03-104027 City of Federal Way
Community Development Services Electrical Permit #:03 - 104027 - 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: CALDON P,Jei
Project Address: 31723 32ND/SW Parcel Number: 438800 0210
Project Description: Adding 1 circuit for new A/C
Owner Applicant Contractor
Jeremy D Caldon WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31723 32ND AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2253 (206)282-4700
Electrical Fixtures
Description Quantity Description HQuantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES March 13,2004.
Permit issued on September 15,2003
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: N. t`S'(�/ Q Date: '1C!s/v3
L.;
‘. RECEIVED
CONSTRUCTION PERM T A I TION
CITY OF �� AUG 2 8 2003 APPLICATION NUMBER: i 3 - LQ '�
Federal Way APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT, _ _ — - - - - -
_-- - -
—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 . - : .. • . .
7Z
SITE ADDRESS: 3172:2, 32��A V E S ASSESSOR'S TAX/PARCEL #: 43 5065 2/- -z-/. .D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHy): LnSTZ-(I l V.-1 c3 S JV V'T.c
g)1-i4vr+- 312, v 24-70 70 01)0194-EA S 0.YACl i L'3rj ct"--1" Set 1 B- KOz L(i 4 2 -kw\
CObirts lC_tr('vL Z0A-n-19.3 2 Uv -r 4C,
' - • - • -E '' • PROTECT INFORMATION
TYPE OF PROJECT(This application): O BUILDING a PLUMBING 4:I ECHANICAL o DEMOLITION
ELECTRICAL a ENGINEERINeP■•FIRE PREVENTION SYSTEM
•
PROJECT DESCRIPTION(Provide detailed description):
see Ve
PROJECT NAME: )eft V l a Ldov
. l• PEOPLE INFORMATION ,
PROPERTY OWNER: N E..c.e.rA^ , \ ea/di DAAYYT�IIM/E�PHO/N,E c�qp.
VV`C'1! I (Zd )/ 3 -6 QCit7
l J(7`3 -g2-''` J�jI U: J`L�-l.J-)MLING ADDRESS(STREET ADDRESS;CITY,STATE.ZI7irQ(/�(- 1 "'�T y W CAA i L 3 ,
I L
CONTRACTOR: NAME:L_Li e 3 <D /C ktetr/ i DAYTIME PHONE:
,�Un►'_� vt�9t-C (24(0)0ZSa.zarD
l rNG pRE$S(SIREESS:art.STATE ZIP): EVENING PHONE*
aSIDER , /e-E. \ ' IE -
CITY OF FEDERAL WAY BUSINESSUCEFSSE NUMBER: FAX NUMBER:
I
( )
-
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy ci card required) WAS{'l(& S 21 p GCe 1 f Z./ /C / QS"- I
APPLICANT: NAME: SSW Y"e as
Gm / ,/ ' �DAYTIMEE PHONE. Ci7Cb
-��1 lo) zV2- - L !
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE. 1
I
! -
RELATIONSHIP TO PROJECT: /� FAX NUMBER.:
O ARCHITECT O TENANT QTHER( DESCRIBE):CC /CIBC 1 ( ) -
E-MAIL ADDRESS: 1
CONTACT PERSON FOR THIS PROJECT: p PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR I
- : • . . - : ■ DETAILED BUILDING INFORMATION -- , • • - - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0.YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE 4 PRIVATE(SEPTIC)
2'd 62Tt T99€S2T:01 :NOi'ld 217:LT £002-L2-9f1Il
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ,FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
I FIXTURES
Indicate number of each type of fixture
MECHANICAL
' 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) I FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC XGAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) p ELECTRIC Cl 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 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(including costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such daim),which may be made by any person,lnduding the undersigned,and flied against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this application.
NAME/TITLE: 14 -yif Lic.6 (a.61-17) DATE: ea-7/03
O PROPERTY OWNER ❑APPLICANT liCONTRACTOR /ae)
4p
FOR OFFICE USE;ONLYy#
EW MIAQN OMPA RATiONg REP. R gfATANAI VEWEI T~grgr;
tCENSUSZCODE zea. a• 'L'UT SaE .. s'
4.O 417:10;b SIGt ATION'� - �� , � ,' II3-TJ i NG,SELirO [ic: E O � s
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OZTI P,�P AFI ESIGNATION ,_ `4` ¢. a rBASIG ini.Ma aIWWW KWIf
+) £Ci1ON " f044/NSHI, ,' RANGEWarEW'AQDii SSMiIREU?alf, XES 'x',,C!'MQ,` E
� ��AE'YCS, NO� -* . QiANGE OFUSE? tv - �O YES 'r ` i�iO'' a. -4 ?
..PLAT-,7_FD_LOT7 .. �. �7.,. �-..a;�.� � .:
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718-FEDERAL WAY,WA 98063-9718-253-661-4000-FAX:253-661-4129
www.dt rederdiway.mm
S'd 62TVT992S2T:01 :WOZid 217:LT z00Z-L2-JiIH
it, • a
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only....._ 557.00 _#of Thermostats(First-543.00;add'n-S 13.00ca)
(f=irst 1300 fir-585 50.Each add'n 500 02-527 50) ,Service and feeder 593.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 112-550.00.Each add'n 25(10 112-513 01;
_Each outbuilding or garage ...................535.50 MOBILE HOME/RV PARK Square Feet:
-(Inspected with service) _4 of service or feeders _ ' Pcr WAC 296-46-910(5)(b)(i&ii)
#
Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n scrvicc/ of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
_Swimming pool,hot tub,spa 585.50
_Yard Pole meter loops. ...... ... .. .. .55 7 O(
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/1NDUSTRIAL
(Includes three units or mom Altered Service or Feeders
Service Fecdci Amps Service or Add'n 0 to 200 ..,... ..AAAA. ... . 3 93Uu
Up to 201 amp. . AAAA 3 93 00 . . .5 27 50 Feeder _201 -600216.50
_._. AAAA
I _201 -400 amp . .. 1 15.50........__......57.00 _Oto 100.... ... . . ... .4 93 00 5 57.00 601 -1000 . 326.50
_901 -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 _Is of circuits
_Over 800 amp. 289.50 216.50 _401 -600................. 252.50 101.00 (I-S circuits-572.50:Add'n circuits,S6 eat
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/Muni-Family/Commerciai/Industrial
f 0 to 200 amp S 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 AAAA_.115.50
a of circuits _over 600125.00
(1-4 circuits-557.00;Add'n circuits 56 ea)
II 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.Fcc is 35%of
Permit fee+572.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(D) NUMBER OF UNITS(C) -J TOTAL JD)
l � 1
I- l
j - - -�
I TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from ane 12
Estimated Plan Review Fee: $72.50+( X.35)= (13)
- . ■ DEMOLITION . _
Estimated Permit Fees (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&T,.,o): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002
b'd 62TbT992S2T:01 :NOVA a,:LT 2002-L2-Eifla