03-103294 City of Federal Way Electrical Permit #:03 - 103294 - 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: TATUM
Project Address: 2915 SW 342ND Pi Parcel Number: 294450 0450
Project Description: Add circuit for freezer.
Owner Applicant Contractor
Donald Gregory Tatum &Andrea M Tatum MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
2915 SW 342ND PL 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA PUYALLUP WA 98373 PUYALLUP WA 98373
98023-7630 (253)848-5595
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential1
PERMIT EXPIRES February 9,2004.
Permit issued on August 13,2003
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 ag . /' —�� Date: r—/3'0�
/4 ( fAr--. 1--D
U ,
4
ii-L.
08-11-2003 03:20PM FROU-Mleridialtereyy��''`' E +253-641-0892 T-697 P.001/004 F-202
CITY Ori APPLICATION NUMBER:
Federal Way AUG 1 1 2003 APPLICATION NUMBER:
{{ APPLICATION NUMBER: _ - _ _ _ _ _ _
AY
*'The follocas QF FEDERAL ration—Please print(in ink)or types'
BCfIEgAPi?�OE�'.M
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
. . - ■ PROPERTY INFORMATION . -
SITE ADDRESS: .3--(1. 15 w :3 Ll 7 J TA5SESSOR'S TAX/PARCEL#: ,s 1 j j� - Q q S-D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. • , , ■ PROJECT INFORMATION ..
TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING ❑MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): A ii VL 1 iota 1 -..+
0
M
l
PROJECT NAME: JCt/
, , -. - ■ PEOPLE INFORMATION - . -
PROPERTY OWNER: NAME: . DAYrlME PHONE:
I ( !
� _ Tr�-t v m -.�
AILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
0 I c LL)w a LI 21 ST .
CONTRACTOR: NAME: DAYTJME PHONE:
Meridian Center Electric !( (253 )848 - 5595
MAILING ADDRESS(STREET ADDRESS;CI'iY,STATE,ZIP): EVENING PIONE•
11109 66th Ave E Puyallup, Wa 98373 ; ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
_20010-216200 _ _ _ _ - _ _ (253 ) 841 - 0892
CONTRACTORS REGISTRATION NUMBER: ! EXPIRATION DATE:
(oepNef card required) M,ERIDCE318S.G _ — — _ — _ _ I 2 / 28 / 03 I
APPLICANT: NA : 1 DAYTIME PHONE:( ) -
i
LCerl �
i
MAILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING Ken:
( ) I�
RELATIONSHIP TO PROJECT: FAX NUMBER:
O ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( )
EMAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT ❑ CONTRACTOR 1
. ■ DETAILED BUILDING INFORMATION • . • '
EXISTING USE: _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE a TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: Cl LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC)
08-11-2003 03:20PM FROM-Meridian Center Electric +253-841-0892 T-697 P.002/004 F-202
I **NEW.RESIDoNTIALCONSTRUCTION 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 UN1T(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 OUTLETS) HEAT SOURCE: 0 ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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.
•
NAME/TITLE: ...i/ ' C (2 ()S ) DATE: i I I I, V
❑ PROPERTY OWNER o APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY:• 1 •
a NEtii.',','`;........' 'ADDITION •• o ALTERATION •,::;HE:o'ttEPAIR Aia.4gt;b'7ENANT IMPROVEMENT•.
•CENSUS CODE:,i: .--- :�"}!'':"L�lial!! : ''LOT.SIZE. ";a':;:"0'rh�.'� :Pir'd`tr,;i;7ia'':cr44.,IeMFsti' .;�
.'ZONING`DESIGNATION':'•• '!•••• • .. ;;i1}%;;d6:if'IcilVi:;.:•',,LI BUILDIN( SHELLONLYi3o"YES"V.'[ NO'r i''' ;,, ..:?'"t:i.iri!•!•:;F.
..'COMP:PLANDESIGNATION . _ ;i dara��:.-).;i.';� 'iBASxC Pt!dN? YES*i.0:NO,roai1? ;- h:..b'. .:: L4 :
r
'[SECTION,eP'.:�'r��'TOW SHIP.:?,,. ::,:i''''RANGE,Iyi,4 1,:�.,Ji.:a' 'Y; T ' ;,; ��"r0K,?'T
.�-:..., ,.. N ,� ,•16 IHEIA/%IDD�itESS RE kJIRE�1? !'�1 .i�l.i�'YES+;1''O.NO'.I,hw...
''!PLATTED LOT?i ' D i .... .,, a w� ,i i ' .:4 - --, , ?..
+�'` AYES:! ..O NO ���Ifif��1'�*.I(8�a:!u??*L,:.�'?��'��it��,C�IANGE�OF..(1SE?.� 9�'t!:�'�ub��;'��YES.��d�io�PlO;girt":�:a..�i1�•;la�cit
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO 90X 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253.661-4129
www .e t reeeraIwai
08-11-2003 03:20PM FROM-Meridian Center Electric +253-841-0892 1-697 P.003/004 F-202
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n413.00ea)
(First 130011-585.50;Each add'a 500 R2-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet First 2500 ft-550.00;Each add'n 2500 82-S13.00
_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)00&ii)
Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ ' _/i of Signs(First sign-$43.00;add'n sign
+(Inspected separately) feeder-$37 each) • $20.00 each)
_Swimming pool,hot tub,spa $8530
' -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 eircuits S72.50;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 174.00r, _201-400 85.50
Mast or meter repair 43.00 ,? _401-600 115.50
L#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ca)
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.Addml plan review for other submissions is$85.50/hr.
-'FIXTURE DESCRIPTION[A)':.% 1FIXI'URE FEE FROM TABLE.B'(B).:• - NUMBER OF-UNITS(C) •=. •• ` TOTAL(0). -.
. • - TOTAL COLUMN(D): •
Total Column(D)
Estimated Permit Fee: (12)
' limate4 Permit Fee from Ilne 12
Estimated Plan Review Fee: $72.50+( X.35)= (13)
z .
• 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)
Total (Papel one b Two): line(s)(11)+(12)+(13)+(14)+(IS)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
Bulletin#100--December 23,2002