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02-103337City of Federal Way Community Development Services Electrical Permit #: 02 - 103337 - 00 - EL 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request Mlle: 253.1435.3050 Project Name: 23RD AVE S ROAD IMPROVEMENTS Project Address: 23RD AVE S & S 317TH ST Parcel Number: CITY WIDE Project Description: ELE - Install a 100 amp service for new traffic signal. Southwest corner of 23rd ave s. and s. 317TH ST Owner Applicant Contractor CITY OF FEDERAL WAY TOTEM ELECTRIC OF TACOMA, INC. TOTEM ELECTRIC OF TACOMA, INC. CITY OF FEDERAL WAY TOTEM ELECTRIC OF TACOMA, INC. TOTEM ELECTRIC OF TACOMA, INC. PO BOX 9718 2332 S JEFFERSON 2332 S JEFFERSON FEDERAL WAY WA 98063 TACOMA WA 98402 1 (253) 383-5022 Electrical Fixtures pe .7 Service/Feeder: 0-100 amps -Comm. I r urescripticn , ..,. _ a1Quti." PERMIT EXPIRES January 29, 2003, IF NO WORK IS STARTED. Permit issued on August 2, 2002 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: ��1 Date: .46 2, 200 a SCC 101°#0-av � sf/cV Nt" t F1pi*L 1670 sof G CONSTRUCTION PERMIT APPLICATION PPLICAUON NUMBER: a - APPLICATION NUMBER: - _ RPLICATION NUMBER: - - **The following is required information - Please print (in ink) or type** Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application. PROPERTY• SITE ADDRESS: 2 J Ro *\1 5©. Sp • 311 ZN ST ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): 5cu-TNwEs 7 e0lzt-LER of 23Rr> �AVe So . t, Sc. 3l- 744 S i TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION XELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Ll "TALL .A (l Qti LIF A loo 4 f -e p S E R-[ l C E KiEW 1(ZA -FIC SlC,wIAL PROJECTNAME: 23i2D-Ayt So. Ro#,D IMPRoVtMCNiS so -3i&To 5-1.-ro 5o 324T,15 -T - PEOPLE INFORMA77ON PROPERTY OWNER: CONTRACTOR: APPLICANT: CONTACT PERSON F NAME: DAYTIME PHONE: C l -Y OF FE DERA L- WA-( ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 33530 Ellz&-, \44 50. Fr--pe-RAL- VJAY ',A -IA. X18003 NAME: DAYTIME PHONE. iaiEl--t �LE�TRI( F IACpM1� (253) 303 - 5D22 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: 2332- 50• JEFeER500 s -r. AC©MA Ll J54 (2S3)363 - 5022 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I 11 -aG -10 6 3_0 -13 i_ (253)z Z-521/4 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (cWy of mrd required) 1 Q 1 Nt ► 3 1 5 a S 1 OLI 30 l D 3 NAME: 5-A DAYTIME PHONE: E ks -A aov e ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT. FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: :OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT A CONTRACTOR DETAILED 13UILDING mmmmm EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) ❑ NO aS\ Sv s **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ ' PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL . BASEMENT _ AIR HANDLING UNITS) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) war+.wN.w�dW.wes..w:.%.ea+a�+.'L:i�..v;�.f`1Gl:rtad'RPpKw�<:FaA�VRG+7'�1�•'�+�^s+e.Y�r+e.a.w�.w.N�w?is7�J�!!1Jyld[gas++�L+�r9ril�w`_.w+�+lgK:+�.�!1ti+ii+ ,JTcnLetNlF0s2GNATuRie BLC 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 city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: &Olazf PRV�7e& 14,M*"EA DATE: ❑ PROPERTY OWNER ❑ APPLICANT # CONTRACTOR ODMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129 W W W.dtvofTederal—y-cmm Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) 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) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ,JTcnLetNlF0s2GNATuRie BLC 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 city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: &Olazf PRV�7e& 14,M*"EA DATE: ❑ PROPERTY OWNER ❑ APPLICANT # CONTRACTOR ODMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129 W W W.dtvofTederal—y-cmm TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _ Single Family _ _ Service or feeder only ......................... $50.00 _ if of Thermostats (First -$37.50; add'n-S 1 I.SOca) (First 1300 ftm-$75.00; Each add'n 500 ft=424:00) _ Service and feeder ............................... $81.00 _ 9 of Low voltage fire or burglar alarms Square Feet: First 2500 ftm-$43.50; Each add'n 2500 ft2-$11.50 _Each outbuilding orgarage ...........................$31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ N of service or feeders • Per WAC 296A6-9 I 0(5)(b)(i &. ii) _ Each outbuildingor garage ........................... $50.00 (First service/feeder-$50.00; Add'n service/ _ # of Signs (First sign -$37.50; add'n sign (Inspected separately) feeder -S32 each) $17.50 each) Swimming pool, hot tub, spa...............$75.00 Yard Pole meter loops .........................$50.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................$ 8I.00 _ Up to 200 amp .............. $ 81.00................ $ 24.00 Feeder 201-600 .............................................. 189.00 _ 201 - 400 amp ................ 101.00 .................... 50.00 X 0 to 100 ......................... 5 81.00....... $ 50.00 _ _ 601-1000 ............................................ 284.50 _ 401 - 600 amp ................ 138.00.................... 68.50 _ 101-200 ........................ 101.00........... 63.50 -over 1000 ............................................. 3 17.00 _ 601 - 800 amp ................ 176.50.................... 94.50 _ 201-400 ........................ 189.00........... 75.00 tt of circuits _Over 800 amp ................. 252.50.................. 189.00 _ 401-600 ........................ 220.50........... 88.50 _ (1-5 circuits -$63.50; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _601 - 800 ........................284.50......... 120.50 (When inspected separately from the services.) _ 801-1000 ...................... 348.00......... 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 ...................... 379.00......... 202.50 Residential/Multi-Family/Commercial/industrial _ 0 to 200 amp ............................................... $ 68.50 _ Over 600 volts surcharge ...................... 63.50 _ 0-100 ................................................ S 50.00 _ 201 - 600 amp ........................................._... 101.00 _ Mast or meter repair.............................. 68.50 _ 101-200 ................................................ 63.50 _ over 600 amp ................................................ 151.50 _ 201-400 ................................................ 75.00 Mast or meter repair ....................................... 37.50 _ 401-600 .............................................. 10 j.00 ft of circuits _ over 600 ...............................................109.00 (IA circuits -$50.00; Add'n circuits $5 ea) �•• o -V - � cvv aulN� ui g1c4rC1, v1 a new vi arrcICu rCs1ucnua1 DCIVIGC a gicarcr roan iuu amps, a plan review is required. Fee is 35% of permit fee +$63.50. Add'1 plan review for other submissions is $75.00/hr. Estimated Permit Fee: (12) Total Column (D) Estimated Pertnit Fee from line 12 Estimated Plan Review Fee: $63.50 + ( X .35) = (13) Estimated Permit Fee: (14 Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) ■ DEMOLITION ■ 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 4 100 - February 19, 2002