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03-100767 City of Federal Way Conumutity Development Services Electrical Permit #:03 - 100767 — 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: SWANSON DUPLEX�-- Project Address: 28630 25TH I P 15 '; Parcel Number: 552900 0I70 Project Description: Add outlets,lights,dryer&ganoutlets;(8)circuits;28632 25TH PL S.also on permit Eacluni�=of duplex has(4)circuits. Owner Applicant Contractor JEFFREY SWANSON JEFFREY SWANSON JEFFREY SWANSON 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY BELLEVUE WA 98006 BELLEVUE WA 98006 BELLEVUE WA 98006 (206)406-8635 Electrical Fixtures _ . a wt aate ? 4. 3 A aki" vk _ V , O tit. Circuits-Multi Family It 8 j PERMIT EXPIRES August 23,2003. Permit issued on February 24,2003 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: See Application Date: 3- 7- U77 3-01-17F Pi\pipil.-r City of Federal Way Community Development Services Electrical Permit #:03 - 100767 - 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:. SWANSON DUPLEX = = Project Address: 28630 25TH S Parcel Number: 552900 0170 Project.Description: Add outlets,lights,dryer& fan outlets; (8)circuits_ Owner Applicant Contractor JEFFREY SWANSON JEFFREY SWANSON JEFFREY SWANSON 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY BELLEVUE WA 98006 BELLEVUE WA 98006 BELLEVUE WA 98006 (206)406-8635 Electrical Fixtures D s�rtptlon�, �� ;vel scr••.,lpt1on Circuits-Multi Family 8 PERMIT EXPIRES August 23,2003. Permit issued on February 24,2003 1 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 V,'. . Owner or agent: I Date: aLl 3 e / v RECEIVED CONSTRUCTION PERMIT APPLICATION CITY OF . ..._ APPLICATION NUMBER: Oa- 100 7_63- od Federal WayFEB 2 4 ?P APPLICATION NUMBER: - - tt nn [APPLICATION NUMBER: - - *"Thecbi8jEig t ► Yirmation-Please print(in ink)or type** T. Please note: Electrical, Fire Prevention ystems and Engineering permits may require a separate application. ril PROPERTY INFORMATION A2Y41 AIM —C P' Sou '�� ASSESSOR'S TAX/PARCEL #: SITE ADDRESS: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): r 'Ai PROJECT INFORMATION TYPE OF PROJECT(This application): o BU DI G ❑ PLUMBING 0 MECHANICAL o DEMOLITION o ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 6lielid d J J (C 3 I[C A ir Cie yer -4,-, .4'\ + Q Co.ve,r5 •-> z 3&t6-*o,,. (6,v ''Y PROJECT NAME: 5,,.,...„...50.., f 1'1 PEOPLE INFORMATION PROPERTY OWNER: NAME: ; DAYTIME PHONE: MAILING ADDRESS(STREETP Av-TRESS;CITY,STATE,ZIP): 5....vo,�4j0� i (�+(o ) [4 �� l 7#1•7 Sc. SONNI4 A Pc'rJ--4 "X CONTRACTOR: NAME: 1 DAYTIME PHONE: CD K.c rr ' ( ) - ' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: i ( ) ...-.1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - i ( ) CONTRACTOR'S REGISTRATION NUMBER: ! EXPIRATION DATE: (copy of card required) / / APPLICANT: ( NAME: DAYTIME PHONE: O JV'L f ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: j FAX NUMBER: o ARCHITECT o TENANT POTHER(DESCRIBE): 49,-,--e— ; ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ . PROPOSED USE: P• • -; • ALUATION FOR I • : • SPRINKLERED BUILDING? o YES ■ • - FIRE SUPPRESSION SY - * • • ••SED/REQUIRED:0 YES ❑ NO ! ! WATER SERVICE PROVID :• 0 LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER S.:-' PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FL.• EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ri FIXTURES Indi • e 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) OODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MI' .( ) COMPRESSOR(S) FURNACES) DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: 0 ELECTRIC ❑GAS PLUMBING BAT ' B(S) LAVATORY(S) URINAL(S) WATER HEATER(S) D.-HWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS KINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLETS) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) S MP(S) RA DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury th• the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner o • e 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(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 to the dty as a part of this application. NAME/TITLE: t DATE: --701-`1(€73 ROPERTY OWN o APPLICANT 0 CONTRACTOR .:FOROFFICE.USBONLYiM R , z �e rK:!xLY. :,w.x+:>s�'..v�r:..��rm = 3..*.�.A4s�:ar� • •,a3mxa(:7 4 ,.qre: yFa.sea•,..: � S. NEW,<.; ® ADDITION €tI ALTERATION ._®,REPAIR ,. .t TENANT IMPROVEMENT,;,, : -ZONING"DESIGNATION• , BUILDING S1 ELL ONLY? O YES Nt:❑ NO COMP PLAN DESIGNATION. : z `4 :BASIC PLAN?, o YES 0 NO SECTION: t ,. ,,, -TOWNSHIPS RANGE.. �� ;NEW ADDRESS REQUIRED? —0 YES',44.9'13 NO ,. PLATTED'LOT?,.4 ❑YES ©NO `' .., .,., ',,'.CHANGE OF USE?�,x ❑'NO �� COMMUNITY DEVELOPMENT SERVICES•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 _#of Thermostats(First-$43.00;add'n-$13.00ea) (First 1300 ft2-$85.50;Each add'n 500 f12-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms Square Feet. First 2500 R1-$50.00;Each add'n 2500 ft`-$13.00 _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)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 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 U to 200 1 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 1 93.00 1 57.00 -601 - 1000 326.50 401 -600 amp G01-800 amp 158.50 202.50 78.50 108.50 101 -200 201 -400 115.50 216.50 72.50 over 1000 85.50 ft of circuits 363.00 - _Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;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 ice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00 01 -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 lif#of circuits _over 600 125.00 t circuits-$57.00,Add'n circuits$6 ea) 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.Fee is 35%of permit fee+$72.50.Add.'plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B)-- • NUMBER OF UNITS(C) TOTAL(D) { I TOTAL COLUMN(D): 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) • ENGI.NEERING • Estimated Permit Fee:(16) Bond Amount: (17) • OTHER FEES Mitigation Fee: (18) (20) (22) S3CC Surcharge: (19) (21) (23) Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24) Bulletin #100-December 23,2002