01-103018 City of Federal Way Electrical Permit #:01 - 103018 - 00 - EL
Community Developnxnt Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
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Project Name: RIVERSTONE HOMES
Project Address: 29530 2ND WV PI S W Parcel Number: 119600 3810
Project Description: ELE-200 amp service for new single family
Owner Applicant Contractor
JACK MCCANN CO INC NONE TROLL ELECTRIC
17422 108TH AVE SE#208 725 E.90TH ST.
RENTON WA TACOMA WA 98445
98055-5400 NONE (253)539-4440
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Electrical Fixtures
Description Quantity -Description Quantity Description Quantity
Service: -Residential 3921
PERMIT EXPIRES January 28,2002,IF NO WORK IS STARTED.
Permit issued on August 1,2001
1111 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: p-/--0/
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�.of CONSTRUCTION PERMIT APPLICATION
=1 .-,�:r -.. , .ILII
.\)\> RY APPLICATION NUMBER: 01 - 1 D�O /8 -e(,
AU@ ® 1 2001 APPLICATION NUMBER: - -
APPLICATION NUMBER: -
**The follo6 cLL-uli 4ormation-Please print(in ink)or type**
Please note: Electrical,Fire PreveUlion Systems and Engineering permits may require a separate application.
1: PROPERTY INFORMATION
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SITE ADDRESS: `� �nd ,e)/ Z.i ASSESSOR'S TAX/PARCEL #: -
F - A 'y.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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- iC PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
igt ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): k.)E I\J 1Atnm E'_ ,c;)OOAL �5c2Jjce- (,[j
PROJECT NAME: i sie✓S40"e- MOMS
/a PEOPLE INFORMATION
PROPERTY OWNER: NAME: l DAYTIME PHONE:
I ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAs j DAYTIME PHONE:
C �haaA#� KW-Wets4D✓%{ �oev.as ( ) -
GV!LIT�"J MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3i-fOg S PI /OE . ( ) -
CITY OF FEDER t WAY BUSINESS UCENSE(NUMBER: - -".., FAX NUMBER:
-Ac, t.�A oiSie - _ _ _ _ ` ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) g .., t C� 0 1 1 Q ‘V / /
1.
APPLICANT: T�qME'� DAYTIME PHONE:
troll EL.ECTeic ilk " ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): - :: EVENING PHONE:
`7 9g E. 901--, sr 74e 4 91-yys ( ) -
RELATIONSHIP TO PROJECT: ' �,y FAX NUMBER:
CI ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE):7 M-7Oy6/L-/' ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA CI PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL 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 ❑ 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) MP(S)
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ri DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury thatthe 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:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLAITED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718-FEDERAL WAY,WA 98063-9718•253-661-4000-FAX: 253-661-4129
TABLE B
NEW'RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
(,/Single family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea)
: _
(First 1300 ft'--$67.0 ' -ach d'p 500 v�ft -$21.50) _Service and feeder $72.25 Hof Low voltage fire or burglar alarms
Square feet: OO
(� first 2500 Itm-$38.75;Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _tl of service or feeders ' Per WAC 296-46-910(5)(h)(i R ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _ti of Signs(First sign-$33.50;add'n sign
(Inspected separately) fecdcr-$28 each) $16.00 each)
Progress inspection per'/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
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 ti of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 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
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Ovcr 600 volts surcharge 56.25 _61- 100 44.25
_201-600 amp 89.75 _Mast or meter 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
_tt of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater Than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
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FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(0)
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TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ 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-January 3, 2001