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City of Federal Way
Community Development Services Electrical Permit #:03 - 104500 - 00 - EL
1
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: BUTKO SHORT PLAT,PARCEL A,LOT 2
Project Address: 35832 9TH 444.1 Parcel Number: 440561 0090
Project Description: Install 200-amp service for new 4,000 square foot single family residence.
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 4000
PERMIT EXPIRES March 30,2004.
Permit issued on October 2,2003
•
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 Wa �/
Owner or agent: _ , Ltv� /A_/ ,411: Date: / �` ��
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09730-2003 03:29PM FROU-Mleridian Center Electric +253-841-0892 T-119 P.005/016 F-538 /L"
CITY OF CONSTRUCTION PERMIT APPLICATION
Federal Wa APPLICATION NUMBER: 0 - j a . ,
Y APPLICATION NUMBER:
APPLICA'T'ION NUMBER: - ... -
' The following is required information—Please print(in ink)or types'
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
w: - •'PROPERTY INFORMATION: -
-i_SITE ADDRESS: -? SSaa g rh rW a SI✓(} ASSESSOR'S TAX/PARCEL#: a (LtO 1I ( - v 0 9 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): %-tt,
::•--;-');:r:-'::::- = - - . ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): C] BUILDING O PLUMBING ❑ MECHANICAL o DEMOLITION
ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 2-ov A_fNt f) S'\/
3
PROJECT NAME: i c Lo J p I ( c, IXC 4 / L - -2,
,
- - ■'PEOPLE INFORMATION _ . -. . , , . _
Y PROPERTY OWNER' NAME: DAYTIME PHONE:
1 ( ) -
`
MAILING ADD EET ADDRESS;cr STATE,inn:
CONTRACTOR: NAME; I DAYTIME PHONE:
Meridian Center Electric 1 (253 )848 - 5595
MAILING ADDRESS(STREET ADDRESS:CITY,STATE.ZIP); I £vENING PHONE:
11109 66th Ave E Puyallup, Wa 98373 . ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20014216200 , — — - _ _ (253 ) 841 - 0892
CONTRACTORS REGISTRATION NUMBER: T EXPIRATION DATE:
(Copy of cart requktd) KERIDCE31.8SL I 2 / 28 103
APPLICANT: ► Merl DAYTIME PMONE:
i ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP); 1 EVENING PHONE:
RELATIONSHIP TO PROJECT: 1 FAX NUMBER:
a ARCHITECT 0 TENANT O OTHER(DESCRIBE): _____LS___ ) -
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
I i
.-:-■ DETAILED•BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S
SPRINKLERED BUILDING? ❑YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO •
WATER SERVICE PROVIDER: a LAKEHAvEN a HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) •
09:30-2003 03:29PM FROM—Meridian Center Electric +253-841-0892 T-119 P.008/016 F-538
*INEW 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:
•
A FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BSQ(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.(
INTERCEPTORS) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
X 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against 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: .Z. x. G ' tj.� 1 i DATE:
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
.FOR'OFFICE USE ONLY:
o'NEW r, ; a;..:d ADDITION ;'• o ALTERATION ':,.r,,,.d.:REPAIR•ilf:'+lir..,;b.TENANTIMPROVEMENT.;,•.<•
•CENSUSCODE'',: ' :'
. � � .,LOT�SIZFec,M��:::��,,1:°,�-,II;E°;�,ral.`,,t:lll��r;;i;;!I�I�11VI����1-�'.,I:•'�il'i�+,..;r�,•�'I!., ,:,:�r•�,;,
ZONING:DESIGNATIOiV ''
•'- BUILDING'SHEL NL _ •��.. �"NO -�:. ib:;::;�:,;:
COMP'PLAN DESIGNATION �
..: ,:�, .. • i'� ",BASICPL1lTl?;1111=i.�-0L7�:YES; I`iiO;I�IO�fP'�ii�ir�1l'-'�';`�'.r:.,
TOWNSHIP. +. ..... G . .. ,';• :
YES
• PLATTEDLOT?:.i.:•❑,YES.,.. oNO. .
, . .:�;CHANGE OFIUS>:'t:l::;�!�:il�,�� "•tXFS il...,o NO•;:':;I'' '.f•?;;;'i�': 'I
•
COMMUNITY DEVELOPMENT SERVICES•33539 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-661.4000•FAX:253.661-4129
09:30-2003 03:29PM FROM-Meridian Center Electric +253-841-0892 T-119 P.007/016 F-538
Et ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft-$85.50 h add'n 500 ft-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Fcco LAO()U First 2500 t1=-$50.00;Each add'n 2500 ft2-513.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK
Square Feet
(Inspected with service) #of service or feeders *Per WAC 296-36-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 " sip
-543,00;service/feeder-$57.00;Add'n service/ _#of Signs(First si -$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
_
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 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57,00 0 to 100 $ 93.00 $ 57.00 _601-1000 326.50
_401-6DD amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00
_601 -800 amp 20250 108,50 _201-400 216.50 85.50 _#of circuits
Over 800 amp 289.50 2I6.50 _401-600........................252.50 101.00 (1-5 circuits-$7250;Add=n circuits,S6 ea)
ALTERED SINGLE/MULTI FAMILY _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 atop 115.50 _Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.0011,., _201-400 85.50
_Mast or meter repair 43.00 y, _401-600 115.50
_#of circuits 's' over 600 125.00
(1-4 circuits-557.00;Add'n circuits$6 ca)
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+$72.50.Add=l plant review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) •., -FIXTURE FEE FROM TABLES•(B)• • • •NUMBER OF UNITS_(g) • • . . •.TOTAL(D) ••• •
• • TOTAL COLUMN(D): •
Total Came(o)
Estimated Permit Fee: (12)
• Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)_(13)
x
• DEMOLITION
Estimated Permit Fee: (14) ,-
Bond Amount:(15)
•
I ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee:(18) (20). _ (22)
$BCC Surcharge:(19) (21) _ (23)._.___________ -
Total(Page:one&Two); Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)-!•(20)+(21)+(22)+(23)= (24)
•
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Bulletin#100-December 23,2002