02-101506 City of Federal Way Electrical Permit #:02 - 101506 - 00 - EL
Community Development Seri/Ices
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: COUSINS CONSTRUCTION
Project Address: 108 S 297TH Parcel Number: 052104 9214
Project Description: ELE-Low voltage security,stereo prewire
Owner Applicant Contractor
Evelyn I Mulvey &COUSINS CONST ASD SECURITY SYSTEMS ASD SECURITY SYSTEMS
29650 1ST AVE S ASD SECURITY SYSTEMS ASD SECURITY SYSTEMS
FEDERAL WAY WA _ 314 182ND AVE E SUITE B 314 182ND AVE E SUITE B
98003-3640 SUMNER WA 98090 (253)630-1047
Electrical Fixtures
Description f 'lescription''° [Quantity Description r =; Quantity
Low Voltage Burglar Alarm -Comm 2
PERMIT EXPIRES October 7,2002,IF NO WORK IS STARTED.
Permit issued on April 10,2002
•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: 1 - to-02
4-30 - oz.. �av�r--�V bi.loroar S.
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at.::* CONSTRUCTION PERMIT APPLICATION
—
RECEIVED BY
VV FEY
COMMUNITY DEVELOPMENT DEP - CATION NUMBER: 02-- ( O f 5- 0 6- Ofrd
2002 APPLICATION NUMBER: - -
APR 1 APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
L , . - - - ' -1 • PROPERTY INFORMATION
IOg S x`n '
SITE ADDRESS: eL ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 11
• = ,'- - - - ;- _ • PRO3ECTINFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
lid, ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): UALN-) 0 6"-\+) •S '--- r Cr( f J1-e._,(-QC, PrY.,,,'i't.-,
PROJECT NAME: CMSins Nt4rknArkirVt
- ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME. ` DAYTIME PHONE:
� �rLS LSC l,n,..., (-- --3i3 ) 3S( - CL31-1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
13`) S� -33-7-4-` st v-e_ F�C-- LCJ vic z) cis,G.)-3
CONTRACTOR: NAME: DAYTIME PHONE:
IAS 6 S(:)p.e...,,T, l n.c - (a63 ) Loa") - l an
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP)' EVENING PHONE:
31 l��rn Cl. L _3 SLc,�n,, I�z L) �f�, � b2�
i cj C� ( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
I`4 S t1 5 ' _ ,k; cc. ' n --S 0-7 / 7 ( I C3
APPLICANT: NAME: DAYTIME PHONE:
\te-le_A>Ic- lwt L' ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
SV'sw^c--. 0c A-5 ( ) -
RELATIONSHIP TO PROJECT: I FAX
FAX NUMBER:
CI ARCHITECT CI TENANT OTHER(DESCRIBE): -cl'-"L -J-C,4_, ( ) - '�
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
- - - - ■ DETAILED BUILDING INFORMATION - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE Cl TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. _ • ■ -PROSECT FLOOR AREAS . - -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
4 THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.`FIXTURES .. • •
-
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
.• •■ 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,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE:
l]t� �1� 1 �� -- C�S 1�S v��S DATE: S )-
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES El NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES Cl NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
. ■ ELECTRICAL .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50,add'n-$10.S0ea)
(First 1300 ft2-567.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 T#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$3.& Each add'n 2500 ft2-$.1.0-16
o)
_Each outbuilding or garage $28 00 MOBILE HOME/RV PARK Square Feet. (-w 4.4,)_,,,c, t-
(Inspccted with service) _4 of service or(ceders • Per WAC 296-46-910(S)(b)(i R ii) l I..L.,-L.7
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _to of Signs(First sign-$33.50;add'n sign 5s �C ti
(Inspected separately) feeder-$28 each) $16 00 each)
_Progress inspection per V2 hr $33 50
_Swimming pool•hot tub.spa 67.00
Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n __Swimming
0 to 200 $72.25
Up to 200 amp $72.25 $21.50
44.25
Feeder _20 t-b00 169.00
_201-400 amp 89.75 _0 to 100 $72.25 $44.25 601-1000 254.50
282.75
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000
_ (1
601-800 amp 158.00 84.25 _201-400 169.00 67.00 _4 of circuits
_
Over 800 amp 225.25 169.00 _401-600 197.00 78.75 -5 circuits-$56.25;Add'n circuits.$5 ca)
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 0 to 60. _ $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meter repair 33.50 _401-600. 89.75
_4 of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D): _
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35 =(13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING -
Estimated Permit Fee:(16)
Bond Amount: (17)
- • 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-January 3,2001