04-101837 1 �
City of Federal Way
Community Development Services Electrical Permit #:04 - 101837 - 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: SMITH
Project Address: 29616 2ND1S Parcel Number: 718300 0130
Project Description: Add circuit for air-conditioner.
Owner Applicant Contractor
DELMON&LAURIE SMITH WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
29616 2ND PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199 SEATTLE WA 98199
(206)272-4700
Electrical Fixtures
Description Quantity Description Quantity _ Description =Quantity
Circuits-Residential 1
PERMIT EXPIRES November 9,2004.
Permit issued on May 13,2004
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. 5113 /"4
Owner o agent eI 1/1417(.2j67145-4,7)
A- , � / Date:
(,( 1
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Oti-totg37
MA's'-1=f-2004 437: 15 FPOM: TO: 125 6614125 P.4 v`'
/ 33530 FIRST WAY South P0 BOX,...UMMUMIT DEVELOPMENT 7971
crrr of �., FEDERAL WAY,WA 98063.9718
Federal Way PERMIT APPLICATION 25361-411S.FAX:253-661-4129
,,,,,u.6ftelPultmievegy men
For 06ic<Use Orltyf 1 �_ — ( 1 L \/ 3 7 - / TO
FW File Number /�.L/- LLL LAG/ ��l (� /
The otiowin. is re.aired in ormation-an incorn•tete a..lication will not be acce.Led. Please •tint le•ibl (in ink)or .e.
/ �7 ■ PROPERTY INFORMATION
SITE ADDRESS: 2-9 CII 164
O !�V-C) r 1 s SUITE/APT #
I j(J// � 2,
ASSESSOR'S TAX/PARCEL #: 7 L ✓ O O 0 / ?caQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates, Lot I)
(Attach separate page for lengthy legal description)
- ■ PROJECT INFORMATION - • -
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 IRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of ork included on this permit only):
--[ S" ( < I s-q4-t-o r r &CG GL& COO/ AI&
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PROJECT NAME(Name of Business/Owner Last Name): S j1 " 1
• PEOPLE INFORMATION
PROPERTY PRIMARY PHON
OWNER NANIE:LAUrte cY^V -C�V^1
L2 3)14'16 6)8k/
MAIUNGLp le (STREET WDDRSS,J� CIF C)STAZIP W/ ctf-&Q 3
CONTRACTOR La. ask c ( /Y,I, f?'' ' `(?f COMPANY OFFICEPHONE: d _ / CO
MAILING ADORE ST ET DRE$SCI: Y .Sc[�AT ,Z Q ,�J (;CELL PHONE:ZOO I - r
CITY(�F�W t1i //�� I (Lys- i
F FO F3pL W�.�BUSINESS�� E NUMBER:
..�O V L.
L /EXPIRATIONCJDATE: FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
L L' ✓Ft
(copy of card required with each appllcatloal 1 !LS '5Loi _ ` / Z 1 or
LENDER NAME: DAYTIME PHONE:
(If P ropow4%Wt.>)5.000) I ) -
MAILING ADDRESS(STREET ADDRESS,;(: CITY,STATE,ZIP ( I
1
APPLICANT; I NAME t 'aWa.yvvfarCOMPANY OFFICE PHONE: -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
I
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant 0 Other(Describe): { ) I -
CONTACT PERSON FOR THIS PROJECT: 0 Property OwnerContractor 0 Applicant E-MAIL ADDRESS
LE
I
• DETAILED BUI"DING INFORMATION '
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
MAY-13-2004 07:16 FROM: TO:12536614129 f P.St
U 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? cow.r>asrulo SOU'PROPOSED tont.MISTING AND r,orosea
"NEW HOMES ONLY+• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
U 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.
IdECFMNICAL
Value of Mechanical Work $
I --AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
NS HOODS(c. ......,441 WOODSTOVES
BOILERS FIREPLACE INSERTS
BFA (c. ......,441RANGES MISC(Describe)
_COMPRESSORS I FURNACES 045 WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/ShowerCanbol SHOWERS WATER CLOSETS(Total MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALSHOSE BIBBS
LAYS(anrbrwm sink 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 pets,and
it
application is made_ I further agree to hold harmless the City of Federal Way as to any claim(including costs, expo
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 Cl of Federal Way,but only where such claim arises out of the reliance of the city,
including its officers d employees&on the accuracy • the Information suppli d to the city as a p of th(a-cl
s apption7
NAME/TITLE: / i �••� J
• DATE:
(Signature( , IF (rick(
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant XContractor o Architect 0
-/ZS 77O 32_,Pe
...,,...,...,....-4'+4,0%.9., -IROFFICESEOIYt�n,� sy : I '
q NEW: t ', .p ADDITION 0 ALTERATION a REPAIR. a TENANT IMPROVEMENT.
"B,UIIDING`SIiELL,ONLY? '•a YES'o NOBASIC-PLAN? o YES o NO
ZONi1RCr DESIGNATION• • CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
-PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
•
Page 2
liullcurt 4IOU -,ianti a•. I...s00:1
MAY-17-200407.16- FROM: TO:12536614129 P.6
kg
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet: 0 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-S87.00;Each add'n 500 ft2-328.00)
❑ 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 garage 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
❑ 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder 0 Over 1000 amp 442.00 236.00
O Up to 200 amp $ 94.50 $ 28.00 U Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00 ❑ Mast or meter repair $80.00
O 401 -600 amp 161.00 80.00
O 601 -800 amp 206.00 110.00 ALTERED.COMMERCIAL/INDUSTRIAL
O Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) 0 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 it of circuits to be added/altered
I (1-5 circuits-S74.00;Add'n circuits,56.00/ea)
8 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
((( (1-4 circuits-558.00;Add'n circuits$6.00/ea)
• ❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
O Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50Commercial Residential -
-- ❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK 0 101 -200 74.00 51.00
O 8 of service or feeders 0 201 -400 87.00 n/a
(First service/Feeder-$58.00;each add'n-S37.50) .
117.50 o/■
• 0 over 600 127.00 n/•
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/ca)
❑ Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
O Security Alarm System 0 Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1I 2500 ft2-S5 L00;
Each add'n 2500 ft2-13.501 •Per WAC 296-6.9101,5)(bflt tr,ii)
1...10.a1•1. -,i0!) ,;.e•t,1.1^. I. GC'l!I • Page 3