03-102712 City of Federal Way
Community Development Services Electrical Permit#:03 - 102712 - 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: MCQUEEN /
Project Address: 30518 6TH SAW AUG 5v Parcel Number: 178880 0810
Project Description: Install(1)circuit for new gas furnace
Owner Applicant Contractor
G E McQueen WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30518 6TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-3919 (206)282-4700
Electrical Fixtures
Mar 70-MitiOC Etna i'illanlafttokideifflo all Kt _!--=', ,K4f100106:?-;=
Circuits-Residential 1
PERMIT EXPIRES December 28,2003.
Permit issued on July 1,2003
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 Wa .
Owner or agent: i. , Date:
7- '3!—03 /".Lrti,
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• ti E��/
A. CONSTRUCTION PERMIT APPLICATION
1
- IITY OF �..01 PPLICATION NUMBER: 01 - 2 -
1
Federal Way tAPPLICATION NUMBER: - a�� -
(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: 13 05/ V (..01-1 /-I V G LJLQSSESSOR'S TAX/PARCEL #: L---7 g e & c - $i n
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING a PLUMBING tiOtilanalla ❑ DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
,
PROJECT DESCRIPTION(Provide detailed description):
%Jns . I I Etectyie beae -.7 of fur-naee c/ qqi Pi tPy
a (clin? hfrcvi k i ra v.r
/ 20 i✓
PROJECT NAME:
•
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE-
6-7 eorge McA•ueevi la-53) S713i3v(40
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
0 sI B Lomas S-- 7-ed 6-u 6aA- 4?gv z 3
CONTRACTOR: NAME: w is
W , DAYTIME PHONE:
; ( &61)Zg2 - l'?cE3
MAIUNN('G`/G ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 1/J��j Q �/ I EVENING PHONE:
.ZOCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / [•G L v L 9 ' / ? �AX NUMBER:
� ( ) -
CONTRACTOR'S REGISTRATION NUMBER:
y��Q +� � EXPIRATIONPIRATION DATE:
(copy of m & I�f rd required) 1 ��e cct / 2 / / Coo / U
APPLICANT: NAME: W a C 0 (A�)PHONE:
2tZ �'
G1( II
MAILING ADDRESS(STREET ADDRESS;COZY,STATE, ): EVENING PHONE*
V ( )
RELATIONSHIP TO PROJECT: i FAX NUMBER: 4
o ARCHITECT a TENANT a OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT CONTRACTOR1
- . ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
• ELECTRICAL
`t- 2,/-7-10 . ML 4)eek TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00,add'n-S I3.00ea)
(First 1300 ft'-585 50;Each add'n 500 ni-$27.50) _Service and feeder $93.00 _0 of Low voltage fire or burglar alarms
Square Feet: - First 2500 I12-$50.00;Each add'n 2500 ft'-513 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _tt of service or feeders • Per WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _N of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-S37 each) - $20.00 each)
Swimming pool,hot tub.spa $85.50
Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service of Add'n _0 to 200 5 93.00
_Up to 201)amp S 93.00 $ 27.50 Feeder _201 -600 .2 I b.50
_201 -400 amp.......... .. 115.50 57.00 _Oto 100 5 93.00 S 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 _
Over 800 amp 289.50 216.50 201 -400 216.50 85.50 _b of circuits
_ _401 -600 252.50 101.00 (1-5 circuits-572.50;Add'ri circuits,$6 cai
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/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 S 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 1 15.50
1#of circuits _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
Permit fee+572.50.Add'l plan review for other submissions is$85.50/hr.
i FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1
I j
TOTAL COLUMN(0):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 11
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
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)t(18)+(19)+(20)+(21)+(22)+(23) _ (24)__
Bulletin #100-December 23, 2002
77e 3 f - Mc cru-eeh
**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:
■ 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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) / FURNACE(S)
DUCT(S) / GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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(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 only where such claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to e dty as a part
tof(this application.
NAME/TITLE: , p,tf/V% DATE: 349 ,a3
o PROPERTY OWNER ❑APPLICAN 0 CONTRACTOR
�4�lug mAd L(f t (D Y.
_FOR OFFICE_USE ONLY:, l
l :NEWWWfADDITION .; ._a ALTERATION` . : �REP, R � TENAiNT IMPROVEMENT. , a
#ZONING DESIGNATION, a' -
NO Z _air;ar y
COMP i5a NIA&DESIGNATION MV ONBASIC.PLAN?:.,f YES- t3NO 5 4t
7SECTION RANGE-� 71, EW AD.DRESS.R.E UIRED?�.<, .❑Y..ES �, ❑NO
PLATTED;LOT? >❑rEAS.❑NO .ftWaltr �:� � ,:3CHANGE;;OF USE?K ow .n YES, -bNO ,- ,".
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.mm