04-102064 City urhaerAl Way Electrical Permit #:04 - 102064 - 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: CASSENS
Project Address: 1234 SW 327TH pi Parcel Number: 926494 0780
Project Description: Addition of(4)circuits
Owner Applicant Contractor
John M Cassens &Karen E Cassens MOUNTAIN STORM ELECTRICAL INC*TA] MOUNTAIN STORM ELECTRICAL INC*TA]
1234 SW 327TH PL 5045 S SHERIDAN AVE 5045 S SHERIDAN AVE
FEDERAL WAY WA TACOMA WA 98408 TACOMA WA 98408
98023-4962 (253)232-9636
Electrical Fixtures
Description !Quantity Description Quantity Description !Quantity
Circuits-Residential 4
PERMIT EXPIRES November 20,2004.
Permit issued on May 24,2004
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 ac ordance with the : s,rules and regulations of the State of Washington and
the City of Federal Way. /y�
Owner or ag- , 4 ,_ A Date: - /i7n( 0(, /
6Po4C—&47.0•.• likkkaOLZ4
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FLNALED
����- RECEIVEDO Li - I b 2 0 C ({ -
F�deralWay PERMIT �•L DE EN FP
COMMUNITY DEVELOPMENT SERVICES Y 2 4 200k.
0 0, . MF CO M
33530 FIRST WAY,WA 9•PO BOX 9718 A P P L I C AT I l�T `k`
FEDERAL WAY,WA 98063-9714 n / /
253-661-4115•FAX 253-6614129
www dttiofederdwcwcam CITY OF FEDERAL WAY
BUILDING DEPT.
The ollowin• is re.uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le.ill (in ink)or .
PROPERTY INFORMATIONr
SITE ADDRESS /Z3 L( 3F- PLiei — S w) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desorption)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING o PLUMBING 0 MECHANICAL
0 DEMOLITION *ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
ft /fly / .= (- //2./4 I 2 //c-z,0 62/1/1/Cif C/C-Cu(75-- l L/l/lizr/AW/"/
/- 6(-7/Ue-xsx-�Gc,e_ta - o t iS 6 Z---Vile-&) 1//e %C's/_ C//ZCGL /
G/Eif/T//ilC? To Zonis /s 7 c7- /°4 c- li,Az/-" on( Z� r?,7 ft6- 6_ Z.e-c
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
1 PROPERTY NAME PRIMARY PHONE
OWNER J-f f/V C4-55'6703 ( ) -
MAILING ADDRESS CITY,STATE,ZIP
7 1311 3Z- Pic fC& 44)/444 w4 /bO Z 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/I7a,,tiril/k 5rae,rF- ertieift- itiC
;4“3,0 &— (Z53) Z3Z-- - X
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(253)732 - 6'.3(e
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ZQ-Q `.-1 0 L 8 Y &- B L / 2 / 3/ 'Zoe (Z53) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
n Q (—J /1LT.SE/ & zDic 3 / /2- 1 (2
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED7�� BUILDING INFORMATION �/, / ///
EXISTING USE 5/�(-7� j2 //t y -4 We"It n9r) PROPOSED USE 0S//v6(.(9- /'WQI.CIL G-i7�'v ,
EXISTING ASSESSED/APPRAISED VALUE/ $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. _ TOTAL
BASEMENT
FIRST 3(7 c(
SECOND (�
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
•*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(commerr„q WOODSTOVES
BOILERS _ FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShourrCombo) SHOWERS WATER CLOSETS iroa<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smlrs) 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 ..ts, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including th dersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city, in. di g its officers mployees, upon the accuracy of the information supplied to the city as a part of
this application. 1 /
NAME/171L£ - / /', Fi DATE 2 �M
(Signature) I (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect Other EGt(-1tzlc4L Rita--
FORR OFFICE USE ONLY
❑NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑ NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-March 30,2004 Page 2 of4 k\l-landouts-Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CISingle Family Square Feet
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) CI 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
Cl 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
❑ 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 CI of circuits to be added/altered
,/ (1-5 circuits-$74 00,Add'n circuits,$6.00/ea)
7 #of circuits to be added/altered COMMERCIAL INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58 00;Add'n circuits$6 00/ea) COMMERCIAL/
INDUSTRIAL
74 00 plus 35%of Permit Fee
❑ Mast or meter repair $43 50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94 50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 - 200 74 00 51.00
(First service/feeder-$58 00;each add'n-$37 50) ❑ 201 -400 87 00 n/a
U 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
O Security Alarm System
❑ Additional Plan Review $87.00/hour
0 Voice Cabling (for modified submittals)
0 Data Cabling
(Per❑ System(s) Iii 2500 ft2-$5l 00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(b)(i as n)
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Pernut Application