03-104493 City of Federal Way
Community Development Services Electrical Permit #:03 - 104493 - 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 MANOR LOT 20
Project Address: 35638 8THSW O Parcel Number: 768390 0200
Project Description: Installing new thermostat
Owner Applicant Contractor
CARY LANG CONSTRUCTION INC ALL WAYS AIR CONTROL INC ALL WAYS AIR CONTROL INC
34618 11TH PL S SUITE 200 1515 S CENTER ST 1515 S CENTER ST
FEDERAL WAY WA 98003 TACOMA WA 98409 TACOMA WA 98409
(253)383-7718
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES March 29,2004.
Permit issued on October 1,2003
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
See Application
Owner or agent: _ Date: f Ob /03
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717Rough-in inspection:
Date
FINAL inspection: -,. �;
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ate
G RECEIVED BY CONSTRUCTION PERMIT " 'P ICATION
MMUNITY DEVELOPMENT pEPARTn�FnIT �_
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• , OtiltATI JN NUMBER: ... -
**Tl e,following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
0 `4P tR� d
PROPERTY INFORMATION
SITE ADDRESS: 356'3 F e-11/ 4 V e Jw ASSESSOR'S TAX/PARCEL it: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): dI BUILDING 0 PLUMBING ❑MECHANICAL 0 DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Low Voltage Thermostat
PROJECT NAME: Lot # a O /O,Qnv „-,c?,Ve I?
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Cary Lang Construction ( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
DAYTIME PHONE:
CONTRACTOR: NAME:
ALL-WAYS AIR CONTROL INC. (253 ) 383 ' 7718
MAILING ADDRESS(STREET ADDRESS;art,STATE,ZIP): EVENING PHONE:
1515 Center St. Tacoma, WA. 98409 (253 ) 383 - 7736
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19 - 92102806 00 BL- ( ) -
- CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
ALLWA A C 0 0 4 J Q / /
(copy of card required)
DAYTIME PHONE: I
APPLICANT: NAME:
Bernie Chapman ALL-WAYS AIR CONTROL INC. ( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Same ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:( ) _
❑ARCHITECT o TENANT a OTHER(DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER 0 APPLICANT ❑CONTRACTOR '
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
**NW RESIDENTIAL CONSTRUCTION ONLY**
t 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:
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) FIREpLACEINSERT(S) RANGE(S) MISC.
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S)
URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S)
SHOWER(S) WASH MACHINE OUTLET MISC.( )
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S)
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 applicatiois madeI
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fn ees incurred of
in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against
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:
Bernadette Chapman Corp. Sec. DATE: .7` 3a ,�
o PROPERTY OWNER o APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY
NEW a ADDITION. C ALTERATION D REPAIR r3 TENANT IMPROVEMEN!
CENSUS CODE: LOT SIZE
ZONING DESIGNATION :: BUILI ING SHELL ONLY? Cl YES D NO
COMP PLAN DESIGNATION BASIC`PLAN' 0 YES C NO
SECTION .. TO fiN�fSHIP RANGE NEW ADDRESS REQUIRED?' '' ❑:YES ca ND
PLAITED'' ''' . 1�:1fE5 . ...iit.., CHANGE OF USE? . ••• .......C3 YES
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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• ELECTRICAL
1 TABLE B
NEW RESIDEIITIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 -#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ftZ-$24.00) _Service and feeder $81'00 Fir 12500 ft?$43 S0;Each addof Low voltage fire or 'n 2250r alarms
ft-$11.50
Square Feet:
_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 _ (1
201-400 189.00 75.00 _#of circuits
Over 800 amp 252.50.. 189.00 _401-600 220.50 88.50 -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 service 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.
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Total Column(D)
43.00
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)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Rnliptin Itinn-ianuary 1R.2002