02-104944 City of Federal Way
Community Development Services Electrical Permit #:02 - 104944 - 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#53
Project Address: 831 SW 364TH Parcel Number: 779645 0530
Project Description: ELE-Installing new LN t-stat wiring
Owner Applicant Contractor
QUADRANT CORPORATION*KATRINA TO PACIFIC HEATING&AIR(electrical) PACIFIC HEATING&AIR(electrical)
PO BOX 130 13633 NE 126TH PL SUITE 350 13633 NE 126TH PL SUITE 350
BELLEVUE WA 98009 KIRKLAND WA 98034 KIRKLAND WA 98034
(425)889-9345
Electrical Fixtures
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Thermostat 1
PERMIT EXPIRES May 6,2003,IF NO WORK IS STARTED.
. Permit issued on November 7,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e 'I be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federa I ay, I r ^-�
Owner or agent: ,...,AE„ `— D l
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` RECEIVED
«^° G CONSTRUCTION PERMIT APPLICA ON
�Erzr-� NOV 0 7 2002 ApRL GATTC� It B� : . '� t
FITY
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CITY OF FEDERAL
WAY
BUILDING DEPT. .: _ : _T
**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'.�.J 1 Z 7•CJM' P( ASSESSOR'S TAX/PARCEL#: 136I leg_5-C/� C)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION LENGTHY):
)\18,.1/4) OrN �t`V l r 1L iNe
U
• 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): U,A.,k v(j CC (I 1u
•
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Mr\G ADDRESS(STREET ADDRESS; f STATE,ZM
e-S �ZL)‘-15C-
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` C) ( ( e.\k.te, i r qac
CONTRACTOR: NA DAYTIME PHONE:
)STSq
MAI G ADDRESS(STREET ADDRESS;CITY,STATE ): 1(:r�1EVENING PHONE:
1.71ve,-C2A 1\3 (40-(1.-‘ wil-.115°4 (ypAect- -conue_
CITY OF FEDERAL WAY BUSINESS LICENSE NDMBER: FAX NUMBER:
(LM)'TO - Dc%o
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: ���
(copy of card required) C � 1 t 1� 'n I. c /V / af,
APPLICANT: NAME: DAYTIME PHONE:
5Prr G ( '�
(41C) -°1345
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): EVENING PHONE: ^, y�
Oc �'
RELATIONSHIP TO PROJECT: p.�/ FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):( VAI. (1-1 .9Z9- QO
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.C )
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 t owner of the ab• =premises to perform the work for which the permit application is made. I
further agree to hold ess a Ci F- ,eral as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and de ns of h m), is be made by any person,including the undersigned,and filed against the City of
Federal Way,but ly e u tial = of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio su li o thcity a • • - of this application.
NAME/TITLE: 6�1-/KCe— 01'L) DATE:•
� ictr
U^ �
❑ PROPERTY OW R 0 APPLICANT , TCONTRACTOR
MFOR O LOUSE N'L'
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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.citvoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 J`#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft-$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 ft2-$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)
a _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/Commercialandustrial
_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.
'i1.^.M:wKU..._in.1k.20 �.�_^iiiti,...nio���..Z..fraii;..azia�.:s�,:.`111_i.._ __ f.1;4 r.1 9:.:2>11 rri,i C�..:4...3€:1�:i'c,i-zai.r.`s..ti,. ,...._ ..,.
IstisitteoLawarstinat
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from ilne 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)
NI FEES
a
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