03-101102 f ,4.
City of Federal Way
Community Development Services Electrical Permit #:03 - 101102 - 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: BARSTOW
Project Address: 4025 SW 337TH 5 T, Parcel Number: 921152 0570
Project Description: Alteration of up to(6)circuits for addition to single family residence.
Owner Applicant Contractor
Larry 0 Barstow &Leslie A Barstow MIKLETHUN ELECTRIC INC MIKLETHUN ELECTRIC INC
4025 SW 337TH ST 1650 E.Shelton Springs Rd. 1650 E.Shelton Springs Rd.
FEDERAL WAY WA PO BOX 1519 PO BOX 1519
98023-2933 SHELTON WA 98584 (360)426-5205
Electrical Fixtures
wnic,021: 0„ ... QU. fiti WI,'; ,.,, _.' Ion\ , Mantityt `, L:i.Descflptlon _ . 011ie{ 1
Circuits-Residential 6
PERMIT EXPIRES September 20,2003.
Permit issued on March 24,2003
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: Date: 3 c 3
32 &? a s j N -L 7 Posyt`la) 7/1- U2j - &"
6 - --a.4k--c C<fy—r%e-6 I,`ev.,j,
7
- / 0 3 F,/✓/fLpry i'ed
f ;I,el(1 afl '2- 2 -v3 1-24
FROM :M I KLETHUNELECTR I C INC FAX NO. :3604265203 Mar. 20 2003 03:43PM P3
RECEIVED
` CONSTRUCTION PERMIT APPLICATION
CITY OF 1�. MAR. 2 4 2003
Federal Way APPLICATION NUMBER: o1 - I b I 1 oZ L.
APPLICATION.NUMBER: - - - -
APPLICATION NUMBER! - - _,
**The following is required information–Please print(m ink)or type**
Please note: EIecbiml,Fire Prevention Stems end Engineering permits may require a separate application.
n M PROPERTY INFORMATXON
SITE ADDRESS: 44 * S..W. 337114 5I ,SSESSOR'STAX/PARCFL#: 12.1 is 2 o 57 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION•IF LENGTHY):
•
TYPE OF PROSECT(This application): ❑ BU1I.DING a PLUMBING aEC
MHANICAL 0 DEMOLITION
crorELECTRICAL a ENGINEERING ❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed � r_.... AL�gra�noon A
kcv•T b (14. "CDR,
LVINC, Qmr^ r 6 goon Ortro rriQN. .5--sl. S(i. �.
PROJECT NAME: COACtaC :.6 LA-r%to4 5 – ‘ -R i-OW (•'t.4+04.hl c .
• PROJr;CT INFORMATION
PROPERTY OWNER: NAME• OAYYIME PHONE:
L A CUL%iSI 4 P 14 e, (6 TE„2r&P): ( ) -
MAILING402•s S.w . 2.2)1ru Sv . f t:o wi
CONTRACTOR: NAME; S\
(DAYTIME PHONE:
& • k (7,06 11g - 6l %
MARING AODM% 7116—, r .• • MNG PONE:{/,.* rrfaGJd� 1Adl� . tP► 4f '.46.)\CI84
OF FEDERq�WAY B ' i• _ BER: '�
f- FAX NUMBER:IF CONTRACTOR'S REGISTRATION NUMBER: - - - - 1
EXPIRATION DATE:
(ow*fund negdre� / /
•
APPLICANT; NAME:
DAYTIME PHONE:
N1 o4Ltrtkiww told` 64er y fix - Ai (a45v) 474 - s14:ts
MAaaG'ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Q.D. box: 1 Sia S*e. rora W a. 9 It(84 ( ) _
REr-AT IONSHIP TO PRO]ECT; G- FAX NU'1BHt:
-
a ARCHITECT. a TENANT p TIIER(DESCRIBE): C tCK*%( tr. GA-. (
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS.PROJECT: o PROPERTY OWNER ❑APPLICANT p'�ONTRACTOR
• PROJECT INFORMATION
EXISTING USE fit rS"0 FN C L EXISTING BUILDING ASS ED/APPRAESED VALUATION .$
PROPOSED USE: K41CWtt•.46(.°.‘'41(lot4
PROPOSED VALUATION FOR IMPROVEiNENTSe
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LA SHAVEN a HIGHLINE a PRIVATE(SEPTIC)
FROr :MIKLETHUNELECTRIC INC FAX NO. :3604265203 Mar. 20 2003 03:45PM P7
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE $
• RI PROJECT FLOOR AREAS
FLOOR MISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD .. _
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: ,
FIXTURES
Indicate number of eadi type of fixture
MECHANICAL
AIR HANDLING
UNIT(S) COOLERS) AF RATIVE GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSYOVf:(S)
BOILER(S) _ FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLmS) HEAT SOURCE: p ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) sYs. RAIN WATER •
VACUUM'BREAKER(S) a ELECTRIC o GAS
FOUNTAIN(DRINIUNG SHOWER(S)S) WASH MACHINE
OUTLET
GAS PIPE OUTLET(S) • SINIC(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) , SUMP(S)
• DISCLAIt•JERJ SIGNATURE BLOCK
T 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 do 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(Ind di g costs,expenses,and attorneys'fees incurred In the
Investigation and defense of such claim),which maybe made by a y person;including the undersigned,and flied against the City of
Federal Way, only where such claimarises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the , T , • supplied to the • -. - of this application.
NAME/TITLE: a _6.4_ : «.s�it • - Olt) DATE: 3`2\ -0 3
o PROPERTY OWNER • APPLICANT (CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION a ALTERATION . ❑REPAIR _ ❑TENANT IMPROVEMENT
CENSUS CODE LOT SIZE
ZONING DESIGNATION: BUILDING SHELL ONLY? a YES a NO
COMP PLAN DESIGNATION BASIC PLAN? n YES a NO
SECTION TOWNSHIP RANGE . NEW ADDRESS REQUIRED?' a YES a NO
PLATTED LOT? 0 YES„., ❑NO CHANGE OF USE? o YES 0 NO
FFOM :M I KLETHUNELECTR I C INC FAX NO. :3604265203 Mar. 20 2003 03:44PM P5
' Estimated Plan Review Fee: (7)
•
ease Fee Num or Retires
• $26.00+{ X$9.00/fixture}_ _ (8)Estimated Permit Fee
Estimated Permit Fee
X .65= _ (9)Estimated Plat Review Fee
Miscellaneous Fixture Charge:(10)
.!,, ! •1 (Page one): Line(s) 1 +2 +(3)+(4+5 + 6)+(7)+8 +9)+(10)= 11
le ELECTRICAL - -
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MSC EQUIPMENT/TEMP SERVICES
__Single Family ' -Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n b13.00ca)
(First 1300 ft-585.50;Each add'n 500(12 427.50) . -•Service anti:feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 It2-$50.00;Each add'n 2500 ft-$13-00
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)(bXi&ii)
-Each outbuilding or garage $57.00 (First service/feeder-W.7.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sig,
(Inspected separately) feeder-$37 each) $20.00 each)
ep
Swimming pool,hot tub,spa $8530
•
-Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL . COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Fooderg
Service Feeder Amps Service or Add'n _0 to 200 $ 93.00
-Up to 200 amp $ 93:00 5''2730 • ' Feeder 201-600 216.50
-201 -400 amp 115.50 57.00 _-0 to 100 S 93.00 $ 57.00 ��601-1000 326.50
401-600 amp 158.50 7850 -101-200 115.50 72.50 ,over 1000................_......_........ ....363.00
-601-800 amp 202,50 108.50 201-400 2
16.50......_....85.50 _#of circuits
Over 800 amp 289.50 216.50 401-600_ 25230 101.00 (1-5 circuits-572.50;Add.-n circuits,$6 ca)
ALTERED SINGLE/MULTI FAMILY • • :601-800. 326.50 138:00
(When inspected separately from the services.), 801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 43430 232.00 Residential/Multi-Family/Commercial/industrial
-0 to 200 amp '$ 7130 _Over 600 volts surcharge 72.50 _0-100 S 57.00
201-600 arts rmeterrepair -�101-200
- P I!5.50 Mast or 7850 72.50
_over 600 amp 174.00 _201-400 85.50
Mast or meter repair 43.00 401-600 115.50
#of cretins ((g •, -
ova 600__. .__... ....... .._.___ 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea) •
If a new or altered commercial service.is 200 amps or greeter,or anew 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/br.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) • . _. NUMBER OF UNITS(C) • TOTAL(D)
•
L /..., -.., •
. TOTAL COLUMN(0);`
To 0011111111(D)
Estimated Permit Fee: (12) , h.9 •0 0
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)_(13)
•
•
IIS DEMOLITION
Estimated Permit Feet (14)
Bond Amounts(15) •
•
• ENGINEERING
Estimated Permit Fee:(16) •
Bond Amount: (17) •