03-102496 I 21141r:
City of Fades'Way
Community Development Services Electrical Permit #:03 - 102496 - 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: L'ORIGAN MANOR LOT 6
Project Address: 35796 9TH sPV AVG'S W Parcel Number: 440561 0130
Project Description: New 200amp service
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
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Service: -Residential 4320
PERMIT EXPIRES December 15,2001
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: _..2./..›1„. Date: 6//'/t
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RECEIVED D�VBYete
CQMMUNITYE��Ph�NTOPPARTMEN7 CONSTRUCTION PERMIT APPLICATION
CITY OF v"-- APPLICATION NUMBER: PZ - I 02.g 512_
Federal Way 20033 APPLICATION NUMBER:
!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" l-v (A-1 ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL 0 DEMOLITION
, ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):'if. ' (9-0%) am/ P
•
PROJECT NAME: ✓ 1 YL 6116;141- C'Y C1 Lj
■ PEOPLE INFORMATION-
PROPERTY OWNER: NAME: /.1DAYTIME PHONE:
c inc ; ca53)CP(/
MAILING ADDRESSTREET ADDRESS;CIY,STATE,ZIP):
3 Li p/ // f-) Fac- •S 260 9 >C o
CONTRACTOR: NAME: DAYTIME PHONE:
Meridian Center Electric ! (253 )848 - 5595
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE:
11109 66th Ave E Puyallup, Wa 98373 , +I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20010216200 _ _ _ _ - _ _ 1 (253 ) 841 - 0892
CONTRACTOR'S REGISTRATION NUMBER
� EXPIRATION DATE:
(ropy of card required) MRII)CE318SS i 2 / 28 / 03
APPLICANT: "Teri DAYTIME PHONE:
•
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
a ARCHITECT 0 TENANT o OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT 0 CONTRACTOR
• ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES o NO
WATER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r •
**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(5)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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)
■ 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 itg officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
( )
NAME/TITLE: t ✓ ;L-,� C"1 / DATE: k..../.// �J G��
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ADDITION ❑ALTERATION a REPAIR ' o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: •
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES a NO
COMP PLAN DESIGNATION • BASIC PLAN? • ,,,a YES . a NO.:r..
SECTION - TOWNSHIP RANGE NEW ADDRESS REQUIRED? " -a YES ❑ NO
PLATTED LOT? ❑YES o NO :' ,:
CHANGE'OF'USE?. a YES a NO O
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.cityoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
A_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft-$85.50;Each add'n 500 ft-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: z0-1-0First 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
- (1
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 -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 ResidentiaVMulti-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 s _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.
FIXTURE DESCRIPTION(A}` FIXTURE FEE FROM TABLE 8(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) s
Total (Pages one&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
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Bulletin#100-December 23,2002
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