04-101087 t
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City of FederalWay
Community
Development Services Electrical Permit #:04 - 101087 - 00 - EL
ity
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: KIM ptJ�
Project Address: 32211 11TH'SW Parcel Number: 926493 0580
Project Description: Add four branch circuits for 1,040-square foot addition to a single-family residence.
Owner Applicant Contractor
NICOLE KIM &David Kim ARCH/TEC*KI Y.NAM* L&D ELECTRIC
32211 11TH AVE SW ARCH/TEC 14811 16TH AVENUE CT S
FEDERAL WAY WA 29605 MILITARY RD S SPANAWAY WA 98387
98023 FEDERAL WAY WA 98023
(253)208-6582
Electrical Fixtures
Description Quantity Description Quantity Description IQuantity
Circuits-Residential 4
PERMIT EXPIRES September 20,2004.
Permit issued on March 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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / %rte Date: fir s'.
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RECEIVED
COMMUNITY DEVELOPMENT SERVICES
•
33530 FIRST WAY SOUTH•PO BOX 9716
am��Way MAR 2 4 2°04 PERMIT APPLICATION E.L.. FEDERAL W 7� " wati »
Federal
CITY OF FEDERAL Wl)Y
• BUILDINGl DEPT. ' To=
•
•! ForoSce�, only FW File Number: Q — 0 � Q — (..74/.0 / /
The ollowin• is re.uired in or enation-an into .lete a..iication will not be acce.ted. Please •rint le•ibl (in ink)or .-,
I ■ PROPERTY INFORMATION
SITE ADDRESS: 3 2/61 nth 1 • LA) SUITE/APT M
ASSESSOR'S TAX/PARCEL#: - 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): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM .
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlg):
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PROJECT NAME(Name of Business/Owner Last Name):
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE:
OWNER p4 v,'D A /7 ( ,. t,/
MAIL' 1DDRESS(STREET ADDRESS'- CITY,STAT ,ZIP
X21 t ((&J cw kx?
CONTRACTOR NAME COMPANY OFFICE PHONE:
V 0.D e4ec:€v e. ()AI ) 531 - D-7-3 o
MAILING ADDRESS(STREET/� �
ADDD/RREE'SS;): CITY,STATE,ZIP CELL PHONE: 'Y
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Net
51111111A.
CITY OF FEDERAL WAY BUSINESS LICENSE NM
1 EXPIRATION '(TE FAX NUMBE
- / / ( ) -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER NAME DAYTIME PHONE:
(If Proposed Value>$5,0001 ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME COMPANY OFFICE PHONE:
v e. ASc 7,%. ( ) -
MAILING ADDRESS(STREET ADDRESS) CITY,STATE,ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant 0 Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ 4
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
1 SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT • -
AREA DESCRIPTION EXISTING` FT. PROPOSED SQ.FT. TOTAL . .
BASEMENT •
FIRST
SECOND
•
THIRD •
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL)-- T/ '�P '/POSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: I', i IMATED SELLING PRICE: $
IIIIIIIIIIIMINIMIIIIKIM 3111111E1111111111111111.1.11,
Indicate number of each type of fixture that is to be installed or relocated :,s part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
- AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOG. __ REFRIG.SYSTEMS
FANS HOODS r , ,,,,.,,.ill WOODSTOVES
BBQS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe) �
COMPRESSORS FURNACES GAS WAT, I' H EATERS
DUCTS GAS PIPE OUTLETS
PLUMBING I
BATHTUBS IorTub/shower combo) SHOWERS WATER .,t-rodO) MISC(Describe) '
DISHWASHERS SINKS DRINKIE., I' )I,\'TAINS
GAS PIPE OUTLETS _ SUMPS RAINWAT .I'SS
WASHING MACHINES URINALS HOSE Ii.. ,
LAVS(Bathroomsiok VACUUM BREAKERS ELECTRIC;'..A"I'i'R HEATERS
• DISCLAIMER/S ' '=TURE BLOCK . -.'•
I certify under penalty of perjury that the information fu shed by me is true and correct to the best of my
knowledge,and further, that I am authorized by the owner of the ove premises to perform the work for which the permit
application is made. I further agree to hold harmless the City of feral Way as to any claim(including costs, expenses, and
attorneys'fees incurred in the investigation and defense of such, im), which may be made by any person, including the
undersigned, and filed against the City of Federal Way,but only. ;re such claim arises out of the reliance of the city,
including its officers and employees, upon the accuracy of the in; nation supplied to the city as a part of this application.
..—
NAME/TITLE: /�L/l ( ) DATE: A.1.41/7.
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RELATIONSHIP TO PROJECT: •• Property Owner ❑ Applicant ontractor ❑ Architect 0
FOR OFFICE USExONLY: ,
❑NEW - a ADDITION o ALTERATION a REP a ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES o NO
PLATTED LC ' a YES ❑NO DEMO PERMIT REQUIRED? a YES a NO
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• ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL o
•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) C3 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
❑ i - see ..,. 117.50
ill over 600 . ,p 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
#of circ s to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
• (1-4 circ • -$58.00;Add'n circuits$6.00/ea)
❑ Service over 200 amps
U •ast 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
❑ Service or feeder only $58.00
-
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) .
❑ 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
❑ Voice Cabling (for modified submittals) $87.00/hour
❑ Data Cabling
0
(Per System(s): 1• 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(6/(a ul
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