04-101566 of
C1 munityFederal Way Electrical Permit #:04 - 101566 - 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: PETIT
Project Address: 1822 SW 353RD 91 Parcel Number: 926975 0620
Project Description: Adding a circuit to an existing service for a new A/C unit.
Owner Applicant Contractor
Martin R Pettit &Vicki L Pettit WILDCAT ELECTRICAL SERVICES,INC WILDCAT ELECTRICAL SERVICES,INC
1822 SW 353RD PL PO BOX 88577 PO BOX 88577
FEDERAL WAY WA STEILACOOM WA 98388 STEILACOOM WA 98388
98023-3117 (253)589-8534
Electrical Fixtures
Description Quantity Description Quantity Description ;Quantity
Circuits-Residential 1
PERMIT EXPIRES October 24,2004.
Permit issued on April 27,2004
I hereby certify that the above information is orrect an' at the construction on the above described property and
the occupancy and the use will be in accor.: ce • .ii'ffIrk ws,ru -s and regulations of the State of Washington and
the City of Federal 7
Owner or agent: Date: p1 4/4„ a.Bs
a"or BELE V ED p y - 1 Q. e
Federal Way PERMIT
353 RSTWAYELOPI4EATSERKI 1(l�q SF MF CO ME�'L DE EN FP
33530 DR A WAY S,WA 98063-9718
.06 7 P PLIC AT I 0 N
FEDERAL WAY,WA 98 063-9 718 D
253-661-4115•FAX 253-661-4129 / /
www.dttofederalw0J0 �OF L-DEFAL'\A
` BUIL• iN(- DEPT.
I The ollowin, is re•tared in ormation-an inco •fete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or • .
PROPERTY INFORMATION
SITE ADDRESS /7.).,?-- 5 w DS-3' t..- SUITE/UNIT it
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desompnonJ
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION XELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJEC DESCRIPTION,1 Ovide tailed des. '. .n of work included on this permit only)
pL.
PROJECT NAME(Name of Business or Owner Last Name) /*/Cw ` /
PEOPLE INFORMATION
PROPERTY NAM ���- PRIMARY PHONE
OWNER I l t /G� t � 1.763)k71 --5 Z ag
TY
MAII -aRE gLA) 3 J 3pvL► CTE,ZIP iii"e
CONTRACTOR
/PA NAME APPLICANWVE n ilL OFFICE PHONE
VINCLsexADDRESS57s77 C STA E,ZIP CELL PHONE
s'3)(-4771517
CITY 1 qgAI,WA US�_ LICENSE(UZ - B L I`�PIRATION' 3( pATE -FAX/V / �)E
R-
9 9O1V /
T7 i����REGISTRATION� (copy� of�and required with each application) �/X/ 0/ /
I DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 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
DETAILED BUILDING INFORMATION
EXISTING USE e-st r P/J(/ I/l-L.— PROPOSED USE
' EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
ll
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL ^^ T 1
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTDIG 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(Commerc,m) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS)or Tub/ShoworCombo) SHOWERS WATER CLOSETS boar 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 perso ding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the r liance of the city includin officers a'Nd employees, upon the accuracy of the information suppli to the city as a part of
this application.
NAME/TITLE DATE C777 Ir Z1
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
•
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
N.
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(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
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
0 201 -600 amp 220.50
Service or Feeder 0 601 - 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)
❑ r #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
O Mast or meter repair $43.50 0 Service over 200 amps
O Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $58.00 TEMPORARY SERVICE
U Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00
❑ #of service or feeders 0 101 -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
U #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
El Fire Alarm System U Yard Pole meter loops $58.00
El Secunty Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s) 1.,2500 ft2-$51.00,
Each add'n 2500 ft2-I3 50) `Per WAC 296-46-910(5)(W&n)
w
Bulletin#100-March 30,2004 Page 3 of 4 k\I Iandouts-Revised\Permit Application