03-102928 411. •L
City of Federal Way
CommununiFtievelopment Services Electrical Permit #:03 - 102928 - 00 - EL
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: EVENSON
Project Address: 446 S 305TH Sfi Parcel Number: 232950 0280
Project Description: Adding(7)circuits for kitchen remodel
Owner Applicant Contractor
Bradley T Evenson &Lisa K Evenson Lisa K Evenson Lisa K Evenson
446 S 305TH ST 446 S 305TH ST 446 S 305TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4020 98003-4020
Electrical Fixtures
Circuits-Residential 7
PERMIT EXPIRES January 12,2004.
Permit issued on July 16,2003
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: C - . t/�'�2��TL- Date: 7-/62 --- 3
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CONSTRUCTION PERMIT APPLICATION
CITY OF _ / DECEIVED APPLICATION NUMBER: 03 - - Q a -F ., ao
Federal VVayAPPLICATION NUMBER:
JUL - -
r�T� 1 6 2003 (APPLICATION NUMBER: - -
**The forttiw 9pI s cr ) B►LnWAVation—Please print(in ink)or type**
BUILDING DEPT.
Please note: Electrical, Fire Prevention • stems and Engineering permits may require a separate application.
. -:S PROPERTY INFORMATION .: _
SITE ADDRESS: eI W a) , 3 �j 57. ASSESSOR'S TAX/PARCEL #: -
edQYa., VallA) VJPc , clq 003
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-.- \ PRO]ECT INFORMATION - .,. _ .
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): j1) 110(01( (7) .i( 4�
r KtFcGtevi r /
PROJECT NAME: &t56,-Z4
- _ 0-PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHON
e.
8(601 l,{ L i SOL 'l�v.e nSo n (963 ) qqii, - 7a7 9
MAILING ADDRESS(STREET ADDRESS;CITN,STATE,ZIP):
Li So . 3e.� f��` Lo A °A V u 05
to 0� ST
CONTRACTOR: NAME: • " DAYTIME PHONE:1111=11
-- =----;�, �.i SCS E�/Q..nSO C ,
MAILING ADDRESS(STREET All••. 5:CITY,STA- ZIP): y.G/ 60, 3 O5
- / • 14 EVENING PHONE-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: AX NUMBER:
-so \k_ as CL._1bCM/ i ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
L �S� ��nSo�1 (963) `ILIb (12.751
MAILING ADDRESS(STREET ADDRESS;CITY STATE,ZIP): EVENING PHONE:
1 ) W a . 3o� -
(a53) �o - to b21p
RELATIONSHIP TO PROJECT:
FAX NUMBER:
0 ARCHITECT o TENANT 0 OTHER(DESCRIBE): ( ) -
I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER •4 APPLICANT 0 CONTRACTOR
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VA ATION _
PROPOSE 0 S PROPOSED VALUATION FOR IMPRO EMENTS: $ _
SPRI LERED B ILD G? ❑ o NO FIRE SUPP- SSION SYST'M PROPOSED/REQ, IRED: • YES 0 NO
WATER SERVICE •'OVIDER: o LAKEHAVEN o HIGHLINE ❑ TA •MA , PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVAT SEPTIC)
--
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS '
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
B• MENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE /`
s
DECK f/'
GARAGE 7/
HOW MANY FLOORS?
TOTAL:
1144 FIXTURES
Indicate number • each type of fixture
MECHA •L
AIR HANDLING UNIT : EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) ' NGE(S) MISC.( )
COMPRES • (S) FURNACE(S)
DUCTS GAS PIPE OUTLET(S) H •' SOURCE: ❑ ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELE ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET ,
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) UMP(S)
'A DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that . e 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 daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the Information supplied t the dty as a part of this application.
NAME/TITLE: COIF (` d� DATE: '7 /hp /1 ..5
ROPERTY OWNER o APPLICANT ❑CONTRACTOR
?Ct.?
-FOR.OFFICE.USE ONLY ;?1
,1:7NEWp ADDITION - _i[]ALTERATION 01O.REPAIRtiT44;,�❑.TENANT IMPROVEMENT ,,*
=CENSUS`CODE 4fr rz 14 - -' •;a7,20 !:LOT SIZE: ' " ,._ °,.
{ZONING DESIGNATION:i_ , ' 'I , „ .BUILDING SHELL ONLY? =n YES: ❑ NO _'
COMP PLAN DESIGNATION _1? . y BASIC PLAN?;"i; AYES ❑.NO= .
;SECTION TOWNSHIP_,;' RANGE ? ° NEW ADDRESS REQUIRED? .o YES , :'a NO
CPL'ATTED LOT? '1❑YES' ❑`NO - fr, IziVt ".CHANGE OF USE? , ,-'n YES '=a NO
COMMUNITY DEVELOPMENT SERV?CES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 ft of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 ft of Low voltage fire or burglar alarms
Square Feet: First 2500 ft1-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) ft 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/ _ft of Signs(First sign-543.00;add'n sign
(Inspected separately) fecder-$37 each) - $20.00 each) !!
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops 557.00
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 i 93UU
_Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 1 93.00 5, 57.00 _601 -1000 326.50
=
I4 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 circuits-572.50;Add'n circuits,$6 ear
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/Commerciai/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 1 15.50
7-#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 _
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)
r r
I.
`TOTAL COLUMN(D): !
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permi from line 12
Estimated Plan Review Fee: $72.50+( X.35)= (13
- • DEMOLITION .. _
Estimated Permit Fee: (14)
Bond Amount:(15) Alkilk
.- i ENGINEERING < .
Estimated Permit Fee:(16)
Bond Amount: (17)
. ■ OTHER FEES , ., ., _....
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (pages() : Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
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Bulletin #100-December 23, 2002
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