02-105163 P '
City of Federal Way
Community Development Services Electrical Permit #:02 - 105163 - 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: SALMON
Project Address: 2625 S 298TH Parcel Number: 768380 0280
Project Description: ELE-Installing new thermostat&wiring
Owner Applicant Contractor
Albert D&Phyllis M Salmon Jr. CREATIVE HEATING INC CREATIVE HEATING INC
29828 26TH AVE S 19012 29TH AVE E 19012 29TH AVE E
FEDERAL WAY WA TACOMA WA 98445 TACOMA WA 98445
98003-4206 (253)846-7909
Electrical Fixtures
f ' h , bre tion Q .t k .,:`bri tion. . =i ..,. Description . ;-°
K : � A � � � ��. . p Quantity.
Thermostat 1
PERMIT EXPIRES May 18,2003,IF NO WORK IS STARTED.
Permit issued on November 19,2002
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. ?
Owner or agent: Date: / / D z
its —1-9— -4-2.1' Con-1961/ lip /'o 1/ D, /l..f)r,
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`ol"' = RECEIVED CONSTRUCTION PERMIT APPLICATION
41/4 E:13
EJZAt_ APPLICATION NUMBER: Q - 1 L),6143- op EL
NOV 1 9 2002 APPLICATION NUMBER: -
APPLICATION NUMBER: -
crrif**The tollowi F FEDERALWA —Please print(hi ink)or type**
Please note: Electrical,Are Prevention Systems and Engineering pew may require a separate application.
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• PROPERTY INFORMATION
SITE ADDRESS: ;,l LQ as S a( nom, J 4- ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
S�IL
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
x-ELECTRICAL o ENGINEERING o FIRE PREVENTIONSYSTEM
PROJECT DESCRIPTION(Provide detailed description): (e.14?LI/Th >Q T l?<)
PROJECT NAVE:
• PEOPLE INFORMATION
PROPERTY OWNER: /
NAME:� DAYTIME PNO
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CONTRACTOR: NAME' DAYTIME
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MAILIN ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
ICI -Q. QG no - \,) ( LS cc
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
O S3 AiLo- V2.6 7
CONTRACTOR'S REGISTRATION NUMBER: � EXPIRATION DATE: ,l '`C/�
(copy of card required) L 1(L 1_f�, 01) ��_ _ _ q ��V 3
APPLICANT: NAME: DAYTIME PHONE:
S CL r aJ) 6JoO LJ� ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT n OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDI - ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PR• • = D VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: a YES a NO
WATER SERVICE PROVIDER: o LAKEHAVE o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o I= o HIGHLINE a PRIVATE(SEPTIC)
•
.-
NUMBER OF BEDROOMS: ESTIMATED SELLING PRI ' $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. • 'OPOSED SQ.Fr. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
•
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING EVAPORATIVE GAS LOG(S) REFRIG.SYSTEMS)
UNIT(S) COOLER(S)
BBQ(S) FAN(S) HOOD(S) WQODSTOVE(S)
BOILER(S) FIREPLACE INSERT(y RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE • ' (S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) ATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) SYS. RAIN WATER VACUUM BREAKERS) ❑ELECTRIC ❑GAS
DRINKING WASH MACHINE
FOUNTAIN(S) SHOWER(S)
OUTLET
GAS PIPE OUTLETS) SINKS) WATER CLOSET(S) MISC.(
R )
INTERCEPTOS) / SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and coned to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the Mork for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any dein(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),whidi may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim 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: a�J )Qa�-' \ .!L/) DATE: ' U'V
❑PROPERTY OWNER ❑APPLICANT ,,121-CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑NO
COMP PLAN DESIGNATION BASIC PLAN? o YES ❑NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑YES ❑NO CHANGE OF USE? ❑YES ❑NO
Estimated Plan Review Fee: (7)
■ PLUMBING
Base Fee Number of Fixtures
$22.50+{ X$8.00/fixhxe}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
-• T.r=1(Page One): Line(s)(1)+(2)+(3)+(4+(5)+(6)+(7)+(8)+(9)+(10)= (11) _
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 1#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft-$75.00;Each add'n 500 112 $24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500(1-$43.50;Each add'n 2500 fl-$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(5XbXi&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 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=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
IN DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)