04-104687 City of Federal Way -Electrical Permit #: 04 - 104687 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: KNEISTEDT
Project Address: 31402 2nd V Parcel Number: 072104 9030
Project Description: Install of t-stat
Owner Applicant Contractor
ALBERT KNIESTEDT ALBERT KNIESTEDT ALBERT KNIESTEDT
24323 35TH PL S 24323 35TH PL S 24323 35TH PL S
KENT WA 98032 KENT WA 98032 KENT WA 98032
(253)536-2222
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat
PERMIT EXPIRES May 16,2005.
Permit issued on 1 I(TN tJ
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: ,. , , - - Date: /I— / —
!J 4 `n
vl
Federal WayRECEIVE[� PERMIT
- y 6 g
COMMUNITY DEVELOPMENT SERVICES SF MF CO MED., 3
L DE EN FP
33325 8*H AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA �J 98063-9 V 1 7 2 O U AP PLICATI O NITD
/
253-835-2607•FAX 253-835-
www.atyofedera/uau.com
The following f5't-..Ili; .1{,�`.";A_t , t an incomplete ap.lication will not be acce•ted. Please •rint legibly(in ink)or type.
, , ■/]PROPERTY INFORMATION
SITE ADDRESS 3 1 +O L �r� /4�/`e. 5 U) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 9-___c2N , O y - 4, D 3 0 LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this .-rmit onl
7- s -a, rSe __ .0 4— /00 t 7-7)
PROJECT NAME(Name of Business or Owner Last Name) K N EA 5-TF-D T
la PEOPLE INFORMATION
PROPERTY NAME
/ ,, ` PRIMARY PHONE
OWNER /76,0,./ /C`J/eC�-7 (Z$'3)S' q -Z 2 Z
MAILING ADDRESS - CITY,STATE,ZIP
Z4' 4 3 35-el oei 5.. /1 ..77/ G✓'�. 9da3 Z
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS 16(.4.4a 7--- TE,ZIP CELL PHONE
CITY OF FEDERAL" 'BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
n� OFFICE PHONE
MAILING/ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) -
LENDER )��per RCWi.1927 095 Lender information is l; NAME
1,''regureddif project value exceeds$5,000
MAILING ADDRESS en CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ UE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
' WATER SERVICE PROVIDER 0 LAKE O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS l
• AREA DESCRIPTION 'EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT +
FIRST
SECOND
THIRD ij
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) 1
GARAGE/CARPORT
,TOL GSTG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? 10IN
"NEW HOMES ONLY" NUMBER OF BEDROOMS ES M, ED SELLING PRICE $
A
- . , FIXTV ES -
Indicate number of each type offuture to be installed or reloc' ed as part o his project. Do not include existing fixtures to remain.
• MECHANICAL
• Value of Mechanical Work $
EVAPO• TIVE COOLERS GAS LOG REFRIG.SYSTEMS
AIR HANDLING UNITS FANS (-IOODS(co...<rciaq WOODSTOVES
BBQS
BOILERS F[' PLACE INSERTS RANGES MISC(Describe)
COMPRESSORS . RNACES GAS WATER HEA'.ERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(lode) MISC(Describe)
BATHTUBS or Tub/Showercombol SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Bathroom suilcs
VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATUREBLOCK _ -
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 i
this application. 1
'
/
NAME/TITLE �-K/l�it�� (Title) DATE ! �� ��y
(Signature)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect ❑ Other
( FOR OFFICE USE ONLY I
a NEW o ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
_BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? 0 YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
i
i _.
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Pcrmit Application
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 130011.2-$87.00;Each add'n 500 ft2-$28.00)
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
O 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 600 volts surcharge $74.00
0 201 -400 amp 117.50 58.00
El 401 600 amp 161.00 80.00
O Mast or meter repair $80.00
El 601 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
U over 600 127.00 n/a
1
MISCELLANEOUS SERVICE/EQUIPMENT
�#of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign $43.50;add'n sign$20.50/ea)
LI Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(Ms)
❑ Fire Alarm System
(Includes additional circuit,if required)
0
❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per System(s) l•'2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 29646-91O(Sl(6/(6�)
Bulletin#100-March 30,2004 Page 3 of 4 k\liandouts-RevisedWennit Application