02-104091 City of Federal Way
Community Development Services Electrical Permit #:02 - 104091 - 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: WENDT
Project Address: 33505 11TH SW Parcel Number: 926496 0170
Project Description: ELE-Install 20-amp circuit for microwave in existing residence.
Owner Applicant Contractor
Charles H&Darlene J Wendt LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC
33505 11TH PL SW 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA 98023-5310 BELLEVUE WA 98005 BELLEVUE WA 98005
(800)794-4321
Electrical Fixtures
Descri•do - .' "`t'�: ' P'fii�r :fit.> Quantity L14'scrip f Muantity
Circuits-Residential 1
PERMIT EXPIRES March 22,2003,IF NO WORK IS STARTED.
Permit issued on September 23,2002
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 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
See Application
Owner or agent: Date: q - Z 3- 0 L
2 — .zr7—cre— r-,f ut Appru%.e) ms's
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0U!i -LI I I S CONSTRUCTION PERMIT APPLICATION
•
--25= ISMEINFIL-
RECEIVED B
'NW FlY COIUIMUNfTY DEVELOPMENT DEPA.
APPLICA QN:`NUMBEI ;;: ° :.:'i >:: ..:..-:;:: ..4.: '-
SEP 0 9 2002
MitartA
APPLItA� ��N4N - . . . .......... ..
**The following is required information—Please print(in ink)or type**
-•fior
Please note: Electrical,Fire Rignesyltion Systems and Engineering permits may require a separate application.
�
j • PROPERTY INFORMATION /'
SITE ADDRESS: 33505✓Cf�05 I I pi C�ASSESSOR'S TAX/PARCEL#: 1 2-.6 4/j/ - 6120
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
tt'tAi ►.if,►,, 5't floe, -iv Ankki y Ps(do/1(p,
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
'GT ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
s+All 20 at'‘,1 ( r(.0 - -for M ICXWJQVC-
1
PROJECT NAME: V V l-n d
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:C (15 d,* DAYTIME PHONE:
(253A 52-732.5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
'350 S i 1bi P1 . SW federal Iry ay 9(2,02_
CONTRACTOR' NAME: QQ . DAYTIIM`EE PHONE: 2 -1
od e
MAILING r �
(STREE ADD ESS; ic(r'J 1 Le- I LL , (4ING PHON fl 1
1335 1 NE ilok c* - Pe,Ilev>n t , w P 'Joos ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
D0 - 10_ I_ 7. Oil -O d ( 42 (22
.CONTRACTOR'S REGISTRATION NUMBER: _ EXPIRATION DATE:
(copy of card required) L N Q Cj C s f3C 12_ /3) / OZ
APPLICANT: NAME:�� ^�V �� � DAYTIME PHONE: -
MAILING ADDRESS TREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
RELATIONSHIP TO PROJECT: Atm V FAX NUMBER:
i 0 ARCHITECT o TENANT a OTHE (DESCRIBE): ( ) -
// E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER 0 APPLICANT ?4ONTRACTOR
• DETAILED BUILDING INFORMATION "
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
•M`
**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: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ 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 authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but onl here such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio �ppli d t9 the city 4(6(
as asart of this application.NAME/TITLE: "r/'�d 1 DATE: q/5h2—
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
.... ....... . ....
FOR OFFICE:USE ONLY;<:
cl
NEW::-; ❑-:ADDITION : .❑:ALTERATION.! .. ::Q REPAIR"-: - ❑:TENANT:IMPROVEMENT:.:a:::: :
CENSUS:CODE:_- :::.::: :.. .:': LOT SIZE: -':•: •": :::...::::• :::: ''..
ZONING DESIGNATION::.• .::`:...: ::BUILDINGSHELL:ONLY? :I :Y :ES -0:-NO. :.::::. :
'COMP PLAN DESIGNATION- •::. .. ....::: : .BASIC`.PLAN? .: :-fl-YES ek:NO..
SECTION : :TOWNSHIP. ..--.::: RANGE:: ::::.-:NEW:IEDDRESS REQUIRED :::: : :-.O..YES
.-..... ...- .
PLATTED LOT?::...D YES :: ❑-NO: : :.:::.:. CHANGE tIF USE? .......:.
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
a
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thennostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$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 ft2-$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)(bXi&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 $ 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 seivice is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'l plan review for other submissions is$75.00/hr.
:'.FIX(TURE`[1ESCRIMOH'. A ::: .FI RE:FEE FRO>«OSEE.B B <•11liUMBER;OKONITS C':%::i:: ":>><>>":::>:»'::TPTAL O >>>:<Z!!i:::..
.. ::!::1raiTAT COLUMN(DIC:::-
4 ��Total Column(D)
Estimated Permit Fee: (12) J
Estimated Permit Fee from line 12 00
Estimated Plan Review Fee: $63.50+( �� - X.35)=(13) 50
■ DEMOLITION
Estimated Perm e: (14)
• Bond Amount:(15)
Estimated Permit Fee:(16)
Bond Amount: (17) ,.._.-_
• OTHER FEES ---_
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TotaI (Pages One&Two): tine(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin #100-January 18,2002