03-104521 City of Federal Way
Community Development Services Electrical Permit #:03 - 104521 - 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: W H CONSTRUCTION
Project Address: 4281 SW 335TH St Parcel Number: 142103 9100
Project Description: Install low-voltage T-stat
Owner Applicant Contractor
SHARED HOUSING SERVICES NONE KLIEMANN BROTHERS HTG&A/C IN
909 S 11TH ST#A KLIEMANN BROTHERS HTG&A/C IN
TACOMA WA 5518 163RD ST E
98405-4516 NONE (253)537-0655
Electrical Fixtures
Thermostat I 1
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 Way.
Owner or agent: '1— � Date: 1b-02_,--0 3
/p - 3-0 3 �Lrb / 4ra ?A
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RECEIVED FA
CONSTRUCTION PERMIT APPLICATION
CITY OF M"--- APPLICATION NUMBER: 0S- I-Qq S�-I -
Federal Way OCT 0 2 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
kPPLICATION NUMBER: - -
..The foil i cPIR information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
111 INFORMATION -
SITE ADDRESS: t2 8 I 33 11+ SrS tJ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•
<:■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL a DEMOLITION
ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): W V O L1l ye rl4'-1Lr 5 rn-r LS 1)1 iJ(�^-
PROJECT NAME:
PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
(7.- 1) ) 3 5 l - 742. z.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
H I
CONTRACTOR: NAME: i DAYTIME PHONE:
«Lt Cl'►‘An n Orkt l .2 li-EYA-r1E. u-- ; (23 3 ) S 3'i - U i0 5 5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE:
l
4103 11 to n fi 5 r >:A47 r T781-r -nr- 9 t3 4 4-0 ( ) i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
_ _ _
t q - 7 5 ( (253 ) 53 3361
_ 9
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
(mrd required) K LI C M 6 1� 0 0 3 n1 P ; 0 i / l'( / oft
• -
APPLICANT: NAME: DAYTIME PHONE:
KUor I n iJ tom— ( 2-53 ) 53 l - o Io5S
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
+1d 3 11 to fW 5 r EAI-7 r 1"4-L6rm;- - `i B 44"&0
1 RELATIONSHIP TO PROJECT: j FAX NUMBER:
I i
O ARCHITECT ❑TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER D APPLICANT ,CONTRACTOR
IN 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:a YES ❑ NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN O HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. • AL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLIN NIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER( FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMP• SOR(S) FURNACE(S)
DU r (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) a 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
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 performthe 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,induding the undersigned,and filgd against the Gity of
Federal Way,but only where such daim arias'Otfit of the reliance of the city,induding Its officers and employees,upon the accuracy
of the information supplied t the city as a part of this application.
NAME/TITLE: DATE:
10 'd 2-63
❑ PROPERTY OWNER a APPLICANT -$CONTRACTOR
_.FOR.OFFICE USE ONLY:
sy, .-:�,� -.mss:,,.� � � �.:�
,7-wit.; ,so ADDITION s 1,44 ALTERATION. _ .REP,AIR i 0 TENANT IM PROVEMENT
•CENSUS!CO DE.
'ZONING DESIGNATION "�" _ *� � LL
_ .,� ,� ��..a ,�; ��UILDING SHELL�ONLY?TVa YES �>a NO
COMP PLAN DESIGNATION A1' �
�w ���<�13ASIC PLAN? ;❑YES.:. ❑;NO, �;
SECTION+ � _ TOWNSHIP RANGE NEW ADDRESS REQUIRED?, :"❑YES a NO
PLATTED LOT? O YES'T -13140 ; _11 `;5,- CHANGE OF'USE? -fir,,,="❑YES -a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvofTederalway.com
■ ELECTRICAL
A A TABLE B
1
NEW RESIDENTIAL SERVICES MOBILE HOMES ?LSC EQ IPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.0 N ofT rmostats(First-$43.00;add'n-$I3.(1Oca)
(First 1300 ft2-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.0 Jr of ow voltage fire or burglar alarms
Square Feet. F. 500 ft'-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _4 of service or feeders * Per WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
1 _Yard Pole meter loops $5700
I '
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
- Service Feeder Amps Service or Add'ri _0 to 200 5 93.00
Up to 200 amp $ 93.00 S 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 5 93.00 S 57.00 _601 -1000 326.50
-401 -600 amp 158.50 78.50
=101 -200 115.50 72.50 is
1000 363.00
601-800 amp 202.50 108.50 201 -400 216.50 85.50 ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 i I-S circuits-$72.50:Add'n circuits,SO ear
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 5 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
a of circuits -over 600 125.00
(1-4 circuits-$57.00;Add'n circuits 56 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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
j !
1
1
� I I
TOTAL COLUMN(D): .
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
ii
Estimated Plan Review Fee: $72.50+( 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)
Bulletin #100-December 23, 2002