02-104719 City of Federal Way
Community Development Services Electrical Permit #:02 - 104719 - 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#40
Project Address: 36319 8TH SW Parcel Number: •645 0400
Project Description: ELE-New T-Stat wiring
Owner Applicant Contra r
QUADRANT CORPORATION*ICATRINA TO PACIFIC HEATING&AIR(electrical) P IC &AIR(ele
PO BOX 130 13633 NE 126TH PL SUITE 350 1 363 PL SU 350
BELLEVUE WA 98009 KIRKLAND WA 98034 KI 98
(425) 9-93
53•
-ctrica ures #
Description i - w - - D escri•tion . Quaratit�y
Thermostat
1
-- PIRES April 30,2003,IF NO WORK IS STARTED.
Permit issued on November 1,2002
I hereby c that the ve info i. on is correct and that the construction on the above described property and
the oc y and the use be in accord e with the laws,rules and regulations of the State of Washington and
the f F ral Way.
0 gent: - Date: /( ( '0 Z
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CITYo. G RECEIVE CONSTRUCTION
AY PERMIT RMIT APPLI ION
1-4 44,4-tit
OCTT 2 4 002
OFAOPILtal1
FEDERAL r a ^ . :, �� .� ,>;;R
CITY �`�!P �;r I. '` ,�f�. '�c.�'� _ —
BRI1,%,L.DING DEPT. •
**The foifoTnnng is required information-Please print(in ink)or type**
&.)--110 Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION ^-� /�(CO
SITE ADDRESS:t70J � R� AA) ASSESSOR'S TAX/PARCEL#: 1TJ i COLL -Q4C)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION LENGTHY):
OrN
• PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ,--[ -,) vd s, l.%�� u31 r-u r c
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
DMX` f ��� klIc)LISC
aIy)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP•
CONTRACTOR: r ', n DAYTIME PHONE:
1 i L-P4ea"i _kr (1-125)%moi '9
MAI NG ADDRESS(STREET ADDRESS;CITY,STA P): EVENING PHONE:
I?ire. � E 1 th pt WA-51$c1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
MS) <)9 - Dc.e0
CONTRACTOR'S REGISTRATION NUMBER: Qp / T �^ �/� /� [ f EXPIRATION DATE: / /-y�z
(copy of card required) g (3 �..1 c� t 8- Y� O �1 I- 1L Y_� �- /Y i, Co3
APPLICANT: NAME: DAYTIME PHONE:
ce`� (yam) 6? -°13 I_
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PPHHOONE:�
EP e 0-3 c hxQ
RELATIONSHIP TO PROJECT: �� FAX NUMBER:
OVV`
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): L ('1,i - O J
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)
z .
•
• 4
**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 =d by •P =owner of the a.. _premises to perform the work for which the permit application is made. I
further agree to hold , ess . e Ci F1eral as to any claim(including costs,expenses,and attorneys'fees incurred in the
Investigation and d- -ns- of Ch m), is be made by any person,induding the undersigned,and filed against the City of
Federal Way,but . ly e : -uc clef o of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio- su••li- o th city a < - - of this application.
NAME/TITLE: 7 ,.-- (offite_ 1'4%,) DATE:•
0—C)14—C
❑ PROPERTY OW R 0 APPLICANT ,CONTRACTOR
OR OFFICE SE ONL,
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AolipRissotiok$Xaelffivt
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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.cltvoffederalway.com
•
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 I_#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 tt-$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 S 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 S 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+563.50.Add'l plan review for other submissions is$75.00/hr.
.,.»r✓.S�..th FJ ; :4._' abIa,,,,. _.. ....p, .-,r.'aa1 m:. :._gi.4,61`,1 i.;'.,,:6:1€.i." ,S5....•:.2).. .. I.: I''O.:..,4"11,.:,iF.Y ifir:.t1:r. ., .s.,,,35ro. . , _.:.r.,-7,' "G F ...._
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