02-103254City of Federal Way
Community Development Services Electrical Permit #: 02 -103254 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-62 10
253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: GRIFFIN
Project Address: 3526 SW 342ND Parcel Number: 308900 0038
Project Description: ELE - Install main panel, wire garage and install 200 -amp feeder to manufactured home.
Owner
Applicant
Contractor
Gary L Griffin
Gary L Griffin
Gary L Griffin
30030 20TH PL SW
30030 20TH PL SW
30030 20TH PL SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-3404
98023-3404
1 (253)838-9900
Service or Feeder - Manu./Mobile Ho
Electrical Fixtures
PERMIT EXPIRES February 12, 2003, IF NO WORK IS STARTED.
Permit issued on August 16, 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 Wa 7z���z�v
Owner or agent: Date:
IF /IF
Z GAI<4 6GL LX- Al 9�/Z S�,4Q CEN.�u ('-f-
-3
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cr"cfRECEIVED CONSTRUCTION PERMIT APPLICATION
uV AY L JUL 3 1 2002 APPLICATION NUMBER: _ Z- 03V5 -El
APPLICATION NUMBER: - -
-- ------ --
CITY OF FEDERAL WAy PPLICATION 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 TNFORMATIrC
SITE ADDRESS: 2 SIN 3'_5% • ASSESSOR'S TAX/PARCEL #: 5 �� CL Q - C j
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ ' PR03ECT INFORMATION`
TYPE OF PROJECT (This application): ❑ BB ILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ICf ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION 4Provide detailed description): a 5TA2c_
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PH NE:
MAILING ADDRESS (STREET ADDRESS; CITY, ATE, ZIP):
��
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
— — _ _ _ _
I ( )
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of Card required)
NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
B-
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: L- PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION . �7
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
7'.
■ PRO]ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]TSCLOTMER/SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 suppi
1adlalbe,di s a pa
' NAME/TITLE•- DATE: -7— -3r
t ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
ODMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
www.cftvoffedemlway.com
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Family .
S5e vice or feeder only ......................... $50.00
_ It of Thermostats (First -$37.50; add'n-S 11.50ca)
(First 1300 ftr-$75.00; Each add'n 500 ft' -$24.00)
/Service and feeder ............................... $81.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ft2-$43.50; Each add'n 2500 ftZ-S 11.50
_ Each outbuilding or garage ........................... $31.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
• Per WAC 2964 6-9 1 0(5)(b)(i & ii)
_ Each outbuilding or 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 .........................$50.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
_ 0 to 200 ..............................................$ 81.00
Up to 200 amp .............. $ 81.00................ $ 24.00
Feeder_
201-600 .............................................. 189.00
201 - 400 amp ................ 101.00 .................... 50.00
_0 to 100 .........................$ 81.00....... S 50.00
_ 601-1000 ............................................ 284.50
_
_ 401 - 600 amp ................ 138.00 .................... 68.50
_ 101-200 ........................ 101.00........... 63.50
-over 1000 ............................................. 317.00
_ 601 - 800 amp ................ 176.50 .................... 94.50
_ 201-400 ........................ 189.00........... 75.00
_ # of circuits
800 amp ................. 252.50.................. 189.00
_ 401-600 ........................ 220.50........... 88.50
(1-5 circuits -$63.50; Add'n circuits, $5 ea)
_Over
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 ................................................ $ 50.00
_
_ 201 - 600 am 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
_ 461-600 .............................................. 101.00
_ # of circuits
_ over 600 ...............................................109.00
(1-4 circuits -$50.00; Add'n circuits $5 ea)
it a new or auereu commerctai service is tvu amps or greater, or a new or aiterea resiaenuai service is greater man 4uv amps, a pian review is requirea. t-ee is sD% of
permit fee +563.50. Add'I plan review for other submissions is $75.00/hr.
FIXTURE >.DESCRIPTION ' A FIXTURE FEE FROM TABLE B - (B) NUMBER OF UNITSC -TOTAL D
TOTAL COLUMN (10):
Total Column (D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) _ (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount- (15)
0 ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
0 OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TOtal (P-9-0me&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24)
Bulletin #100 - February 19, 2002