03-104357 City of Federal Way
Community Development Services Electrical Permit #:03 - 104357 - 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
./110800—
Project Name: MAIER
Project Address: 728 SW 356TH Pi Parcel Number: 066231 0090
Project Description: Install circuit and thermostat for addition of air conditioning unit to existing HVAC system.
Owner Applicant Contractor
Anthony A Maier &Sondra K Maier ADVANCED FILTER&MECH INC ADVANCED FILTER&MECH INC
728 SW 356TH PL 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98023-8133 (253)770-2440
Electrical Fixtures
Description Quantity N Description Quantity , Description "Quantity
Circuits-Residential 1
PERMIT EXPIRES March 20,2004.
Permit issued on September 22,2003
I hereby certify that the ab. info ation is correct and that a nstruction on the above described property and
the occupancy and the case will be ' accordance w' h the la ,s, es a regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ��' 4 Date: P "-- ---ze2
° 1'� 1°4 1--;ii off- -
._ RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF '—%+...' APPLICATION NUMBER: a 1 - J O q 5 -}f�
Federal Way SEP ;; 2 2003 APPLICATION NUMBER: 03 - L 0 Y,31-7 -E(,,,.
CITY OE FEntDERAP TW AY 'APPLICATION NUMBER: - -
**The followini3Oir isl2RInf�mnation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- UPROPERTY INFORMATION
SITE ADDRESS: ZL ( 5(ia 56 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PRO]ECT INFORMATION _ --
TYPE OF PROJECT(This application): a BUILDING ❑ PLUMBING 4fECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed d cription):
4 PROJECT NAME: ^IV\Pt-k _1
' ■ PEOPLE INFORMATION '
PROPERTY OWNER: NAME: I DAYTIME PHONE:
i Q/
MAILING ADDRESS(STREET�ACDD`R 5 'C ,STATE,Z r -\Qe ' ( N �� " 1�7
7 2 ' c� 5 6 `F'W s i2...t.L ur4-y GL.�-- Z3
CONTRACTOR: NAME: DAYTIME PHONE:
X531? -____ 4.- c)
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE'
ZAc
UJ ( .. .,-. I3 ' ( ) -
CITY OF DERAL WAY BUSIN "U(. E NUMBER: FAX NUMBER: 1
ar'0 ' ` ` -- -Ali. _S1 7t _ - _ _ ) 77 - ,p-4LI
CJNTRA O•• REGISTRATION` MBER: i EXPIRATION DATE:
(copy of card required) / /
APPLICANT: ( N DAYTIME PHONE'
�3-� S S3)?7& - a(rq6
M ADDRESS(STREET ADDRESS;CITY, ,ZIP): EVENING PHONE:
Z+ k v-•bR�+--�\4 .-. _K ) L q ! ( . ) -
RELATIONSHIP TO PROJECT: C;�1� i FAX NUMBER:
o ARCHITECT O TENANT ❑ OTHER ( DESCRIBE): )
E-MAIL-ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER ❑ APPLICANT L4-CONTRACTOR
I
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT " B
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: $ 2-5-0
r
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 ❑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 harm!- - .. City of Federal Way as any daim(induding costs,expenses,and attorneys'fees Incurred in the
investigation and defen - of such aim),which may be ma a by any person,induding the undersigned,and filed against the City of
Federal Way,but on where su• daim arises out of u - ret' nce of the dty,induding its officers and employees,upon the accuracy
of the Information suppl' to • e dty as a ..rt of • app ca ' n.
NAME/TITLE: f / DATE: Z-v 3
o PROPERTY OWNER o APPLICANT (a-CONTRACTOR
-,FOR,OFFICE.USE ONLY:',a
$NEW O ADDITION r❑ALTERATIONrEtO REPAIRS,,���,TENANTIM.PROVE.MENT
too E -,,Wit o sxttLOT_SIZE Z5AT4�, . � `?A-4:. - 4 ,
2DES
0NING' IGNATION7la -tr k442�BUILDING.SHELi,�ONLY7 �a YES�' a NO,
COMP PLAN DESIGNATION , 7 ;,,*ABASIC PLAN?. _❑YES .Y: b,`NO';: =z
SECTION TOWNSHIP_ � 1RANGE -- NEW ADDRESS REQUIRED? �' 'o YES ❑NO
"•PLATTED LOT? ,b YES o NO S r ;:= CHANGE OF USE? e, =❑YES ..11 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 s FAX:253-661-4129
www.dtvoffederalway.com
IN EL. RICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 f a of Thermostats(First-$43.00;add'n-$I3.O0ca)
(First 1300 ft'-$85.50:Each add'n 500 ft -$27.50) _Service and feeder . , $93.00 _a of Low voltage fire or burglar alarms
square Feet: _ First 2500 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) _a of service or feeders * Per WAG 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage 557.00 (First service/feeder-$57.00;Add'n service/ _a of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
-Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
F i
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 90
_Up to 200 amp 5 93.00 S 27.50 Feeder 201 -600 216.50
201 -400 amn 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 a of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 IT-5 circuits-$72.50:Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately front 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 _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
(-a of circuits I _over 600 125.00
(1-4 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
nemtit fee+$72.50.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
I
}
TOTAL COLUMN(D):
Total Column(D)
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 Pernlit 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