03-101995 r e
City dFeaeral Way Electrical Permit #:03 - 101995 - 00 - EL
Community Development Services
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: LEHMAN LOT 2
Project Address: 2646 S 298TH 51' Parcel Number: 768380 0012
Project Description: New 200amp service to single family home
Owner Applicant Contractor
ELENA MALYUTA PARAGON INTERNATIONAL LLC PARAGON INTERNATIONAL LLC
595 HUNT ST 5228 20TH AVE NW 5228 20TH AVE NW
FRIDAY HARBOR WA SEATTLE WA 98107 SEATTLE WA 98107
98250-8052 (206)789-4020
Electrical Fixtures
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Service: -Residential 3309
PERMIT EXPIRES November 12,2003.'
• Permit issued on May 16,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W, .
Owner or rent:
Date: 5Jr 4'
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CONSTRUCTION PERMIT APPLICATION
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Federal Way MAY 1 6 7 APPLICATION NUMBER: 03 - 1 Q
APPLICATION NUMBER:
C�T1f®F F�DERgI.H/AY `APPLICATION NUMBER: - -
BUILDWG 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.
- _ ; C„ ■ PROPERTY INFORMATION _
SITE ADDRESS:c)C 4 7, �7�' Prift--
ASSESSOR'S TAX/PARCEL 0: 7 66 1 80 - 0 O / a
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROSECT INFORMATION _
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
pi,ELECTRICAL ❑ ENGINEERINGy� 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 011ie - //11/(cv°a4M. /i/ lil' eatielkefel4oxi
Y',c L& 7`7/C /#1i: cc ice,+ fevi
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
C Irte/1/l lf?t/
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MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I
CONTRACTOR: I NAME:
DAYTIME PHONE
ar cAi /ArAiopw/ ac } (10, ) 90, - q0W
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE'
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Nide e� eclat ff (Zoo )1 S9 tote
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: f FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: y� I EXPIRATION DATE:
I (copy of card required) Ldel. g A & ,L/ t o f j ,? / /
APPLICANT: NAME/7 DAYTIME PHONE:
i z i /Aá oo/pc Lz C lla& )19 - `te
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
5:701f3 , o7' �� Ati/ �jE 42 r lad 9g/0`7 ! (� 'f)1 -gam
RELATIONSHIP TO PROJECT: / /
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� FAX NUMBER:
u ARCHITECT o TENANT / OTHER ( DESCRIBE):f%7 (ZJO )i9
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E-MAIL�AAD?D�"RESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR j JMCc. Cii -'�CtvQ'�crcl'/Y�.
ettYPA
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ,NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES AVO *
WATER SERVICE PROVIDER: ii LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ 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 o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(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,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 claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but ojiy where such daim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the Information u.•lied//too�thje ci as a of this application. /�
NAME/TITLE: / -1� "/l,1 /i/VCC./-/ hart[�T9C DATE: /
1
o PROPERTY ' NER o APPLICANT ,CONTRACTOR
FOR OFFICE USE ONLY: :•.
:DNEW .-.,,cv0 ADDITION ,� . dO ALTERATION .5'4..'OREPAIR
❑TENANT IMPROVEMENT
"CENSUS :LOT
'ZONING DESIGNATION •
-� .. ._::�= BUILDING SHELL'QNLYYESNO
COMP PLAN DESIGNATION y : :' :BASIC PLAN?:-'= ❑YES :❑'NO = •
SECTION t„ TOWNSHIP -'RANGE NEW ADDRESS REQUIRED?'---,..:';,i; ❑YES•., ❑ NO
PLATTEDLOT?, '1"❑YES oNO CHANGE OF USE?;' ❑YES `-d NO•.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.Com
•
,y ■;ELECTRICAL T.
TABLE B •
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family __Service or feeder only $57.00 #of Thermostats(First-543.00;add'n-513.00ca)
(First 1300 -582:32,,,ft inch add'n 500 ft`-527-50) _Service and feeder 593.00 #of l ow voltage fire or burglar alarms
square Feet. First 2500 ft2-$50.00:Each add'n 2500 ft'-513 Mi
Each outbui ding or ga age 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) #of service or feeders * Per WAC 296-46-9I0(5)(h)(i R 0)
Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ #of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) 520.00 each)
Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops 557.0(•
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 i 93:10
Up to 200 amp $ 93.00 5 27.50 Feeder 201 -600 210.50
201 -400 amp . - . __ 115.50 57.00 0 to 100 $ 93.00 5 57.00 601 - 1000 126.50
401 -600 amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 _#of circuits
Over 800 amp. 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-572.50;Add'n circuits,Sh cat fI
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/Commerciai/Industria(
0 to 200 amp $ 71.50 __Over 600 volts surcharge 72.50 0- 100 $ 57.00
201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
over 600 amp 174.00 201 -400 85.50
Mast or meter repair 43.00 401 -600 i 15.50
a of circuits i over 600 125.00
i I-i circuits-557.00;Add'n circuits 56 ea) ]I
It 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) NUMBER OF UNITS(C) TOTAL(D)
I
•
t
1
TOTAL COLUMN(D): I
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( 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)
SBC Surcharge: (19) (21) (23)
TOtallpagesone&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)_
Bulletin #100- December 23, 2002