02-103629 City of Federal Way
Community Development Services Electrical Permit #:02 - 103629 - 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: SILVERWOOD,LOT#5
Project Address: 832 SW 361ST Parc `. 'ber: 779645 I 1
Project Description: ELE-L/V T-stat wiring
Owner Applicant Co tor
QUADRANT CORPORATION*KATRINA TO PACIFIC HEATING&AIR P' - C HEATINI IR
PO BOX 130 13633 126TH PL NE 3 126TH PL NE•
BELLEVUE WA 98009 KIRKLAND WA 4 4 RKLAND WA 9:'
(425)889-9345
Electrical tures
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P 4 _ 'IRES 'br ' 20 1,IF NO WORK IS STARTED.
- .t •. e August 27,2002
I hereby certify R. information is co t . INF he construction on the above described property and
the occupancy and the u e be in accorda - ws,rules and regulations of the State of Washington and
the City of Federal .
Owner or agent: �i A ate: €- 27- OZ
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Ep CONSTRUCTION PERMIT APPLICATION
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*"iiFfdlibuii606I u11a1`iinformation—Please print(in ink)or type**
BUILDING DEPT.
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: (�te ' 3"-'0 5 ASSESSOR'S TAX/PARCEL#: 3 J (_ 5--Q350
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION LENGTHY):
8A3 (c_y,�- 1 L Or\ ‘ iIrNcpe l _< i
• 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): �a.k.� r\cl
PROJECT NAME: 6i 1v ,vjavd 104- s
• PEOPLE INFORMATION
PRC,'?ERTY OWNER: NAME: //�t�1`/`✓`► �'Y lX l� �' �.�I Y 1eJ MAILINGDAYTIME PHONE:
tADORES �ADDRESS; T,STAE, ,60, le icie,WA- C
CONTRACTOR: _ /�r ` eati, q DAYTIME PHONE:
Q�ciq
MAI NG�AADD/Dr'CRESSS(STREET ADDRESS;CITY,STATE ) '(�\774- l ct WINING PHONE:-?a3 kco-t-e pi --*- )45(__) wikerf41
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CITY OF FEDERAL WAY BUSINESS LICENSE NDMBER: FAX NUMBER:
( ) � azo
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CONTRACTOR'S REGISTRATION NUMBER: {^ �q EXPIRATION DATE:
(copy of mrd required) g `� I t 1S o Q L L /V /2.�o�-y�
3
APPLICANT: NAME: DAYTIME PHONE: _
5Pw\- eC(S ( 4' c)' c1 -°I395
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
EIPYTV)e GS
RELATIONSHIP TO PROJECT: OVAL
NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): V `u (1J - O
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) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) 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 authori =. by _owner of the ab =premises to perform the work for which the permit application is made. I
further agree to hold r ess . e CiFA•eral as to any claim(including costs,expenses,and attorneys'fees incurred In the
investigation and d a =ns- of m),�I I be made by any person,including the undersigned,and filed against the City of
Federal Way,but . ly e - -uc clal fi = 1 of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio- su. .11.. • th city ra . - - of this application.
(C3fae .,NAME/TITLE: 1"'k) DATE:• 7-
PROPERTY
OW R 0 APPLICANT ,ICONTRACTOR
VIL7 ;1 ! es} ,;y
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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.dtvoffederalway.com
0 • I
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISS EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 1#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft-$75.00;Each add'n 500 R2-S24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alumsSquare 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.
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IIIIIIIIINEMEREISIMIN
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
■ 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