04-101277 City of Federal Way
Community Development Services Electrical Permit #:04 - 101277 - 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: ROBERTS
Project Address: 523 SW 321ST' Parcel Number: 926490 1120
Project Description: Install 1 curcuit to serve new A/C unit
Owner Applicant Contractor
Quentin K Roberts &Lisa E Roberts WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
523 SW 321ST ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-5655 (206)282-4700
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES October 5,2004.
Permit issued on April 8,2004
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 y/Owner or agent: !�ll�-- C/Iiiit"lJ Date: `/ 1/OL
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HFF-5-2884 18: 11 FROM: RECEIVED TO: 1256614129 F'. 11_1
a . APR 062004
COMMUNITY DEVELOPMENT SERVICES
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33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL
:dc ra:i , a PERMf ArVXTION 1.- -- HiF56189To
FW File Number: 0 4 - . 0 .L 2_ -2 ' - 0 1e/ / .
The followin Is required information-an incom lete a 1lcedon will not be acce ted. Please rint legibly(in Ink)or t
SITE ADDRESS: 13 S (A) 3 21 'r S�{ SUITE/APT#
ASSESSOR'S TAX/PARCEL#: I 2 /l±7 D- L L ZOSQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e g..Acme Estates.Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT(ThLs application): ? : 11 1, ?PLUMBING (MECHANICAL ?DEMOLITION
?ENGINEERING?FII2EPINTION SYSTEM
PROJECT ESCRIPTION(P vide detaitled descriptio of work i cluctIzliqntis penult only):
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PROJECT NAME (Name oFBuslncss/Owner Last Name):
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PROPERTY I NAME , / e�I /'�-g� PRIMARY PH I
OWNER: gIL�W L-1) L i` cc L° c i�e-� ( /�. 3 els--r 6
LING ADDRE�(ST ET 3Z 1 / J+ .C.,--k•--i
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CONTRACTOR: t (� COMPANY� t'C•�C OFFICE PHONE j
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FEDE$�L��INESS EN , UMBERBt 2 EXPIRATION/DATE' J FAX NUMBER _
CONTRACTORS REGI 'TION NUMB •G'Q~yc\J//// L /yQQ // ( EXPIRATION DATE
(copy at card required with each application) NAS 1 V rP ( 1 438 ? / q 7e)s-
LENDER: NAME DAYTIME PHONE'
ar Pmpeed Vs WA 15.000) ( )
MAILING ADDRFSS(STREET ADDRESS'): CITY.STATE.ZIP
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APPLICANT: I NAME oa j j...15y....... COMPANY OFFICE PHONE
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MAILING ( ET ADD )' =ZIP !.F] i`f t EVENING PHONE'
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RELATIONSHIP PROJECT FAX NUMBER
?Architect ? Tenant Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ? Property Owner . Contractor ?Applicant E-MAIL ADDRESS
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■ UI 1.111 11)1;1'11111\1, !NI Mot NI lit\
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE S VALUE OF PROPOSED WORK: S
SPRINKLERED BUILDING? ?YES ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?IAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
APR-5-2004 18:11 FROM: TO: 12536614129 P.11
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• ELL(' I'IRI('A1. PI-.RMI I INF OI01A l'ION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-587.00:Each add'n 500 ftz-$28.00) ❑ 0 to 100 amp S 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ [01-200 amp 117.50 74.00
(Inspected with service) S 36.50 0 201 -400 amp 220.50 87.00
U Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) S 58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 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 0 Over 600 volts surcharge S 74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 _AX_7EREED__COM_M__RRcIAIJINDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTIFAMILY U 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601- 1000 amp 332.00
O 0 to 200 amp S 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 #of circuits to be added/altered
X (I-5 circuits-S74.00:Add'n circuits.56.00/ea)
/ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-558.00;Add'n circuity 56.00/et4
O Service over 200 amps
❑ Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
S 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
U Service or feeder only S 58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARI( ❑ 101-200 74.00 51.00
U #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-558.00:each add'n-$37.50)
❑ 401 -600 117.50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats 0 #of Signs
(First-$43.50:add'n-$13.50/ea) (First sign-$43.50:add'n sign$20.50/ea)
O Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s):_ (Includes additional circuit.If required)
O Fire Alarm System 0 Yard Pole meter loops $58.00
O Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
(Per Syatem(s): IK 2500 ftt-$51.00;
Each add'n 2500 frS-13.50)•Per WAC 296-46-910(5JIb10&111
Bulletin#100-January 13.2004 Page 3 of 4 k:\Handouts-Revised\Permit Application