03-100844 City of Federal Way unity Development Services
.Corm Electrical Permit #:03 - 100844 -00 - EL
a
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. CANNON --=
Project Address: 29437 10TH SSV Ave 5 W'1 = Parcel Number: 119600 2265 - - -
Project Description: New single-family residence service and wiring;sewer grinder pump wiring; and security wiring
Owner Applicant Contractor
MARTIN&KATHERINE CANNON EDISON ELECTRIC INC EDISON ELECTRIC INC
6203 HAWTHORNE TERRACE NE 2417 104TH STREET CT SE 2417 104TH STREET CT SE
TACOMA WA 98499 LAKEWOOD WA 98499 LAKEWOOD WA 98499
98422 (253)583-0700
Electrical Fixtures
ITEM
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Low Voltage Burgler Alarm-Residen. 5514 I Service: -Residential 5514
_ I
PERMIT EXPIRES August 27,2003.
Permit issued on February 28,2003
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: See Application Date: C) - 28^- O 3
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arr41 a RECEIVED BY CONSTRUCTION PERMIT APPLICATION
� �OMMUN►7Y DEVEL CtPMPVT nnaR?weKnr* APPUC,ATION NUMBER: [�S L Q C2i Y(K-Q t-L-
FEB 2 8 2003 APPLICATION NUMmBBR; _ — ' — — — — — - —
APPLICATION NUMBER. _ _ - -
**The following is required information—Please print(in ink)or type** /9-1
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 29437 10th Ave. S.W. ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
a ELECTRICAL o ENGINEERING u FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): New SFR, Sewer grinder pump wiring, Security wiring
PROJECT NAME: Ci71l(an
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Bridge Built Hanes (253 ) 582 - 4455
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
P.O. Box 99218 - Tacoma, WA 98499
CONTRACTOR: NAME: DAYTIME PHONE:
Edison Electric, Inc. ( 253 ) 583 - 07W
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2417 104th St. Ct. S. - Lakewood, WA 98499 ( 253 ) 583 - 07W
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
20-02-104057-00-BL _ - ( 253 ) 583 _ 0702
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) DISJII044BR 1 / 19 / 04
APPLICANT: NAME: DAYTIME PHONE:
Sarre as above (contractor) ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT OTHER(DESCRIBE):Electrif al Contractor ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTORo•can
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
(Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$l I.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) -Service and feeder $81.00 )#of Low voltage fire or burglar alarms
Square Feet: 5514' First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 55141
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00
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 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201 -600 189.00
_201 -400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601 -1000 284.50
_401 -600 amp 138.00 68.50 _101 -200 101.00 63.50 _over 1000 317.00
_601 -800 amp 176.50 94.50 _ (1
201 -400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401 -600 220.50 88.50 -5 circuits-$63.50;Add=n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY 601 -800 284.50 120.50
(When inspected separately from the services.) 801 -1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201 -600 amp 101.00 _Mast or meter repair 68.50 _101 -200 63.50
_over 600 amp 151.50 _201 -400 75.00
_Mast or meter repair 37.50 _401 -600 101.00
_#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=l plan review for other submissions is$75.00/hr.
FIXTUt E` collo I? Ioo ixfolo '11otot o ' 'Att # ); ;. moto Uttot 'rofoam
Total Column(D)
Estimated Permit Fee: (12) $357.50
Estimated Permit Fee from Ilne 12
Estimated Plan Review Fee: $63.50+( 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-February 19,2002
**NEWESIDENTIAL 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:
• 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(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: /...•- - DATE: z/z-7 /c
o PROPERTY OWNER Xf APPLICANT q CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION, 4 REPAIR; 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION.: BUILDING SHELL.ONLY? ❑ YES ❑ NO i
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO'
SECTION TOWNSHIP. RANGE NEW ADDRESS REQUIRED? ❑YES ❑NO
PLATTED LOT? o YES 0 NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cl tvoffedera Iwav,com