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03-100180 City Federal Way Community Development Services Electrical Permit #:03 - 100180 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661 A129 Inspection request line: 253.835.3050 Project Name: VANZANDT J Project Address: 32625 36TH SW Parcel Number: 873195 1040 Project Description: Low voltagsecurity system Owner Applicant Contractor Edward F Van Zandt PROTECTION ONE ALARM PROTECTION ONE ALARM 32625 36TH AVE SW 3900 S 220TH ST 3900 S 220TH ST FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-2602 (253)395-7140 Electrical Fixtures 1111114000011POilliELA _ .. ` s Descrip o. Q l? . Low Voltage Burgler Alarm-Residel 2600 PERMIT EXPIRES July 14,2003,IF NO WORK IS STARTED. Permit issued on January 15,2003 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: / •�_`� .Vrte _ Date: Eo ®tib r jG CONSTRUCT I ION PERMIT APPLICATI N Fes — APPLICATION NUMBER: D3 - J- ® QLtia - 0-0 ` 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. IDJS- ':■ PROPERTY INFORMATION 1(D SITE ADDRESS: 3 JJ -3 011 Ax. StAi ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■• PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION XELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): I--OL Voir sec. s •v.i 5- }=K PROJECT NAME: \I &VV`-1- 'c - - ■ PEOPLE INFORMATION _ - PROPERTY OWNER: NAM DAYTIME PHONE: � �� I0, Vanzand + 4C3)V 5-400 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ,3c)(o aS -o & Abe. cS tJ re de r-( -L .oh 9 rek)-3 CONTRACTOR: E: YTI E PHONE: r6 �`er✓�io� fln� cx'� ��9 4j _ LING C �� DORESS(STREET ADDR v CIITY� ATE,ZIP): EVENING PHONE: 4V o ( CITY Of FED RAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: g Y- - L 0 L - e7 Q ) 9q(4- .9(190 ii�N/ I1FNR: p EXPIRATION DATE: P goTEo aUzz 4 E 11 ! 7. 14.3 APPLICANT: NAME: DAYTIME PHONE: - ( ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE):_ ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT VONTRACTOR •::DETAILED BUILDING INFORMATION _ EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) *,*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 UNITS) 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 ❑ 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 daim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. ( /O3 NAME/TITLEjrkS ---e b - COrnQI� S�t(l) LC. DATE: 1/3 ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR • ::11FO:kofErctAitbNtiyeld ©: ❑ ALTERATION ❑;REPAIR E '.❑:TENANT IMPROVEMENT NEW ; `.❑;.ADDITION g • CENSUS'CODE ., LOT SIZE _ ,. ZONING DESIGNATION BUIL,DxNGSHELL QNLY'� ; ❑YES _❑iNO . COMP PLAN DESIGNATION :`:: BASIC PLAN? __ -❑�(ES ` ❑ NO SECTION = TOWNSHIP RANGE NEW ADDRESS REQUIRED. ❑ YES ;NO ; PLATTED LOT? _ .,YES ❑ 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 • ■ ELECTRICAL �. TABLE B a NEW RESIDENT L SER CES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$11 00ea) (First 1300 ft2-$7 . Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00 Each add'n 2500 ft2-$1 1.00 _Eachoutbuildi{gorgarage. . $30.00 MOBILE HOME/RV PARK Square Feet: r`l 2(0(49 (lnspectedyith service) _#of service or feeders *Per WA 296-46-910(5)(b)(i&ii) _Each out tiildingor garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-$31 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 Yard Pole meter loops 48.00 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 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600 97.00 _#of circuits _over 600 105.00 (1-4 circuits-$48.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+561.00.Add'I plan review for other submissions is$72.00/hr. FIXTURMESCRIP,TION(A). F•,IXT,UREWEE:FRQM TABL'E-W(01 ,UMBEROF,iUNIiSlG)` e , ,> pTt)TAL CQLUMN,`(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit fee from One 12 Estimated Plan Review Fee: $56.25+ X.35=(13) • 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 (Pages One&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) 4 SJ on Bulletin #100-August 20,2001