04-101317 to
City of ity Development Services eveWay
' CommunityElectrical Permit #:04 - 101317 - 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: TERRY
Project Address: 1918 S 297TH P 1 Parcel Number: 367440 0207
Project Description: Alter existing 200-amp service to 320-amp;install electrical wiring for addition.
Owner Applicant Contractor
Stephen M Terry &Audrey H Terry SOUTH SOUND ELECTRIC*MIKE STURDE SOUTH SOUND ELECTRIC*MIKE STURDE
1918 S 297TH PL 7342 CEDAR FLATS RD SW 7342 CEDAR FLATS RD SW
FEDERAL WAY WA OLYMPIA WA 98512 OLYMPIA WA 98512
98003-4214 (360)867-4100
Electrical Fixtures
Description 'Quantity Description Quantity Description iQuantityl
Alt.Serv./Feeder:201 to 600 amps-R1
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 b- in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
41
Owner or agent: / i` / / Date: y- 8
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RECE�VE�'ERMIT o - h o c 3 i 7
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COMMUMIYDEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9»a APR 0 8AP P LI C AT I O N
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FEDERAL WAY, 6 1d /
253-6614115•FAXX 25353-661-91-4 129
wwtn.cituo/lederahnuu.coat CITYRROF FEDERAL WAY
The ollowin• is re•uiretl 1 ' ' °'ii2 • inco •fete a.•fication will not be acce•ted. Please .tint le•ibl (in in or
PROPERTY INFORMATION
��qq
CI
SITE ADDRESS t`l 181 5497114 P • SUITE/UNIT
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy kegal desmpaon)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESION(Provide detailed description of work included on this permit only)
AbOWVO ek) aLT,Eid ...,,,.,
rpr
PROJECT NAME(Name of Business or Owner Last Name) r /_./-- E t/,Ift 5oL o dfC C
PEOPLE INFORMATION
PROPERTY NAME 9 • n^^^ ��', ' PRIMARY PHONE
OWNER '�cvM tQ IJV ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5tv \ sou-4.6 01C4NM Sivve_JfT1 r (1.60 ) y,„? - /1/00
MAILING ADDRESS CITY,STATE,ZIP /1 CELL PHONE
'2314Z Ca AO, 0i .(4) BLkj, t�A. 9037Z- �g►jtco)) -7/3/
CITY F FEDERAL WAYBUSINESS LICENSE NUMBER- EXPIRATION DATE FAX NUMBER
(U`,I,ts/''�/BU B L / (.200 ) p'? -it.3<i'
—
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDR CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME
y ( PRIMARY PHONE E-MAIL ADDRESS
1 r' S' )� ►f (34,o ) r6/ - 41100
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ,
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
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 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(Commermal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/show,Combo) SHOWERS WATER CLOSETS(roiri MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) 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 a part of
this application. /J,�
NAME/TITLE flATA 511 w cceiJoi- /�y/DATE 1-.1.1
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
t
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI 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
❑ 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 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$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
❑ 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
O Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) 1,,2500 ft2-$51.00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(b0&a) •
c
Bulletin 4100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Penult Application