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04-100697 City Community Development Services eveWay Community Electrical Permit #:04 - 100697 - 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: LUCYK �1 Project Address: 33816 38TH'SW Parcel Number: 921150 0400 Project Description: Installing new electrical wiring for installation of new exterior hot tub Owner Applicant Contractor William Luckyk III &Lynda S Luckyk III William Luckyk III William Luckyk III 33816 38TH PL SW 33816 38TH PL SW 33816 38TH PL SW FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-2944 98023-2944 Electrical Fixtures Description Quantity Description Quantity Description jQuantity Hot Tub j 1 PERMIT EXPIRES August 25,2004. Permit issued on February 27,2004 I hereby certify that the above mformation 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: // Date: .a4 © 3 - 'z e vt__ 43 _ 1S � _ _c (1.T1 R EC ENED COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH•PO BOX 9718 CITY of^..•o' FEDERAL WAY,WA 98063-9718 Federal Wang 2 7 2004 PERMIT APPLICATION - 253-661-4115.pAJ 253-661-4129 waurn1-129 rn For Office V pF F. i 'AI- 1 ' ' wf? ,i Z II FJ/X') v „� Aber: / The ollowin• is re.uired in ormation-an inco •lete a.• "cation will not be acce•ted. Please •rint le•ibl (in ink)or . F� PROPERTY INFORMATION SITE ADDRESS: .3Sl L 33 / , ci,.,/ talk-vat 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) • 174 PROJECT INFORMATION TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu): ht/51-744( '/ LtLd9,4 2)"t) Pry 140)s c I>, ,44,T 7---us . eget t lizi."-5 � (As4z t , Co vio ;►7 pro PROJECT NAME(Name of Business/Owner Last Name): 4 V c / ri PEOPLE INFORMATION PROPERTY NAME: ,,, l / PRIMARY PHONE: OWNER �i Lkt A-i•v� L J t y f' (?53)27V - C731 -24 35iNG 8'11,"ADDRESS(ST FR ET ADgRESS;): Cly- STATE,�ZIP -t ` ,' / 1 IA' ` (710-1r� CONTRACTOR NAME/) 37Q�,(I� �L S COMPANY_ _PAK/ OFFICE PHONE: /` S`illin M ,Q ( ) - / MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: ----iX CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER: ,. /// - - - / / ( ) MI CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required with each application) / LENDER NAME: DAYTIME PHONE: (If Propose/Value>85,0001 ( _ MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP ) /L� APPLICANT: NAME: COMPANY ...a,PHONE: W1,(. l Ut MAI3 NG fI,,ADDRESS " TF�,�j1�S$1: 6� I�IC�Bc STATE, l wait IA � , (VENIN PHONE:3 � RELATIONSHIP TO PROJECT: C r FAX NUMBER. 0 Architect 0 Tenant ,)ther(Describe): DIg/rte ( ) - CONTACT PERSON FOR THIS PROJECT: // _roperty Owner 0 Contractor 0 Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING USE: / 6s‘de.PrirL PROPOSED USE: Qsi'0°-T7C/a'C EXISTING ASSESSED/APPRAISED VALUE $ ,v70,100°�o VALUE OF PROPOSED WORK: $ 361 SPRINKLERED BUILDING? ❑ YES pNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ArTACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ,LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS 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 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; 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 EV '•• TIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercia) WOODSTOVES BOILERS FIREPLAC SERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTL ' PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roaet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS 'ISE 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 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 pot the accuracy of the information� supplied to the city as a part of this application. NAME/TITLE: ,/ o �f l N� DATE: 7 U y nature) / (Title) RELATIONSHIP TO PROJECT: SProperty Owner ❑ Applicant ❑ Contractor 0 Architect 0 FOR OFFICE USE ONLY: • a NEW a ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? Cl YES ❑NO ZONING DESIGNATION: CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES a NO tkti:cuu l. ._,;t Page 2 /i ELECTRICAL PERMIT INFORMATION • RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n U Single Family Square Feet: (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage U 101-200 amp 117.50 74.00 (Inspected with service) $36.50 U 201-400 amp 220.50 87.00 U 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) U 801 1000 amp 405.50 169.50 Service Feeder U Over 1000 amp 442.00 236.00 U Up to 200 amp $ 94.50 $ 28.00 U 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 U 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00 U 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL U 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 U 0 to 200 amp $ 72.50 U 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 U Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW U Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 U 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 U 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) U 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 .Swimming pool/hot tub $87.00 Square Feet to be served by system(s): (Includes additional circuit,if required) O Fire Alarm System U Yard Pole meter loops $58.00 O Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) O Data Cabling (Per System(s): 1•,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(W&it) • i.;:'".1 :- a': I. :.c Page 3