ PROPERTY INFORMATION r I
SITE ADDRESS: p� 3 3 6 �i\ / o �, 5, ASSESSOR'S TAX/PARCEL#: ) -1" 0 Z---(5 - 0 1 10
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL o DEMOLITION
If ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): IV LA) 1)�1 AA tia ,) i
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
I\A c' .,4t C k (DIA (gr5 73) i�-<
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE: �^,
a53)
MAILING ADDRESS(STREET ADDRE Lc ZIP): (EVEN NG PHONE:�� 0700
i iOti4'') SV,, C/70S — L ) kj OJC L 1 61 F )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Q 2 - L o Y. Q a `2 - 4. 0 , (a 53) 5T3-
CONTRACTOR'S REGISTRATION NUMBER: C u EXPIRATION DATE:
eqq
(copy of card required) // 0Li
APPLICANT: NAME: . DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT ❑OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: pi PROPERTY OWNER '1tf APPLICANT lir CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the information supplied to the city as a •a • this application.
NAME/TITLE: / _ f r. DATE: /o-`C} -o
❑ PROPER I • ' NE. PLICANT o CONTRACTOR
FOR OFFICE.USE=.ONLY: I
❑NEW 0 ADD.ITION. ❑,ALTERATION. q,ttE o,R :IMPROVEMENT
CENSUS CODE: LOZSIZE:
ZONING°D SIGN`AFION:
BUILDINGSHELL ONLY? o YE! ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? .C7 XES o NO
SECTION TOWNSHIP RANGE NEW APDRESSEQU*RED? ❑YES ❑ NO
PLATTED LOT? ❑YES o NO CHANGE oFL�,S ❑YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
• n
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES g (04 MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family 2- 1 _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300, i ft2-$75.00•Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: l First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbui mg or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&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 _#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
_#of circuits _over 600 109.00
(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
permitfee+$63.50.�irAdd=l plan review for other submissions is$75.00/hr.
•�+ixTOte'='K.St�,wt .','�..: A 'i v..r ONSOMMENSNI+'�''--''• ,'- 7.r °. rA-;11GM . *Weft
e
h n't-' 'Ep,..Oil Koh,v:i:rk!u(m l l..Ei 1l'1r'6e4!'' X,"
�
r , Total Column(l
w 't !
Estimated Permit Fee: (12) yam 1 U!f3
Estimated Permit Fee from One 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
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)
Bulletin#100-February 19,2002