04-101950 CityCommunity
Federal Way Electrical Permit #:04 - 101950 - 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: HILTON
yob
Project Address: 35626 8TH SW Parcel Number: 768390 0210
Project Description: New 200amp service for NSF and t-stat
Owner Applicant Contractor
MICK DACEY TAYLOR ELECTRIC TAYLOR ELECTRIC
PO BOX 943 31029 164TH AVE SE 31029 164TH AVE SE
BUCKLEY WA 98321 AUBURN WA 98092 AUBURN WA 98092
(253)631-4404
Electrical Fixtures
Description Quantity Description Quantity] Description Quantity
Service: -Residential 4200 Thermostat 1
PERMIT EXPIRES November 15,2004.
Permit issued on May 19,2004
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 Way.
Owner or agent:_' Date: I —ikkv..,...QQ
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PERMIT
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The •howl _ :t., :i�•J, ':cti„,•n WAY Inco ,tete •y•/ication wit/not be acre•ted Please •rint le•ib. in- or
2 J 4 j� PROPERTY INFORMATION
SITE ADDRESS 5l Ds� O '--# i l .7t— SUITE/UNIT if
ASSESSOR'S TAX/PARCEL# - — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g,Acme Estates,Lot l)
(A112dieereratep.Arlfflwas kaid itotoloont
PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑PLUMBING a MECHANICAL
0 DEMOLITION j$1.ELECTRICAL a ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included onthispermit only)
7 A C. �w CA iv� 44L \'1- he s.
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PROJECT NAME(Nance of Bustness or Owner Last Name( r,l ` 12Nt...., & X\.( D
PEOPLE INFORMATION
PRO
NAME
PRIMARY PHONE
OWNERRA ' \ 1 Q_ \ _... t^� CITY,STATE,ZIP
(a6 N nkiO -78 -
MAILING ADDRESS `
CONTRACTOR COMPANY NAME , APPLICANT NAME OFFICE PHONE
�
0.�tor Eikt_c.-r1C 013)l, ( - 44oy
MAIUNO ADDRESS , CITY,STATE,ZIP CELLPHONE
‘oaq IVOt'k'� k3L 5E A.W.rn.i 0A '18'011 (as31av,► -m-T-1
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE FAX NUMBER
i q.-3t- 1 Q . a Li L-B L ia / 3l / 0y (.153) ks'22)1 - t44ot,,
CONTRACTOR'S REGISTRATION HUMBER leep er enol ehz•Iret with eaek npp UutIe4 EXPIRATION DATE
1411... og / oa . M -1 / .8` / a4
APPLICANT COMPANY NAME I APPUCANT NAME OFFICE PHONE
MAILING ADDRESS Cry.STATE,ZIP CELL PHONE
( 1 -
RELATIONSHIP TO PROJECT FAX FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( 1 -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
-h /.Aare {ash-tt (as 3) Lo'',1 - qLk U-1
LENDER rerirCW.i .:$7.095: Leruler10cgietptpe ti:';; NAME
"rliiiifet!tfPTi/ :PRIMe a id12.¢45,000
MAIUNO ADDRESS CITY,STATE,ZIP
•
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGKLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN 0 IIIOIUANE 0 PRIVATE(SEPTIC)
05/12/2004 13:43 FAX 2536614129 CITY FEDERALWAY it 005/005
d ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
IEW RESIDENTIAL SERVICE VIEW COMMERCIAL./INDUSTRIAL SERVICE
® Single Family Square Feet LtService or Feeder Each Add'n
(First 1300 ft1-$87.00;Each add'n 500 It $28.00) ❑ 0 to I00 amp $ 94.50 $ 58.00
0 Detached outbuilding or garage 0 101-200 amp 117.50 74.00
(Inspected with service) $36.50 0 201-400 amp 220.50 87.00
❑ Detached outbuilding or gar age 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50 •
o
FEW MULTI-FAMILY(three units or more) 801 -1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 0 Over 600 volts surcharge $74.00
O 401 -600 amp 161.00 80.00 ' 0 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/M_ULTI FAMILY 0 0 to 200 amp $ 94.50
O 201-600 amp 220.50
Service or Feeder 0 601- 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ lF of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits.$6.00/ea)
0 4 of circuits to be added/altered •
(1-4 circuits-$58.00,Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74 00 plus 35%of Permit Fee
O Master meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ o-100 $58.00 $51.00
❑ M of service or feeders ❑ 101-200 74.00 51.00
.(Fist service/feeder-$58.00;each add'n-537.50) 0 201-400 87.00 n/a
❑ 401 -600 117.50 n/a
• ❑ over 600 127.00 nla
MISCELLANEOUS SERVICE/EQUIPMENT
U l*of Thermostats 0 A'of Signs
(Fust-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
d Low Voltage ' 0 Swisataing pool/hot tub $87.00
0ware Feet to be served by systems) (Includes additional circuit,if required)
Fire Alarm System 0 Yard Pale meter loops $58.00
❑ Security Alarm System Error ❑ Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
❑ Data Cabling
O
(Per Systems)le 2500 11t451.00,
Each add'n 2500 ft2-13 50)•Per WAC29G46-9r0(S)(byi a ii/
1aLe3.6"U ieitoi
Bulletin N 100-March 30,2004 Page 3 of 4 klliandouts-RcvisedV'ermit Application
05/12/2004 13:41 FAX 2536814129 CITY FEDERALWAY Ii1J003/005
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. 1 TOTAL
BASEMENT
FIRST -�
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) fff
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL WONT= TOTALPROPOSO TOTAL.=TOMO MO PROPOSED
"NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
FIXTURES
- ----- -------------------- -- ---
Indicate number of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEClTANICAL •
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS g FANS HOODS tconiursie WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS —r— FURNACES \ GAS WATER HEATERS
DUCTS GAS FIFE OUTLETS
PLUMBING
BATHTUBS(rTuh/Sh.uwrc.aL.; SHOWERS WATER CLOSETS(r.s. MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(bathroom sail VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE FLOCK
/certify under penalty of perjury that the infermatton furnished by rte is true and unroof to the best of my knowledge, and farther,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,upon the accuracy of the information supplied to the city as a part of
this application
NAME/TITLE'r-.Z-'� V L.'C AY DATE 53-�1
(Sigaaiurq Mittel
RELATIONSHIP TO PROJECT ❑ Owner o Agent 0 Contractor ❑ Architect 0 Other
•
FOR OFFICE USE ONLY '
a NEW to ADDITION a ALTERATION c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES 0 NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SUP a YES o NO
PLATTED LOT? a YES o NO •
DEMO PERMIT REQUIRED? a YES 0 NO
Bulletin 0100-March 30.2004 Page 2 of 4 It\Handouts-Revised\Pcmlit Application