02-103256City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -103256 - 00 - EL
Inspection request line: 253.835.3050
Project Name: GRIFFIN
Project Address: 3514 SW 342ND Parcel Number: 308900 0036
Project Description: ELE - Install main panel, wire garage and install 200 -amp feeder to manufactured home.
Owner
Applicant
Contractor
Thomas R Fallis
G L GRIFFIN CO INC, THE *GARY GRIFFIN
NONE
8479 THUNDER MOUNTAIN RD
3721 S 298TH ST
JUNEAU AK
AUBURN WA 98001
99801-9164
Electrical Fixtures
Descrl tlott _, W " escription Quanti,
Service and Feeder- Manu./ Mobile H 1
PERMIT EXPIRES January 27, 2003, IF NO WORK IS STARTED.
Permit issued on July 31, 2002
1 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: _ Date:
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RECEIVED
0U[_ 3 1 20OZ CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER:
CITY OF FEDERAL WAY ppLICATION NUMBER:
BUILDING DEPT. - -
PPLICATION NUMBER:
**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.
SITE ADDRESS: S / / i r ASSESSOR'S TAX/PARCEL #:a C) a !j 6 C2 — 0 (1)
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): — U
L-yT u "� f/2, 4- A 0 2 i o 7 c-% rA-�' CZ 6 5 U
_ ■ PROTECT INFORMATION
TYPE OF PROJECT (This application) ❑ 9ILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
2tLECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /" 5 Tlh-L`, Al _A,,k, EL
f_ J l V? E 6-,j4 &A- f9N-2_I A3 5 :7, A-..- 20 0,
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME:6_�A DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS,(,�l Y, STATE, ZIP):
3 & 0 3 0 �-U pt 5'-xJ -�GFX
NAME:
1
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATIONDATE:
(copy of card required)
/ /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
t
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
SHOV
GAS PIPE OUTLET(S)
SINK
FIRST
SUM[
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLETS
BATHTUB(S)
LAVA
DISHWASHERS)
RAIN
DRINKING FOUNTAIN(S)
SHOV
GAS PIPE OUTLET(S)
SINK
INTERCEPTOR(S)
SUM[
SYS.
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
I certify under penalty of perjury tha a information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner o the above premises to perforin the work for which the permit application is made. I
further agree to hold harmless the City of F eral Way as to any daim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claim), hich may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such dai rises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city s a part of this application.
NAME/TITLE:
❑ PROPERTY OWNER ❑
❑ CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253.661-4000 • FAX: 253-661-4129
www.citvofiedmlway.com
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
-Single Familyz ,
_ Service or feeder only .........................
$50.00
_ 11 of Thermostats (First -$37.50; add'n-$11.50ea)
(First 1300 11475.00; Each add'n 500110
-$24.00)
ervice and feeder ...............................
$81.00_
# of Low voltage fire or burglar alarms
Square Feet:
First 2500 ft2443.50; Each add'ri 2500 ft2-$ 11.50
_ Each outbuilding or garage ...........................
$31.00
MOBILE HOME/RV PARK
Square Feet:
(inspected with service)
_ # of service or feeders
• Per WAC 29646-910(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 -$32 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.-.---.
$ 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
_ 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/Coltlmercial/Industrial
_0 to 200 amp ...............................................
$ 68.50
_ Over 600 volts surcharge ......................
63.50
_ 0-100 ................................................ $ 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 .............................................. jol.00
_ # of circuits
_ over 600 ...............................................109.00
(14 circuits -$50.00; Add'n circuits $5 ea)
a.up, Vi g1caic1, ur a new ur ancrcu resrucnuai scrvicc is grcatcr rnan 4uv amps, a plan review is required. 1 -cc Is 35% of
permit fee +$63.50. Add'1 plan review for other submissions is $75.00/hr.
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)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18) _
SBM Surcharge: (19)
(2
■ OTHER FEES
(22)
(23)
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =
Bulletin #100 - February 19, 2002