03-102381 City of Federal Way
Community Development Services Electrical Permit#:03 - 102381 - 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 11
Project Address: 2720 S 275TH Pi Parcel Number: 796820 0110
Project Description: Install low-voltage T-stat
Owner Applicant Contractor
SCHNEIDER HOMES,INC. SCHNEIDER HOMES,INC. HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD 6510 SOUTHCENTER BLVD 9001 PACIFIC AVE
TUKWILA WA 98188 TUKWILA WA 98188 TACOMA WA 98422
(253)539-8709
Electrical Fixtures
M a -s: a s f i £5 i ttC)ttze :7—
rtl3
Thermostat 1
PERMIT EXPIRES December 7,2003.
Permit issued on June 10,2003
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: a /� >hTn� �„� Date: 0(1'
1' v `03
(0 — 1`7-0 3 ci.k O pr 3 ��
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COMMUNI
RECEIVED BY CONSTRUCTION PERMIT APPLICATION
CITY OF &„�v/ TM�EVEI fpr; r,�i i T PART!1AFN?
JUNAPPLICATION NUMBER: - . ' ' .
Federal 10 2003 APPtricarm NUMBER' . ` - . ..�
APPLICAIION.NUMBER
**The following Is required Iif rmation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
I PROPERTY INFORMATION
SITE ADDRESS: a�02 0 5 5- pc_ ASSESSOR'S TAX/PARCEL#: • (
LEGAL DESCRIPTION OP SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): , I(2
I PROJECT INFORMATION
TYPE OF PROJECT(This application): Cl BUILDING a PLUMBING ❑ MECHANICAL ❑DEMOLITION
ycELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): T-5. j
PROJECT NAME:
® PROJECT INFORMATION
PROPERTY OWNER; NAME: // DAYTIME PHONE:
GC,(C- (1 n(o )Z'1 - 2-`11
MAILING ADDRESS(STREET ADDRESS;an;STATE,ZIP):
(O S I V S .4-1N
CONTRACTOR: NAME: DAYTIME PHONE:
I-4e,>'L-4 cto -� . (25) )92-1 - Z z
MAILING ADDRESS(STREET Ate;CITY,STATE,ZIP): EVENING PHONE:
'CIL)/ /?c i(-7 ,4 7r9-- w. �- ( ) -
CITY OF FERAL AY BUSINESS LICENSE NIIMBER;(,� - ,F 107 4,L GS U Q�- FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: — ` — — — — — — — — EXPIRATION DATE:
(ropy or awl requhrd)
/-1&LZ'I E t C�UO
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EV9NUVG PHONE:
( )
RS.ATIQNSHIP'TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT o OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT %CONTRACTOR
I PROJECT 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: a YES a NO
WATER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
• •
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
1111 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 COOLERS) GAS LOG(S) REFRIG.SYS/04(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 HEATERS)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
a DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the Information furnished by me is tare 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 only , - claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the Information su as a part application.
NAME/TITLE: DATE: 3
0 PROPER, • R o APPLICANT o CONTRACTOR
FOR coFFicig IISEMIrt1111
o NEW t!)ADDITION 9AgERATRIN 0.1t,110161! o TENANT IMPROVEMENT
CENSUS CODE LOT MEI
20i1ING.DESIGNATION 1 •BOILD/KG SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION BASIC PLAN? (3 YES O NO
SECTION 1DWNSHIP. RANGE NEW ADDRESS REQUIRED? o YES O,NO
vamp tor/ YES orbet CHANGEof USE? YES oNO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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■ 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 R2-$50.00;Each add'n 2500 ft2413.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) if 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-$37 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 _101-200 115.50 72.50 _over I000 363.00
601-800 amp 202.50 108.50 _ (l
201-400 216.50 85.50 _It of circuits
_Over 800 amp 289.50 216.50 401-600 252.50 101.00 -5 circuits-$72.50;Add-mil 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 ResidentiaVMulti-Family/Comritercial/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
�_#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+$72.50.Add=1 plan review for other submissions is$85.50/hr.
FIXTOREP RI fika .:, ` FARE FEE FROM:MOWR(B2 .... .RUM13EROF UM?[1( :: . ._... ... .....IOTA&.(D)..
•
TOTAL MBO/6):_ -
Total Column(D)
Estimated Permit Fee: (12) 113• °°
Estifee from line 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
Ir DEMOLITION
Estimated Permit Fee: (14) ,
Bond Amount(15) . _ .
■ ENGINEERING
Estimated Permit Feet(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)