04-101434 • - t
` x t
City of Federal Way
Community Development Services Electrical Permit #:04 - 101434 - 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: CEDAR CREEK MOBILE HOME PARK
Project Address: 32820 20TH4Sy4nit27 Parcel Number: 144170 0270
Project Description: Alteration of 20amp circuit to add a security light,2 outlets.Adding wiring run with one inch conduit oui
to commons area.Circuit is located on lot 27 breaker is located on lot 15.
Owner Applicant Contractor
Harold Barney &Yvonne Barney Cedar Creek Home Owner's Association Cedar Creek Home Owner's Association
32820 20TH AVE S#27 P.O.BOX 4421 P.O.BOX 4421
FEDERAL WAY WA FEDERAL WAY WA 98063-4 FEDERAL WAY WA 98063-4
98003-9430
Electrical Fixtures
_ Description Quantity Description Quantity Description IQuantity
[Circuits-Residential 1
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. t !!''�
Owner or agent: .4 Date: 4—i t -0 T
G,l a4bt( wra, kw,,,A --,31t
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Federal WayI t DJL _
PERMIT
OOMAfUM7YDEYELOP6fENTSERVlCES P 1 9 2004 SF MF CO ME EL PL DE EN FP
33530 FDIR A WAY WA 9.FTX 9718 APPLICATION
FEDERAL WAY,FAX
6TD / /
253-661-4115.FAX 253-6614129 F ERA!WAY
www.aluofedemlwau corn
BUILDING DEPT
The ollowin• is re•uired in ormation-an in •fete a.•lication will not be acce.ted. Please •rint le•ibl (in ink)or
2 PROPERTY INFORMATION
3
SITE ADDRESS '4 8`a a'-go Th },q-k1 0. SUITE/UNIT
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desorpaan)
PROJECT INFORMATION
TYPE OF PERMIT ❑ B i DING o PLUMBING ❑ MECHANICAL
❑ DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work eluded on this permit onItt)
12,4..1.71f-Iao nhip aRent<E, TO /i a A 14 s cue 11-y 4( 4,fr-
oa 14 aSi- r poL& tet A ouTLFT'S - )tALLit fe JIJ G Ruu' /QRu1J
V h7 I` I NG l,-or c N D u.Cr• 1L0 Ci fortovLS ,vt wt to r, +F 1�xr Gc , , ea-✓ 10i" ?T
PROJECT NAME(Name of Business or Owner Last ame)
PEOPLE INFORMATION
PROPERTY NAME _j� /���r PRIMARY PHONE G/�
OWNER ca-D/4 lc C/P L E`"\ hi o? j L.i� )4U0'Y1 Pi/r/1 0� )64 I -jq
MAILING ADDRESS TI CITY,STATE,ZIP
3a80o-aoAuE, so, FE-bE0/ L L)b4Yswy . ggoo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
HUM ()CI)Nth S ( -
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / (
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑ 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$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE AlbPRO•$SED USE _
XISTING ASSES'.ED/APPRAISE• VALUE $ VALUE O. •ROPOSED WO• $
SP' NKLERE• :UILDING? ❑ ❑ NO FIRE :UPPRESSION SYSTEM P•OPOSED/•r •UIRED? ❑ a 0 NO
WATE- - - CE PROVIDER ❑ LAKEHA 4 N ❑ GHLINE ❑ TACOMA • • - ',ATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVE ■ HIGHLINE ❑ PRIVATE(SEPTIC)
i
ti=
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? • AL riasm o
TOTAL PROPOSED TOTAL EXISTING AND PROPOSED —
**NEW HOMES ONLY** NUMBER OF BEDROOMSAlMirlithh
ED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture t. .e installed or relocated as part of this projec. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) OODSTOVES
BOILERS FIREPLACE INSERTS RANGES (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT ' BS or Tub/Shower combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DI 'WASHERS SINKS DRINKING FOUNTAINS
tAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinus) VACUUM BREAKERS ELECTRIC WATER HEATERS
- DISCLAIMER/SIGNATURE BLOCK
Icertify under penalty of perjury that the inf rma on 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 premis s to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to arty 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. '
M
NAE/TITLE _ I iI A)2/' u4' d DATE `. 0-0 4
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION ❑ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES 0 NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
•
Bulletin#100—March 30,2004 • Page 2 of 4 k\Handouts—Revised\Permit Application
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i l ,
ELECTRICAL PERMfT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each •dd'n
CI Single Family Square Feet
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.'40
❑ Detached outbuilding or garage M 101 -200 amp 117.50 7 .00
(Inspected with service) $36.50 ■ 201-400 amp 220.50 :7.00
❑ Detached outbuilding or garage ❑ •01-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 6'1-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 80 1000 amp 405.50 169.50
Service Feeder ❑ Ove 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 610 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or eter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED C• MERCIAL/I 'DUSTRIAL
❑ Over 800 amp 294.50 220.50
"-mice or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 am. 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 c., uit to be added/altered
(1-5 circuit-$74.11,Add'n circuits,$6.00/ea)
U # of circuits to be added/altered i
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERC INDUST• • PLAN REVIEW
$74.00 plus .5%of Permi Fee
❑ Mast or meter repair $43.50 ❑ Service 94er 200 amps
❑ Medic aJ/Educational/Ins.tutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee /
MOBILE HOMES /
U Service or feeder only $58.00 // TEMPORARY SE"VICE
❑ Service and feeder $94.50
I Commercial 'esidential
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 ./a
401 -600 117.50 n <
ICI over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostat ,..teal of Signs
(First-$43.50;add'n-$13.50 (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
(Per System(s) 1.2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)6&u)
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Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application