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04-101444 City of Federal Way Community Development Services Electrical Permit #:04 - 101444 - 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: POTTER Project Address: 36319 14THSWParcel Number: 218000 0980 Project Description: Install service and wiring for new 2300 square foot single family residence w/attached 600 square foot garage. Owner Applicant Contractor Richard C&Terri A Potter PUGET SOUND ELECTRIC PUGET SOUND ELECTRIC 2702 SW 351ST ST 7825 KELLY BEACH RD 7825 KELLY BEACH RD FEDERAL WAY WA 98023-3091 OLYMPIA WA 98513 OLYMPIA WA 98513 (360)459-1021 Electrical Fixtures r Description Quantity Description Quantity j Description Quantity Service: Residential 2900 PERMIT EXPIRES October 16,2004. Permit issued on April 19,2004 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: Cx. acupp Date: O._.PILL—t tQ t a noy ( 1;,0b,\k, i\cNc .c.coe___CI Silt( \,CQ > \k'W-00e_cS( FiEcov D _ N Oaf —io il.014 — COMMUN71Y DEVELOPMENT SERVICES CRY of�� 33530 FIRST WAY SOUTH•PO BOX 9718 Federal Way APRU 1 9 ERMIT APPLICATION FEDERAL WAY,WA 63-9714 253661 4 115•FAX:253-53-66/-4129 $maw attoffedernhaaq mm `D t�`; — To For Office Use Only WI�{'� 1/1 f1 ERT•CO - / ' W W H@ N�'��1I�DE� / / ILr'' The ollowin• is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le.ibl (in ink)or .e. ■ PROPERTY INFORMATION SITE ADDRESS: 3 CQ b(C 14-th -e._ S S. La• SUITE/APT x ASSESSOR'S TAX/PARCEL S: - 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 ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM I PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): Re z d€r y \ \-ku(�j z U.S I cu cQC,0 cur Of H- 5 u,r 1U1 - (93 UOQ VAou s-e. ( && g Qn_0 g y PROJECT NAME(Name of Business/Owner Last Name): P(ko,Q-� �C O\ 4' 1p�,}Au e _ R_:;%!'�'ff,11 ■ PEOPLE INFORMATION I PROPERTY NAMAL., nI PRIMARY PHONE: OWNER: PTtp Q` ',• V 1C .1Z-OJ ( ) - I MAILING ADDRESS(STREET ADDRESS;)• CITY,STATE,ZIP CONTRACTOR: NAME COMPANY OFFICE PHONE: PU2eA- so�rd �.c is (sub)4t�q - $oat MAILI ADDRESS(STREET ADDRESS;). CITY,STATE,ZIP CELL PHONE: P 1� g85(u (3D ) aao - 3"138 CITY F�RAL WAY BUSINESS LICENSE NUMBER: �� EXPIRATION DATE: (� FAX NUMBER: a Q-1) Q-1 Q 2 0 19 lQ- DO EL va/ 31 /ate (3/06)Li5Co - C8Coc1 CONTRACTOR'S REGISTRATION NUMBER. r r EXPIRATION DATE- (coPy of card required with each application) P LI /1�1.1 G 5 C I Q 3 0 }' " 0 3 / 0 8 /a0ap LENDER NAME: •S� DAYTIME PHONE (If Proposed Value>$5,000) ( ) - MAILING ADDRESS(STREET ADDRESS;) CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE ( ) MAILING ADDRESS(STREET ADDRESS) CITY,STATE,ZIP EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER. ❑ Architect 0 Tenant a Other(Describe): ( ) - CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor ❑ Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING,SQ.FT. PROPOSED SQ.FT. TOTAL • BASEMENT FIRST 3 3 CL 2 - SECOND ilIl THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT i 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 that is 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(commeidal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS i PLUMBING BATHTUBS(orTub/shower combo( SHOWERS WATER CLOSETS(roue) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS ,, WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS { I I t ■ 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 i, 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, 1 including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: .JLt. 1.9 ut.f i -Q k: Ofl ©s C�QDATE: 4- i`{ 1�+— - -1 (Si ure) , r (Title) RELATIONSHIP TO PROJECT: 0 Property Owner ❑ Applicant contractor 0 Architect ❑ FOR OFFICE USE ONLY: , . , t,w ❑NEW a ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION: CHANGE OF USE? a YES ❑NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES a NO Ilulleurl •r:il: -,:<A_.,I,- . ;f:',;,{ Page 2 -' • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE CI Single Family Square Feet: 3()0 L C() 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)NEW 801 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 U 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 ElOto 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 ❑ 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) ❑ Service over 200 amps U Mast 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 U 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 $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s): 1• 2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 29646-910(50)(1&ill \° .... •.1 . _, . 1 y; Page 3