04-100415 City o'Federal Way Electrical Permit #:04 - 100415 - 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: NOYES 9`
Project Address: 31327 10TH'SW Parcel Number: 072104 9082
Project Description: Alteration of up to(4)circuits for home addition
Owner Applicant Contractor
Paul C Noyes &Beverly S Noyes Paul C Noyes Paul C Noyes
31327 10TH PL SW 31327 10TH PL SW 31327 10TH PL SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-4510 98023-4510
Electrical Fixtures
WitAS 11:4ionWs _g tiity ascription =t Quat tity ::.< =De cription = 4'.`( Quantity;
-Circuits-Residential 4
PERMIT EXPIRES August 3,2004.
Permit issued on February 5,2004
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 ay. 1
Owner or agent: - ( Date: 2. — Cf
cit . RC r 41 `\b,4
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COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOU771•PO BOX 9718
�CrtY of�/ %=i? FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661-4115•FAX:253-661-1129
www cittioljederalway corn
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For Office Use Only. l
FW File Number: 1
The ollowin• is re•uired in ormation-an Inco •lete •;.lication will not be acre.ted. Please .rint le•ibl (in ink)or .e.
(k PROPERTY INFORMATION
SITE ADDRESS: 3(-22...7 f FL S w SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
1/ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed
)(ELECTRICAL
of work included on this permit onlu):
trwo v 1 titxj frt-e__ t I. • kir- -rt c. L re . 444 t u-- +-1,ra _I1. L- '6 y.. J re -0 -(—urn
.e.x(5 4-t,� c....i 'C t u�'S ii... Ex-1-z-tAGl I. A oo r b•c.,11 Q a S eu t rl{z�_ w _r
PROJECT NAME(Name of Business/Owner Last Name):
13 PEOPLE INFORMATION
PROPERTY WE: PRIMARY PHONE:
OWNER: Gt(,%,I Notes (253) 94/6' -' ' 7
MAILING ADDRESS(STRE ADDRESS;): CITY,STATE,ZIP
3 ( 327 GD �'1-t p c- 5,--, R-ed.Q .t. _
CONTRACTOR NA h p COMPANY OFFICE PHONE:
ro p
�d • o w��r ( ) -
MA GAD SS(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:
(If Proposed Value,$5,000) '/I 4 1, ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: 7,61E: //'� v��� �, COMPANY OFFICE PHONE:
AI ANG ADDRESS(STREET T A DRB, : CITY,STATE,ZIP EVENING)PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant a Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
DING INF• C+/ : • +
EXIS G USE: — PRO',•SED USE:
EXIST I G ASSES': 0/APPRAISED _— J. OF PROPOSED WORK: $
SPRI ER' : I I DING? CI ❑ NO IRE SUPPRESSION SYST,M PROPOS r • ' • D?: ❑ YES • ND
•
WATER SERVICE PROVIDER: ❑ L I, •VE ❑ HIGHLINE ❑ TACO t ❑ PRIV• ' (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN Cl HIGHLINE Cl PRIVATE :a e ,
U PROJECT FLOOR AREAS ,
AREA DESCRIPTION ' EXISTING SQ.FT. PROPOSED SQ.FT. • AL ' •
BAS71441
FIRST
SECOND
/I
THIRD11
/
FOURTH
ADDITIONAL F •ORS(DESCRIBE)
DECK(COVE'ID?)
GARAGE/CARP 0 RT
HOW MANY FLO,'RS? • AL EXISTING TOTAL PROPOSED TOTAL EXI NG AND PROPOSED
**NEW HOMES ONi Y" NUMBER OF BEDROOMS: ATED SEL NG PRICE: $
A
■ FIXTURES
Indicate number of ea. type of fixture that is . be insi: ed or relocated as part of thi' ect. Do not include existing res to remain.
MECHANICAL
Value of Mechanical Work $
--AIR HANDLIN• UNITS EVAPO TIVE COOLERS GAS LOGS REFRI .SYSTEMS
BBQS FANS HOODS(co,••.erciaq WOOD.TOVES
BOILERS FIREPLA E INSERTS RANGES MISC(Aescribe)
COMPRESSOR` FURNAC S GIBS WATE• HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
B' TUBS(or Tub/• ower Combo) SHOWERS WATER CLOSE ' oii t)I MISC(De • •.)
SHWASHERS SINKS DRINKING FOUNT•%.
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINE' URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BRE ERS ELECTRIC WATER HEATERS
LI DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha•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 e loyees,upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: C DATE: p1-5'0
(Signature( (Title)
RELATIONSHIP TO PROJECT: Property Owner ❑ Applicant ❑ Contractor ❑ Architect 0
FOR OFFICE USE ONLY:
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES in NO
11u1•11:1 Page 2
S
• ELECTRICAL PERMIT INFORMATION
y
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 0 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401 -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
❑ 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 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 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
X (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 ❑ 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 ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U 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 U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(50)0&ii)
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