03-101773 i+r
• r
City on Federal
Services Way
CommunitytyDElectrical Permit #:03 - 101773 - 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: MERRIFIELD
Project Address: 30340 9TH S.AWeS Parcel Number: 515365 0030
Project Description: New 200-amp service for fire damaged rambler.
Owner Applicant Contractor
Noble 0 Merrifield III &Stacy L Merrifield III EAGLE ELECTRIC LLC EAGLE ELECTRIC LLC
30340 9TH AVE S PO BOX 2304 PO BOX 2304
FEDERAL WAY WA RENTON WA 98056 RENTON WA 98056
98003-4101 (425)255-1441
Electrical Fixtures
x m�o ntkt5r D C ` 3t'1 10.0 n
_-� 4� �L1"d � , as
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES November 1,2003.
Permit issued on May 5,2003
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 a ent: —_-� Date: VS1 g
- 4, 1,11 / ct— c me re, AD
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s , RECEIVED
CONSTRUCTION PERMIT APPLICATION
cnzi\AFF-ESDEIMFIL- MAY 0 5 2003 71tiatititaaittitentlikAappinliftitt ee-
CITY OF FEDERAL WAY .':iltitektidNialMatigtOnfint:Mflgiggit
BUILDING DEPT.
**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
+11
SITE ADDRESS: 17 P'34b
f2 it/t/ ASSESSOR'S TAX/PARCEL*: ' 5 3 0 2 3 G
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): a rA...vi j17 °well,in I
• PROJECT INFORMATION
TYPE OF PROJECT(This application): PLUMBING MECHANICAL a DEMOLITION
INGo o CAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): WI- 11-<- 400 61 -ft feztvv/61 e4- wt tie iv
ti,c) A-vim e ce* vice
PROJECT NAME: 4(-0
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: e vrevi DAYTIME PHONE:
)7,0g -
MAILING ociy
RSS•CITY ST TE,MP• (MAILING (sTREIT
ADDRprz- APP (
10540 9 t" ewe rf I klitel 1029 3
CONTRACTOR: NAME: 6fDAYTIME PHONE:
ee,k (4u-) - 14c//
MAILING AVIUKtbS(STREETADM 'En CITY, ATE,FZIP): EVENING PHONE:
Po 2-30tfr Ail%) 4,)00s4 11365-6 (sc76) 27/ - 3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) e/CZW-E-F1--qe?Zfia 1.5, I os—
APPLICANT: NAME: DAYTIME PHONE:
AbLiEsfs aed-h- az 0(20 2-cc-- Y-11/
MAILING (STREET ADDRESS;CITY,STATE,ZIP): EVENINGPHONE:
/10 /* 2-30 4),,,s .7e0i--6 (sfx )7_7/ - 367e
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT o OTHER(DESCRIBE): 2-53 -- 7411
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER a APPLICANT frEONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■
PRO3ECT 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: ❑ ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),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 city,induding its officers and employees,upon the accuracy
of the Information Supp' to the city as aGkf this plication.
ito4
LIP
NAME/TITLE: _ DATE: 07*Z) 3
❑ PROPERTY OWNER a APPLICANT a CONTRACTOR
.FOR.OFFICE.USE,ONLY: l
U NEW�� ADDITION a ALTERATION a REPAIR - 0 TENANT IMPROVEMENT�,om
CENSUS'CODE :. 7 LOT'SIZE` x't • � .:__
BONING DESIGNATION,,, -f :..:'z ''_ --.- .:, . ' E ��
.,.:,. � ���-�- � BUILDING SHEL�i.ONL�f7� a�YES �,,� NO • �_ �'
COMP PLAN DESIGNATION. o t.fua.ABASIC PLAN? ,❑YES a,NO .xV x .k,_ --
`SECTION a- TOWNSHIP DDS
RANGE��,`� =NEW ADDRESS RE4UIRED?M; EI*YES�q'NO
PLATTED LOT?-;AY.ES a NO -�.. *0 ' `irA..CHANGE OF USE? y' ..i YES't'-a NO a W
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
- ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 557.00 _N of Thermostats(First-$43.00;add'n-$13.0Oca)
(First 1300 ft2-$85.50.Each add'n 500 ft'
-$27.50) _Service and feeder $93.00 _N of Low voltage fire or burglar alarms
Square Feet: _ First 2500 IV-550.00:Each add'n 2500 ft'-$13 60
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _N of service or feeders ' Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _N of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
I1 Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units i.0 more) - Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 93.+)0
_Up to 2(0 amp $ 93.06 $ 27.50 Feeder _201 -600 216.50
201 -400 amn 115.50 57.00 _0 to 100 5 93.00 5 57.00 _601 - 1000 226.56
-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 N of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-572.50;Add'n circuits,$6 cal
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-F-0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 5 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-557.00;Add'n circuits 56 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 fcc+$72.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE:FEE FROM TABLE B(B.) • NUMBER OF UNITS(C) I TOTAL(D)
i I ,
f
' `TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
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)
...1.OTHERFEES
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)
Bulletin #100-December 23, 2002