03-105531 City of Federal Way
Community Development Services Electrical Permit #:03 - 105531 - 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: MEADOWLANE ONE,LOT 5
Project Address: 3432 SW 343RD J Parcel Number: 542090 0050
Project Description: 200-amp service and wiring for new,single-family home with attached garage. ****Basic#03-101015
****
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
Service: -Residential 2562
PERMIT EXPIRES June 19,2004.
Permit issued on December 22,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. '
Owner or agent , �dA A '1 A.
Date: _..12 i2-)
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aiNt„. RECEIVED �J_'
CONSTRUC I ION PERMIT APPLICATIO
CITY OF Ems/ APPLICATION NUMBER: 05 - L Q s'SZ ) - Qa
Federal Way DEC 2 2 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - - I
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.
SITE ADDRESS: " k32 ' SW M ' '`D Si AS�R'STAX/PARCEL ,tr: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I . :-;: > :, > =- -; , - _. 1,PROSECTINFORMATION .= -
I TYPE OF PROJECT(This application): D BUILDING 0 PLUMBING D MECHANICAL D DEMOLITION
I ELECTRICAL 0 ENGINEERING
10 FIRE PREVENTION/SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 2CDPCI� `I/ SeAZ) i_c .2 \Q\N"1 -F-02 SFR.
PROJECT NAME: MeoDY V Lone
-11 PEOPL,EINFORMATION""- :•:::::::::;E- ,; :. _
PROPERTY OWNER: 1 N DAYTIME PHONE:
AILING A R 1 1 1 `! �ATE,ZIP): i DAYrI / NE t 1 51 C
(STREET
CITY,ADD SS; `^1 �j Q
�7 V0l t1\S `le, N, -5 (SecQ.iv Iq c U O_I
CONTRACTOR: NAM I DAYTIME PHONE:
2,txr\( eqac E ec.jc --cc_ 1NL ; (2.4 )(031 --175D
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE:
V,o. QjoX 0-q( '' e.�.dkon ,OG 040cA i ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
- - I (2,53 )il2 31 - 'fl 1-.
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of Care required) e K 041 z 1 b_ -5 C 2--I 2 12-2 /bi
APPLICANT: I NAME: ' DAYTIME PHONE:
IQRb\1\(j (\)c I-C ;C 1 S C- ' (0155 )Lo --1750
MAILING ADDRESS(STREET ADDRESS;CIT' STATE.ZIP): ; EJENING PHONE
I? 0 c 2S it RemI\Nck age ( ' ( ) -
I RELATIONSHIP TO PROJECT. i FAX NUMBER.
I C ARCHITECT c TENANT OTHER (DESCRIBE): (a5- )C 5 I -775
CONTACT PERSON FOR THIS PROJECT: D PROPERTY OWNER " APPLICANT CONTRACTOR IkIGhaHl p(041 ckrrleteC-i.etc...
_ = -t DETAILED BUILDING INFORMATION:" •-:-..,:_:-.:7,-..-- -.--:.:7--_---.-;-;_ _
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? DYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:D YES 0 NO -
WATER SERVICE PROVIDER: D LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
',NEW RFSIDENTIALCONSTRUCTION ONLY**
•
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR07ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. I PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST I f
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES: _. " .
Indicate number of each type of fixture
MECHANICAL 1
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.( ) 7
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑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/SIGNATUREBLOCK
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 daim(including costs,expenses,and attorneys'fees incurred in the
Investigation and def- e of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but o y here su. ...aim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information-up•lied to _city as a part of this application.
NAME/T1TL • Elf • '► 1.DATE: '221 12 v l
O PROP•RTY •WNER pi*• •-NT CONTRACTOR
-FOR OFFICE USE ONLY::-
NEWS _ O'ADDmON>.:.'=>7ALTERATION =o_REPAIR '._ ❑:TENANTIMPROVEMENT = -,
_CENSUS'CO DE.�*�� j-< - _ =I_LOT
ZONING DESIGNATION!. ;� _ _r_ BUILDING SHELL`ONLY?:'-O YES `--❑ NO
-COMP.PLAN DESIGNATION ;, -.-. BASIC PLAN?_-- O.YES ❑'NO
:SECTION TOWNSHIP :=RANGE :r_r NEWADDRESSREQUIRED? = :'OYES d NO
-PLATTED LOT?,-:=❑YES-_-❑ NO CHANGE OFUSE?- -c YES 4-7;77-Th NO•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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Sigma
■ CAL
TABLE B
SERVICES MOBILE HOMES MiSC EQUIPMENT/TEMP SERVICES
snR;ESIrDENITIAL
_Service or feeder onl) 557.00 _:ofTh_rnostats(First-53.00;add'n-S13 0vca)
( (First 1300 f0'-S1•15 50.Earn addle 500 S27 50) _Service and lecder 593.00 _ of Low voltage fere or burglar alarms
',quare Feet .-S(72- First 2500 ft'-550.00:Each add'n 2500 11'-c13
Zara^-c. 535 5(l MOBILE HOME/RV PARK Square .
Each outbuilding or_ _ .. l�cct'
N,..„cc.ed with ser.i c) _a of service or feeders • Per WAC 2966-910(5)(b)(i& ii)
I _ t - `e _ S57,0,) (First serviceifeed -S:. '0:...:d'n sero ice. _-of Siens(I=irst sr r 54 00;add'r s,
(in .spected separately) fee-ler-537 each) C20.00 each)
_Su immin_pool,nor tub.spa . 555.5.i
_\and Pole meter loops. S57 n.,.
NEW MULTI-FAMILY COMMERRCIALINDUSTRIAI I COMMERCIAL/INDUSTRIAL
(Includes three orals o: morel Altered Service or Feeders
Service Feeder Amps Ser iC:or Add r, 0 to 200 5 ,-)3 tP,
Up to 200 amp........... S 93.00 S 27.50 Feeder _201 -600 216.50
' .
_301- 400 amp . .... .__. 115.50 57.00 _U to l OG 5 9300 S 57.00 _601 -1000 "6.50r
401 -600 amp . 158.50 78.50 _ 101 -200 115.50...........72.50 _over 1000 363-00 .
-
_601 -800 amp 202.50 105.50 _201 -400 216.50 85.50 _0 of circuits
_Over 800 amp. 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-572.50.Add'n circuits,56 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/Commcrciai/lndustrial
0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0- 100 e 57.00
• 201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 !I
_
over 600amp 17c.00 I =201 -400 85.50
_Mast or meter repair 43.00 I 401 -600 t 1550
a of circuits ......over 600 125.00
(i=+circuits-S5 7.00;Add'n circuits SO ca) _
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) I NUMBER OF UNITS(C) I TOTAL(D)
t
l 1
I
t l 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)
- -_ _ __■ 1EMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
_'----- - -- :-.=""1-.---.__ _ _- _-1 OTHER FEES:--2-f----;-::.--, --t-----,•.- ------'7,-----..c.,--- < - .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
itf
otal (pales one&Tao): Line(s)(1i)+(12)+(13)+(14)+(15)+(16)+(17)r(1S)+(19)+(20)+(21)-(22)+(23) _ (24)
Bulletin :100-December 23,2002
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