03-104738 City of Federal Way
Community Development Services Electrical Permit #:03 - 104738 - 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: NGUYEN pe
Project Address: 33234 49TH1SW Parcel Number: 802952 0080
Project Description: Addition ogf circuits to serve lights and outlets in connection with a buildout of 900 squarefoot existing
crawl space into living space
Owner Applicant Contractor
Dung T Nguyen &Uyen H Nguyen DARRON NASH BUNKER ELECTRIC,INC
33234 49TH AVE SW DARRON NASH 309 49TH ST NE SUITE F
FEDERAL WAY WA 3634 SW 334TH ST AUBURN WA 98002-1414
98023-3338 AUBURN WA 98001 (253)630-7095
Electrical Fixtures
•
Description Quantity , Description 'Quantity Description Quantity
Circuits-Residential 5
PERMIT EXPIRES April 13,2004.
Permit issued on October 16,2003
I hereby certify that the above information is correct and :.t the construction on the above described property and
the occupancy and the use will be i 'rdance wi - laws,rules and regulations of the State of Washington and
the City of Federal Way. 11
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Owner or agent: /_ Date: 0—/(" 0 3
10 ZZ a3 ,k ���
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/ -/14` � / r
CONSTRUC I ION PERMIT APPLICATION
CITY OF �/ APPLICATION NUMBER: (D3 - L Q ii 33 co
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.
::11 PROPERTY INFORMATION_,; - _
SITE ADDRESS: 13 � iveJ.V" ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-2--,--,..7.; --, 1 PROJECT INFORMATION -- -
TYPE OF PROJECT(This application): a BUILDING O PLUMBING a MECHANICAL a DEMOLITION
a ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM SPX'T �� + /tS
�J (ry f
r.
PROJECT DESCRIPTION(Provide detailed description): A , 1`',,,J a , � . /i- it 5-
I
f' r C V i l�7 C. /e, �C .�Q� (1,‘,.-///I.'c� .� f l/J fl_ CL (h CoYmee.k 'v
i /- (clout
PROJECT NAME: 14 u ,
P_ "' All
. _'I PEOPLE_INFORMATION -
PROPERTY OWNER: NAME: � I DAYTIME PHONE
MAILING ADDRESS(STBEET�ODRES IP ) / s (015'3 ) 3`�1 - g6a e/
•
3 3 3y 93 12: AI 40.)i- ,/
_ �'
CONTRACTOR: NAME: i DAYTIME PHONE:
B,, a 5-lc.c-r•'e., ' (a-53) q13 - 3q9
MAIUNG ADDRESS(STREET ADDRESS-REe_STATE.ZIP): /j Q I. EVENING PHONE:
Na) t-t l c' �, : Ii1/z,,,,� ; )`/N /Qct ' ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
y9 - 107Ygg - BL1 ( ) -
CONTRACTOR'S REGISTRATION NUMBER: i EXPIRATION DATE:
(dopy Of card required) l / /
APPLICANT: ( NAME: ^ / / /"��/ I DAYTIME PHONE:
iJc .re, J i✓0 L — aY�.51 N tcpr:5.e5 (atr3) 33J - :13-)c
MAILING ADDRESS(STREET ADDRESS;CITY STA ZIP): EVENING PHONE:
30139 4. 33 ,i fit- ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER.
O ARCHITECT a TENANT O OTHER(DESCRIBE):
( )
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
.. 111 DETAILED BUILDING INFORMATION "' . -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
s PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN a HIGHLINE O TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
_ FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
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 HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
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: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 to any daim(induding costs,expenses,and attorneys'fees incurred In the
investigation and defense of such • :im),which ma ade by any person,Including the undersigned,and filed against the City of
Federal Way,but only where s aim arises o „gf'tfie reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied • the dtyas a ..• this application.
NAME/TITLE: 0 LA-)-tv r' DATE: //l16/(T3
❑ PROPERTY OWNER 0 APPLICANT ❑CONTRACTOR
FOR.OFFICE.USE:ONLY:Id
ED NEW dTtiii iION' 4; ❑ALTERATION? ,REPAIR.- ❑TENANT-IM PROVEMENT -+
='CENSUS=CODE 4s-rs ".l ! i 4cs . it cr L'OT IZE: `r � x •h':' ;:3
ZONING DESIGNATION' t ;sf3UILDING SF(ELLONLY7 a YES .;❑'NO '�.: �
COMP PLAN DESIGNATION - ' €ABASIC PIAN? ❑YES:;' U N0 *_ r >>
SECTION .gg - yTOWNSHIP t' 'RANGE YNEW A6DRESS REQUIRED? r❑YES ❑ NO
PLATTED LOT? ' k❑YES p;NO ' 7.`'-' _CHANGE OF USE? �.,, =-.❑YES o NO �.;` -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
W ww,dtY4f federa iwa v.tom
. • - ■ ELECTRICAL • .
arAr B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 it of Thermostats(First-$43.00;add'n-S 13.00ea)
(First 1300 ft'-585.50;Each add'n 500 11 2-$27.50) _Service and feeder $93.00 _it of Low voltage fire or burglar alarms
iquarc Feet: _ First 2500 ft'-$50.00:Each add'n 2500 ft`-$13 00
Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
-
(Inspected with service) _it of service or feeders * Per\VAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _it 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 $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
(Includes three units or more) -
Service Feeder Amps Service or Add'n 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 5 57.00 601 -1000 326.50
-401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 it of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,S6 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 $ 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 ; 1
' ._ #4of circuits I _over 600 125.00
�. ; circuits-$57.00;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'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)
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1 I
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"TOTAL COLUMN(D): 1 !
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
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