02-104001 City of Federal Way
Community Development Services Electrical Permit #:02 - 104001 - 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#18
Project Address: 901 SW 361ST Parcel Number: 779645 0180
Project Description: ELE-Wiring for one T stat
Owner Applicant n
QUADRANT CORPORATION*KATRINA TO PACIFIC HEATING&AIR PACIF,• ATING• R
PO BOX 130 13633 126TH PL NE#350 1 ' 6TH PL NE
BELLEVUE WA 98009 KIRKLAND WA 98034 n' •ND W: "13-
, )
13-
)889-93
Ele 'cal Fixtures
: • - °�� =e : ' Tori' ) � s, `.tion Qitantit ;
LThermostat ! 1
fr
•
IT EXPIRE .rch 16,201 ' ` '° I ' • IS ST T
issued ep. i 12
111
I hereby certi 'at the above informs" correct and c s ti. on the above described property and
the occupancy • e use will . i acc nce with la s regulations of the State of Washington and
the City of Feder. • .
Owner or agent: ee Applicat Date:
—-w —oZ ? k
RECEIVED • 3,J,3-
[ /�CONS'rTRUCTION PERMIT APPLICATION
Es f/ — S P 1 7 2002 ! PPu 1ION N M _ ''it . £; : ', f �; i, _ .-
APPLICA11ON:: 1 ..r , .: _ -.
CITY OF FEDERAL WAY s-' tt .. s `� ?r` —
BUILDING DEPT. 'MA a ,w5f����4� -` — -- —
,-• ;:T;=pie:_.p.�^t�.a" �
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION /�
SITE ADDRESS:�C)\ 31-0 )-2)(Crt ASSESSOR'S TAX/PARCEL#: J J"i 5-Q c z Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY,(ATTACH SEPARATE DESCRIPTION if LENGTHY):
■ 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): Lia,) \jaAaT Ct (.,31 ria ► l
PROJECT NAME: 15.
/! I V6V 4L( 2.40 ' 1g
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: CU l/�C l R o.N Y ILS DAYTIME PHONE:
(41c)y5 - - a)
MAILWG RES� ]I.ADDRSTATE,ZI�
CONTRACTOR: �/ •� , p � DAYTIME(42cPHONE:
`Q'ls1
NG ADDRESS(STREET ADDRESS;CITY,STATE P):44. EVENING PHONE: -9 �
_' �th -#'- 50 wft-Aigi ( 001),(9
� 4Cl
CITY OF FEDERAL WAY BUSINESS LICENSE N BER: FAX NUMBER:
(L1 ) )9 - (LW
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: / /y�
(copy of card required) a .r,rc• 480. 0 L L � (" /tie, co3
APPLICANT: NAME: DAYTIME PHONE:
ctba
(yam)Sm9 -° 345
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
e G-S G
RELATIONSHIP TO PROJECT: p FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):OVAL (42U 9- 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:
■ FIXTURES
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) 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( =d by ., =owner of the a. . - premises to perform the work for which the permit application Is made. I
further agree t"ii,
r ess . e Cl -oral as to any claim(induding costs,expenses,and attorneys'fees incurred In the
investigation a - of h m), TI be made by any person,including the undersigned,and filed against the City of
Federal Way,be,- u clef - of the reliance of the dty,including its officers and employees,upon the accuracy
of the informat -��•. th dty .ra - -• of this application.
NAME/TITLE:
/ (oV 1 4te_ 1 .) DATE:' q— 11 O).--
❑ PROPERTY OW R 0 APPLICANT ,I CONTRACTOR
LA„„° ;t.° ta(~_ x+."N'`i_:':
_ _ _ ;
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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
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES ?ISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 #of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft-$75.00;Each add'n 500 fl-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 t12-$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 S 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.
.,,:',4, ,. :r; .:�:a•.' ';'1, ''. >, _ ...el":* 1;1: 44- a;(a)! 'i':,`',•' ., ,,>., l I::,1,•14, ar•'','Pi..i.: • .'i.. ... `.'' :1.'r,'`: __ .
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