03-103275 City of Federal Way Electrical Permit #:03 - 103275 - 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: LO
Project Address: 28619 9TH s ASE S Parcel Number: 515296 0180
Project Description: Add low-voltage circuit for air conditioning
Owner Applicant Contractor
EDDIE T LO &NATALIE T LO WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
28619 9TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-3127 (206)282-4700
Electrical Fixtures
Description Quantity, Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES February 8,2004.
Permit issued on August 12,2003
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 W.y.
Owner or agent: ___ - • Date: ��12_7 2
��,1�: �.//�•--_
• ,t
RECEIVED
ITV P ` AUG 1 ` `` • CONSTRUCTION PERMIT APPLICATION
Federal Way APPLICATION NUMBER: - LQ-32 2 5'_
CITY OF FEDERAL.YV ," APPLICATION NUMBER:
BUILDING DEPT 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.
(� / •
■� 'PRROOPERTY INFORMATION '
SITE ADDRESS: ZV / 9 qvii 4V G so. ASSESSOR'S TAX/PARCEL #: 5 5-Z?& -0 1(flD
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): O BUILDING 0 PLUMBING ArligekillpIth p DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
.lir►. D i1 ' / / 1 ' a • 0411 aillira"Dl/
PROJECT NAME:
- • PEOPLE INFORMATION
PROPERTY OWNER: A E' DAYTIME PHONE
/�f'r4-fro/lam �5 d'c��� Lo (�s3)g44-/figg
MAILING ADDRESS(STREET A SS;CITY,STATE,ZIP):
z [9 q r� s0- t-edel'a/6(. y w? .71.043 3
CONTRACTOR: NAME: / /es� • j DAYTIME PHONE:
(�(/ (2cto )21Z - il7ocz.
MAILINGA)55(STREETADDRESS; TTY„5TA IP):<19 (EVENING PHONE. - r
.cz
CITYOFFEDERAL WAAYY�BUSSIINESESS,U'CENNSE N MBER: I FAX NUMBER:
- _ ( )
CONTRACTOR'S REGISTRATION NUMBER: d{ ,( [ EXPIRATION DATE:
(copy d card required) £r/ ✓ / L.,/ ?/--/ J ? f O c �J i 2 / /' / '5r
APPLICANT: NA/ME,: ►/� �� �/J //��'- !
Lues Lc CCT.•1[c� �l e.c Ish.a..--) ! DAYTIME
PHONE.
(PT‘CrtarGe--- 97C6
MAILING ADDRESS(SIRE DRESS;CRY,STATE. IP); EVENING PHONE-
RELATIONSHIP TO PROJECT: FAX NUMBER:
O ARCHITECT a TENANT a OTHER (DESCRIBE): ( ) -
( / E-MAIL ADDRESS:
M
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER o APPLICANT CONTRACTOR L I
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN O HIGHLINE G PRIVATE(SEPTIC)
2'd 62T17,199CS2I:nI !I.,fISI_I CC C.T c-rAn7_rAT_mmu
pet a.e 3 Fr7v. 24819 9 ctf y Lo
**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) ❑ ELECTRIC ❑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 upplie o the city as a part of this application.
NAME/TITLE: C. 1' • DATE: VZ 4)7°3
❑ PROPERTY OWNERAPPLICANT❑ ANT ❑CONTRACTOR
Ufattlf- 5-67
FOR OFFICE USE ONLY: I
0 NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? p YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? 13 YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES ❑ NO
PLATTED LOT? a YES a NO CHANGE OF USE? ❑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.cItvoffederaiway.corn
•
S'd 62It'T99€S2T:Ol CTiILI?-GIT-c)nH
`1
?Abe Z' T---4'r Z434, ('{ teed / LO
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only........................$57.00 _N of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 fit-SRS 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 It?-550.00;Each add'n 25(10 ft?-s13 0(:
_Each outbuilding or garage.... . ... ..__ $35.50 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-$43.00;add'n sign
(Inspected separately) feeder-537 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.... .. 1 93.00
_Up to 200 amp 5 93 00 .. S 27 50 Feeder _201 -600_. _ _ __... _. ..21650
_201 -400 amp 115.50 57.00 _0 to 100. . .5 93.00 S 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 21630 85.50 h of circuits
_Over 800 amp. 289.50 216.50 _401 -000......... ......_ 252.50 101.00 ills
-5 circuits-572.50.AdJ'n circuits,56 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 S 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. . ..1 15.50
La of circuits __over 600..... .. .. 125.00
(1-4 circuits-557.00;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
ncrmit fcc+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B.(B) r NUMBER OF UNITS(C) TOTAL(D) .
•
I I
4 I I
TOTAL COLUMN (D): •
Total Comma ID)
'
Estimated Permit Fee: (12) •
-
Estimated Permit Fee from fine 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)
Al OTHER FEES
Mitigation Fee: (18) (20) (2Z)
SBCC Surcharge: (19) (21) (23)
Total (Pages One 11 Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)*(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin #100-December 23, 2002
b-d 62Tt'T99ES2T:01 :W0aJ SECT 2002-OT-end