03-102337 City of Federal Way
Community Development Services Electrical Permit #:03 - 102337 - 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: STAR LAKE VISTA LOT#4
Project Address: 2617 S 275TH PI Parcel Number: 796820 0040
Project Description: Installing new L/V thermostat
Owner Applicant Contractor
SCHNEIDER HOMES,INC. HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD 9001 PACIFIC AVE 9001 PACIFIC AVE
TUKWILA WA 98188 TACOMA WA 98422 TACOMA WA 98422
(253)539-8709
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES December 3,2003.
Permit issued on June 6,2003
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. See or agent: See Application Date: 6 (4 140 3
FINAL
INSPECTION
REQUIRED
UPON
coMPLETION OF
WORK 0")
0
Rough-in inspection: G-'I h -a z
Date
FINAL inspection: 4p r-wY
T Date
CO RECEIVED BY CONSTRUCTION PERMIT APPLICATION
MMUNI7ypEVE1.OP�gENT
CITY or �' D PA RTS <:
JUN 0 6 -�k'���A'��I'�+I �. � L 0 -. ;� �,..
Federal 2003r
APPLICATION NUMB R: ..� * -
**The following Is required information-Please print(in ink)or type**
Please notes Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SPE ADDRESS:a.( I 1 S3 (9----15-11\ Pc-• ASSESSOR'S TAX/PARCEL#:7 1 Co y L O - U `{ Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S
PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑PLUMBING ❑ MECHANICAL ❑DEMOLITION
)(ELECTRICAL p ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): j
PROJECT NAME: S cv1,M-e-t
® PROJECT INFORMATION
PROPERTY OWNER: NAME:C • DAYTIME PHONE:
c�4-1 M-C.-,L J— - 1-1��v-� (266 )2-'4 e -Zy-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
(PS-10 _ Su v I cam•-4-cc g(-V -J—LAc.i_r i I ,,a-
CONTRACTOR: NAME: DAYTIME PHONE:
C r' 4,rct- (2S3 )y2Z - 2Z/
MPOLIAG ADDRESS(STRE r ;.CITY,STATE,ZIP): EVENING PHONE:
(-), rcic _ ( ) -
CITY OF FEDERALAWAY SUS:NESS NUMBER: (i —y -.10 7 L,L y - 0 o fi L. ' FAx NumBER !, Q
CONTRACTOR'S RE6ISTRATH m NUMBER: ^ �A,ION � U 7
(Copy deM red) Tk�T vim _
APPLICANT. NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT q OTHER(DESCRIBE): ( ) -
EMAA ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT )i/CONTRACTOR
® PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ . .
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINItLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑LAKEHAVEN o HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•
•
**NEW RESIDENTIAL CONSTRUCTION ONLY** '1
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)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAt SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS) MISC.( )
INTERCEPTOR(S) SUl4P(S) !�
IN DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is hue 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 on -such claim ' out of the reliance of the city,including its officers and employees,upon the accuracy
of the • - . . itiar to city part of this application.
NAME • l DATE: C,C l //U 3
o PRO • . ER a APPLICANT a CONTRACTOR
Niot Office uSEO>r ,x:...
q:NEW C ADDITION' a ALT TION `` a REPAIR'' [ �li4NT:IMPROVEMEN T
mous-axe LOT SIZE:
ZONING DESIGNATION 3 I GGSME ONLY? a YES aNO
COMP PLAN DESIGNATION _..................... . ... .....
'BSC PLAN? la YES if NO
SECTION TOWNSHIP RANGE .NEW ADDRESS REQUIRED ,. YES.: ••In:NO. .. ......
PLATTED LOT.. a YEs .::::n:NO . CHANGEOFiuSE7 ,._. DYES r No
COMMUNT(Y DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718.FEDERAL WAY,WA 98063-9718.253.661-4000•FAX:253-661-4129
rihtnfriviprAwav
•
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 1#of Thermostats(First-$43.00;add'n$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) `Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 f12-550.00;Each add'n 2500 ftp$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) #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/ #of Signs(First sign$43.00;add'n sign
(Inspected separately) feeder-537 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 or Add'n 0 to 200 $ 93.00
_Up to 200 amp $ 93.00 $ 27,50 Feeder 201-600 216.50
_201-400 amp 115.50 57.00 0 to 100 $ 93.00 $ 57.00 T
_ 601-1000 326.50
401-600 amp 158.50 78.50 _10I-200 115.50 72.50 over 1000 363.00
601-800 amp 202.50 108.50 _201-400 216.50 85.50 _^#of circuits
_^Over 800 amp 289.50 216.50 _401-600... 252.50 101.00 (1-S circuits-$72.50;Add=n circuits,$6 ea)
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/Ivtulti-Family/Cosnmercia.i/Industriai
_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 r_401-600 115.50
�_#of circuits over 600 125.00
(1-4 cirouits-$57.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,ora new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+572.50.Add=1 plan review for other submissions is$85.50/hr.
. .CN
REFEE TABL�B B ' .
UM$ERflF UMC TOT
Total Column(o)
Estbnated Permit Fee: (12) Lf 3
•
Estimated Permit fee from line 12
Estimated Plan Revielw Fee: $72.50+( X.35)=(13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Band Amount: (17) .
■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Pages one Et Tee): Line(s)(11)+(12)+(13)+(1>4)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =(24)