03-105393 •
City of Federal Development Services
evep
Community Electrical Permit #:03 - 105393 - 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: SWEENEY
Project Address: 4028 SW 327TH 5t Parcel Number: 873196 0030
Project Description: Installing L/V thermostat
Owner Applicant Contractor
ROD SWEENEY CNN HEATING&COOLING INC CNN HEATING&COOLING INC
3829 S 284TH PL 10905 25TH ST CT E 10905 25TH ST CT E
AUBURN WA 98001 EDGEWOOD WA 98372 EDGEWOOD WA 98372
(253)952-9200
Electrical Fixtures
r Description Quantity Description rduantity r Description Quantity
LThermostat
I
PERMIT EXPIRES June 9,2004.
Permit issued on December 12,2003
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:— fia _A , .L; Date: , -
/— - o3 GS
i;v? o
1\
(..\\Ipt
141
12/11/2003 09:12 2539273537 MILTON WA 98354 PAGE 04/08
CONSTRUCTION PERMIT APPLICATION
GG, Q r
CITY OF � :e ' �ec v APPLICATION NUMBER: OD- _ _, 14- -7 la-
Federal Way 1 2003 APPLICATION NUMBER: _ _ —
OEC 1 APPLICATION NUMBER: _ _ - -
**The folloowil &rpoti ^, E�tian—Please print(In ink)or type**
Please note: Electrical,Fire PFe1� Uv a ��tents and Engineering permits may require a separate application.
117 PROPERTY INFORMATION
SITE ADDRESS: QQ8 'tA..) - 3 . ASsESsORS TAX/PARCEL it:cg 2 3 13 L - Q3 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY).
4
VA PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING a PLUMBING )(MECHANICAL a DEMOLITION ;'
O ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM a 6 G
PRO3ECT DESCRIPTION(Provide detailed d ptlon): 'Mr s :.ate-=-% --m r`- '•-„' • -
`I1/ trn r sj10,_
-
PROJECT NAME: f
ir) A (per Ca vi549
■ PROJECT INFORMATION
NAME: DAYTIME PHONE: 7
PROPERTY OWNER: v r 1 Cli f `� - A •. (L J ..)„1,1112:_../2_-_ q,
MAILING ADDRESS(STREET ADDRESS;CITY,ST
9_ 5. 03k--177A- L £.\:b AA \ ; ci
CONTRACTOR: NAME: ` DAYTIME PHONE:
NG ADDRESS(STREET ADDRESS;CITY,STA TIP: TVENING PHONE:
4)I �1 A • .� 4
A III t�� ( ), A
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: /
- (09a. - 3. {-57
CONTRAL"TORS REGSTRATI*T NUMBER: _ — — r — _ — p(PIRATION DATE:
/
(copy of card required) — — — — — -- — — — / -W
APPLICANT: NAME: w DAYTIME PHONE'
ezioo orQicctcy. 3 F' Cpl.)
MAILING ADDRESS(STREET ADDRESS;COY,STATE,ZIP): EVENING PHONE:
V ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
a ARCHITECT a TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT a CONTRACTOR
• PROIFCT 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: a YES a NO
WATER SERVICE PROVIDER: CJ LAKEHAVEN 0 HIGHLTNE 0 TACOMA a PRIVATE(WELL)
CC/lfl 11!,lff\RI.0 wq/aarYwr/1. -. .auaxM a\KY .-. LJra+W raYp .. MEET.a•• /C.f.aar-a/.a
12/11/2003 09:12 2539273537 MILTON WA 98354 PAGE 06/08
C 1LECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 ,4 of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50:Each,add'n 500 0.2-$27.50) _Service and feeder S93.00 Fir4 o Low
82-$50.00;voltage
ola fire orch add'n ala is$13-00
Square Feet:
_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-$57.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) $20.00 each)
feeder 537 each) Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
_ - 4
-
•
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Include$throe units or more) Altered Service or Feeders
Service Feeder Amps Service or A,dd'n _0 to 200 $ 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 $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............85.50a--5
(1 #of circuits
_Over 800 amp 289.50 216.50 _401-600.........................252.50 101.00 -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 ^_ F'sm
Over 1000 434.50..........232.00 Residential/Mufti- mily/ComerciaVlndu.strial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201-600 acop 115.50 _Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.00 _201-400 85.50
_Mast or ratter repair..........................................43.00 _401-600 115.50
#of circuits _over 600 125,00
-i1-4 circuits-$57.00;Add'u 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'l plan review for other submissions is$85.50/hr.
-
FIXTURE.DESCRIPTION(Al FIXTURE FEE FROM TABLE B(kik. . NUMBER OF UNITS(C) TOTAL.(D)
•
TOTAL COLUMN(D):
Total Column(o)
Estimated Permit Fees (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72,50+( X.35)-(13)_
B DEMOLITION
Estimated Permit Fee: (14)
Band Amount:(15)
B ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total (Payee one& wo); Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(x8)+(19)+(20)+(21)+(22)+(23) _ (24)_
12/11/2003 09:12 2539273537 MILTON WA 98354 PAGE 07/08
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
• PROJECT FLOOR AREAS
FLOOR EXISTING •.FT, PROPOSED S•.FT. TOTAL
BASEMENT
FIRST
SECOND
Tm1RD
• FOURTH
OTHER FLOORS(DESCRIBE) —
DECK V Wn
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
MR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BFAN(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: p ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
_ , GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) MISC.( )
INTERCEPTORS) - SUMP(S)
■ IISCLAIMER/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 claim(Including 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 claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information s lied to the city as a part this app
lication.
NAMN=/TITLE: .F�O DATE: / /0
- -_
o PROPERTY OWNER APPLICANT / NTRA
FOR OFFICE USE ONLY:
a NEW 0 ADDITION 0 ALTERATION 0 REPAIR R TENANT IMPROVEMENT
CENSUS CODE:_ LOT SIZE:
_ZONING DESIGNATION: BUILDING SHELL ONLY? a YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? p YES ❑ NO
PLATTED LOT? 0 YES a NO CHANGE OF USE? ❑YES ❑NO