03-103954 i
City ofeveWay
Community
Development Services Electrical Permit#:03 - 103954 - 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: JACOBI
Project Address: 4109 SW 328TH 51- Parcel Number: 873203 0320
Project Description: Install 60-amp,240-volt circuit for spa.
Owner Applicant Contractor
Jonathan C Jacobi &Rose M Jacobi WILDCAT ELECTRICAL SERVICES,INC WILDCAT ELECTRICAL SERVICES,INC
4109 SW 328TH ST PO BOX 88577 PO BOX 88577
FEDERAL WAY WA STEILACOOM WA 98388 STEILACOOM WA 98388
98023-2628 (253)589-8534
Electrical Fixtures
Description Quantity Description Quantity Description Quantity,
Spa I
PERMIT EXPIRES February 22,2004.
Permit issued on August 26,2003
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 or s,rules and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: Date: c2'' 47 �U O'
/ ►_
Pp
Ek
RECEIVLD
CONSTRUCTION PERMIT APPLICATION
CITY OF �"�•....," APPLICATION NUMBER: 003 _
Federal Way AUG 2 6 2003 APPLICATION NUMBER: -
CITY OF FEDERAL WAY !APPLICATION NUMBER: - -
BUILDING 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.
PROPERTY INFORMATION
SITE ADDRESS: /O? e " 3_Z ? / ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
,LECTRICAL 0 ENGINEERING ❑ FIRE PREVENTIONPRfSYSTEM
1 /-
PROJECT DESCRIPTION(Provide detailed description): 5� _TI c_-/' —777 ov �Y/ 1W
i (!' T
PROJECT NAME: •
■ PEOPLE INFORMATION _
PROPERTY OWNER: NAMEf, -4 O 'r i 4)-5-DAYTIME oN
/9,P.
MAIUNG ADDRESS(STREET ADDRESS; IP �
CITY,STATE,Z
1/og s� -5� ' S.f
CONTRACTOR: /
NAM1E: ifo, , DAYTIME PHONE:
NG ADDRESS(STREET A'DRESS;CITY,STATE.?.1P)* I. EVENING PHONE:
1 CITYEDERAAL VfAY BUSINESS LICENSE NUMBER: FAX NUMBER: I
CONTRACTOR'S REGISTRATION NUMBER: j EXPIRATION DATE:
I (coPYof�rd.equired) Gu l L.?) e L5 999 �3 r+- c2/ / of / 0_s----I
1
I APPLICANT: NAME: DAYTIME PHONE:
I I /t 0� .— �-rI'e ( ) -
MING AD,R (STREET, RESS;C'ITY�STATE.ZIPC`L=/); ` i EVENING P)ONE:
O 2f \
' I RELATIONSHIP TO PROJECT: j FAX NUMBER:
r
0 ARCHITECT o TENANT (THER(DESCRIBE): C 7?E ( ) -
f I L
ADDRESS
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR �S�►p[ Te t7A 7 e
# c, I' -'
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ID TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 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: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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(induding 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 o Is�1 ' e relian•• of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as • •a •• s applica (n.
NAME/TITLE: s) (. DATE:
INF � .
❑ PROPERTY OWNER ❑APPLICANT ?CONTRACTOR
_FO R'OFFICE.USE.ON LYr
...__ s' s�- *�.s t:r .,c s arc W x.__�.. �;, ,� •r � � a.<::„: .x � ..:.,
�+y _ xTENANT IMPROVEMENT .,`
.NEW: : ,. �,c3:ADDITION�,�a.ALTERATION ��.;.❑REPAIR
CENSUSICODE: 040X- . -:- ' 1,41 -
'2 ING'rDESIGNATIONy r ' ' " * BUILDING SHELL ONL(?`=DYES :❑NO
COMP PLAN DESIGNATION x 'a(BASIC PLAN? ,❑AYES ❑.NO,�. �„
SECTION y _ TOWNSHIP GRANGE fil ;NEW ADDRESS REQUIRED? r:'o YES-At: ❑NO ;'
�PLATTEU LOT? = a YES a NO .x f 'CHANGE'OF USE? �, -,;=.n YES 'fl'IVO
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
■ ELECTRICAL
• y - " TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 557.00 #of Thermostats(First-543.00;add'n-S 13.00ea)
(First 1300 ft2-$85.50:Each add'n 500 ft -527.50) _Service and feeder 593.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl'-$50.00:Each add'n 2500 ft'-$13 00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of S. ns(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) 00 each)
_ wimming pool,hot tub,spa $85.50
_Yard Pole meter loops 557.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three unitsAltered Service or Feeders or more)
- Service Feeder Amps Service or Add'n 0 to 200 93.00
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 _0 to 100 5 93.00 5 57.00 601 -1000 326.50
-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 (1-5 circuits-$72.50;Add'n circuits,$6 eai
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/Industrial
_0 to 200 amp 5 71.50 _Over 600 volts surcharge 72.50 _0-100 5 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 -600 115.50
_#of circuits _over 600 125.00
(1-4 circuits-557.00;Add'n circuits S6 ea)
If 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+$72.50.Add''plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
iI
I1
I
I I
I l
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 - • - -. - - ,• • - • i
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) i
Bulletin#100-December 23,2002