03-100092 li'y
Com of ty Deval Way Electrical Permit #:03 - 100092 - 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: PATTERSON
Project Address: 1709 SW 359TH Si— Parcel Number: 306560 0290
Project Description: Alteration of up to(5)circuits for the installation of outlets in garage conversion.
Owner Applicant Contractor
Mark D Patterson Mark D Patterson Mark D Patterson
1709 SW 359TH ST 1709 SW 359TH ST 1709 SW 359TH ST
FEDERAL WAY WA 98023-7270 FEDERAL WAY WA 98023-7270 FEDERAL WAY WA 98023-7270
(206)786-5853
Electrical Fixtures
DON& p� "# " Description' ....W. 'r .. ;tronaQuanti
Circuits-Residential 5
•
PERMIT EXPIRES July 7,2003,IF NO WORK IS STARTED.
Permit issued on January 8,2003
I hereby certify that the above •. • ' orrect and that the constructi• on the above described property and
the occupancy and •- + e will be in accordance 'th the laws,rules • r gulations of the State of W.shington and
the City of - eral Way.
O .•- or agent: _ A _ �� r'1t Jl2ate: d� _
t— ( A ,D
ef ()\'
b�-
RECEIVED CONSTRUCTION PERMIT APPLICATION
�CITY F APPLICATION NUMBER: .03 - /0 001,0 -60 $1c
Federal Way JAN o s zoos APPLICATION NUMBER: z).3. /dam d'Z "c ' eZ-
'APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
"The folloTl3id j_0i1igtP EETnformation-Please print(in ink)or type"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION - ,I.
SITE ADDRESS: aq Cil }} y2 9 .i- ASSESSOR'S TAX/PARCEL #: 3b.pvi
.._ s C ✓ - 029y)
PFrOPERTY A14ACH SEPARATE DESCRIPTION IF LENGTHY):
LEGAL DESCRIPTION OF SUBJECT ( )
- - ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): XBUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description)( I) •F ( 2U D-VC \ i Yl rt �iY CQ..„
Art - r ) EtAk 1Ct.5 -ii., titre'-/ s ti.-1e .
Cid“t rs
PROJECT NAME: Pfr I I vrko'/t/
L”- •-I PEOPLE INFORMATION::. • =.; -
PROPERTY OWNER: NAME: F i DAYTIME PHONE:
M CX C—Y. - ' N 2 �r1t-r L. PR)-N-t,c-n; (2c1,) 7 E -aS3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): \ \ _ ` 6V02-13
CONTRACTOR: NAME' DAYTIME PHONE:
P ( Lt..�)c- ( ! ( ) -
MAILING ADDRESS(STREET A DRESS;CITY,STATE,ZIP): EVENING PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
I - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE'
-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER( DESCRIBE): ( ) -
V E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT o CONTRACTOR
Al DETAILED BUILDING INFORMATION
EXISTING USE: �,r EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 5,n,./1-1 VOPROPOSED VALUATION FOR IMPROVEMENTS: $ tt —
SPRINKLERED BUILDING? 0 YES ®'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: 6KEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 6'L KEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
a-
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST .1 4b0
if-oa
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? A 0 0
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAP• • •TIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE I' RT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S HEAT SOURCE: a ELECTRIC a GAS
•O BIN t
BATHTUB(S) LAVA Y(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) ATER 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(induding costs,expenses,and attorneys'fees incurred In the
investigation and defense of such claim),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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/Tu E• Nka,�'�_"�i 4 _ DATE: /11/0
PROPERTY OWNER • APPLICANT a CONTRACTOR
.-FOR.OFFICE USE ONLY:-.1,1
•
ro NEW ❑ADDITION ,,.,' D ALTERATION�� -:•b REPAIR >❑:TENANT.IMPROVEMENT
LOT SIZE: .: -� 41;,
ZONING DDESIGNATION.. ': £_ '. 1BUILbING SHELL ONLY?;. -o YES 4 n=❑NO •
:COMP PLAN DESIGNATION, >x :BASIC PLAN? ❑YES . =❑"NO,
.SECTION , =- .TOWNSHIP_,,: RANGE NEW ADDRESS REQUIRED? o YES a NO
-PLATTED LOT?.'...❑YES -o`NO ' CHANGE OF USE? . _ ❑YES gi=n NO
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederaiway.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _4 of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-$85.50:Each add'n 500 ft'-$27.50) _Service and feeder 593.00 _4 of Low voltage fire or burglar alarms
Square Feer _ First 2500 ft2-$50.00.Each add'n 25(10 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _H of service or feeders • Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
1 _Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
(Includes three units or more) f
Service Feeder Amps Service m Add'n 0 to 200 $ 93.00
_Lip to 200 amp......... . $ 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 5 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 4 of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,$6 eat
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/Contmerciai/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 174.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
1}a of cicircuits r (JP 11i � ) I _over 600 125.00
(i-4 rcuits-S-7.00;Add'n circuits$6 ea) li
i
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.Fce is 35%of
permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) • ' NUMBER OF UNITS(C) TOTAL(D) •
TOTAL COLUMN(D): l i
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)
■ OTHER FEES
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)
r #100-December 23, 2002