03-101729 City of Federal Way
Community Development Services Electrical Permit #:03 - 101729 - 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: STAR LAKE VISTA LOT 10
Project Address: 2721 S 275TH PI Parcel Number: 796820 0100
Project Description: T-stat wiring for NSF home
Owner Applicant Contractor
SCHNEIDER HOMES,INC. HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
6510 SOUTHCENTER BLVD 9001 PACIFIC AVE 9001 PACIFIC AVE
TUKWILA WA 98188 TACOMA WA 98422 TACOMA WA 98422
(253)539-8709
Electrical Fixtures
,013.0005,muntottptiGe rt•ti;;a.'24717,7ATQUilit.10
Thermostat 1
PERMIT EXPIRES October 28,2003.
Permit issued on May 1,2003
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: 5E- 69PP1(( f T tOK) Date: /((el 3
i*ccitc
tet'— ( v -�3 / p
to
5G—k) 61.6
• RECE\IED‘11DEPA 'S
• N Nrry CONSTRUCTION PERMIT APPLICATION
G1TY OF Y' �." CON
Federal Way VI Z003 7CAT.C.070EA: p a- 191 ri.
�F�opFDBY :TIOBE : ..._.,�` ,-� -,. ..... -�-, . - -� .
MAY Q j 22M-nnN7,7),-0ARTC TIOBER:; ;r _ - _ _ _ ` _ -
**The following req dlretiQt oration-Please print(in ink)or type**
t,NPlease notes Electrical,Fire Prevehtion
Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: ), \ . 5. 2.75 Q L• ASSESSOR'S TAX/PARCEL#: J j(p. Z2.-,..0- .r,)_1 0
- ,�02 n
LEGAL DESCRIPTION PRO ERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 51-
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING a PLUMBING a MECHANICAL a DEMOLITION
}ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1-511V5-
•
PROJECT NAME: 8111g. 1.144(6 VLSI*SI* Lex *10 ,
® PROJECT INFORMATION
PROPERTY OWNER: NAME: 1 DAYTIME PHONE:
(AA/441 &Ur (--1-0Y (uca)ayti -aq-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
(eS t o 5u.s ce-.-'4-e'- & • SO I--4-C.
_-i-e. -st( T (c.-.t...,, 1 AN
CONTRACTOR: NA DAYTIME PHONE:
t ic,+' tr(.— -1". (253 )1 22 - 21,‘ i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
4 t% t-,...
EVENING PHONE:
0 ( PF}G i c I c... fie_ m-c-00,-1- (..wt� i w,..,,a N ( ) -
CITY OF FERAL*AY BUSINESS UCIRISE NUMBER.#/���e L
/ '_
CONTRACTOR'S REGISTRATION NUMBER: C g_ 5 lo7!aGy -OO - 3L FAX NUMBER:
i - (23)5
31 - 1u
Arloa DATE:
("a1or Card o
/ oy
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CND ( PP)c-- AN-e— QC. . t,-.I. . 9&0ti"f ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
a ARCHITECT a TENANT "(OTHER(DESCRIBE): S Le ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT CONTRACTOR
N PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: a YES 0 NO
WATER SERVICE PROVIDER: a IAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
• **NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
III 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:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
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(9) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(5) URINAL(S) WATER HEATER(S)
• DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) Misc.
INTERCEPTOR(S) SUMP(S)
I9 DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information fOrnished by me is true and connect 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 coals,esPooses,and attorneys'fees Incurred in the
investigation and defense of such claim),which may be mode by any person,including the undersigned,and Mod against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employear,upon the accuracy
of the information su • city as a rt • this application.
NAME/TITLE:
DATE: 17//
/At ANL. -
o PROPER OWN a APPLICANT .1 CONTRACTOR
FOR OFFIc USE MY:
a NEW ADDITION ALTERATION REPAIR 0 IENANT imPROmEmENT
CENSUS CODE: LOT me
ZONING DESIGNATION NOILINNO SHELL ONLY? a YES c no
COMP PLAN DESIGNATION NAN/C PLAN? a YES No
SECLION TOWNSHIP RANGE, NEINADDNEsS p,EQUINEDT YES NO
parrs)Ltyr/ YES a NO CHANGE OF USE? ...........DYES No
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www ritvnfrpriprglwav rnm
In ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 j#of Thermostats(First-$43.00;add'n-$13.00ea)
�' (First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 R2-$50.00;Each add'n 2500 ft2$23.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) #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/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'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 ' _10I-200 115.50 72.50 over I000 363.00
601-800 amp 202.50 108.50 _201-400 216.50 85.50 ^#of circuits
' ^Over 800 amp 289.50 216.50401-600 252.50 101.00 (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
_#of circuits over 600 125.00
-
(1-4 circuits-$57.00;Add'n 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+572.50.Add=1 plan review for other submissions is$85.50/hr.
.. .
FIXTURE, RWflON fA).:._.. URE.FEE FROM TAKE IS(B). _... NUMBEROF UN (C1. .. . _� TOTAL.(D)
TOTAL COLUMN(D)!'
Total Column(D)
Estimated Permit Fee: (12) 1/3.e
estimated Pen*fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)=(13)
C 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): We(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)