02-104256 I I -
- `
City of Federal Way
Community Development Services Electrical Permit #:02 - 104256 - 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#32
Project Address: 926 SW 363RD Parcel Number. i 79645 I ' I
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 13, 126TH .l #351
BELLEVUE WA 98009 KIRKLAND WA 98034 KIR > D '8034
(425) '
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Electri s\ Fixtures
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rThertnostat inia
IlicPERMI .PIRES March 31 103,IF NO WORK IS STARTE
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Permit issued • I etober 1,2002
I hereby certify t the above information is co t . • . construction on the bo prope and
the occupancy an e use will be in accordance aws,rules and re ula ' s t .i to of ashington and
the City of Federal y See
plication
Owner or agent: to' / —az--
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4111 , CITY OF Building Division
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Federal Way • 33530 First Way South
P.O.Box 9718
Federal Way 98063-9718
Phone 253-661-4115
Fax 253-661-4129
INSPECTION NOTICE
ADDRESS: Ci \) ,i6:, vc� _ #: 02.— 1 D 4 Z_S6 —
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IF YOU HAVE ANY QUESTIONS CAL„ --------; (253) bbl- q`s--7
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
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DATE INSPECTOR
DO NOT REMOVE THIS NOTICE Page \ of
• ' RECEIVED '
CrrYOr GOCT 0 1 2002 CONSTRUCTION_ PERMIT APPLICATION
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#PPLwArin
CITY OF FEDERAL WAY ,
BUILDING DEPT. APPLICAATIQN, JI!
ILD 5.
5.11-���i^�4�{�
**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: q W 5� `d 1 ASSESSOR'S TAX/PARCEL#: .1-21 C -C.2 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY ATTACH SEPARATE DESCRIPTION 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): U4) VQI s-, rufkol
PROJECT NAME: / 2-
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
M G ADD (STREET ADD f ATE eS 4Z� Lis - ( )
CONTRACTOR: P f'( �keA _ (AYTIME PHONE:y,�
MM NG ADDRESS(STREET ADDRESS;CITY,STATE P):4-. �[ `KAEVENING PHONE:
I?i Q -
CITY OF FEDERAL WAY BUSINESS LICENSEtFAX NUMBER:
(1-12S1`lqS9 - aZO
CONTRACTOR'S REGISTRATION NUMBER: `� , EXPIRATIONRADATE:
(may a C card required) �.r C a Q �. L kc, c7` /kio aco3
APPLICANT: NAME:�,� DAYTIME PHONE:
c rre 05 CLX7 (4W 7S9 -° 345
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
EIPY-Ne
RELATIONSHIP TO PROJECT: FAX NUMBER:
OVAL,
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (Li/u4 1- (.v5)
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 authori =• by • =owner of the ab• : premises to perform the work for which the permit application Is made. I
further agree to hold ess • e CI F eral as to any daim(including costa,expenses,and attorneys'fees incurred in the
investigation and d= ns- of h m), j i be made by any person,induding the undersigned,and filed against the aty of
Federal Way,but • y e : -uc clef T` of the reliance of the city,Including its officers and employees,upon the accuracy
of the informatio' su, •li- • • th city ra ' - - of this application.
NAME/TITLE: / �.-- `�Y 1 4c ((S �JI4,) DATE:• 4v—� ��
❑ PROPERTY OW R 0 APPLICANT ,CONTRACTOR
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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.cltyoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMESISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 J#of Thermostats(First-$37.50;add'n-$I 1.50ea)
(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 8=-$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 _ (1
201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -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 repay 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.
:t'> rJl: , ?i,S: ''I.,`(a1; . y,- - ii ,,-+:(.I: --iy - 10}!, 'F'.;,t .i,,; 0.1.,.,Hi 7. `.1,,.,):1fsi, 'i.!1
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