04-103591 RECEIV
CITY OfIIPIr
` -
Q
Federal Way SEP PERMIT
unr(n.cnvrna tornu:nrsr.erurs SF MF CO M L DE EN FP
,.70 FIRST 11,1YAY ILA •W)-0.18 CITY
-APP ..I C A T I O Nii,) _- l
FE!)ER 11 14 AY WA 9ROG.1 412 CITY OF I / /
iG(I 1115•/•Ll 25.1b61 4)29 i
The oliowin• is re,uired in ormation-an inco •lete a••lication will not be acce.ted. Please •tint le'IN in ink or t • ..
• PROPERTY INFORMATION
32907 2nd Pl. S.W..Federal Way, WA
SITE ADDRESS _ SUITE/UNIT II
ASSESSOR'S TAX/PARCEL ii -- _--- --_ LOT SIZE(s/)
.EGAL DESCRIPTION/e g Acme Estates, Lot l)
vy.,n„r IHrp•f r rnrpin,,,,a drvnphonr
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING L7 PLUMBING LI MECHANICAL
O DEMOLITION AELECTRICAL o ENGINEERING LI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descnptton of work included on this permit on1i)
Wire new house
WC-4I
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY NAME _--_ -- PRIMARY I'IIONE. ----
OWNER Spencer Construction (253-9f 1-2318 _
MAILING ADDRESS CITY,STATE,SI!'
29455 10th Ave.S.W. Federal Way,WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME 011 I(I- I'II(lul-"--T--"--I
Byerly Electric.Inc. 2(53-639E8773 -
MAII INO ADDRESS CITY,STATE,ZIP CELL I'II(INE. --— ---
28001 I73rd Pl.S.W. Kent WA ( ) _
CITY OF FEDERAI.WAY BUSINESS LICENSE NUMBER EXI'IRArnon DA11, I•AX NUMI11•;N
-99-107.374-00 - B L 12-30-04 / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) ESI'/R.A I ION I)AI I-
BY1;RIJ 00BG 1-7-06 / /
APPLICANT COMPANY NAME APPLICANT NAME OEI•ICI.Pin/NE•,
Byerly Electric,Inc. Sheila Burdick (253-649-8773 -
MAII.IN(:ADUIti•,SS CITY,STATE,71P CELT.I'Ill)NE.
28001 I73rd PI.S.W. Kent WA ( ) _
RELA I IONSIIIP I0 PRI/..I MN NI"1 MI 11.,R
❑ Architect u Tenant U Agent D Other (Describe) ( ) -
CONTACT NAMEPRIMARY PHONE I E,MAILAl/DRESS
-`
13yerly Electric. Inc. (253 )639 _ 8773
LENDER Per RCW 19.27.095: Lender information is NAME
rwquired if project value exceeds$5,000
MAILING Al/DRESS CITY.STATE./,11'
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? I i YES _i NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? i YES NO
WATER SERVICE PROVIDER ._i LAKEHAVEN Li HIGHLINE I] TACOMA I PRIVATE(WELL)
SEWER SERVICE PROVIDER I LAKEHAVEN ,_H HIGHLINE L7 PRIVATE(SEPTIC)
1
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
--
FIRSTSECOND
THIRD
FOIJRTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVEREIP)
G-ARAGE/CARPORT — -
HOW MANY FLOORSa TOTAL=STOW Taro.PROPOSED Tann.=STEM MID PROPOSED
4
'NEW HOMES ONLY*" NUMBER OF BEDROOMS _ ESTIMATED ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain
IIECAANICAL
Value of Mechanical Work $._
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS _-- REI"RKi S'iSTEMS
BBQS FANS -- HOODS cc...m.o....4 WOODSTOVFS
_ BOILERS FIREPLACE INSERTS RANGES MISC Pesci be)
_— COMPRESSORS _ FURNACES GAB WATER HEATERS
-
-—_ DUCTS _. GAS PIPE OUTLETS
'LUMBING
BATHTUBS la NS/Shmurrcomiss SHOWERS WATER CLOSETS nmire --_ MISC(I)escnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS — SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYSiq,,wm.mS�k� VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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 cit/, including
its officers and employ a/ ..n the accur of the information plied to the city as a part this appbcation.
9-x-o4
NAME/TITLE --- DATE --
(Talc'
RELATIONSHIP TO PROJECT n Owner 0 Agent 0 Contractor ri Architect O Other_—______
FOR OFFICE USE ONLY
NEW ri ADDITION c 1 ALTERATION n REPAIR r TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES c!NO BASIC PLAN? YES i,NO
ZONING DESIGNATION CHANGE OF USE? 'i YES NO
NEW ADDRESS REQUIRED? ri YES 1-1 NO UP/SEPA/SU? i YES i NO - —
PLATTED LOT? u YES c NO DEMO PERMIT REQUIRED? !i YES I.NO
Bu- lletin ill On March MI 2004 Page 2 of4 k\IIandouts Re%,scd\Permit Application
-
PI
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL I COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAI./_17iIDUSTRIAL SERVICE
® Single Family Square Feet ._2979
Service or Feeder Each Adrl'ri
(First 1300 ft' $87 00.Each add'n 500 ft'-$28 00) ❑ 0 to 100 amp $ 94 50 $ .58 00
❑ Detached outbuilding or garage U 101-200 amp 117 50 74 00
(Inspected with service) $36 50 U 201 -400 amp 220 50 87 00
U I)etached outbuilding or garage U 401 -600 amp 256 50 103 00
(Inspected separately) $58 00 ❑ 601-800 amp 332 00 1-40 50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405 50 169 50
Service Feeder U Over 1000 amp 442 00 236 00
❑ Up to 200 amp $ 94 50 $ 28.00
❑ 201 -400 amp 117 50 58 00 U Over 600 volts surcharge $74(H)
U 401 -600 amp 161 00 80 00 ❑ Mast or meter repair $80 00
❑ 601 -800 amp 206 00 110 00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294 50 220 50 •
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 0 to 200 amp $ 94 50
❑ 201 -600 amp 220 50
Service or Feeder ❑ 601 - 1000 amp 332 00
U 0 to 200 amp $ 72 50 U over 1000 amp 369 50
❑ 201 -600 amp 117 50
❑ over 600 amp 177 00 U _ _ #of circuits to be added/altered
(I-5 circuits $74 00.Add'n circuits,$6 00/ea(
U #of circuits to be added/altered
(1 4 circuits$58 00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74 00 plus 35%of Permit Fee
U Mast or meter repair $43.50 ❑ Service over 200 amps
U Medical/Educational/Institutional facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74 00 plus 35%of 1'etmit Fee
--
MOBILE HOMES --. _
❑ Service or feeder only $58 00 TEMPORARY SERVICE
U Service and feeder $94.50
Com inereiul Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58 00 $51 00
U #of service or feeders ❑ 101 -200 74 00 51 00
(First service/feeder$58 00.each add'n $37 50)
U 201 -400 87 00 ni.i
U 401 -600 117 50 nuc•
❑ over 600 127 00 n/.1
MISCELLANEOUS SERVICE/EQUIPMENT
U _ - #of Thermostats ❑ -_ _.-. #of Signs
(First $43 50,add'n-$13 50/ea) (First sign-$43 50;add'n sign$20 50/ea)
U Low Voltage U Swimming pool/hot tub . $87 00
Square Feet to be served by system(s)____ (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58 00
❑ Security Alarm System U Additional Plan Review $87 00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1a 2500 ft'-$51 00,
Each add'n 2500 ft' 13 50) •n',-WA('29(1-46 QnN#r+#i R NO
Bulletin#100--March 311,2004 Page 3 of 4 1011andouh- Revised\Permit Application