03-104790 City of Federal Way
Community Development Services Electrical Permit #:03 — 104790 — 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: PITTMAN vie/
Project Address: 31331 51ST/SW Parcel Number: 321020 0380
Project Description: Install(9)circuits and relocate meter for residential addition.
Owner Applicant Contractor
Daryl D Pittman &Tracy A Pittman TAHOMA ELECTRIC,INC. TAHOMA ELECTRIC,INC.
31331 51ST AVE SW TAHOMA ELECTRIC,INC. TAHOMA ELECTRIC,INC.
FEDERAL WAY WA PO BOX 42267 PO BOX 42267
98023-2024 TACOMA WA 98442 (253)606-9144
Electrical Fixtures
Ar:; toaft
Circuits-Residential 9
PERMIT EXPIRES April 18,2004.
Permit issued on October 21,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and e use will be in accor,4ance with the laws,rules and regulations of the State of Washington and
the City of Federal y. II `` ,,I
Owner or agent a —c9G Date: (U 13 �3
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RECEIVED _
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OCT 2 1 2003 CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: 0 3 - 1 6 ? U -
Federal Way - -� � - �'
CITY OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT, '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.
■ 'PROPERTY INFORMATION -
SITE ADDRESS: 3 (331 - J 1'1-A / J 3 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 PRO3ECT INFORMATION .
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
lLkPROJECT DESCRIPTION(Provide detailed description): CI!w14 f 3eo S I
PROJECT NAME: �.��1�vkI‘
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: i DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3133 -c(ST Nv,e SJJ
i
CONTRACTOR: NAME: i DAYTIME PHONE:
7 s `I i -r-A ,r,A f�E.c- t c i. i L. ! (zS'3 )G06 - C 1 L(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): ,I . EVENING PHONE
l Q a. 45-g17 T w.e�u)e.1, °,z--kk-e_ {1$(ivs- ( ) -
fCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: (� FAX NUMBER:
C) a - 1 � (Lo .77 - is ) -
CONTRACTOR'S REGISTRATION NUMBER: i� 0. M `` EXPIRATION DATE:
ireT F \
(copy of card requd) ' l Z $ J ; / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ; EVENING PHONE:
`a0 Cc v, 7 r (mss(,.--6-L„ e e q�YYS ; ( )
e ; RELATIONSHIP TO PROJECT: t j FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER( DESCRIBE): IeCtrLe.ita\ � ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
- : -•■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ 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) RANGES) 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) o ELECTRIC a 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 claim(including 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 o• y wher• such daim ari out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informatioppli•' . ed a rt of this application.
NAME/TITLE: 1 , i , 0s G DATE: /o/z1/0 3
❑ PROPERTY OWNER )APP CANT a CONTRACTOR
.-FOR.OFFICE.USE ONLY:>
tclINEW ADDITION -,, .4 ALTERATION , n,REPAIR-,. flTENANT IMPROVEMENT ', „
'CENSUS';CODE W. .- - = V. `"LOT;SIZE 4WAt : -3. V 4 *., i0 4
ONINGDESIGNATION k, ''Tl-,A BUILDING SHELLvONLY?'-'`❑YES -o NO 1
-COMP PLAN DESIGNATION ;a ,,;; ;, - ,BASIC PLAN?1W❑YES ; ,❑"NO?° r,'_
SECTION »„ TOWNSHIP :0.` GRANGE € _, :,NEW ADDRES REQUIRED?. . '❑'YES _ -a NO
' ~PLATTED LOT? ❑YES r o NO---1*"' "''''''''''`t.i :. - xCHANGE:OFRUSE? ,., '.n 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
a
www.dtvofederalway.com
•
■ ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 tt of Thermostats(First-$43.00;add'n-513.00ca)
(First 1300 ft'-585.50,Each add'n 500 ft -$27.50) _Service and feeder $93.00 if of Low voltage fire or burglar alarms
Square Feet. _ First 2500 112-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage 135.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) 11 of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _if of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
I _Swimming pool,hot tub,spa $85.50
I _Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or MON) Altered Service or Feeders
II Service Feeder Amps Service or Add'n _0 to 200 i 9 3.uu
Up to 200 amp $ 93.00 5 2750 Feeder 201 -600 216.50
201 -400 amP 115.50 57.00 -0 to 100 g 93.00 $ 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 _if of circuits
-
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 i I-5 circuits-$72.50:Add'n circuits,56 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 5 57.00
201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 !I
over 600 amp 174.00 201-400 85.50
Mast or meter repair 43.00 _401 -600 1 15.50
Q rt of circuits _over 600 125.00
(1-4 circuits-557.00;Add'n circuits 56 ea)
i J
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+$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)
'
i r 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)
IN EN.GINEERING
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