03-104396 City of Federal Way
Community Development Services Electrical Permit #:03 - 104396 - 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: L'ORIGAN MANO' OT 1 ARCEL C
Project Address: 35654 9TH SW Parcel Number: 440560 0201
Project Description: Installing new 200 amp service �O
Owner Applicant Contractor
CARY LANG CONSTRUCTION CO MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
34815 PACIFIC HWY S 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
Service: -Residential 3578
PERMIT EXPIRES March 22,2004.
Permit issued on September 24,2003
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.
Owner or agen . Date: F--e3,
to - 9—c'3 r.ToCcAel ,,p L4 e � c� or
t o— /e—0 3 157-e r4/1 C-c 1 ,s r d/(
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09-24-2003 11:27AM FROM-Meridian Center Electric +253-841-0892 T-083 P.002/005 F-386
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CITY OF �`� RECEIVED APPLICATION NUMBER: 0 ---.- - . • EL
Federal Way - � � -
APPLICATION NUMBER: _ _ -
SEP 2 - �' �' - - - -- -
�� - APPLICATION NUMBER: _ _ - _ _ _ _ _ -
".Tb 9liwr ((;;p FFgPP0)41116f0rmation—Please print(in ink)or type' 03.-( rL{2 _0,I
IS
Please note: Electrical,F : raNNgonVystems and Engineering permits may require a separate application.
..- - i PROPERTY INFORMATION
i.,SITE ADDRESS: 3 r4?5`'i 11'/ C c� ASSESSOR'S TAX/PARCEL it: -
�� LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- . . , : I PROJECT INFORMATION - '
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION •
*ELECTRICAL 0/ENGINEERING 0 FIRE PREVENTION SYSTEM(,1
PROJECT DESCRIPTION(Provide detailed description): ZOO .m,p Sey v l c
I
PROJECT NAME: L'O r , t'l kii•&ri lir Lor tri
_ . - - II-PEOPLE INFORMATION -- ` „- -
PROPERTY OWNER: NAM • 1i DAYTIME PHONE;
pm} .Et_h_g ; ( ) LPLJI -
MAILIT"TG ADDRESfi(STREET AD.:11E15_1 QTY,STATE,ZIP):
• Co 18 i•1 -' R . S 2.1R) Fe a • wcaj q C'tl.
CONTRACTOR: NAME: ; DAMME PHONE:
Meridian Center Electric 1 (253 )848 - 5595
MAILING AOGRES$(STREET ADDRESS:CITY.SPATE.2lP): t EVENING PHONE!
11109 66th Ave E Puyallup, Wa 98373 I ( )
CITY Or FEDERAL WAY BUSINESS LICENSE NUMBER , FAx NUMBER:
20010.216200 — I (253 ) 841 - 0892
CONTRACTORS REGISTRATION NUMBER: j EXPIRATION DATE:
(copy of card rEquucd) MERIDCE318SS i 2 / 28 / 03
APPLICANT: Teri T DAYTIME PHONE:
1 ( ) _
MAILING ADDRESS(STREET ADDRESS:QTY,STATE,ZIP): 1 EVENING PHONE:
, ( )
RELATIONSHIP TO PROSECT: FAX FAX NUMBER:
O ARCHITECT a TENANT o OTHER(DESCRIBE): 1 ( ) -
• E-MAIL ADORESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT o CONTRACTOR I
• -■ DETAILED BUILDING INFORMATION - • -
EXISrING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ ,
SPRINKLERED BUILDING? O YES co NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVE [ O HIGHLINE D TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
09-24-2003 11:27AM FROM-Meridian Center Electric +253-841-0892 T-083 P.003/005 F-386
r
' **NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ _
III PROJECT FLOOR AREAS
FLOOR EXISTING •.FT. PROPOSED S..FT. TOTAL
BASEMENT
FIRST
•
SECOND •
THIRD •
FOURTH
OTHER FLOORS(DESCRIBE)
•
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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.( )
COM PRESSOR(S) FURNACE(S)
DUCT(S) • GAS PIPE OUTLET(S) HEAT SOURCE: O ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC to GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINKS) 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 daim(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 Bgalnst the City of
Federal Way,but only where such claim arises out of the reliance of the city,Including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. ( /
NAME/TITLE: �
,e (� G y L� DATE: I l �'1-f £1
❑ PROPERTY OWNER o APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY:J '
b'NEW''�I'':'.W.:ki•ADDITION o•ALTERATION .'y r;�iiz"REPAYR44I1}d>:1D;,TENANT.IMPROVEMENT
CENSUSCODE:.k' :"r:: ;,., .�.. Lacll�l;:.l:u��r';P'= LOT.S12ia'9jlimr. F.moiNk it l.m!IIIA:znr^:I:Fu:;':+r'��14'
YONING DESIGNATION
COMP PIAN � 14�'. �•'`,': ,-'. ''13tJICDII�G SHERL ONLY�:r."`O'YES_��isf.a NO•,.',,I,i,..,.,LI�yiCi�;lfl�•,; -
DESIGNATION '' '" y I I; I' 'a t
I • �' "I�,�ryi���:�ik�l���'> ,�� '�B�►sic'�eL�di�i3;lfi�i�lub"ir>rs"�,'a�allo ':k' r , .'w
•SECTION"�a;lclia i:�i:•TOWNSHIP:`•,r'1 RANGE::+i F}>^•;M T'N YIt+A DRES5'RE+UIREDY�'�°a'P'r'!' AYES„",`�D.MO I;
• PLATTED' 'Oti';;;..:E `:47c.NO Ii�i(��,�'I/��I I ry1l I'' ,I.Ir .M I4 Inn l�{ y �J�Q�a�. r F`b �I' ,,�I y
.II YES. .�IIk�.In'�II'.i�)41'JIII�:' CH"�'NGI:OP',�'USEt MYi 'lllIINGICIrf��� l.,GQ I{O"{�`y�'�ykl'�:I:.I�:��all:d4�`I+xtl
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718■FEDERAL WAY,WA 98063.9718.253-66111000•FAX:253-66111129
Ant,c1tvoffthipraiway.com
09;24-2003^ 11:2TAM FROM-Meridian Center Electric +253-841-0892 T-083 P.004/005 F-386
• ELECTRICAL
TABLE B
VW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single family _Service or feeder only 557.00 _41 of Thermostats(First 443.00;add'n-S 13.00ea)
(First 1300 fit-58530;Each add'n 500 f12-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: .3S 1 t First 2500 ft=550.00;Each add'n 2500 ftr-513.00
_Each outbuilding or garage .535.50 MOBILE HOME/RV PARK Square Feet
(Inspected with service) .__,ii of service or feeders •Per WAC 296.46.910(5)(b)(i dt ii)
_Each outbuilding or garage 557.00 (First serviee/feeder-$57.00;Add'n service/ _0 of Signs(First sign$43.00;add'n sign
(Inspected separately) feeder-537 each) , 520.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops 557.00
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 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder 201-600 216.50
_101-400 amp 115.50 57.00 0 to 100 5 93.00 S 57.00 __601-1000 326.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00
_601-800 amp 202.50 108.50 201-400 216.50 85.50 _#of circuits
_Over 800 amp 28950 216.50 _401-600 252.50 101.00 (1-5 circuits-572.50;Add=n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601
601-800 326.50 138.00
(When inspected separately from the services.) 801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 _ $ 57.00
_201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50
over 600 amp 174.00 ..- _201-400 85.50
Mast or meter repair 43.00 p, _401-600 115.50
#of circuits • `? over 600 175.00
(1-4 circuits-$57.00;Add'n circuits$6 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 fec+372.50.Add.-1 plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A)''." FIXTURE FEE FROM.TABLEB.(EL • , NUMBER OF.UNITS(C) ••• '• • . . :TOTAL CD)
• TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(1.5)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee:(18) (20), (22) -
SBCC Surcharge:(19) (21) (23)
..Total (Pape one&Te): Line(s)(11)+ (1
(12)+ 3)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)• (241 _
Bulletin#100-December 23,2002