04-101813 City of Federal Way Electrical Permit #:04 - 101813 - 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: L'ORIGAN MANOR LOT 10
Project Address: 715 SW 358TH Sr Parcel Number: 768390 0100
Project Description: Installing new 200 amp service and wiring
Owner Applicant Contractor
CARY LANG CONSTRUCTION INC MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
34618 11TH PLS SUITE 200 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
Description Quantity Description Quantity Description (Quantity
Service: -Residential 3779
PERMIT EXPIRES November 7,2004.
Permit issued on May 11,2004
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. l
Owner or agent: 7i4644: Date: 3//,la4
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Ditch cover inspection:
Date
Rough-in inspection: iStWC3.._C_p 4 Mil Po'w -4. e4
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Service inspection: g"t,/ - i 1---/
FINAL inspection: r ' a L
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T cRv o f RECE�tl ED 33530 FIRST AY SOUTH
•?O BOX 971
FIRST WAY 90(!7!! p BQX 9711
FEDERAL WAY,WA 98063-9771
Federal Way - PERMIT APPLICATION - 253-6614 115•FAfi?53661-4129 —
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minx 1 1 NU
For Office Use Only. —
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FW File Nula: �f
CRY Ut-FEDERAL IN
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The ollowin•Q&J14'•`• • ation-an Inco •fete a••lication will not be acce•ted. Please •rint le•ibl (in or .
■ PROPERTY INFORMATION
SITE ADDRESS: I\C) C,) Ali 3 c3S T !3• SUITE/APT#
ASSESSOR'S TAX/PARCEL 1: 71,e_ph, �/ - U I V SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
'Z-O & '(\T ��" 'V ( 1� C Sl lil �(�.\71 4..4 1 Li
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PROJECT NAME(Name of Business/Owner Last Name): 1✓ Ye 00( $4 C1
■ PEOPLE INFORMATION
PROPERTY (NAM,E: },, 1 PRIMARY PHONE:
OWNER: L/'X(.\ 1 -�1 fl G� ,( 1 Y V( t� J ( 2- a)LcLF'I -
MAILING A DRESS(STREET ADDRESS;): CITY,STATE,ZIP
lC % 11 Pu S Zc r cl-eYD cu VYNN' `1 K c
CONTRACTOR: NAME I COMPANY OFFICE PHONE:
til-e ri c,i_G_hUr -ei.E1ic. ( 2 31&Ll -5595
MAILINGIADDRESSD1 (STREET ADDRESS;): CITY,STATE,ZIP yr-� c 9 a CELL PHONE:
( )
CITY�OF FEDERAL WAYCpm BUSINESS E NUMBER R.)LI I vERPIRATION DATE: 0313 FAX NUMBER
Q—L D 2- 1 (.4) 2 12- 131 / ot4 (2S3)gLA -QSc(Z
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each applicatlon)M E L- L D .L B 3 1 SS (2 2. / Zgj /O s
LENDER: NAME: DAYTIME PHONE:
(If P,op...4 >$5,000)
( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( )
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect a Tenant 0 Other(Describe).. ( )
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner 0 Contractor ❑ Applicant E-MAIL ADDRESS
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE: •
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? a YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHA.VEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) `
•
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■ 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 IDGSTINO TOTAL PROPOSED TOTAI.MIMING um 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 porn...LA WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GIBS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shoomcombo) SHOWERS WATER CLOSETS(roar[( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom smk 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,upon the accuracy of the information supplied to the city as asrpart of this application.
NAME/TITLE: l am ( , � DATE: J i Lc (1
(Signature) (Title) 11{
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant o Contractor ❑ Architect ❑
FOR OFFICE USE,ONLY:�`i, ~.r;.
o NEW - - a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? - • a YES- a NOBASIC PLAN? a YES o NO
•
.?O G DESIGNATION:- = __` - _-__- - CHANGE-OF.USE?: --=---• -- o YES :ONO.- - .
NEW—ADDRESS REQUIRED?' o YES- o NO - UP/SEPA/SU? - o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? O YES o NO
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■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE
t NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet: 1100 Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ 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) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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/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
❑ 0 to 200 amp $ 72.50 ❑ 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
O Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
O Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK 0 101 -200 74.00 51.00
❑ #of service or feeders 0 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
0 401 -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)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): _ (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1•'2500 ft2-$51.00;
• Each add'n 2500 ft2-13"50)•Per WAC 29646-9i 0(5)(b)#&ii)
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