03-104501 r
•
City ofFederalWay
Community
Development Services Electrical Permit #:03 - 104501 - 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 19
Project Address: 724 SW 357TH 5+ Parcel Number: 768390 0190
Project Description: Install 200-amp service for new 4,000 square foot single family residence.
Owner Applicant Contractor
NONE MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
11109 66TH AVE E 11109 66TH AVE E
PUYALLUP WA 98373 PUYALLUP WA 98373
NONE (253)848-5595
Electrical Fixtures
a;.
DescriptionQuantity 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: , �
Date: �e
— 3/ 03 trv/4'c•-c t,t r evw-D
,..<1
�
- - 04 -
•0
0 (7(°\1)1\\*.s..\
711)
09-30-2003 03:30PM FROM—Meridian Center Electric +253-841-0892 i;//(...7119 P.009/016 F-538
CONSTRUCTION PERMIT APPLICATION
CITY of 9.8.8\r/ APPLICATION NUMBER: 03_
Federal Way APPLICATION NUMBER: —
• APPLICATION NUMBER:**The following is required information-Please print(in ink)or type::
Please note; Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
U PROPERTY INFORMATION ,'
•jSITE ADDRESS: I 1 31-&) �5—I• 1 SI' ASSESSOR'S TAX/PARCEL it: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): l 7(E 8
■ PROJECT INFORMATION ,
TYPE OF PROJECT(This application): ❑ BUILDING D PLUMBING o MECHANICAL o DEMOLITION
caLECTRICAL O ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 7-071 a VV.. 57e VI)(-6-L-
•
CC -• M
PROJECT NAME: 0 ra• YL-- IV LG(, AN
V
,=r PEOPLEINFORMATION .
PROPERTY OWNER: NAME; DAYTIME PHONE: -
•- L fit_Gi ( )
MAILING ADDRESS( EET ADDRESS;QTY, ATE,ZIP):
l - I
CONTRACTOR: NAME: DAYTIME PHONE:
Meridian Center Electric (253 )848 - 5595
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
11109 66th Ave E Puyallup, Wa 98373 ,!! ( ) -
CITY OF FEDERA:,WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20010-216200 - (253 ) 841 - 0892 �
CONTAACrOR'S REGISTRAYEON NUMBER I eXPIRATION DATE:
(copy of and requlrca) ►ERIDVE318S.G — _ f 2 / 28 / 03
APPLICANT: NAI,E: OMIIME PHONE:
NAR
I ( ) >,
MAILING ADDRESS(StREETADDRESS;an,STATE,ZIP); EVENING PHONE:
) -
RELATIONSHIP TO PROJECT: FAX NUMBER;
a ARCHITECT o TENANT o OTHER(DESCRIBE): I ( ) -
E-MAIL ADDRESS: f
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o 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: o LAKEHAVEN o HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
09-30-2003 03:30PM FROM-Meridian Center Electric +253-841-0892 T-119 P.010/016 F-538
4
**NEW RESIDENTIAL CONSTRUCTION ONLY** .
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PROJECT FLOOR AREAS
FLOOR EXISTING FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND '
•
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
PECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(5)
BBQ(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) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 Claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding 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,supon the accuracy
of the information supplied to the city as annpart of this application.
NAME/TITLE: .1/• G DATE: 1/ 616‘
0 PROPERTY OWNER O APPLICANT 0 CONTRACTOR
FOR'OFFICE USE ONLY: • 1
0.NEW` "'o ADDITION ,
v ALTERATION ,;.iiREPAIR," •..,i'I,'0 TENAPIT;YiNPROVENIENT.;: ' •.�;.
'.CENSUS CODE•,... .. . . • .. . • C
rLJ... ,,�.... ''�. :. ., •i I. , Fi• -,d.al it't Pdl^I 914'• 'i� .i
' .SIS .��..f 't7:�,..,1:,"'1��f i•i i i�� �..,;:�:.
:'ZONING-DESIGNATION •:.'' , '•
• , i3UILpING'SH lLNL `I� Y
a'N
li
i.COMP.PLAN DESIGNATION '
�sASIC P1JW?,`.,�:c,,❑YF_5'"I��..I'a NO z� ill`�r .I;���' s�;S:I I,
'i-SECTION ,::'',;!: TOWNSHIP..':"
'NEW ADDRESS U
PLATTED LOT?• ,I,,.'O YES.:•.•:o NO , ,_. ..•.,.,: >:?;�f����- -i,i' :F�C]�YES'.:i.:o�NO,•;�;i�:. !:I'•;�F'i�;,:'r��.;f�l;^
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUT}l•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
ZiX,0=voffederalway..Dam
09-30-2003 03:30PM FROM-Meridian Center Electric +253-841-0892 T-119 P.011/016 F-538
R ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
0 single Family _Service or feeder only $57.00 _#of Thermostats(Fimt 443.00;add'n-$I3.00ca)
/" (First 1300 ft-$85�.550>'�E�h add'n 500 ft'--$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: L.1 C.��"-� First 2500 R3-550.00;Each add'n 2500 fi2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feer.
(Inspected with service) _#of service or feeders "Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding ar garage $57.00 (First service/feeder-557.00;Add'n service! • _#of Signs(First sign-$43.00;add'n Sion
(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 5 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57.00 _0 to I00 $ 93.00 $ 57,00 _601-1000 326.50
_40I-600 amp 158.50 78.50 _10 t-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 289.50 216.50 401-600 252.50 101.00 (1-5 circuits-S72.$0;Add=n circuits,56 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 $ 11.50 _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 1.- _201-400 85.50
_Mast or meter repair 43.00 al 401-600 115.50
_#of circuits 7 __over600 125.00
(1-4 circuits-557.00;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 fee+572.50.Add=1 plan review for other submissions is 585.50/hr.
•
FIXTURE DESCRIPTION(A)• ' -.FIXTURE FEE.FROM TABLE.B'(B)',: . NUMBER OF UNITS'(C) = :.TOTALSD) ' •
• TOTAL COLUMN(DJ:,
Teta Column(0)
Estimated Permit Fee: (12)
• E../mated Permit Fee from lino 12
Estimated Plan Review Fee: $72.50+( X.35)=(13) ,
a
• DEMOLITION
Estimated Permit Fee: (14)_, •
t
Bond Amount:(15) '
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount; (17)
■ OTHER FEES
Mitigation Fee:(18) _ (20) (22)
SBCC Surcharge: (19) (21) (23)
Tot i(Pages One&To): Line(s) (11)t(12)t(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)o (24)
Bulletin#100-December 23,2002