04-101526 City of Federal Way
Community Development Services Electrical Permit #:04 - 101526 - 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: McRAE Y°'
ll
Project Address: 34011 23RD1SW Parcel Number: 330630 0070
Project Description: Adding/altering up to 4 circuits for laundry/bathroom remodel in existing residence.
Owner Applicant Contractor
Robert Scott McRae &Kathleen K McRae Robert Scott McRae Robert Scott McRae
34011 23RD AVE SW 34011 23RD AVE SW 34011 23RD AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7769 98023-7769
Electrical Fixtures
Description Quantity Description Quantity Description 'Quantity
Circuits-Residential 4
PERMIT EXPIRES October 20,2004.
Permit issued on April 23,2004 ^f.Y
1
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: ir- [4p US f '' CLQ) Date: .4--"1.9)-'C."
CP 1,14 (:)e-1" 000e_Ditic -
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NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK X
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Rough-in inspection:
Date
FINAL inspection: t-.%,- - i - ` `,�,
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COMMUNTlYDEVELOP R ri' TS.IIV ED PERMIT SF MF CO M PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 977118 f
253-661A;W5 FAX 256397183 2004 APPLICATION rr°toe2 / /
www dtuoljederal
The ollo +.,♦ Lj .: .NG,-.;;.:. . • 'on-an inco •tete a••lication will not be acce•ted. Please .rint le.ibl (in ink)or .
PROPERTY INFORMATION
SITE ADDRESS 3 AC\\ t ) • ', �^ SUITE/UNIT#
fi�
ASSESSOR'S TAX/PARCEL N , ) ) D k.123 O - C) Q -1 0 CA LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ')\c ` , q�\m� �G�`1,fi /C�'t,fl
(Attach separate for lengthy legal descnptron) I �` t� �'^"`'� 1
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this sermi onl i
�/Z•..�''a A. 4141.". �.�1. ik _'�:�i 'h Ati. -'• ._ %w����•..!-_,.4Aw0lijr-r.,;4
-
PROJECT NAME(Name of Business or Owner Last Name) �,C'�012)
PEOPLE INFORMATION
PROPERTY N E
OWNER
01 rk �- *� ( MARY'Ri 1 -� -3
MAILING A DRE SS CITY,STATE,ZIP
5A-O\\- 2.3 rc� �;c� \ �1`�``)j v i A ci BCZ3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
"oQir
MAILING DR t ` CITY, TE,ZIP
CELLPHONE
h�a�nec�wn i O ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME
\ APPLICANT NAME OFFICE PHONE ON
E
c \ j‘/ e ( )
MAI C Y,ST EZIP CELL PHONE3ee_ AI:Dyneccoatar ‘n-Sb
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect CtWenant 0 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
Y
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
t
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTT,�iG SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
—
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT I
HOW MANY FLOORS? TOTAL EXISTDIG TOTAL.PROPOSED TOTAL EXISTING ARO PROPOSED I
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
-YrVdirtc►tuitrbr(i S typki VL •e Inst'a1lec ejo d e4 astpArt. this fat I Doh ' e ' ffng .td = .
•
f r• • P t.
MECEIA CAL ,, `
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTue/shower Combo) SHOWERS WATER CLOSETS(roue) 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 relianc of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of 1
this application. �n Q / !
�r
NAME/TITLE i/ / fi/leig;am-' DATE , 3--,
(Signature) (Title)
RELATIONSHIP TO ROJECT ` er ❑ Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
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
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
❑ 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 ❑ it of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
ti Li #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
❑ H 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 U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ 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)(W&ill
Bulletin#100-March 30,2004 Page 3 of 4 k\l-landouts-Revised\Permit Application