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04-100599
7 t I • City of Federal Way Community Development Services Electrical Permit #:04 - 100599 - 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: HICHA Q\ Project Address: 33105 42ND1SW Parcel Number: 327905 0060 Project Description: Permit to final work done on original,which was to install new 200 amp service&wirin Owner Applicant Contractor MICHAEL HICHA MICHAEL HICHA J R ELECTRIC CONSTRUC ON DESIGN INC 5129 SW DASH POINT RD 5129 SW DASH POINT RD 3716 42ND AVE NE TACOMA WA 98422 \FEDERAL WAY WA 98023 \FEDERAL WAY WA 98023 (253)952-2081 y� Electrical Fixtures Kul per 7" i ascription ��r#iffy :3 l e criptiiart 'puantit £,' : 7escri itiiiri.-`; n � rii`rty 3 Service: -Residential 5300 Spa 1 g -103,95 PERMIT EXPIRES August 18,2004. Permit issued on February 20,2004 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 'th the laws,rules and regulations of the State of Washington and the City of Federal Way. L J Owner or agent: // Date: 2- 20, 6y sM©4 ;iv; T 4 , r City of Federal Way Electrical P • •• • . •02 - 103235 - 00 - EL Community Development 'vices 33530 1st Way S Federal Way,WA 9 03-6210 Inspection reque , line: 253.835.3050 Ph:253 661.4000 ax.253.661.4129 p �l Project N e: HIC A Project Address: 3 05 42ND SW Parcel Number: .27905 0060 Project Description: LE-New single family servi • er Applicant ontractor MIKE HICH' J R Ea,ECT C CONSTRU T N DESIGN IN J R EL ' RIC CO ' ' IO D' N INI 5129 SW •'SH POINT RD 3716 2ND AVE NE 3 .42ND AV. 1E FEDERAL WAY WA 98023 TAC A A 98422 TACOMA i ' 9 - (253)9 -208 -\ 1 N Electrical Fixtures 11111V- Descri•to i"' ' .'';=; . 71"- cri•tion /Quanti z - 1 Desce,, ion , Quantity 90 ervice: -Residential �5 PERMIT EXPIRE anuary 26,2003,IF NO W: ' IS STARTED. '-rmit issued on July 30,20 I I her-; - rtify that the above information is c• ect and that the construction on the above described property and the occupancy and the use will be in accord. ce with the laws,rules and regulations of the State of Washington and the City of Federa ay. �� Owner or agent: Date: 7--3 0._c7 1 k � 4 --D /- Sin v l' c & 1 c & �- s 4 6c A-p ekt9 v2->._ , ur��` i--,'f..:1 ,oArmr,,\Ill DLL(I�tt',i l;,1 ti(klt, t'1:.-C:LI_,.- f:-:Li i3;3AFIX•;I Ll,i} `,or,rl1•Ire CITY o. �� _ 7;�t• � /�T /� 7�7�T T/'� /� 7�7"/� FEDERAL WAY,WA 9.4ni,7 Q71° Federal Way PERMIT (� Y1JL11 L-1 '1 I 1 40 -,1',r/1111;-F+r it , F�K 4 7I, Lf Vl / 1 1 11 \/L 1 1 J .t,,:. il, ' r ',l,l)(.1 Oq- IDO / q4:7 t 4 r r;,; 1 r The ollowin. is re.uired1 ofmation-an incom iete a..lication will not be acce•ted. Please .rint le.ibl (in ink)or iv•e. = . :: .:.:'1,;•-':.-' :':::'-':::; ,-..1.,-::';-;,:::';:: _- • _PROPERTYMFoRMATIOR - - - -:,---:,-,:7.-•,::-.:.-:. .-..1::.m SITE ADDRESS: '',/(. '> I-i ,)• /NC 1` S i.� SUITE/APT # ASSESSOR'S TAX/PARCEL #: 3 2. 1 7 C,= 3 - Lt 0 6C) SQUARE FOOTAGE OF LOT: I Ca' LEGAL DESCRIPTION (e q 'Acri I states, Lot 1) /1 t ci II 1 :,, ,,---, 1711<i: f// J (Attach separate page for(tvtythy loyal description) � '_ ---- TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING o MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this e t nl1 : f,ia i 0 :J: v>a i �t. gjein'C —1Q . -ii PROJECT NAME(Name of Business/Owner Last Name): at-CL141‘ •. ■ PEOPLE INFORMATION i PROPERTY NAME./y 7 !// PRIMARY PHONE OWNER: 1// �' It(fix) (Z .� ) 6t/ - 2 MAILING ADDRESS(ST EET ADDRE1SS,( CITY,STATE,ZIP , / f l.4'1 . �, ! r+;r� t' (j j r)r.� � t� ►� A� l /'I 9s-, i 3 CONTRACTOR NAME 1 COMPANY OFFICE PHONE- 7ss,`Y OA j ( ) MAILING ADDRESS(STREET ADDRESS,) CITY,STATE,ZIP CELL PHONE (2016 l GC`! - 7-?1/7-- CITY OF FEDERAL FAX NUMBER WAY BUSINESS LICENSE NUMBER EXPIRATION DATE P - - _ / / ( CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE (copy of card required with each application( / LENDER NAME /� . —, DAYTIME PHONE (If Proposed Value>$5,000) V)/T SriAl' T4 i✓ tii QC2`'I` ( ` J MAILING ADDRESS REET ADDRESS,) J CITY,STATE,ZIP ( APPLICANT: NAME COMPANY OFFICE PHONE f 6 ( �1Vt 7r MAILING ADDRESS(STREET ADDRESS) CITY,STATE,ZIP EVENING PHONE ( ` 1 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Other(Describe). CONTACT PERSON FOR THIS PROJECT: 621kProperty Owner ❑ Contractor ❑ Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ • SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: it YES 17 NO WATER SERVICE PROVIDER: LAKEIIAVEN L I IIIGHLINE , TACOMA ,I PRIVATE(WELL) SEWER SERVICE PROVIDER- LAKEIIAVEN I IIIGIILINE , 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 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(commerrL 1) W OODSTOV ES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Show<rcombo! SHOWERS WATER CLOSETS Irodoq MISC(Descnbe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(B tt,00msmt 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 empl ees, on t accuracy of the information supplied to the city as a part of this application. NAME/TITLE: DATE: 2-.2C)_-ct9 (Signature) (Title) RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant ❑ Contractor 0 Architect 0 FOR OFFICE,USE ONLY: :,µ.3" _ o NEW o ADDITION o ALTERATION ❑REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES a NO ZONING DESIGNATION: CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES o NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO !to .f 1. I Page 2 • t ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only . . .$57 00 _Ii of Thermostats(First 4143 00,add'n-S13 OOea) (First 1300 ft'-1S5 50,Each add'n 500 ft -527 50) _Service and feeder . 593 00 _#of Low voltage fire or burglar alarms 'square Feet _ First 2500 f1'-550 00.Each add'n 2500 ft`-513 00 _Each outbuilding or garage ¶35 50 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. .. .... . ... 557.00 (First service/feeder-557.00,Add'n service/ _#of Signs(First sign-543 00,add'n sign (Inspected separately) feeder-537 each) $20.00 each) - Swimming pool,hot tub,spa $85 50 _Yard Pole meter loops. . 557 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three unit:or more) - Altered Service or Feeders Service Feeder Amps Service or Add'n 0 to 200 . i 93:JO _Up to 200 amp 5 93 00. 5 27 50 Feeder _201 -600. . .. . 216.50 201 -400 amp 115.50.. . . .57.00 _0 to 100 . . . .5 93 00. . $ 57.00 601 -1000.... . . . .. 326 50 _401 -600 amp ............158.50................ 78.50 _101 -200 115.50 72.50 over 1000 . . .. . .363.00 _601 -800 amp ............202.50............. 108.50 _201 -400.. ............... 216.50......... 85.50 ._#of circuits _Over 800 amp . . ..... 289.50... . 216 50 _ (I 401 -600 . . ....... 252.50...... 101.00 -5 circuits-572.50.Add'n circuits,56 ear ALTERED SINGLE/MULTI FAMILY _601 -800......... ... 326.50 138.00 (When inspected separately from the services.) _801 -1000 399 00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp.....................................$ 71.50 _Over 600 volts surcharge 72.50 _0- 100 5 57.00 _201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200......................................72.50 _over 600 amp.. 174.00 _201 -400_.. . . ......... . .. ...85.50 _Mast or meter repair ...... . .. .. . 43.00 _401 -600... .... ... . ... (IS 50 #of circuits _over 600.... .... 125.00 (I-4 circuits-$57.00:Add'n circuits S6 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 permit fee+572.50 Add'I plan review for other submissions is$85.50/hr FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) I i Ali J- e- Esrsl,7 C,ic 7 z, Sa ( , 7 . SO I ► I i I i t 1 I TOTAL COLUMN(D): 7 e„So ,.o Total Column(D) 7 Estimated Permit Fee: (12) ! Z J Estimated Permit Fee from brie 12 Estimated Plan Review Fee: $72.50+( X.35) _ (13) • . . • DEMOLITION - - - • Estimated Permit Fee: (14) Bond Amount:(15) - - . . -- - -■ ENGINEERING - - . . - - - - Estimated Permit Fee:(16) Bond Amount: (17) - -• 111 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-December 23, 2002