03-101434 City or Federal Way
CommuniriDevelopment Services Electrical Permit #:03 - 101434 - 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: STAR LAKE VISTA LOT 9
Project Address: 2719 S 275TH Pi Parcel Number: 796820 0090
Project Description: New 200amp service
Owner Applicant Contractor
SCHNEIDER HOMES,INC. BYERLY ELECTRIC INC BYERLY ELECTRIC INC
6510 SOUTHCENTER BLVD 28001 173RD PL SE 28001 173RD PL SE
TUKWILA WA 98188 KENT WA 98042 KENT WA 98042
(253)639-8773
Electrical Fixtures
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,
Service: -Residential 168
PERMIT EXPIRES October 11,2003.
Permit issued on April 14,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - be in accordance wi the la s,rules and regulations of the State of Washington and
the City of Federal . .y.
Owner or age f : A�i 4L' Date: ��
z3—0 3 S:ery•'!,c Pot-rjl 0)16/-;-D
Z -93 �-fAMC /teevg — 63>°
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CONSTRUCTION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER: 0I - ] 0-t q3 (- IQ
Federal VVay 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.
- I PROPERTY INFORMATION .:,
SITE ADDRESS: (Q7/(1.
/ cJ r G7775 Pt ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- I PROJECT INFORMATION _
f TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
0 ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): r t iii#0 e_,717/C'Ar_—/
oZiilf
12� 1 -
PROJECT NAME: - L-!' {/ - 7
• ,= • -,.. PEOPLE INFORMATION- . .
PROPERTY OWNER: I Ni". - ; DAYTIME PHONE*
-,_-- Ci_44-e f de,--cille i9-) -,s- 1 c;ze)6).)54P-, :?s‘7/..i,
AIUNG ADDRESS
Mb_C/C2( o �/c-e ZIP):/`%/-" /C./2-t/, / ce-1/(.9, .e/.,0 ��LV
CONTRACTOR' NAME: 1 DAYTIME HONE:
„Awmic.cY �- Lec,�-/C ._ (../c__- ! ?,....
X35'877
ADDRES;QTY, IP): EVENING PHONE. i
ay0e/ �73 :S'� I ( ) $ I
OF FED BUST ESS CENSE NUMBER:9 - /
0 7 3 7� - c) 6 I F�BER: ,3
7Jf Jal l,C I
ONTRACTOR'S REGISTRATION NUMBER: /� 7 -ie
� ��®���� i IXPIRA SON%ATE /(copy of card required) 4 !APPLICANT: NA j DAYTIME PHONE:
MAILING ADDRESS(SJ,REETSSTATE.ZIP): j EVENING PHONE: - i
RELATIONSHIP TO PROJECT: I FAX NUMBER:
o ARCHITECT o TENANT 0 OTHER( DESCRIBE): l ( ) -
E-MAIL ADDRESS: I
I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
-• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
+
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE ❑ 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 UNIT(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 OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSETS) 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 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 onl • • such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the lnformatio • ppli•• to th• •ty asaof this pplication.
NAME/TITLE: DATE: �
z`��
/
o PROPERTY OW• R ❑ APPLICANT ,<GONTRACTOR
-FOR OFFICE USE ONLY: 41
i
p"n�IEW i ADDITIUN o ALTERATION REPAIR �,0 TENANT IMPROVEMENTt4•K V,
CENSUS CODE `" � ..,#��w .�. xLOT;;SIZE��� ..��.f,..�=���� ;:,r,.� ;�;44�, �..., •;,°:
ZONING DESIGNATION ;i BUILDING SHELL ONLY? D YES ❑ NO
COMP PI.A.N DESIGNATION 3 t 4 BASIC PLAN?; a YES ..x'❑ NO ,. _
SECTION TOWNSHIP x $RANGE ,NEW ADDRESS REQUIRED? ` o YES; a NO
' PLAITED 0.-...„'YES YES ❑ NO t :x = r :CHANGE •OEUSE?. =,'•.,7 4:p YES `❑ NO .° g _ ;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyorfederalway.com
•
■ ELECTRICAL •
TABLE B
kMOBIRESIDENTIAL SERVICES
W
LE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 y of Thermostats(First-$43.00;add'n-$I3.00ea)
First 1300 ft'-$85 50.Each add'n 500 W-527.50) Service and feeder $93.00 N of Low voltage fire or burglar alarms
Square Feet:
_' S- First 2500(12-$50.00:Each add'n 2500 f11-513.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _N 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 _0 to 200 5 93.0U
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 _k of circuits
_Ovcr 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,S6 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/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 S 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
_a of circuits _over 600 125.00
• (1-4 circuits-S57.00;Add'n circuits S6 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
nennit 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)
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t 1
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TOTAL COLUMN(D):
Total Column(D)
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)
Estimated Permit Fee:(16)
Bond Amount: (17)
. _ ;.;.. ._.�.OTHER FEES.,: ;, ,_,._ ,_ ,: :. . : . .... . •:.-- - ..-
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Totai,.(Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002