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03-104223
City of Federal Way Community Development Services Electrical Permit #:03 - 104223 t- 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: FRY Project Address: 35422 1ST&toe,S Parcel Number: 292104 9065 Project Description: Up to 4 circuits to serve lighting and outlets in new 328 square foot attached garage addition and 192 square foot sitting room addition to bathroom. Owner Applicant Contractor Bruce A Fry &Cheryl L Fry NONE Bruce A Fry 35422 1ST AVE S 35422 1ST AVE S FEDERAL WAY WA FEDERAL WAY WA 98003-7018 NONE (253)941-0619 Electrical Fixtures _Description Quantity Description 'Quantity _ Description " !Quantity Circuits-Multi Family 4 PERMIT EXPIRES March 10,2004. Permit issued on September 12,2003 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:— 41 Date: Y / - i7-o3 PNvukt - ,/ kep re-tile0 4 71// o `� CONSTRUCTION PERMIT APPLICATION F4--- CITY id CITY OF �� RECEIVED APPLICATION NUMBER: C? -SOAP. 3- ()Q Federal Way APPLICATION NUMBER: - - SEP 1 2 2003 APPLICATION NUMBER: - - **The foil'•I rc�trugEd► c ion-Please print(in ink)or type** UILDING DEPT Please note: Electrical, Fire Prevention Systems arid Engineering permits may require a separate application. . - - _ - ;= U PROPERTY INFORMATION .:. `C� , SITE ADDRESS 5C�i �j" Jl 3. ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): //�t�/��-/1f'//' 3 — /' - S — GO —`5- =`: ■ PROTECT INFORMATION ' TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION )'LECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM • w PROJECT DESCRIPTION(Provide detailed description): ,�/c��!)�', 'e_ ./ 4- ,/ /g, �iL�C..-4012`—d 4./e. ] j..-"77;,-7.4-- /ec.c f ,© 40.-„,...7. PROJECT NAME: . ,.,U`PEOPLE INFORMATION PROPERTY OWNER: NAME: f.7 ; DAYTIME PHONE: , r'''e/ ,�". (2Gt�,) 2- !C o",]MAILING ADO SS(STREET ADDRESS;CTIY,STATTEE CONTRACTOR: NAME: C.� DAYTIME PHONE' _ MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: C CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: R.- �` II MAILING ADDRESS(STREET ADDRESS;CITY,STA , ): EVENING s t /;Z G---- J/ i�l-es �i ...r.> • I JG,5". / /,/1 IC/y RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT o TENANT XTHER ( DESCRIBE):�4e-.41,''e/P� ( ) E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: ROPERTY OWNER o APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION g, c.... +� CI pu EXISTING USE: -p3/ 0. - j07 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ XO--'S---- v PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ C,� SPRINKLERED BUILDING? o YES *NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES Mc° WATER SERVICE PROVIDER: 1KEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE X-RIVATE(SEPTIC) r **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: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ 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 daim(induding 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,induding its officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. NAME/TITLE: DATE: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR FOR.OFFICE USE ONLY: ALTERATION '�� "O.REPAIR , - I;❑;TENANT IMPROVEMENT=M ;; " CENSUS_'CODE. . s -LOT SIZE: , ;ZONING DESIGNATION w; BUILDING SHELL'ONLY?i'D'YES :.:❑ NO COMP PLAN DESIGNATION _ ": :BASIC PLAN?: '❑YES ❑"NO SECTION „ , .TOWNSHIP':' - RANGE = NEW ADDRESS REQUIRED? ❑YES ❑NO PLATTED'LOT?- - ❑YES O'NO " CHANGE OF USE?, ❑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,dtvoffedera Iway.com • • ELECTRICAL ' TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 if of Thermostats(First-$43.00;add'n-$13.00ea) (First 1300 ft2-$85.50;Each add'n 500 112-$27.50) _Service and(ceder $93.00 ft of Low voltage fire or burglar alarms Square Feet: _ First 2500 ft'-550.00:Each add'n 2500 ft`-513 00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ft of service or feeders *Per WAC 296-46-9I0(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _ff of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-537 each) $20.00 each) - Swimming pool,hot tub,spa $85.50 II _Yard Pole meter loops $57.00 F 1 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 5 93.1)0 _Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50 _201 -400 amn 1 15.50 57.00 _0 to 100 5 93.00 5 57.00 _601 -1000 326.50 -401 -600amp 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 ft of circuits _Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 ii--5 circuits-$72.50:Add'n circuits,$6 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/Commerciai/Industrial = 0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _U-100 $ 57.00 201 -600 amp 115.50 _Mast or meter repair 78.50 -101 -200 72.50 At • ;1 amp 174.00 201-400 85.50 Mast or eter repair 43.00 401 -600 115.50 4 u of uits _over 600 125.00 r ' rrcuits-$5 7.00;Add'n circuits$6 ea) I` r 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) 1 i I j l 1 I TOTAL COLUMN(D): 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 . .. .....- J 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)_ r 111 Bulletin #100-December 23, 2002 f