02-101317 f City of Federal Way Electrical Permit #:02 - 101317 - 00 - EL
C Development Services
33530530 tst 1st Way S
Federal Way,WA 98003-6210
h 253 661 4000 Fax•253.661 4129 Inspection request line: 253.835.3050
Project Name: DAVE
Project Address: 31510 37TH SW Parcel Number: 873198 1100
Project Description: ELE-Install(2) 110V outlets for fireplace
Owner Applicant - Contractor
John A&Vicki L Limper ELECTRO SERVE LLC ELECTRO SERVE LLC
31510 37TH AVE SW 13547 SE 27TH PL SUITE 3-D 13547 SE 27TH PL SUITE 3-D
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-2106 (425)451-3358
•
Electrical Fixtures
Description Qtl* 4,;<:-:-"description !Quantity Description !Quantity
Circuits-Residential 1
PERMIT EXPIRES September 28,2002,IF NO WORK IS STARTED.
Permit issued on April 1,2002
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.
(\2Owner or agent: Date: 4— 1^C)
j/Jet L- o GC — E-to
C ( n5 401 Malo `- '
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RECEIVED CONSTRUC I ION PERMIT APPTAPR 0 1 2002
APPLICATION NUMBER: 1 r O 3 -
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - - -
BUILDING DEPT.
**The following is required information—Please print(it:ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
.. - :_' = , -- • - . --,AA■1:PROPERTYINFORMATION - ' . .
-
SITE ADDRESS: t' 1 O 3-�` /..)Q'..S,', if ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE D SCRIPTION IF LENGTHY): \5,A„ Coe(.1/4.3 I y,,{,Ck„,St'Uy
Q.,.,s.r --c'....-->c \.0 Q O.t1<-\-e. S -Cvrei tc. ..Q
;,;<< -.'2..-7---..6:-:::4:.,..? : . , - --3-1, PRO]ECTINFORMATION _ : - ; . ..•• . . • .
TYPE OF PROJECT(This application): UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4).y-.i.- . ‘`Y _ i. sr
PROJECT NAME: +�flY•E
,,, i,•:.. ,..,-,. -.•_ 2-- _-7..-,--:.---:-.__,- ,.:, _-•_:-..i----,11,.PEOPLE INFORMATION : - ..
PROPERTY OWNER: NAME: DAYTIME PHONE:
�e,..v tie_s \--De- Q (2-;-3) 9.6 z -267 2
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZI
S` C'. �-7-C X42, St ..i.--) ,
CONTRACTOR: NAME DAYTIME PHONE:
rte. ,r�e (S<651-LLS- - Is‘ZS--
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
\3S-1-1C? S. 277-tom ?, L. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER- .- __ S`c ��AX EXPIRATION DATE:
(copy of card required) �C_ / /
APPLICANT: NAME- �c L DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP)' EVENING PHONE:
( )
RELATIONSHIP TO PROJECT' FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• - - - . : -'- ' =- - ' _ 1 -DETAILED BUILDING INFORMATION ' -'- r := -.
EXISTING USE: • : ILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPO ' - • • • • *: IMPROVEMENTS: $
SPRINKLERED BUILDING? ■ - ■ NO FIRE SUPPRESSION SYSTEM PR••: D/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROV !-•: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SE• E PROVIDER: ❑ 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
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 - r
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.( )
INTERCEPTORS) 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: `�. 6 - ? DATE: "k- \ �VZ
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY: I
-ADOITioN ❑ ALTERATION _ 01-REPAIR - 0 TENANTIMPROVEMENT -
'CENSUSCODE: _ - LOT SIZE: _ -
_ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
-COMP-PLAN-DESIGNATION BASIC PLAN? 0 YES ❑ NO •
-
-SECTION,= _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PC)BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www-crtyoffederalway-com
• • ELECTRICAL
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or fecdcr only $50.00
___#of Thermostats(First-$37.50;add'n-S 11.50ca)
(First 1 300 112475.00;Each add'n 500 ft?-$24.00) _Service and fecdcr $81.00 k of Low voltage fire or burglar alarms
• Square Feet: First 2500 ft2-S43.50;Each add'n 2500 ft2-S 11.50
_Each outbuilding or garage.. . .$31 00 MOBILE HOME/RV PARK Square Fcct
• (Inspected with service) #of service or feeders • Per WAC 296-46-910(5)(h)(i&ii)
_Lach outbuildingor garage $50 00 (I int service/feeder-550 00,Addie service/ _#of Signs(First sign-$37.50,add'n sign
(Inspected separately) feeder-532 tach) $17 50 each)
_Swimming pool,hot tub,spa . $75 00
_Yard Pole meter loops .. . . ... . ...$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 .... --..S 81 00
Up to 200 amp. .. _$ 81.00 S 24 00 Feeder _201 -600.. ............ ... .... 189 00
_201 -400 amp 101.00 . .........50 00 _0 to 100...........-_-_-.$ 81 00 ... $ 50.00 _601 - 1000 - ......... - . ...284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
601-t00 amp 176 50.------- 94 50 _201 -400... 189.00.... .. 75 00 _#of circuits
_
_Over 800 amp 252.50.. . - 189.00 _401-600 220.50..........88.50 (I-5 circuits-563.50,Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800..................284.50....... 120.50
(When inspected separately from the services) _801-1000 ..... . . ....348.00... 145.50 TEMPORARY SERVICE
Service or Feeder Over 1000.. ..... .. 379.00 . 202 50 Rcsidential/Multi-Family/Commercial/Industrial
_0 to 200 amp ..$ 68 50 _Over 600 volts surcharge ...... . ...63 50 _0-100..... ... ..... .... ....... ..S 50 00
_201-600 amp........... . . .. . .. ...... 101 00 _Mast or meter repair...... ... .......6850 101 -200. .... .. ... ......... ....63.50
_over 600 amp........ . .... . .. . . . 151.50 201-400. ... ... . .... 75 00
_Mast or meter repair.... . . . 37 50 401-600 . .. . . ... . . 101 00
jJ of circuits over 600 109 00
(1-4 circuits-$50 00,Add'n circuits$5 ea)
If service is greater than 200 amp.a plan review is req'd Fee is 35%of permit fee+$63 50 Add'I plan review for other submissions is$75 00/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(0)
TOTAL COLUMN(CO:
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from hne 12
Estimated Plan Review Fee: $63.50 + ( 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 ones Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (21)
Butletrn 4 100—January 18, 2002