02-103892 City of Federal Way
Community Development Services Electrical Permit #:02 - 103892 - 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#12
Project Address: 36007 9TH SW Parcel Number r '5 0120
Project Description: ELE-Install low voltage thermostat wiring in residence.
Owner Applicant Contractor
QUADRANT CORPORATION*KATRINA TO PACIFIC HEATING&AIR P IC HEATING: '
PO BOX 130 13633 126TH PL NE#350 1 ". 6TH PL' 350
BELLEVUE WA 98009 KIRKLAND WA 98034 KI' 4, 4 W 8034
(425)88'
Electri. Fixtures
Descriptio Quan' Descriptr, Qua escription Quantity
Thermostat 1
41) V
PERMIT E ' S ' h 9,2003,IF NO WORK IS AR
t issued on September 10 2 I
I hereby certify th. + - •ve ' formation is ect and thAthe construction t I , 4a'escribed property and
the occupancy . d the usti �-- ' acc. • a with t.; 'A.,rules and r ti s o the State of Washington and
the City of Fe.-ral Way.
1),Owner or agent: _ __- A `f`` Date:
•
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5 — 12 - Cz L. ,N pre
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fe/- Z'-C-? F(14 t / _qv-a, i ,____ --s.
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RECEIvty
SEP 1 o 2T::2. ,
F G CONSTRUCTION PERMIT APPLICATION
EOEIZL�_ CITY OF FEDERAL WAY P Y .,
BUILDING DEPT. APPLICATION NUMBER:
APPLICATION NUMBER: - - _
APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
SL Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS:3II,LJ0-1 / I ' ASSESSOR'S TAX/PARCEL #: 7161(471-1_ - QI
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION LENGTHY):
iq e.L.,) cor- - O� -e " C i .mac'.[
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Qd-V---N.C'/......
-) -1-- Cct (....... I ru !1 Ci_
PROJECT NAME: C v" ( Go 7"t(
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: 0 DAYTIME PHONE:
L 1C&m k )H5' -3cloD
MAI G ADDRESS(STREET ADDRESS;CI Y,STATE,ZIP•
CONTRACTOR: NA DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE IP): EVENING PHONE:
CITY OF FEDERAL WAY BU INESS LICENSE NQMBER: FAX NUMBER:
— (Li-2- ) �C1 -
CONTRACTOR'S REGISTRATION NUMBER: t� (� N DATE:
(copy of card required) F� ( _.,rE 4 a Q. 0 I. L / 1' /2a3
/
APPLICANT: NAME: DAYTIME PHONE:
1me-- OS _ (y )`GS`9 -9395
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEV�VE((NING PHONE: Q
RELATIONSHIP TO PROJECT: OVAL
/ FAX NUMBER:
CI ARCHITECT ARCHITECT TENANT ❑ OTHER(DESCRIBE):�� (l4 <--z69- (D(,:1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 d by the owner of the al). - premises to perform the work for which the permit application is made. I
further agree to hold less a Ci f F- eral - as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and de ns of ch im), is be made by any person,including the undersigned,and filed against the City of
Federal Way,but o ly a uc clai • se o• of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio su li o th city •s'a .• r of this application.
NAME/TITLE: ( Y- 1 6C C (A l''j�, DATE: L,'
❑ PROPERTY OWN R ❑ APPLICANT ,CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES El NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.corn
0 ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $50.00 1#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft-$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'I plan review for other submissions is$75.00/hr.
iin:XItEZESCRIP US taIXTORE4EEFROMTABLE-8(B) '.:NUMBER'OF::ONITS`C) .
Y;.TOTAL COLUMN!(D):
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): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-February 19, 2002