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03-102495 IP lir F y City of Federal Way Electrical Permit #:03 - 102495 - 00 - EL Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: L'ORIGAN MANOR LOT 5 Project Address: 35804 9TH 5116t AVe 5 W Parcel Number: 440561 0120 Project Description: New 200amp service IOwner Applicant Contractor CARY LANG CONSTRUCTION CO MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC 34815 PACIFIC HWY S 11109 66TH AVE E 111, .6TH AVE E FEDERAL WAY WA 98003 PUYALLUP WA 98373 P LUP WA 98373 (78-5595 Electrical Fixtures ' +t4Ol',ttl , , 11t" . -` Desenp bn`i. ;. k4'4au4.1tifil Service: -Residential 4000 • P RMIT EXPIRES December 15,2003. Permit issued on June 18,2003 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: ' KILrf Date: li`j '/o- r VT / , * o- City of Federal Way Electrical Permit #:03 - 102495 - 00 - EL Community Development Services 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: L'ORIGAN MANOR LOT 5 Project Address: 35804 9TH SW Parcel Number: 440561 0120 Project Description: New 200amp service C� Zr- HOZ \C�2�EL Owner Applicant Contractor CARY LANG CONSTRUCTION CO MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC 34815 PACIFIC HWY S 11109 66TH AVE E 11109 66TH AVE E FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373 (253)848-5595 Electrical Fixtures . Description €,3uatltit e u;pte�n W ` f irantity ©escrrp ii � st t Service: -Residential 4000 PERMIT EXPIRES December 15,2003. Permit issued on June 18,2003 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: Date: Z-- Ar he ( C r`GGS�o1'rS c S / — 77 1=:, ?/10( ro`r`e� 17, ' • ` L,vMMUNnyDEVE OPME pEpAAT MENTCONSTRUCTION PERMIT APPLICATION CITY OF �� AM PPLICATION NUMBER: - 1 Q,2 5 . To Fe d e ra 1 Way 603 APPLICATION D3 NUMBER: - 'APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits mayrequire a separate application.q P PP Icatlon. e'l. EL _ . ■ PROPERTY INFORMATION • SITE ADDRESS: :'"V> 0 Z1 q TY) ihre --61.A.) ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION -. _ - - . TYPE OF PROJECT(This application): a BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ' DTZ) Q'ry\ r {1I PROJECT NAME: L ' 1) Y . e.fl Ma Ot Vit/ • ■ PEOPLE INFORMATION PROPERTY OWNER: NAME' ; DAYTIME PHONE: C.YLI Lein 1 (a5)LcLc -Lo MAILING ADDRES9STREET ADDRESS, ,STATE,ZIP): 33'-t Q h -p S-t )=CC;fty i i,oC -(-- 9 1-O`7 CONTRACTOR: ( NAME: DAYTIME PHONE: Meridian Center Electric (253 ) 848 - 5595 MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): ` EVENING PHONE: 11109 66th Ave E Puyallup, Wa 98373 ; ( - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 20010-216200 - i (253 ) 841 - 0892 CONTRACTOR'S REGISTRATION NUMBER: IXPIRATION DATE: (Copy o/card required) URIDCE318SL ; 2 / 28 / 03 APPLICANT: N K2riDAYTIME PHONE: • , ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT a TENANT 0 OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER 0 APPLICANT a CONTRACTOR - ■ DETAILED BUILDING INFORMATION - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NOi WATER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL) 1 SEWER SERVICE PROVIDER: a LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC) I • **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: 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: ❑ 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,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. \-4/ NAME/TITLE: .LLC t- �t-,� C 2 DATE: C9// 7/(') o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: a NEW • a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT CENSUS CODE: • LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? 'o YES ' ❑.NO' COMP PLAN DESIGNATIONN BASIC PLAN? . .,.,a!YES in SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ;❑YES. ❑ NO PLATTED LOT?• o YES o NO ,'CHANGE OF USE? p YES ,; © NO• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalw3Y.com TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MSC EQUIPMENT/TEMP SERVICES L Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea) (First 1300 ft-$85.50�,E ch add'n 500 RZ-$27.50) -Service and feeder $93.00 _#of Low voltage fire or burglar alarms Feet: 4 OWFirst 2500 ft2-$50.00;Each add'n 2500 ft2-$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-$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 _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 #of circuits Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 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/Multi-Family/Commercial/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 qr._Mast or meter repair 43.00 ch _401-600 115.50 _#of circuitsover 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=l plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) ,FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) 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) R • 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) P 1i 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