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03-105034 / City ofty Development Services eveWay CommunityElectrical Permit #:03 - 105034 - 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: MEADOW LANE LOT 2 Project Address: 34213 34THSW Fi Parcel Number: 542090 0020 Project Description: Electrical service for new single family residence. Owner Applicant Contractor CRESCENT HOMES*BOB THOMPSON* PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC. 425 PONTIUS AVE N SUITE 125 PO BOX 59284 PO BOX 59284 SEATTLE WA 98109 RENTON WA 98058 RENTON WA 98058 (425)271-4648 Electrical Fixtures Description Quantity Description Quantity Description Quantity Service: -Residential 1944 PERMIT EXPIRES May 5,2004. Permit issued on November 7,2003 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 W Owner or agent: l�A,J`�(JJ/ Date: I —7—D3 lo1k fig cor 5 25 if— Zo—a3 4t Appro(A4r , / 2 -!$ U -3 .5 -c App,-01AcD W o . r G- cso‘ (-) cif57,A 67 le e RECEIVED (— CONSTRUCTION CONSTRUCTION PERMIT APPLICATION CITY OF APPLICATION NUMBER: G_ Federal Way NOV 0 7 2003 APPLICATION NUMBER: CITY OF FEDERAL WAY kPPLICATION NUMBER: - BUILDING DEPT. * 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. ■ PROPERTY INFORMATION ' SITE ADDRESS: 34 Z13 31 _ w ASSESSOR'S TAX/PARCEL #: S/ 09 7> - 0 0 2-0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): :: ■ PROTECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM -PROJECT DESCRIPTION(Provide detailed description): ri'e-w 5210 V i C.(✓ "COi� V' Q�j` �� PROJECT NAME: 11/4-4e ...z `-0�1 ° A-L- I W f- I-PEOPLE INFORMATION- PROPERTY OWNER: NAME: / DAYTIME PHONE : r�S� �- rJm� � (�6 )`gab - 6G56 MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: I NAME: DAYTIME PHONE: ovi�eln (L\a5) a�1 - 9696 i4 OFF MtAI�-'I)NG ADDRESS(STREET ADDRES-CCITY.STATE.ZIP): ReAT6trYtWA �. EVENING PHONE' OFEf`EDERAL WAY BUSINESS LICENSE U � �' F CITYFAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (copy of card required) APPLICANT: I NAME: DAYTIME PHONE: MAIUNGAD©5 1S�ET A0.0 SS CITY,STATE.ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: j FAX NUMBER: ❑ARCHITECT ❑TENANT ❑ OTHER( DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT t<CONTRACTOR ■ 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: ❑ LAKEHAVEN ❑ 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: AIL ■ FIXTURES Indicate number o ach type of fixture MECHAN •L Value of Mechanical Work: $ 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: 0 ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAK'•(5) ❑ ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE O• LET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) SUMP(S) - I ■ 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,including 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: '% lc1j 0, DATE: \1—� 0 PROPERTY OWNER 0 APPLICANT $CONTRACTOR ..F:OR:OFFICE MSE I ONLY: I I7 NEW x" L1 ADDU IUN T rtl ALTERATION 1 �,�'� REPAIR ��TENANT IMPROVEMENT =CENSUS`CODE _� t a 'LOT.SIZE € r �M , ;•'-._, ` ,, ZIERV ZONING;DESIGNATION,.rat ,,� n* (BUILDING SHELL'ONLY?x o YES' i. NO 't COMP PI NNDE$IGNATION 4 . *kg. SIC PLAN?- a YES , ❑°NO v z � SECTION. :4TOWNSHIP.3GRANGE '" `' `� • -�'_, _.�?. -NEW ADDRESS REQUIRED? ,, - .❑YES ; ❑NO ,' ' PLATTED LOT? YES:¢_o`NO � r x.Cf ANGE OF USE?: -. . ,. M.❑YES '-❑IVO _�.` , 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 • • .,■ ELECTRICAL . - ( TABLE B XIN RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or feeder only $57.00 4 of Thermostats(First-$43.00;add'n-$I3.00ca) (First 1300 fl,'-585.50:Each add'n 500 ft'-527.50) _Service and feeder $93.00 _4 of Low voltage fire or burglar alarms square Feet: t t-ILI _ First 2500 fl'-$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) 4 of service or feeders * Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _4 of Signs(First sign-543.00;add'n sign (Inspected separately) feeder-$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 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 126.50 If 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 (I-S_ circuits-$72.50:Add'n circuits,S6 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 -600 115.50 a of circuits _over 600 125.00 (1-4 circuits-557.00;Add'n circuits$6 ea) i J 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) ! I j I i • i t I I 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 - --- Permit Fee: (14) Bond Amount:(15) • ENGINEERING .... Estimated Permit Fee: (16) Bond Amount: (17) . • OTHER FEES .' N Mitigation Fee:(18) (20) (22) 1 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 Bulletin #100-December 23, 2002