03-104913 City of Federal Way
Community Development Services Electrical Permit #:03 - 104913 - 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: HAFFNER OW
Project Address: 32903 3RD(SW Parcel Number: 926491 0480
Project Description: Adding 1 circuit for new furnace installation
Owner Applicant Contractor
Michael C McKeller &Linda K McKeller WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
32903 3RD AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-6101 (206)272-4700
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES April 28,2004.
Permit issued on October 31,2003
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: l4L f d a Lill() Date: I(3i/a)
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CONSTRUCTION PE MIT I TIONITY OF ^� APPLICATION NUMBER: 0, - Cr;/��� ,� - Et_
Federal Way APPLICATION 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.
• 1111 PROPERTY INFORMATION
SITE ADDRESS: 2410 J 'K ✓ S ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROSECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING CJ PLUMBING [) MECHANICAL ri DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
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PROJECT NAME: ja W' . S
■ PEOPLE INFORMATION
PROPERTY OWNER: NA1 ams. +4.�/r i
`( Oq M ONE'
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MAILING ADDRESS°3(STREET ADDRESS:CCiYI'A Orn:
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CONTRACTOR: NW611,E ) 1V-1m
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MAIUNG ADDRESS(SIRE ADDRESS; ,:STATE.ZEVENING NE
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CITY 2- �OFF WAY BUSINESS LICENSE N BE FAX NUMBER:
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CONTRACTORS REGISTRATION NUMBER:
(copy of card required) s H l i!- S q Z J Q I EXPIRATION DATE: /a S
APPLICANT: NAME:
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE, P): r ) ?�
-S:044/Lt-
1 ^^''AA'' '' n /EVENING PHOONENE::
RELATIONSHIP TO PROJECT:
FAX NUMBER:
O ARCHITECT O TENANT jeOTHER( DESCRIBE): ,
E-MAIL ADDRESS. )
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER ❑APPLICANT CONTRACTOR I I
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE ❑ PRIVATE(SEPTIC)
b'd 62TbT992S2T :01 :Wald TT:OT 2002-62-100
•
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 _N of Thermostats(First-543.00;add'n-S 13.00ca)
(First 1300 02-1/15.50;Each add'n 500 f1'-S27.50) _Service and feeder 593.0U 0 of Low voltage fire or burglar alarms
'quare Feet. ____. First 2500 III-550.00:Each add'n 2500 '-513-0(;
_Each outbuilding or garage.............. . ..........$35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) fl of service or(ceders •Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage ' 557.00 (First service/feeder-557.00;Add'n service/ _71 of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) S20.00 each)
-
Swimming pool,hot tub,spa 585.50
_Yard Pole meter loops........ $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders t
Service Feeder Amp; Service of Add'ri _0 to 200. ............. ..i 93.ou
.. .................. .......
_Up to 200 amp S 93.00 S 27.50 Feeder _201 -600............_.................... .._..216.50
_201 -400 amp ._. . . ... 1 15.50......._ ._. ...57.00 0 to 100 5 93.00 S 57.00 _601-1000................ .................. ...._326.50
_401 -60()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 _b of circuits
_Over 800 amp 289.50 216.50 -401-600................... 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,$6 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/Commercial/Industrial
0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0-100 S 57.00
-201-600 amp.. 115.50 -Mast or meter repair 78.50 _101-200 72.50
over 600 amp 174.00201-400 85.50
Mast or meter repair 43.00 _401-600
j a of circuits = 1 5.00
over 600 12 25A0
(1-4 circuits-557.00;Add'n circuits S6 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+572.50-Add'I plan review for other submissions is$85.50/hr.
E FIXTURE DESCRIPTION.(A) FIXTURE FEE'FROM TABLED(D).- ' 4 NUMBER OF UNITS(C) _ TOTAL(D)
t l
I +
TOTAL COLUMN (D): j
Total Column(D)
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 aTwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) -
Bulletin #100-December 23, 2002
S'd 62TVT992S2T:01 :Wald TT:OT £002-62-100
• ' •
•
etecpcic2' f1 yrs
*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:
IIIIIIMIIIIIIIIIIIIIIIIIIMIEZZMMMIIIIIIMIIIIMIIIIIIIMIIIIMIIIIIIIR-
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MIS�rovE(s)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ci ELECTRIC a 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) SINKS) 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 only where such daim arises out of the reliance of the dty,including Its officers and employees,upon the accuracy
of the Information s plied t city as a part of this application.
NAME/TITLE: DATE: l% Q /1
o PROPERTY OWNER a APPLICANT a CONTRACTOR /
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•2S3-6611000•FAX:253-661-4129
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