02-103273City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address
GULIAN
2840 SW 300TH
Electrical Permit #:02 -103273 - 00 - EL
Project Description: ELE - Install overhead temporary power pole.
Inspection request line: 253.835.3050
Parcel Number: 416660 0155
Owner
Applicant
Contractor
JIM GULIAN
ADVANCED ELEC & SECURITY INC
ADVANCED ELEC & SECURITY INC
2840 SW 300TH ST
3217 MERIDIAN AVE E
3217 MERIDIAN AVE E
FEDERAL WAY WA 98023
EDGEWOOD WA 98371
EDGEWOOD WA 98371
(253) 848-8706
Electrical Fixtures
Descri "tion
Temp. Service up to 100 amps - Res. I
PERMIT EXPIRES January 27, 2003, IF NO WORK IS STARTED.
Permit issued on July 31, 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 'th the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: 7 X
o7-
SITE ADDRESS:
ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ElEnn�%/)NGINE`ER�I�NG❑ FIRE PREVENTION SYSTEM 1
PROJECT DESCRIPTION (Provide detailed description): (�
PROJECT NAME' Lj
PROPERTY OWNER:
CONTRACTOR:
Akk"
NAME: /q A- DAAY'TTIIMEPHONE: 2
0 \,Lr6�� CM15i3lam
MAILING ADDRESS (STRE3F ADDRESS; CITY, STATE, ZIP):
--11`02 B61K132 it Z5s� c�h,X,4 780:�1-7
NAME:
L�_C=f�C- is
S —TY,C
DAYTIME PHONE:
(05_3)e�Ye -& �c
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
r7 ce *ate
- e��a �`g 37
EVENING PHONE:
l i.
(. -5) 7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:S
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:`1
AD
N �/ Qqar
EXPIRA ON DATE.
�% / 3
/Z
(copy of card required)
c� /V
/
APPLICANT: NAM DAYTIME PHONE:
c�ui! (�s�)�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: ,c FAX NUMBER:
1:1 ARCHITECT El TENANT OTHER ( DESCRIBE): k �bfC �IGiA-4 (�j �) oq -1 f
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indi to 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)
BOILERS) FIREPLACEINSERT(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 ) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING F UNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE UTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTER ORIS) SUMP(S)
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 supplieAto the city as a part of this application.
NAME/TITLE: / �� DATE:
❑ PROPERTY OWNER XAPPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
7 ELECTRICAL
TABLE B
W RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
Service or feeder only ......................... $48.00
# of Thermostats (First -$36.00; add'n-$ 11.00ca)
(First 1300 ftz-$72.00; Each add'n 500 W-$23.00)
[Square
Service and feeder ............................... $78.00
_ # of Low voltage fire or burglar alarms
Feet:
First 2500 ft' -$42.00; Each add'n 2500 W -$I 1.00
Each outbuilding or garage ........................... $30.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
_ # of service or feeders
Per WAC 2966-910(5)(b)(i & ii)
Each outbuilding or garage ........................... $48.00
(First service/feeder-$48.00; Add'n service/
_ # of Signs (First sign -$36.00; add'n sign
_
(Inspected separately)
feeder -$31 each)
$17.00 each)
_ Swimming pool, hot tub, spa.................72.00
_ Yard Pole meter loops ...........................48.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
_ 0 to 200 ..............................................$ 78.00
_ Up to 200 amp .............. $ 78.00 ................ $ 23.00
Feeder
_ 201-600 .............................................. 182.00
_ 201 - 400 amp .................. 97.00.................... 48.00
_ 0 to 100 .........................$ 78.00....... $ 48.00
_ 601-1000 ............................................ 274.00
401- 600 amp ................ 133.00 .................... 66.00
_ 101-200 .......................... 97.00........... 61.00
_ over 1000 ............................................. 305.00
_
_ 601- 800 amp ................ 170.00 .................... 91.00
_ 201-400 ........................ 182.00 ........... 72.00
_ # of circuits
_ Over 800 amp ................. 243.00.................. 182.00
_ 401-600 ........................ 212.00 ........... 85.00
(1-5 circuits -$61.00; Add'n circuits, $5 ea)
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 274.00......... 116.00
(When inspected separately from the services.)
_ 801-1000 ...................... 335.00......... 140.00
TEMPORARY SERVICE
Service or Feeder
_ 0 to 200 amp ................................................ $ 66.00
-Over 1000 ...................... 365.00......... 195.004)-100
_ Over 600 volts surcharge ...................... 61.00
Residential/Multi-Family/Commercial/Induy[irai
/J_�`0 - 100...................................................."*-
201- 600 amp ................................................ 97.00
_ Mast or meter repair .............................. 66.00
_ 101-200 ................................................ 61.00
_
_ over 600 amp ................................................ 146.00
_ 201-400 ................................................ 72.00
Mast or meter repair ....................................... 36.00
_ 401-600 ................................................ 97.00
_
# of circuits
_ over 600 ...............................................105.00
_
(14 circuits -$48.00; Add'n circuits $5 ea)
If service is greater than 200 amp, a plan review is req'd. Fee is 35% of permit fee +$61.00. Add'I plan review for other submissions is $72.00/hr.
Estimated Permit Fee: (
Estimated Plan Review Fee: $56.25 +
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
SBCC Surcharge: (19)
Total Column (D)
Estimated Permit Fee fnxn 8ne 12
(2
■ DEMOLITION
■ OTHER FEES
X.35 = (13)
(22)
(23)
Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =
Bulletin #100 - August 20, 2001