01-102447 City Federal Way
Community Development Services Electrical Permit #:01 - 102447 - 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: MATHEWS
Project Address: 30005 28TH .AVC- 5 Parcel Number: 798500 0360
Project Description: ELE-Install circuit for new air conditioning unit.
Owner Applicant Contractor
David V Mathews NORTHWEST PERMIT WASHINGTON ENERGY SERVICES
30005 28TH AVE S 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98121 SEATTLE WA 98199-2997
98003-4213 (206)282-4700
Electrical Fixtures
Description Quantity ^ fir k >Pescription Quantity Description Quantitv1
Circuits-Residential 1
PERMIT EXPIRES December 16,2001,IF NO WORK IS STARTED.
Permit issued on June 19,2001
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. (� ,
J�
Owner or agent:C.. � -SPC Date: /0 1
��-�- 7_/-
IF-JUN-14-01 10:37 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-609 P.01/03 F-143
1;:9,--- MF L-^ 1 APPLICATION NUMBER: - i _ - _ ..
\ I i-'1,3 CATION NUMBER: L P�-/. l
C4:76- APPLICATION NUMBER: '?-
i*The following is required information--Please print(in ink)or type**
Please nota,, Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
''S c)0 C04 .)t S TAX/PARCEL#
' /
_i '" '" 'i"-i ASSESSORS : S 0 O- G 3 b
SL7E ADDRESS: s ��— — —
LEGAL DESCRIPTION OF SUBJECT PROPER-1Y(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
. .. , . .. . .. " ■: PROJECT INFORMATION .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING DV MECHANICAL 0 DEMOLITION
• JLECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): - (J 00 i q k 5'vl Vy U 13 ' 4 A f 1-0,9c s 4,
vtS \ 1t(1 1 a_ S ram. 4 / L ,„,i1-
-
,.,. "— Q.Ok(k I C i K} 02 0-,-,APS' , a L(0 • J U/`i 1 Fuer 14/ C.
PROJECT NAME: ci c&v i 01/4 . ,U"i a r&L J s
M PEOPLE INFORMATION •
PROPERTY OWNER: NAMe: DA'FIYMEPHONE:
1-) cvcJ tri ctw c (a S3) g3 fr - 6 c'J
`, h A1L1NG Atoms(STREET ADDRESS; MIL IL ZIP):
• 300 (2S X4-4." 6,---e S
CONTRACTOR: NAME: • 'OAYTIMH:PHONE:
I"/ /s co _ (a06) ab-J- - L41.0
r.AILING ADDRESS(STREIT ADDRESS;CITY,STATE,ZIP); EVENING PHONE:
a a o Hw a. 10,4 . Se , 144-4 -.A-.A - ( ) -
C nY Of FEDERAL WAY BUSINESS .N HUMOR: FAX NUMSER:
- - (
CONTRACTORS REGISTRA1ION NUMBER
tN/ i7 Z S W 1; jj E 9 L at c E:rouuu��/ 1(p /O o
APPLICANT: oIAME; • ECec?�C,c �- .04- 1 O' DAYTIME PHONE:
r T `f ' gE A , s- --6 t-.r v95 +t C S O f59'"H C ( ) -
MAILING ADDRESS(STREET ADDRESS;Cmr,STATE,ZIP): EVENING PHONE.:
( )
1 ELATIoNseP TO PROJECT: FAX NUMBER;
ID ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADORESS;
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT prrCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
• SPRINKLERED BUILDII4G? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 I
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
,w JUN-4-01 10:38 FROM—NORTHWEST—CASSIMAR 206-374-0834 T-609 P.02/03 F-143
• NUMBER OF 6 EDROOMS: AA ESTIMATED SWING PRICE; ¢_
•
• PRO]ECT FLOOR AREAS • .
f{-FOR MISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
4 • THIRD
4 •
A FOURTH
OTHER FLOORS (DESCRIBE)
DECD(
GARAGE -
f HOW MANY FLOORS?
ti
4. TOTAL:
.ii .
:.;:. FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANOL?tNG UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) \ , FURNACES)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE:rEi LfCTRIC 1ff\\S•gQ�C
PLUMBING L -HIS flai
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(
,DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) p ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINK(S) WATER CLOSET(S) MISC.(
. INTERCEPTDR(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,
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. :
further agree to hold(harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees Incurred in
Investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City
Federal Way,but only where such daim arises out of the reliance of the city,including Its officers and employees,upon the accuri
of the Information supplied to the city as a pact of this application.
f1Al+IE/'r1II.E �-'--' DATE: '...--`^-4- i /
❑ PROPERTY OWNER 0 APPLICANT CONTRACTOR
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fig,'', L W., 7 ��'_I�:I.�aW`ry, /, ,` I d;_r•.,d�} {}P4',21�'I 1 �'`\�,V`r� 'a l r r /14 N'Z, v !the a IIS F1.
ukl. �•tn:,I � J�I.E4hW{II rLs'-LL:'��Ys'sS -J�l.W`J,}rJy4 �J I,.,J4i l,rL.Y�AY+.)'.. ,.. A e r �:MI '.dl ,nl�ll � •I,I•I l�lkl••MYl�1�,1,�'�1':�I�Y Ili,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUIN•P.O.BOK 971a•FOAL WAY,WA 9800/716•Z2-661-1000•FAX:253-661-1129
i JUN-1.9-01 10:38 FROM-NORTHWEST-CASSIMAR 206-374-0834 7-609 P.03/03 F-143�
TABLE 2 �'
•
I NEW RESIDENTIAL SERVICES MOBILE HOMES ?MSC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $44.25 _ft of Thermostats(First-$33.50;add'n-S I 0,50c:
- (First 1300 ftr-567.00;E•acl,add'n 500 ft2-521.50) -Service and feeder $72.25 _fl of Low voltage fire or burglar alarms
Squarc.Fcct:_ First 2500 ft2-538.75;Each add'n 2500 fit-S10.50
Each outbuilding orgarage. $28.00 MOBILE HOME/RV PARK Square Feet;
(tnspccted with service) N of service or feeders *Per WAC 296-46-9 t0(Sxb)(i&ii)
Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ -U of Signs(First sign-533.50;add'n sign
(Inspected separately) feeder-528 each) 516.00 each)
Progress inspection per 1/2 hr $33.50
Swimming pool,hot tub,spa 67.00
Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
St-vice Feeder Amps Service or Add'n _0 to 200 S 72.25
Up to 200 amp S;2.25 S 21.50 Feeder -201 600 169.00
_201-400 amp • ..........19.75....................44.25 _0 to 100 $72.25........$44.25 601-1000 254.50
=
(1-
401.600 amp 1:13.25 6130 _101-200 89.75 56.25 -over 1000 282.75
601-800 amp 1:8.00 84.25 201-400 169.00 67.00 _!l of circuits
•
Over 800amp 2::5,25 169.00 -401-600 197.00.__ 78.75 5 circuits-556.25;Add'n circuits,S5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) -801-1000 310.75 129.75 Temporary Service
Scrviee or Feeder _Over 1000 339.00..------181.00 _0 to 60 538.75
0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
201-600 amp 89.75 -Mast or melt r repair 61.50 101-200 56.25
over 600 amp
135.25 201-400 67.00
-
Mast or meter repair 33.50 -401-600 89.75
a E of circuits _ over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
If service is greater titan 20Q amp.a plan rcv ew is rcq'd.Fee is 35°/a of permit fee 1-55625.Add'I plan review for other submissions is$67.00/hr.
'i..FIXTURE IES P<TSCIN, )Illi 3k)(101.i ElfE"E{FROM:TABIE:$0) I .'vr..•.:{NUMBEROF.iUN1R5K(C)111tt'_14�':wrr,l'--,.;,L`i3-r0TALLp)`.'1,J-:r;iat.
. TOTAL. flll01 1W . -111 f<15.
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plait Review Fee: $56.25+ X.35=(13)
4
•
. • I■ DEMOLITION •
Estimated Permit Fee: (14)
- Bond Amount:.(15)
'• ■ ENGINEERING .
•
• Estimated Permit Fee:(16) -
Bond Amount: (17) -
w • ' ■ OTHER FEES'
s '
J. Mitigation Fee:(15) - (20)_- (22)
- SBCC Surcharge:(19) (21) (23)
Total (Pages one Two): LEite(S)(!1)+(12)+(13)+(14)+(15)+(16)1-(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) _
l'
a'
Bulletin#100-August 29,2000