02-104834 of
City Development ServicesDeWay
CommunityElectrical Permit#:02 - 104834 - 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 52
Project Address: 833 SW 364TH Parcel Number: 779645 0520
Project Description: ELE-T-STAT WIRING
Owner Applicant Contractor
QUADRANT 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
4 :" scnpti ? 1°>° =. .`= jk° , 6,01 61, . !tient jij <;.. ;,.Description ',:t ,•,,N1[Quariti
Thermostat 1
_ J
PERMIT EXPIRES April 29,2003,IF NO WORK IS STARTED.
Permit issued on October 31,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will b accordance with the laws,rules and regulations of the State of Washington and
the City of Federal :•.
Owner or agent: —s _ __ Date: C 0– S 1-0
411116
PouctL ea/
( Z ' l 3'- v L , 1(t19-C ,4,0,0 -, e 1
a^'°F G CONSTRUCTION PERMIT_ APPLICATION
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VV F7Y APPf CAttf 1. f I W '',51 - Ci
APPLICATION=IVU! _,
**The following is required information-Please print(in ink)or type**
- Please note: Electrical,Fire Prevention Systems and Engineering g permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: l ( ,[ - p ASSESSOR'S TAX/PARCEL#: -17.11 C L /1/4
a0
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): Lc1A Vd L31l u f l
9
PROJECT NAME: $( ((A ' &O 4 tS Z
• PEOPLE INFORMATION
PROPERTY OWNER: NAME' U IN 1f ' '��II Y ILS DAYTIME PHONE:
G ADDRESS(STREET ADDRESS;CITY,STATE,ZIPA:
���)� ��
CONTRACTOR: NADAYTIME PHONE:
, l iL-l-'�C' i / C1 Lt )sIg
MAXI NG ADDRESS(STREET ADDRESS;CITY,STATE P): kc` EVENING PHONE:
1 -th I ?�5� vh4-.q$c1 (cam
aSc�L _
CITY OF FEDERAL WAY BUSINESS LICENSE NOM BER: FAX NUMBER:
(LM '5g59 aZ
CONTRACTOR'S REGISTRATION NUMBER: / EXPIRATION DATE:
(copy of card required) /1l S [Lc) aW3
APPLICANT: DAYTIME PHONE:�‘(\(-\e-, C(S (yam S%` -931_
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
�mJe G- CIALUQ-
RELATIONSHIP TO PROJECT: FAX FAX�NUUMBEER: 2r�
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):OVAL ( (z 9 OL_
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 INSERTS) 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 =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), l is be made by any person,including the undersigned,and filed against the City of
Federal Way,but . ly e : -uc clai - s of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatlo- su. .Ii- o th city .fw a r • - of this application. r\
II
NAME/TITLE: /
�--�1 1 6� 1 .� DATE:'
❑ PROPERTY OW R 0 APPLICANT ,CONTRACTOR
FORIO FILE ISEONVi
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7'C ii,PiAN;DES1G T{�`!yl4I _5 -*'• +'' ► *� F //��� j,aa�h;
;:SECTION ,*WOO'° •UIREDJ'_
"BAITED LOT? ❑y..E l W�"•. , fi .°= `'C A'f E o,.usr .❑s ri s :' -❑E_ : . ' ::.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.ciNoffederaiway.com
• t
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 #of Thermostats(First-$37.50;add'n-$I 1.50ea)
(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)
_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/CommerciaUIndustrial
_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'l�prlain review for other submissions is$75.00/hr.
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"�. lsw���.:aS:Ga Sr�n �.�.cE.��t�..l�..��..I,�. 3�..�i{:3���•ifiv.�:1� .�s.5.x..� _,
it p -11..,,,,-k:,:ii
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)
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-February 19,2002