01-104460 City of Federal Way
Community Development Services -P- Electrical Permit #:01 - 104460 - 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: GOODMAN
Project Address: 35830 8TH$W Ave. SIAL Parcel Number: 302104 9111
Project Description: ELE-Install dedicated circuit for new furnace installation.
Owner Applicant Contractor
William&Victoria Goodman William&Victoria Goodman William&Victoria Goodman
35830 8TH AVE SW 35830 8TH AVE SW 35830 8TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-7225 98023-7225
Electrical Fixtures
r ,.t.leS I "tInPi , '=QUantitY � �� Descr tion Quantity - ,r:yK-i °:Description, 1,,a
: x Quantity
Circuits-Residential 1
PERMIT EXPIRES May 19,2002,IF NO WORK IS STARTED.
Permit issued on November 20,2001
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 •1 ••''ordance with the laws -s and regulations of the State of Washington and
the City of Federal /W��ayy.. � :�
Owner or agent: C.��' Date: /1—ZC- C-)(
1
Z —(( —v 1-- rk-2APIC-r' c 7- AD649 e y- p ,t)n L --
IAv1 7 _ ( s- z -e
cli� G :RECEIVED CONSTRUCT I ION PERMIT APPLICATION
"� • APPLICATION NUMBER: C1 L E) y 4 Q - E(_
VVF3Y
NOV 2 0 2001 APPLICATION NUMBER: _ - _ _ _ _
CITYgg OF FEDERAL WAY APPLICATION NUMBER: __ _ - _ _
**The followiing is egqu-ed information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
_ " •C PROPERTY INFORMATION -
SITE ADDRESS: 35-v u-&- J•30 f rk /4 u` ASSESSOR'S TAX/PARCEL#: 3 O 2 / O t - 1'
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
"-"J';'";'-..--._ • .■_ PROTECT INFORMATION
TYPE OF PROJECT(This application): D BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
IA ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION� (Provide detailed description) L L&yf `s /.Q JLV C
/' C ti .LA..: A N
f
LA.& 3 F/'-t-1.U,-(4ca.<<.1. riA.-S rtal
PROJECT NAME: ik.
_ ■ PE, n' . IFOi 'A'Rr r
PROPERTY OWNER: NAME: I E PHONE:
(,v; 4 r ;� ) 773 -0`t(f
MAILING ADO' • ET. N.;CITY any,ZIP):
'I•4Ib Yv,30 °‘ III''' j 0.-t.'44 • ... r:-4,-Cli ti e4 'il4 -.. , 4.....f-.3
VCONTRACTOR: NAME: : DAYTIME PHONE:
I O (JJ h- I Ir v r r--• sa ...;, , .. n ' ( ) -
MAI s ADDRESS(SIRE:., 'DRESS; STATE,ZIP): u T \ tia EVENING PHONE:
IV. OF FEDERAL WAY BUSI - LICENSE NUM `":f FAX NUMBER:
e I.A- ( )
'INTRACTORof card
REGISTRATION NUMBER EXPIRATION DATE:
d required) _ _ / /
ft APPLICANT: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
II
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
` E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: KPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
1;_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:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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) SUMP(S)
1• 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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied t e dty as a it of this pplication.
NAME/TITLE: DATE: if' 20—0/
PROPERTY OWNER El APPLICANT ❑ CONTRACTOR
'.FOROFFICE.USEONLY' ;r
ii-OWTMIRCII*67.6tti-04FilN511:=1*10.iiitt:OrWillii0R0iiiikiiiiiiiiiiig❑:TENANT=IMPROVEMENT
;CENSUS_CODE: LOTSIZE ., •
ZONING DESIGNATION
BUILDING SHELLONLY? ;_❑ YES ❑ NO
COMP PLAN DESIGNATION , BASIC°P..LAN? ❑YES ❑'NO'
;SECTION x TOWNSHIP :'i RANGE .. NEW ADDRESS REQUIRED? ❑ YES ❑NO
PLAITED LOT?..- ❑YES ❑ NO CHANGE AF USE?. 5 ` ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
■ ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ftt-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
_Eachoutbuilding orgarage $30.00 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 $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) . feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
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 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits
Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea)
411 ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
' Service or Feeder Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
_0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
Mast or meter repair 36.00 _401-600.... 97.00
1g#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr.
FIXTURE;DESCRIPTION'(A)*'FIXTURE FEE-FROMTABLE B(B) NUMBER`OFaUNITS(C)* � TOTAL{D)Oil `=
_
s NOTAL COLUMN(D):'
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from One 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
,
■ DEMOLITION I
Estimated Permit Fee: (14)
Bond Amount:(15)
1
■ 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-August 20,2001