02-103631 City of Federal Way Electrical Permit #:02 - 103631 - 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: SILVERWOOD,LOT#17
Project Address: 903 SW 361ST Parcel Number: 779645 0170
Project Description: ELE-LIV T-stat wiring
Owner Applicant Contractor
QUADRANT CORPORATION*KATRINA TO PACIFIC HEATING&AIR PACIFIC HEATING&AIR
PO BOX 130 13633 126TH PL NE#350 13633 126TH PL NE#350
BELLEVUE WA 98009 KIRKLAND WA 98034 KIRKLAND WA 98034
(425)889-9345
Electrical Fixtures
Descriptio :';!3 ttiatelititt 40f0iifilwription = [Quantity ss h eiscri°ficin- Q iantit)
Thermostat 1
PERMIT EXPIRES February 23,2003,IF NO WORK IS STARTED.
Permit issued on August 27,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil_be in accordance with th- aws,rules and regulations of the State of Washington and
the City of Federa ay. 4 .
A. A Date: - 2 l - 0 -2
Owner or agent: �1 •
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«TYCir G CONSTRUCTION PERMIT APPLICATION
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**The foll46gi rriM information—Please print(In ink)or type**
Please note: Electrical,) Prevention Systems and Engineering permits may require a separate application.
•
/ (��'``���J�J.__) Pr(01)ERTY INFORMATION -1161
SITE ADDRESS: C�� c .1 `_J 0 l v� ASSESSOR'S TAX/PARCEL#: lag_5-'V\ C)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTIONLENGTHY):
E'.) ( 5 Or ' Cirvli l t� P 1INe
• PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): RC1.4) L,31 r-6 ne
PROJECT NAME: Si lVw wood f I }
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: //�J�1✓`✓��'U l�C l� �S DAYTIME PHONE:
Q l^� (� S)�-I5� -a-_0►(D
MA D AD ,STATE,ZMt '
\ice vt(4... �'►leo
CONTRACTOR: r` �� DAYTIME PHONE:
�}I- 61..E \/
` 0-QS �i -9��
MM NG ADDRESS(STREET ADDRESS;QTY,STATE P): r KA EVENING PHONE:
k -E-eN pi �j D v �R-.‘n�7 ( P a .t(he
CITY OF FEDERAL WAY BUSINESS LICENSE NDMBER: FAX NUMBER:
(` 2c) ')9
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy acard required) g ( . I( Q r2co3
APPLICANT: NAME:nr,lsorrie_ Qs I DAYTIME PHONE:
(9w nci _9,34 J
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
�/1�L ( �c C �e
RELATINSHIP TO PROJECT: OVAL NUMBER:
�iLIIJ - 0
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) ( )
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MILD(TONE S
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 author! :• by P _owner of the ab• -premises to perform the work for which the permit application is made. I
further agree to hold ess • e Cl F,•eral as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and d_ -ns- of m), lc be made by any person,induding the undersigned,and filed against the City of
Federal Way,but . ly e - -uc dal f' - -s= of the reliance of the dty,including Its officers and employees,upon the accuracy
of the infonmatio' su• •li-�, o th cityj a of this application. J
NAME/TITLE: _ (ofcei 4 ) DATE: $01
❑ PROPERTY OW R 0 APPLICANT ,CONTRACTOR
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AAT..*. '1 .�".��7G y,1Yit �(L�� '� 1 ��pp � �S�x�'y.. ]pgwtir 'T' 'M�. �YF AIMYI.'.A�Ili.n
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dNoffederalway.com
1
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 .L#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 13001t-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft-$43.50;Each add'n 2500 ft-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00 .
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 0-100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
#of circuits over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr.
._..7*:..<3 : w':-77'u::;''.i.-t.s7° 1,/,. .,. ;11.,.11.,:, i':w .4): .�,11,, .:,: !• `ii,br M tri r ' .n... i. - .
Total Column(D)
Estimated Permit Fee: (12)
Estimated Perndt Fee from fine 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
IN DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES ,
Mitigation Fee: (18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total (Pages One&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002