02-105611 City of Federal Way Electrical Permit #:02 - 105611 - 00 - EL
Commtmity Development Services
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#51
Project Address: 837 SW 364TH Parcel Number: 779645 0510
Project Description: Install low voltage thermostat wiring for residence.
Owner Applicant Contractor
QUADRANT CORPORATION,THE 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
77-772infrtio-Atat
Thermostat 1
PERMIT EXPIRES June 15,2003,IF NO WORK IS STARTED.
Permit issued on December 17,2002
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: 12.– 17-O Z
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CONSTRUCTION PERMIT APPLICATION
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**The followlc4 I G InOn-Please print(in Ink)or type**
5j3 Please note: Electrical,Fire Prevention Systems 311dEEngineering permits may require a separate application.
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• PROPERTY INFORMATION
SITE ADDRESS: )1 X r�Y�f`IJ 1-h PI ASSESSOR'S TAX/PARCEL#: 3 J' _ 5 5L C)
LEGAL DESCRIPTION OF SUBJECT PROPERTY ATTACH SEPARATE DESCRIPTION LENGTHY):
P) CCDr-. -t-C c off ' e - irvrd 1 —=[-V fNe
■ 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
PROJECT NAME:
/ ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: // "kaA4 , l�f 1 i' �,)I Y IeS DAYTIME PHONE:
k9I )LIQ -a�►cx�
MA O • %'(STREET ADD ,STATE,Ze-UE\Ltei v Vj `
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CONTRACTOR: `�(� DAYTIME PHONE:
MAI NG ADDRESS(STREET ADDRESS;CITY,STAT ): C'd 1- o go EVENING PHONE:
i o nBusOE \ fh Wf
Q � > -.%•s (f AQC cthiP-
CITY OF FEDERAL WAY ESS LICENSE N BER: FAX NUMBER:
tG
(i2S -
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy ofcard r Q L - /144, r2.CD3
APPLICANT: NAME:n Q'~✓_/ DAYTIME PHONE:
(4W SS9 -9344
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
, r 03- C _
RELATIONSHIP TO PROJECT: FAX
NUMBER:2U - 0(004.2 )
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):tJ (/q
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)
BOILERS) 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)
DISHWASHERS) 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 author! =d by , =owner of the a• r = premises to perform the work for which the permit application is made. I
further agree to hold ess , =Cl eral as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and d ns= of m),„11. be made by any person,including the undersigned,and filed against the City of
Federal Way,but ly e u dal 1- of the reliance of the city,including its officers and employees,upon the accuracy
of the lnformatio su •11-x, th city r a • - , of this
appllication.
NAME/TITLE: / (aff-FCE,( 1 T.) DATE:• 17 ��
❑ PROPERTY OW R 0 APPLICANT ,CONTRACTOR
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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.cltvoffederalway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES yIISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 l#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 fie-$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(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/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'l plan review for other submissions is$75.00/hr.
t F i . ,Jtui0l t'l:
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from Ane 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)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)-F(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002