03-103137 City of Federal Way Electrical Permit #:03 - 103137 - 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: LANG
Project Address: 29815 24THISW Parcel Number: 893750 0270
Project Description: (7)new circuits for a pool system
Owner Applicant Contractor
Cary M Lang &Jennifer Lang MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
34618 11TH PL S#200 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA PUYALLUP WA 98373 PUYALLUP WA 98373
98003-6792 (253)848-5595
Electrical� Fixtures p #
1000-17:: f u�fttlt�t s ✓ rC'1"l Lj 1 - t
Swimming Pool 1
PERMIT EXPIRES January 27,2004.
Permit issued on July 31,2003
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: i - ��, _ Date: 7-3/-6)
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07-30-2003 03:31PM FROM-Meridian Center Electric +253-841-0892 T-622 P.001/004 F114
c1Yr of i rkuL.r 1ViV rirci"ii I HrrL1t.-H I ION rt.__
Fed a ra t WaAPPLICATION NUMBER; Q3 - 2-
Y 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: 24 gJ 5 2-L1 rS'A.) ASSESSOR'S TAX/PARCEL#: - •
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. . ■ PROSECT INFORMATION . • _ •
. .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING o MECHANICAL a DEMOLITION
ELECTRICAL 0 ENGINEERING O FIRE PREVENTIONNSYSTEM I
PROJECT DESCRIPTION(Provide detailed description):YI�•k) e Ir(Lr H -7 TIY p a O l C 1/4Jc* 2
•
• M
PROJECT NAME:
... ...■ PEOPLE INFORMATION'.: . . • .•
.
PROPERTY OWNER: NAME: (DAYTIME PHONE:
ca vu (A 11 - / - U
I MAILING� �LP S� I ET DRESS:an,STATE,EP): ,
1. I Dr. 5 7-On
CONTRACTOR: NAME: f DArTlME PHONE:
Meridian Center Electric !l (253 )848 - 5595
MAIUNG ADDRESS(STREET ADDRESS;QTY.STATE,ZIP): EVENING PHONE:
11109 66th Ave E Puyallup, Wa 98373 ; (` -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: i FAX NUMBER:
20010.216200 - (253 ) 841 - 0892
CONTRACTOR'S REGISTRATION NUMBER: EY.PIMTION GATE:
(copy of card,eq„i ed) NERTncE.81.85G 2 / 28 / 03
APPLICANT: Neri
OAy'T1ME
MAILING ADDRESS(STREET ADDRESS:are,STATE,ZIP): — EVENING PHONE:
.RELATIONSHIP TO PROJECT: )
FAX NUMBER:
D ARCHITECT a TENANT 0 OTHER(DESCRIBE):
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER p 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:O YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGH LINE 0 PRIVATE(SEPTIC)
07-30-2003 03:31PM FROM-Meridian Center Electric +253-841-0892 T-622 P.002/004 F-914
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROJECT FLOOR AREAS
FLOOR EXISTING SO.FT. PROPOSED SQ_Fr. 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.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACES)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: p ELECTRIC ❑ GAS
PLUMBING
_ BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) �_,
( ) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSETS)
INTERCEPTOR(S) SUMP(S) MISC.f )
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.
•
NAME/TITLE: . '�' (k ) DATE: `7! /
O i
o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR JJ
FOR OFFICE USE ONLY:.:
ADDITION o'ALTERATION I'.
• OREPAkfry"jtTENANT•,.
M.
a�PFaNuO{ :MrF�ENT:CENSUSCODE:; :' :LQ1.SIZE:a1:•Mi y.lt+l6'„7 N: M'e�'ZONINGDESIGNATION • •.�;u :.
,h,.,w'..::',,;�,•,:.:rL�
. •},,r�.r...•• .•BUILDING SHEI;I.ONLY?:,ip'�'YEi5:1!�hC",aQ.:NO "'-�' ;i?'�';'`1r'�'
.COMP:PLAN DESIGNATION
'::. :.' '�14'�..:"llh��i•,�.,.,r.• r. •....,,� � u.•
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'.fsEGTION';i:i:i Tow Baszc.PUhNa.�.�kh a Yes' r r Y r,•' r
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i�n.,r 'u�p�4. NSHIP_.�;'I,:�I'RANGE
*• -,�'�"NEINADDR�SS�REMUIR�D? �;�!,�,t9j�b`�ES':4�u , _ �I �"�
13 pit .i.I,D ISO:..9p..*:)!�c,i!`��:I",z •�;��, '� r :
,i'.. CFIAIZIG��o�"Ti7s"�,x1��•l.lh�;��1�orrces i�81�o NO`;'��47!i�a"�;I������la��I,E'
• COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTii•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253.661-4129
It o ratway.com
07-30-2003 03:31PM FROM-Meridian Center Electric +253-841-0892 T-622 P.003/004 F114
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES
_Single Family ,Service or feeder onlyMl4 o EQUIPMENT/TEMP SERVICES
(First 1300 f�-$85.50;Each add'n 500 ftp-$27.50 �7 _#ofThermostats
voltage
(First-$43.00;a arms l3.00ea)
Square Feet ) `Service and feeder $93.00 #of Low voltage fuc or burglar alarms
Each outbuilding or garage $35.50 MOBILE HOME/RV PARK First
Feet: 50.00;Each add'n 2500 fi-$13.00
(Inspected with service) _E of service or feeders *
_Each outbuilding or garage $57.00 Per WAC 29616-910(5)(b)(i&ii)
(Inspected separately) (First service/feeder-557.00;Add'n service/ -o gns(First sign-543.00;add'n sign
feeder-$37 each) $20 10 each)
J_Swi• ming pool,hot tub,spa $85.50
d Pole meter loops._ $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) COMMERCIAL/INDUSTRIAL
Service Feeder Altered Service or Feeders
_ Up to 200 rump $ 93.00 Amps Service or Add'n _0 to 200 $ 93.00
_201 -400 amp !15.50 S gj_�p Feeder 201•600
0 to 100 .5 93.00 3 57.00 _601-1000 6.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 over 1000 326.503
601-800 amp 202.50 108.50 _201-400363.00
_Over 800 amp 28930 216.50 401-600 216.50 85.50101.00 ( of uits-5
ALTERED SINGLE/MULTI FAMILY _601-800 252.50 8 ( circuits-572.50;Add=n circuits,$6 ea}
(When inspected separately from the services.) _801-1000 399.00....._..,166.50
Service or Feeder 349,00 166.50 TEMPORARY SERVICE
0 to 200 amp _Over 1000 434.50....._..232,00 ResidentiaVMulti-Family/Commcrcial/Industrial
_ $ 71.50 ^Over 600 volts surcharge 72,50 _
_0 t -000 amp. 0-10D
115.50 _Mast or meter repair 78.S0 $ 57.00
_over 600 amp 174.00 _ 101-200 72,50
_Mast or meter repair 43.00 ► _201-400..... 85.50
_#ofcircuits _401-600 115.50
(1-4 circuits-$57.00;Add'n circuits$6 ea) _over 600 125,00
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 585,50/hr,
. FIXTURE DESCRIPTION•CA)'`,t ..FIXTURE FEE FROM.TABLEE'S:(B).. •... NUMBER OFUNITS(C) ?'..:' •' .-=TOTAL(D).•. • •
•
TOTAL COLUMN(D):
Total Colman(0)
Estimated Permit Fee: (12)
E.Klmatea Permit Fee from ane 12
Estimated Plan Review Fee: $72.50+(, X.35)_(13)
A
• DEMOLITION
Estimated Permit Fee: (14)_.
Bond Amount:(15)
IIIMMINIMIIMMnimmErgEmEennommmommimmo
Estimated Permit Fee:(16)
Bond Amount (17)
N OTHER FEES
Mitigation Fee:(18) (20)_
SBCC Surcharge:(19) (21) (23)
Total (pages one 0'1 w): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
Bulletin#100-December 23,2002