03-104520 •
K
' City dr Federal Way
Community Development Services Electrical Permit #:03 - 104520 - 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 14
Project Address: 727 SW 357TH Sf Parcel Number: 768390 0140
Project Description: New 200-amp service for 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 April 28,2004.
Permit issued on October 31,2003
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 e laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: _aim., Date: (6/3/A3
y q ,
2�z S-a1 GUi-r-�c��t,•f' C
( 1\f`" tIVit/
03
0 �b
\46---j
( !/ ►
10-30-2003 07:42AM FROM-Meridian Center Electric +253-841-0892 1-377 01/004 F-399
CITY qF �� CONSTRUCTION PERMIT APPLICATION
Federal Way APPLICATION NUMBER: _ -
APPLICATION NUMBER:
_w
APPLICATION NUMBER: -
s"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.
■ PROPERTY INFORMATION .
•SITE ADDRESS: 12.1 SL) ;35-ITTs 5-r-
// ASSESSOR'S TAX/PARCEL#: _
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION . .- _ .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING O MECHANICAL a DEMOLITION
,ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):2.00 Coin? 5eArv-ce
PROJECT NAME: ' i ' ..M „ AA r + I1
___
•
- -:-■ PEOPLE INFORMATION .
PROPERTY OWNER: kF:
(gym I oAvt7ME PHONE:
MAILING O L (SIRE DRESS QTY,STATE.ZIP):
34 LPI%
CONTRACTOR: NAME:
Meridian Center Electric i DAYTIME PHONE:
(253 )848 - 5595
MAILING AOORE55(STREET ADDRESS:QTY,STATE.ZIP): l
11109 66th Ave E Puyallup, Wa 98373 • (ENIkc PHONE
CITY OF FEDERAL WAY US{NESS�[ E NUMBEIL �f J`
S200��G�6200 - � FAX NunBER:
CONTRACTOR'S REGLSTP ON NUMBER: M2 C - -
_ (253 ) 841 - 0892
(00,111�d required MERIDCE3L8SG F EXPIRATION DE: / 03
APPLICANT: k - ...—_.
fieri i DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS:CITY,STATE,Zip): )
(EVENING PHONE: ,
RELATIONSHIP TO PROJECT: `
I FAX NUMBER:
o ARCHITECT a TENANT
❑ OTHER(DESCRIBE): i ( )) _
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER a APPLICANT a CONTRACTOR E•MAILADORE55:
- . : •-■ DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S _
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES a NO 1
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLtNE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE G PRIVATE(SEPTIC)
I
10-30-2003 07:42AM FROM—Meridian Center Electric +253-841-0892 T-377 P.002/004 F-399
• =*NEW RESIDENTIAL CONSTRUCTION ONLY*4
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
A PROJECT FLOOR AREAS
FLOOR EXISTING SQ.Fr. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST ' •
SECOND •
•
THIRD •
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE •
HOW MANY FLOORS?
TOTAL:
NI FIXTURES
Indicate number of each type of fixture h
MECHANICAL
AIR HANDLING UNITS) _ EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.
COMPRESSOR(S) FURNACE(S) )
DUCT(S) • GAS PIPE OUTLET(S)( ) HEAT SOURCE: ❑ ELECTRIC ❑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
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 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,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: . DATE: /c/ ,l Q%t-j
❑ PROPERTY OWNER o APPLICANT Q CONTRACTOR
.FOR OFFICE USE ONLY: ••j
ADDITION
, ,"r_... .. A•7xS.Tr ,RAT„IO.N.,�.a .. — . y 'iT
EyANTIMPROVEMFN.
T;;:'._-:� `
,
,•
.CENSUS LOT SIZE:"ZONING DESIGNATION
-'._.: F....: nIII.LI�V•�Y.'L....a1FS .I.g _ O`Y S"'�ihFO"rN0
._Coh[p'PLAN tiisrGNATYON ..,."'-"_ -~r t.I1 „,ti, ;4��4 . ' LIILDING�SHELL "��F • _E !; '..
I ��1l,,���� ,,LL�I1 �e.y ;�y��^^y�IYr���
''l �.dI,Ii r� �il:[Mli �'nr:�.,�4"1BASIC��PLAIr?,Y[�611�II mrYieii dIUCly { L •1�. h�4'
`SELT>(QN�ikill'yai��ia'�::7GWNSNiP_;,. '•'r"" r �M4'��I;I�i������,�:w.J�l�l`tl',.,H4�.�:,
RANGB'��5�:` ;�?w1' 4.-.,,,.a.n..lAL nv.i�.n ro..m_N• RED?
NEWADDRE55,RE UI 'rl"�.P" +i , n
�PU1T7'ED1rIOTtr'I��_'•, $a_,i rl. •',' Il�,�e �, • ' �, p,,.M,,,..,...,-�. Q ����Itfr,Fl..r��•o'tifES:,.I�'o"N�.tl� _I�
O.1 �' CH/(I�iGE OFI•USE?,wNIWIIi:NP k❑YES_Wµf ,NO d: orb LIp71tiXr ,M1II-
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOS•PO 8OX 9728•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX 253-661-4129
10-30-2003 07:43AM FROM-Meridian Center Electric +253-841-0892 T-377 P.003/004 F-399
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES
_Single Family MISC EQUIPMENT/TEMP SERVICES
(First 1300 ftX85.50;Each add'n 500Its-;27.50 Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-S 13.00ea
) _Service aro feeder,,,,,,,,,,,,,,,,,,_.._., S93.00 -#of Low voltage titre or burglar alarms
Square Feet: 4 )
First 2500 ft2-$50.00;Each add'n 2500 02413.00
Each outbuilding or garage $3550
(Inspected with service) MOBILE HOME/RV PARK Square feet
Each outbuilding or garage -#of service or feeders *Per WAC 296-46-910($)(b)(i&ii)
u $57.00 (First Service/feeder-557.00;Add'n service/ #of
(Inspected separately) feeder 837 each) - Signs(First sign-543.00;add'n sign
$20.00 each)
_Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) COMMERCIAL/INDUSTRIALerviceor
Service Feeder Altered Service Feeders
_Up to 200 amp $ 93.00
Service
S e 50 Amps Service or Add'n _0 to 200 5 93,00
-
40I-600 amp 158.50 78.50201-400 amp ;I5.50to 00 Feeder 201-600 216.50
_ 57.00 101 00 $ 93.00 5 57.00 _601•1000._ 326.50
601 -800 amp 202.50 108.50 20I-400 115.50 72.50 #of circuits
over 1000. 363.00
_^Over 800 amp 289.5002, 216.50 401-600 216.50 85.50 ^
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 131.00 (1-5 circuits-$72.50;Add=n circuits,$6 ca)
(When Inspected separately from the services.) ,�801-1000 326.50 138.00
Service or Feeder 399.00 166.50 TEMPORARY SERVICE
_0 to 200 amp $ 71.50 .Over 600 volts surcharge 434.50 232.00 Restdential/Multi-Family/CommercialMdust-ial
-201-600 amp 115.50 _Mast or meter repair 78.50 _0 1 2 5 57.00
_over 600 amp 174.00 -l0 -200 72.50
Mast or meter repair 43 ,201-400 85.50
_#ofcirculrs __401-61X1 115.50
(1-4 circuits-$57.00;Add'n circuits S6 ea) -over 600 125,00
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-I plan review for other submissions is$85.50/hr.
, FIXTURE.DESCRIPTION•[A)tn.4FDCTURE FEE FROM TABLEB'CID. NUMBER OF UNITS(C) c. . ,;.•TOTAL'(D) -
• • •TOTAL COLUMN(D):'•
Total Column(D)
Estimated Permit Fee; (12)
Eselmated Permit Fee from ine 12
Estimated Plan Review Fee: $72.50+(__. X.35)n(13)
■ DEMOLITION
Estimated Permit Fee: (14)_
Bond Amount:(15)
Estimated Permit Fee;(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18)- (20)
SBCC Surcharge: (19) (21)
Total (Pages once.Tha): LIne(s)(11)4•(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)=(24)
Bulletin#100-December 23,2002