02-103335REVISION DATE
City of Federal Way
Community Development Services SEP 0 4 2002 Electrical Permit #: 02 - 103335 - 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: 23RD AVE S ROAD IMPROVEMENTS
Project Address: 23RD AVE S & S. 320TH ST SE CORNER
Parcel Number: CITY WIDE
Project Description: ELE - Installation of (2) 200amp service for new traffic signal. Southwest corner of 23RD AVE S. &
320TH ST
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
PO BOX 9718
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
FEDERAL WAY, WA 98063-9718
2332 S JEFFERSON
2332 S JEFFERSON
TACOMA WA 98402
(253) 383-5022
Electrical Fixtures
[�2SCf1 'flt3tl .
SeSe trvce/Feeder. 101-200 amps -Com
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: Q h C� Date:
CA- 1�L- O7,-- Servoce w"Al-ea
CSP
'iv
(/ 6e-
�°� c_ CONSTRUCTION PERMIT APPLICATION
uV Ry E -APPLICATION NUMBER: f1 a - L 0 13
APPLICATION NUMBER: -
APPLICATION 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.
SITE ADDRESS: L.3 -Ave- 50. � 5o. 3 2 C"T" -5-1 . ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
5C^u1i-4wE-5T Cc,Rt,F-R tI: 23 R° -Aje- Sc. k 32c-1" 5-T
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
XELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 10 St A L L-A T I C, 0 CIF: A Z C c A M p SE R./ I E
rC'R tlEw IRAFF%C SIGNAL.
PROJECTNAME: 23RD-A\IE 50. ROAD IMPROgF-M-. 1T5 / SG 3I(pT+4 rj-j io 5c 324 l" sT
PEOPLE• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON f
EXISTING USE:
PROPOSED USE:
NAME:
CIT�fOF FE DE RA W.A-(
DAYTIME PHONE:
( )
-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
33530 FkRs-r tii.R� So.
FEDe-RAL
Vj ; W-
`aCc3
NAME:
-fCi te" 1.-L-EC.TIz►( F
I.ACO"A,
DAYTIME PHONE:
(253) 3'D3
- 5022
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
2332. 5o. J eFi: ERsou 5Y. `TACOMA,
W.A, gM01
(2S3) 303
L.50 2 Z
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
I ot - 'I - 1D
6 1 3- Q
L_
(2 5 3) 27?-
- S21/4
CONTRACTOR'S
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(ter m� ,i�ea>
1 E M L T
3 I S t3 S
0 / D/
C 3
NAME:
ks
DAYTIME PHONE:
E -Aaov=
( )
-
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
11APPLICANT
CONTRACTOR
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $,
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
� F()i rti
�fV RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. ■ PRoncr FL00R 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)
zwn.v+...�.nw.d.p„�+��.w, :. .awsrz�;.: .e�..�.ti'•1 E4!'aodFA Sit- RG
UE' ++w+nYreN�e.+.•*+.i.iK+.ricy, -LKi ldx�s+iais%c�iv4T:tzwnwwyq�yp,`.w�:ii+ti��
'ITCCietMER IAIGNATURE'6LC
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: ADATE: �DD
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DWELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718 • 253-661-4000 • FAX: 253-6661-4129
www-ckyoffeder I— Y-=
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 OUTLETS)
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)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
'ITCCietMER IAIGNATURE'6LC
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: ADATE: �DD
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DWELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718 • 253-661-4000 • FAX: 253-6661-4129
www-ckyoffeder I— Y-=
a.
■ -ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_Single Family
_ Service orfcedcronly .........................$50.00
_#of Thermostats(First-$37.50;add'n-S11.50ca)
(First 1300 ft'7$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 11'443.50; Each add'n 2500 ft'-$11.50
_Each outbuilding orgarage ............................$31.00
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 garagc........................... $50.00
(First service/feeder-$50.00; Add'n service/
_ # of Signs (First sign -$37.50; add'n sign
(inspected separately)
(ceder -S32 each)
517.50 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 ......................... 5 81.00....... $ 50.00
_ 601-1000 ............................................ 284.50
401 - 600 amp ................ 138.00.................... 68.50
-200 ........................ 101.00........... 63.50
_ over I000...................................---.--....317.00
_ 601- 800 amp ................ 176.50.................... 94.50
7XI01
_ 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/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 ................ * ... *** ..... * .................. 1 01.00
_ # of circuits
_ over 600 ...............................................109.00
(IA circuits -$50.00; Add'n circuits $5 ea)
• ... ������.��a x� vi�c a wv amps u1 grcarcr, or a new ur aucrcu resiucnnat service v, greater roan vvv amps, a plan review is required. tee is 35% of
permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr.
,rLCI UKt: UtJGK1N;t1(N (A) I FIXTURE FEE FROM TABLE B (B) NUMBER OF'UNITS (C) 'TOTAL (D)
Total Column (0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) _ (13)
NDEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
OTHER
Mitigation Fee: (18) (20) (22)
S80C Surcharge: (19) (21) (23)
TOtal (Pagesone&Two): Une(s)(11)+(12)+(13)+(14)1-(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin # 100 - Fet"ary 19, 2002