03-105035 't 4
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City of Federal Way Electrical Permit #:03 - 105035 - 00 - EL
Commtmity 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: MEADOWLANE ONE,LOT 1
Project Address: 34207 34TH SW V'e/ Parcel Number: 542090 0010
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
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 Way
Owner or agent Dater il_7^ 03
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�� CONSTRUCTION PERMIT APPLICATION
CITY OF 11116,
�� APPLICATION NUMBER: D3- L Q SO 3 S i,(�
Federal Way Nov 0 7 200 APPLICATION NUMBER: - -
;,ITY OF FEDERAL WAY kPPLICATION NUMBER: - -
fliG DEPT. **
**The fo Ls 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: 3140 47 1 44, 406 5 60 ASSESSOR'S TAX/PARCEL #:S-(1 c --O 7 0 - 0 0( 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
LECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): 7( n2.V•/ �•e r U 1 C:P, TDA'• v-'�5i re,
•
PROJECT NAME: Me adO(Jl alit—e- AQ i (...--0 f----- /
• PEOPLE INFORMATION "
PROPERTY OWNER: NAME: DAYTIME PHONE `^-�
(206) 3Z(p- 4,6. J (0i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: I DAYTIME PHONE:
(-lr0,\ I I d Cn 4- 1= 1 e cc's'IC ; (9 ) alk - 'lb I-I 8
MAILIN ADDRESS(STREET ADDRESS;CITY,STA ZIP): . EVENING PHONE:
PaG oX 59x43 1 ..eY\ C) WA c(Ms
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / I FAX NUMBER:
( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) i / /
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
t ( I ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): i ( )
EMAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT • CONTRACTOR
G ,p"f'_ ■ DETAILED BUILDING INFORMATION
EXISTING USE: S l EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
,
R PROPOSED USE: S FK___ PROPOSED VALUATION FOR IMPROVEMENTS: $
e
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• i PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMEN
FIRST
SECOND
THIRD
FOURTH J
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? A41616,
_
TOTAL:
■ FIXTURES
dicate number of each type of fixture
MECHANICAL Value of Me •nical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BAT ' B(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
D HWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
RINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty ofperjury 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(including 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 relianceo.f the dty,induding Its officers and employees,upon the accuracy
of the information supplied to the dty as apart of this application.
NAME/TITLE: fCV Y1 7 �
� R r IGI 1 I(kSS DATE: ` . 0 3
o PROPERTY OWNER ❑APPLICANT CONTRACTOR
.,FOR.OFFICE,USE ONLY:-I
'7.NEW;.,, ( ADDITION T]ALTERATION o REPAIR ,TENANT IMPROVEMENT ,
g
CENSUS CODEi �, ,. � �
f
ZONING'DESIGNATION � '''';1:71t.:7777:451:.!
.. BUILDING SHELL ONL . o;YES ❑NO
1=-070"0-7:P.40-16. ESIGNATIONS - _ k ��rBASIC PIAN? ❑YES = ❑ NO;s =
SECTION TOWNSHIP RANGE _ _NEW ADDRESS REQUIRED?. _. ._❑YES •❑'NO
P.l11TTEl LOT? ❑ VA'❑'NOmf* � .- CHANE OF 11SE? .' y❑YES ❑'NO ,, '
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718••FEDERAL WAY,WA 98063-9718•253-661-4000 FAX:253-661-4129
`' www.dtvoife4eralway.com
•
. ` ■ ELECTRICAL
(-1() , -t) TABLE B
RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 N of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 fttl-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 N of Low voltage fire or burglar alarms
Square Feet lCIL-Vy _ First 2500 ft'-$50.00;Each add'n 2500 ft`-$13.0(;
_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-557.00;Add'n service/ _N of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops $57.00
1 i
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Il Service Feeder Amps Service or Add'n f 0 to 200 5 93.00
_Up to 200 amp $ 93.00 S 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 _N of circuits
_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
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 $ 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-$57.00;Add'n circuits 56 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'l 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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i f I 1
TOTAL COLUMN(D): ,
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from tine 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)
. 1 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)
. Bulletin #100-December 23,2002