03-105357 I
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City of Federal Way
Community Development Services Electrical Permit #:03 - 105357 - 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 4
Project Address: 3412 SW 343RD 5-1. Parcel Number: 542090 0040
Project Description: New 200amp service
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 2611
PERMIT EXPIRES June 5,2004.
Permit issued on December 8,2003
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 Wa . J
Owner or agent: �� Date: 17,4 Ci D-3
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�. CONSTRUCTION PERMIT APPLICATION
CI of �� DEC 0 8 70°� APPLICATION NUMBER: 03 - T OT.3S 7-
Federal Way APPLICATION NUMBER: - -
CITY OF FEDERAL WAY I PPLICATION 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.
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SITE ADDRESS: J\ r2, 5w 3433 5T ASSESSOR'S TAX/PARCEL /".:6 '1. 209 0 - Q Qo 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_", ',, . .1 PRO]ECT.INFO.RMATION --.t., 1-:..4 -,-..7..---:::7-:-
TYPE
- :.
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION
"ELECTRICAL 0 ENGINEERING ❑ FIREPREVENTIONSYSTEM
PROJECT DESCRIPTION (Provide detailed description): 'U)KW\ iC R\l C-12-, g' \-C)19--((\L/ --12 S f2
PROJECT NAME: %-\ ,otov L-a Q �of 9
_ .: .. , `*-PEOPLE:INFORMATION _' .__ :7 , - r�-, `
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PROPERTY OWNER: NAME: ' ; DAYTIME PHONE
D \ pC\3\ j (d3 ) L5
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MAADDRESS ET ADDRECITY,STATE,Z[P):
A2-5
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CONTRACTOR: f NAME- ; DAYTIME PHONE:
�Ri )6-en)C Stec, cC_. \ NG ' (2 ) 73\ -7756
i MAILING ADDRESS(SWEET ADDREY 592- SS,CITY,STATE,ZIP): I EVENING PHONE:
�F FERAI WAY BUSINESS UC E�` �/NUMBER. ���� H AX NUMBER ,
- - 0,53)73IL o
CONTRACTOR'S REGISTRATION NUMBER: 1� T �'"� C j EXPIRATION DATE:(copy of card required) 11 - v �"- E _ t1
APPLICANT: 4 ( NAME: DAYTIME PHONE
6\I \O'C kkA t\e ck- \jv) Q ( ) _
IMAILING ADDRESS(SWEET ADDRESS;CITY,STATE.ZIP): E'ENING PHONE
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REGI iONSHIP TO PROJECT: i FAX NUMBER:
I c ARCHITECT 0 TENANT ❑ OTHER ( DESCRIBE): ( ) -
:A..ADDRESS.
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CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER APPLICANT 2(CONTRACTOR I
r-_'_ ?1 DETAILED BUniakdINFORMATION:' 3' = '=
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE C TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ci PRIVATE(SEPTIC)
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_
**NcW]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:
- : - _ .--=:-.11•=FIXTURES =1--7.., : . . ..- ; -
Indicate number of each type of fixture
MECHANICAL 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 o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) 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 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 • y where such daim arises of the reliance of the city,including its officers and employees,upon the accuracy
of the informatio f pplied to the :ty as a part of this application.
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NAME - E: ' i-A /. .. DATE: I S 03
,
• •ROPERTYO NES aAPPLICACONTRACTOR
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•R:OFFICE USE ONLY:_-1
7r4-NEW 6'i.o ADDITION -:; a ALTERATION-?,.--;,C REPAIR ..: -„a TENANT IMPROVEMENT- .
_CENSUS CODE 4 r iJ-7:c.x E t#' - + 5; _
ZONING DESIGNATION _ _. _ ,< Y ;
- . . _-- -.�--�-- . ._:aBUILDING SHED:ONLY73-D YES. =n NO ` _. ..E?
COMP_PLAN DESIGNATION -,..--1.--:;-=.!;=-F-7-:--,-•11- , =BASIC PLAN? •a=YES- '-o"NO 7z.- ,--.' -L.: --- •-..:-_ •
:SECTION !-..- -TOWNSHIP-:t .'-RANGE .5' NEW ADDRESS REQUIRED? o YES o NO
-PLATTED LOT?: ;`a YES o NO " " ,^ w CHANGE OF USE? o YES •'-n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718-FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-i 129
1vmv.CitYCtTt`dtrdhvov.Com
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- - A - .. ll ELECTRICAL •
TABLE B
rNSW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family • Service or feeder only $57.00 #of Thermostats(First-543.00,add'n-S 13.00ca)
(First 1300 ft'- 8550:Each add'n 500 ft'-$27.50) _Service and(ceder $93.00 _~of Low voltage fire or burglar alarms
Square Feer. __ First 2500 ft'-550.00.Each add'n 2500 ft'-513 0t;
_ Each outbuilding or garage... ._....- . ....... 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) d of service or feeders • Per WAC 296-i6-910(5)(h)(i R: ii)
_Each 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-S37 each) $20.00 each)
Swimming pool,hot tub,spa S85.50
Yard Pole meter loops .557 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL I COMMERCIAL/INDUSTRIAL
(Includes three units or morel II - Altered Service or Feeders
Service Feeder Atttps Service or Add'u I U to 200. 5 9,Oil
_Up to 200 amp_. _._ . 5 93.00 5 27.50 Feeder _201 -600 ......._ .... .21(1.50
201 -400 amp .... ... 1 15.50 57.00 0 to 100 i 93 00 5 57.00 _601 -1000 176.50
-401 -600 amp 158.50 78.50 - p t 01 -200 115.50 72.50 _over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 _ of circuits
_Over 800 amp. .. 259.50 216.50 _401 -600 252.50 101.00 i 1-5 circuits-572.50:Add'n circuits,SO 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 ResidentialfMulti-Family/Commerciai/Industrial
=
201 -600 amp 115.50 _Mast or meterty/Comm0 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 • I _over 600 125.00
(i-4 circuits-$5 7.0U:Add'n circuits$6 ea) 11
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+572.50.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) a
l
•
' t I
I j I
TOTAL COLUMN(D): I !
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)
Estimated Permit Fee: (16) .
Bond Amount: (17)
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Paces One&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17),(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002
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