04-100082 City of Federal Way
Community Development Services Electrical Permit #:04 - 100082 - 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: KOSUE Q`
Project Address: 33315 33RD1SW Parcel Number: 954280 0150
Project Description: Addition of(1)circuit for bathroom remodel
Owner Applicant Contractor
George T Kosue Jr. A-PHASE ELECTRICAL A-PHASE ELECTRICAL
33315 23RD AVE SW A-PHASE ELECTRICAL A-PHASE ELECTRICAL
FEDERAL WAY WA 126 SW 148TH SUITE C100-3 126 SW 148TH SUITE C100-3
98023-2840 BURIEN WA 98166 (206)242-4950
Electrical Fixtures
2,���°.G}escrip04 .:;0 clooiA ,s,10!.#460 -_:�.. ; IQuaritity :>4V,*D*irip#iiinf,* . IQuabtity
Circuits-Residential 1
PERMIT EXPIRES July 10,2004.
Permit issued on January 12,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wayj
Owner or agent. _.) �� Date: 1 r-- 1 C3C I
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COMMUNITY DEVELOPMENT SERVICES
Federal Way . PERMIT APPLI CATI O N N 1 2 10 o FIRST
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� � d FEDERAL WAY WA 9�63-9R8
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•
For Office Use Only: FW File Number: 9 t'_ _ ,10_ 0_ 3 ..t(9._ -;_ : •DEPT'•/ /
1ILDINi.
The ollowi • is re• ired in ormation-an inco •tete a••lication will not be acce•ted. Please .rint le•ib ' ink)or • .
■ PROPERTY INFORMATION
SITE ADDRESS: Zj I " "2-31 QL s t,.-) ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT:
• PROJECT INFORMATION
•
TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
)e
PROJECT NAME Name 0 Business/Owner Last Na Q
• PEOPLE INFORMATION
PROPERTY NAME- PRIMARY PHONE:
OWNER LTpevc_ VOSv-e_ - (20G ) 55 -2527
MAILING ADDRESS(STREET ADDRESS;): CITY,ATEOP
.g i'c 4gf P(- St--) tik)e, , 9 QCT Z�
CONTRACTOR: NAME COMPANY OFFICE PHONE:
�r`� r ✓•(Q � (.0°0 ) 2V2 -LI S CO
UNG ADDRESS(STREET ADDRESS* CITN STATE,ZIP CELL PHONE:
1209 Si--,-) t\(_Ced 41"L1c -'5.-v by C ti er. C-3C% CiX kJ ( 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER
- / / ( )
CONTRACTOR'S REGISTRATION NUMBER � //�� EXPIRATION DATE:
(copy aloud required with each application)P '`y..J,) prf)) Q 52. L/ b % I ( / 0 3
LENDER: NAME: DAYTIME PHONE:
pt r..f.«a Value 45,0001
( ) -
MAILING ADDRESS(STREET ADDRESS;(: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( ) -
MAIUNG ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect ❑Tenant ❑ Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ 7 5c
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 Nd
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT F
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=S'DNG TOTAL PROPOSED ;T'D1'ALea 0,ANDPROPOSED r.,,:
;.v:t kY,4'si,n^t'-"}: ':-� 'K' 4i'„`s-.. "t:'..r•�,`sF :"'r„,+ 1, ., `,z�?
**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 MOODS f9 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(0,Tub/Showercombol SHOWERS WATER CLOSETS Iro,ky MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
IAVS padre.=Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
•
II 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, 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 offi and employees,upon the of curacy of the information supplied to the city as a part of this applic ort.
MDATE: o
NAE/TITLE: [ 2
(Signature( (Title)
RELATIONSHIP TO PROJECT: a Property Owner ❑ Applicant Q Contractor 0 Architect ❑
•
•• 110a ADD, TIUN': �ALTERATIONr 'r. .; REPAIR ',fa TENANT IMPROVEMENT,,
UIL'D 7`G HEI.Y.i > y e, Xxa:-'A *' ,,t s�" f S" c •.r c
.a -��W��%�� �YFS;�. O�. ��?- .,� .':1�=:" .,�5 �BASIC�PI.AN?,,c„r:: ="� x•.�. �4.�� r
'• 'LO G3•ESIG z: y� alvt ::_,. ..; �, ,,� OF.0
.,NIN NAIION:�; 4,,:.��'�k����� ��srx• S'.. .� :CH'11NG'rE"; SE?>:� :� ••r
ON DRESS• 2EQUI12ED? YES a O '; 4UP SEPA/SUS'} " ': ': E `YES
t+..N .rs�=` I. �. � "k< , 'fit' ' ,. ;..
DEMO PERMIT REQUIRED? -`�a YES •a NO• " r' ,
■ 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)
❑ Detached outbuilding or garage ❑ 0 to 100 amp $ 94.50 $ 58.00
(Inspected with service) $36.50 ❑ 101-200 amp 117.50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Inspected separately) $58.00 ❑ 401-600 amp 256.50 103.00
0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more)Service Feeder ❑ 801 - 1000 amp 405.50 169.50
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 1000 amp 442.00 236.00
❑ 201 -400 amp 117.50 58.00
0 Over 600 volts surcharge $74.00
0 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
. 0 601 -800 amp 206.00 110.00
❑ Over 800 amp 294.50 220.50
t ALTERED COMMERCIAL/INDUSTRIAL
} ALTERED SINGLE/MULTI FAMILY
Service or Feeders
• (Inspected separately from service) ❑ 0 to 200
` Service or Feeder amp $ 94.50
+ ❑ 0 to 200 amp $ 72.50 ❑ 201 -600 amp 220.50
0 201-600 amp 117.50 0 601 - 1000 amp 332.00
4 -0 over 600 amp 177.00 ❑ oveF-1000 amp 369.50
t
ff of circuits be added/ ❑ N of circuits to be added/altered
_
1 circuits$58.00 Addto 'n circuits added/altered)
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ Mast or meter repair $43.50
SINGLE/MULTI FAMILY PLAN REVIEW COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service Over 400 amps ❑ Service over 200 amps
$74.00 plus 35%of Permit Fee ❑ Medical/Educational/Institutional Facility
MOBILE HOMES $74.00 plus 35%of Permit Fee
j ❑ Service or feeder only $58.00
❑ Service and feeder $94.50
MOBILE HOME/RV PARK
• ❑ M of service or feeders
(First service/feeder-$58.00;each add'n-$37.50)
I
I
1 MISCELLANEOUS SERVICE/EQUIPMENT TEMPORARY SERVICE
❑ #of Thermostats Commercial Residential
(First-$43.50;add'n-$13.50/ea) 0 0- 100 $58.00 $51.00
❑ Low Voltage ❑ 101 -200 74.00 51.00
Square Feet to be served by system(s): ❑ 201 -400 87.00 n/a
❑ Fire Alarm System 0 401 -600 117.50 n/a
❑ Security Mann System ❑ over 600 127.00 n/a
❑ Voice Cabling
❑ Data Cabling
0
(Per System s: Pe 2500 ft2-$51.00;Each add'n 2500 ft2-13.50)
•Per WAC 29646-9i0(5)(b)g a al
❑ #of Signs
' (First sign-$43.50;add'nsign$20.50/ea)
❑ Swimming pool/hot tub $87.00
. (Includes additional circuit,if required)
F 0 Yard Pole meter loops $58.00
❑ Additional Plan Review $87.00/hour
1 (for modified submittals)