03-105478 City of FederalWay
Communitynity Development Services Electrical Permit #:03 - 105478 - 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: JOHNSON Vf1
Project Address: 4730 SW 317TH/AptB Parcel Number: 784300 0070
Project Description: Add circuit for new furnace.
Owner Applicant Contractor
NONE WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
SEATTLE WA 98199 SEATTLE WA 98199
NONE (206)272-4700
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES June 15,2004.
Permit issued on December 18,2003
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: L A4 lam%( 3 /6-1
' Date:
Illi ,
•�-- SiL:1.414` 1 t `�1 Q \ .,„
V . / 1 11. ti t--1 e -
,
RE UBMI T NSTRUCTION PERMIT APPLICATION
CITY OF �/ �„ APPLICATION NUMBER: Q 3 - 1 O
DEC1 8 �u03 � �� �`
Federal WayAPPLICATION 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.
- ■ PROPERTY INFORMATION - • - _
SITE ADDRESS: 413__!J 'v ✓- I ASSESSOR'S TAX/PARCEL Jt Q310V_w7Q `
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- • PROJECT INFORMATION - _
TYPE OF PROJECT(This application): O BUILDING O PLUMBING 0 MECHANICAL O DEMOLITION
X.SLECTRICAL D ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
A
1!�r�� gA Oce_ ___ d t K L(r-co f : 4 S
PROJECT NAME:
., - - • • ' ■ PEOPLE INFORMATION - ,- •
PROPERTY OWNER: NAmErp
3,,,,..14,3s6.--, ; DAYTIME PHONE
HAI TNG ADDRESS(STREET ADDRESS;CITY TE,Z1P): �, i �� ��
t-?30 �w +1�1 -b ti 4 'e'62-3
CONTRACTOR: NAME' j DAYTIME PHONE
�-(J �� h �� - ! ( 7-82 - '?c_
MAILING ADDRESS(STREET AD S;CITY,STATE.ZIP I EVENING PHONE'
L414— y , ( )
CITY OF FEDERAL WAY BUSINESS LICE NUMBE� � LC/S/2-3 y, _ — ; FAX NUMBER: -
CONTRACTORS REGISTRATION NUMBER: ppI0N DATE:
ofcidrequ WASH-ICS-
g� 0 — — — ' /0 ��
APPLICANT: NAME: DAYTIME PHONE•
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): +, EVENING PHONE'
RELATIONSHIP TO PROJECT, iy FAX NUMBER:
a ARCHITECT 0 TENANT IHER(DESCRIBE): L�LJ. . ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER O APPLICANT ❑CONTRACTOR I
■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
2'd 62 i992S2T :01 :Wald 9S:00 £LO2-8T-x,30
IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only . _....................557.00 _Si of Thermostats(First-543.00;add'n-$13.00ca)
V (First 1300 11'-5%5 50.Cacti add'n 500 fl'-$27.50) _Service and(ceder ..... ...... . _........593.00 _P of Low voltage fire or burglar alarms
'square Feet. First 2500(1.'-$50.00.Each add'n 2500 ft'-513J 00
_Cath outbuilding or garage ... 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _k of service or feeders • Per WAC 296-46-910(5)(b)(i& ii)
_Oath outbuilding or garage.. . ........... ..........557.00 (First service/feeder-557.00;Add'n service/ _p of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) - 520.00 each)
Swimming pool,hot tub,spa 585.50
_Yard Pole meter loops S57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
I Include£three wilts<u more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 i 9=ou
_Up to 2011 amp.__.. _ S 93.00 5 27.50 Feeder _201 -600............ ...... . . .. . ..216.50
_201 -400 ami . . . 115.50....._............57.00 _0 to 100 5 93.00 $ 57.00 1601 -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 11 of circuits
_Over 800 amp. 289.50................ 216.50 _401 -600................... 252.50......... 101.00 (I-S circuits-$72.50;Add'n circuits,56 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/Conlmerciai/lndustriai
_0 to 200 amp S 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 atop 174.00 _201 -400 85.50
Mast or meter repair 43.00 __401 -600...... 115.50
n of circuits _over 600.........._................ .. 12500
(1-4 circuits-357.00;Add'n circuits$6 ea)
It 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
nertnit fcc+572.50 Add't plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) - NUMBER OF UNITS(C) TOTAL(D)
tI
f I
1 ; I
I
I l
!
TOTAL COLUMN(D): !
Total Column(0)
Estimated Permit Fee: (12)
Estimated permit Fee from line 12
Estimated Plan Review Fee: $72.50 + ( X.35) =(13)
• • • •- ■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• . ■ ENGINEERING .
Estimated Permit Fee: (16)
Bond Amount: (17)
- ■ OTHER FEES .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _- (24)
Bulletin #100-December 23, 2002
2'd E2Tt7T992S2T :01 :WOid LS:00 2002-8T-33a
r '
1."NEW RESIDENTIAL CONSTRUCTION ONLYas
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
• PROJECT FLOOR AREAS
-
FLOOREXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
/ ,
FIRST
1
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work:$
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE/NSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE o ELECTRIC O GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) O ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OVlLET
GAS PIPE OUTLETS) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
a 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(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 dty,Including Its officers and employees,upon the accuracy
of the Information plied to the dty as a part of this application. (OR
NAME/TITLE: det.036 / 14 a L [ AN DATE: I� 1-7
O PROPERTY OWNER 0 APPLICANT r i RACTOR
3F QROF,F,IGEUSE:ONLY a
jA3.PIEW 'iAiiD O 6r.--. i-iQFI -L_ _-1--- ,REP: 1 it ',--_::iv, _fy.3 o!qI `NE iia ,FIR
m"CENSU5'r• 'ma.- .i'F-nb•-it-: r t.;1: '`ice ,IT 'I 7nPSQE. ,tr: ,..1..-'-.. .-• ,7,.-- -4-rc:- .'*.."x=.,' ,r '7'.!..1r4
gZOIVIN� 5-SI k..I • i ' �'4--``.�:.s?• e rat IV • FS+ `70 N „wit:, 44 4:
Ez I:J I T11~SIGNAiION x -;...¢ � tiA IC•PLAFT?,`.i I YES_ I ii . ... •' `` r '
SECO7011_Hgtfr -:f '-',_04 ADt] SREQ1IREOin
•XESet- oWO Yr
f :�OT? 4W4VTO � s ,l„KNam. E7 •W . •
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9716•FEDERAL WAY,WA 98063-9718.2536614000%FAX:2533661-4129
•a..
b'd 62TbT992S2T:Ol :Wald LS:00 £002-8T-090