03-104511 •
` City ofeveWay
Community
Development Services Electrical Permit #:03 - 104511 - 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 8
Project Address: 35642 9TH CWAVG Parcel Number: 440560 0202
Project Description: Install 200-amp service for new 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 3505
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: /0711 ;b5
10 — t to —v 3 5-e.rvt rc 2- P % A Coy,.c c:frvn �s
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09-30;2003 03:30PM FROM-Meridian Center Electric +253-841-0892 /('''T-119 8.013/016 F-538
CITY OF
'�.•••.• �•�••.� sv�� r_t��•�1I - rL1l�HI 1VN
Federal Way APPLICATION NUMBER: O ( _
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.
�y�7 ■ PROPERTY INFORMATION
-/,,SITE ADDRESS: 3 S Cp 1 !- qrnraye ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
7 fid"
■ PROJECT INFORMATION . -
TYPE OF PROJECT(This application): o BUILDING O PLUMBING O MECHANICAL O DEMOLITION
XiLECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 9-0-0 a.(?'Vt p
•
PROJECT NAME: / L I-0 ' O e (A- i, L/1- c-
• - • -; •. PEOPLE INFORMATION
r. PROPERTY OWNER: NAME
C, I e, /7J I / )
DAMME PHONE:
MAILING ADDRESS(STREW p.m(Try,STATE.Z ): \
- V
CONTRACTOR: NAME:
Meridian Center Electric I DAYTIME NONE;
MAILING ADDRESS(STREETADDRESS;art,s'ATE.ZIP): _ i (253 ?848 - 5595
3 g 4 11109 66th Ave E Puyallup, Wa 98373 EVENING PHONE;
v 0 " QTY OF FEDERAL WAY$ NESSLICEH$E NUMBER: I
FAX NUMBER:
20010-216200 - (253 ) 841 - 0892
CONTRACrOR'S REGISTRATION NUMBER; _ —
'EXPIRATION DATE;
( Of cord rec;Wresq MERIDCE31BSG _ _ i 2 / 28 / 03
APPLICANT: Teri DAymiE P`J►{oNE:
HAILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP); F
1i (EVENING PHONE:
REIATIONSNIP YO PROJECT: ` )
o ARCHITECT o TENANT o OTHER(DESCRIBE): FA7C NUM9ER _
E-HAIL.ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT O 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:o YES ❑ NO
WATER SERVICE PROVIDER: O LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLLNE
0 PRIVATE(SEPTIC)
09-30-2003 03:31PM FROM-Meridian Center Electric +253-841-0892 T-119 P.014/016 F-538
• "'^new ttewutN:lAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING
BASEMENT •FT. PROPOSER SQ.FT. TOTAL
FIRST
SECOND
THIRD •
FOURTH
OTHER FLOORS ESCRIBE)
DECK
GARAGE — _,
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL,
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S)
BBQ(S) FAN(S) WOODSTOVE(S)RESYSTEMS)
BOILERS) FIREPLACE INSERT(S) HOOD(S) S
COMPRESSOR(S) FURNACE(S) O MISC.( )
_: • DUCT(S) a • GAS PIPE O ET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S)
DISHWASHERS) RAIN WATER SYS. URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) o ELECTRIC 0GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH
_,..� GAS PIPE OUTLET(S) .._� WASH MACHII,IE•OUTLE'T'
INTERCEPTORS)
SUMP(S) WATER CLOSET(S) MISC.( )
• 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
further agree to hold harmless the City of Federal Way ato any claim(Including cosi for whichsthe permit attorneys'feeon isc r ed in I
investigation and defense of such claim),which maybe made byany i and fees Incurred tthe
Federal Way,but only where such claim arises out of the reliance of theecity,including its offers and employees,uand filed ponntheh accuracy
of the information supplied to the dty as a part of this application.
i n
- G �{
NAME/TITLE: .$ / T /30)
�% DATE: n
o PROPERTY OWNER A APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
a:NEW "„';.D ADDITION ' .a ALTERATION •:::,T'+;;
CENSUS CODE: I..,. ,. .. --�— o'REPAiR l':I:rl r`p'„TENANT IMPROVEMENT . ;,',:
: -' nl� tib_ _ ..:
..ZONING DESIGNATION: �-7' •' ',;,�,i,����_i �,;�� _ _ I�wit4'"'.'�r��'�.:rN'F �itia:7aF4''r.,....,.:.,.:' .r;•1r,,—.::.,_
d::l:''. Ik,In, ,ah
.ZONI
• c . :;;.,I,;I: 4e.`` ', ! 1,BIJ LDING SHELL ONLY??,J`ci YES'.'L ,!. F .....
PLANDESIGNATION _. ...:::.,: 146.314!'. .:"':"."..:;- t7`NO::..: .. .
DES ON ;.r • �• ii. �,. 'rr�'.. I.
,. � '�BASIC��'L�1r N7.a�ii914�0sYlS�.'�.n�G�o.. r�- ai,
':SECTION' 4,1 r' '.,. .NO�I,r�lif�r�,�,r,��;:�;.-:.::;r����': r•_t;
.a1... o- .!'TOWNSHIP.;. "�'"Ir r :r. N I,..,�.W_... s—s—,... - �,5. • .
,,RANGE.'' L .� I .N �+ ,.,..
EVN�AbDRESS•R� iIIRED?,�;1;'��itiMn�, ��',• ,'°'�. I x'�
,lPCATTEQ LOT?1i4 D- �'!pp" v w n,�ti i SL r �.a,,:q YES:.��o.NOS;('►.�.��
YES i:. 1'j:.:1."�4Ylr�nl. d=;�'NI•••U �' E"eF.;WE?u">w�:l�l l �no��YES '�,1 ti7^NO,a '�'�u~�I� t
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY WA 98063-9718••
W.CtN �eralway.com ' 253.661-1000•FAX:253461-4129
09-30-2003 03:31PM FROM-Meridian Center Electric +253-841-0892 T-119 P.015/016 F-538
■ ELECTRICAL
TABLE B •
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
mgle Family Service or feeder only
(First 1300 ft,8,?� 5.50;E ch add'n 500 R=-$27.50) _Service Service and feeder._. $93fer.00 _#of Thermostats(First 43. 0;add'n-$13.00ea)
Square Feet r`rN,OS - S93.00 #of Low voltage n or burglar alarms
_Each outbuilding or garage 53530 MOBILE HOME/RV PARK Square
2500 fir-550.00;Each add'n 2500 ft-$13.00
Each with service) quare Feet
Each or $57 _#of service or feeders •Per WAC 296 6-910(Sxb)p&ii)
Each outbuilding for garage (First service/feeder-357.00;Add'n service/ _#of Signs(First Sift-S43.00;add'n sip
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)
Service Feeder Altered Service or Feeders
_ Up to 200 amp $ 93.ce $ ceder.50 Amps Service or Add'n _0 to 200 $ 93.00
_201 400 amp 115.50 57.00 ,0 t0 100Feeder 201-600
216.50
_ 401-600 amp78.50 101-200 $ 93.00___.._..$ 57.00 601-1000 326.50
_601-800 am202 50 108.50 201-400 115.50 72.50 _over 1000....._ 363.00
_Over 800 amp 289.50 216.50 _401-600 216.50 85.50 _#of circuits
ALTERED SINGLE/MULTI FAMILY 601-800 252.50 101.00 (1-5 circuits-$72.50;Add=n circuits,$6 ea)
(When inspected separately from the services.) _801-1000 326.50 138.00
Service or Feeder
399.00 166.50 TEMPORARY SERVICE
_ Over 1000 434.50.. 232.00 Residential/Multi-Family/Commercial/Industrial
P $ 71.50 _Over 600 volts surcharge 72.50 `0.100
_201-600 amp 115.50 _Mast or meter repair 78.50 $ 57.00
_over 600 amp 174.00 _101-200 72.50
_Mast or meter repair 43 w _201-400 85J0
_#of circuits a, _401-600 115.50
_over 600
(1.4 circuits-$57.00;Add'n circuits$6 ca) 125.00
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$85.50/hr.
FIXTURE DESCRIPTION(A)''-r• ;FIXTURE FEE FROM TABLE'B:(B).• • NUMBER OF UNITS(C) ..T-
• ' TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12).
' Estimated Permit Fee from ane 12
Estimated Plan Review Fee: $72.50+L, X.35)=(13)
N DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee:(18) (20)- (22)
SBCC Surcharge:(19) (21) (23)
Total (Pages One a Two): Llne(s)(11)+(1z)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(7.2)+(23)_ (24)
Bulletin#100-December 23,2002