00-106036City of Federal Way
Conmrunity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:00 -106036 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: DUDZIAK
Project Address: 29805 8TH S
Project Description: ELECTRICAL - 200 -amp panel swap in existing residence
Parcel Number: 515160 0100
Owner
Applicant
Contractor
Sigrid Goerndt
SUSAN DUDZIAK
GROFF'S ELECTRIC HEAT INC
29805 8TH PL S
29805 8TH PL S
FEDERAL WAY WA
FEDERAL WAY WA 9:
3308 S UNION AVE
98003-3745
TACOMA WA 98409
Description r .,,,fua
Service: - Residential 11
Electrical Fixtures
June ITOWIF N11WORK
issued on December 15, 2000
I hereby certify that the above information is cYrrect 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:
/Z - Z z - cc
/Z-Z7"c' �%'
1017/00 TUE 08:41 FAX 2536614129 CITY OF FEDERAL �VAY
EiD
CONSTRUCTION PERMIT APPLICATION
ice -RAL W
PPLICATION NUMBER:
PPLICATION NUMBER:
r.,iv Rlo11LD1Na DEPT. AY 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: A9'(? -0 r �/ ` ��` _ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT {This application}:
C1 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
VYI IQ J2 A Yg s
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: D a
PROPERTYOWNER: NAMe:
Sv2-/-fin '� �c1 2; A%'
MAIUNG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: ENA:
NG ADDRESS (STREET ADDRESS; cry, STATE, ZIP):
��" 5e,.�;l.si1�an �{✓C Of fEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR's REGISTRATION NUMBER:
6 Q
APPLICANT: NAME: clecTlellc
MAILING ADORES', (STREET ADDRESS; CITY, STATE, ZIP):
DAYTIME PHONE:
(w;,;s') '? 3
EVENING PHONE:
fc O�
FAX NUMBER:
- u. 52) 3P3
EXPIRATION DATE:
CD SC . 7—A o ,1 yet LVX 9JVO %
lam'>1
RELATIONSHIP TO PROJECT: ( J 1A k. y (: / L%^C
❑ ARCHITECT []TENANT ❑':OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY 0411 INER ❑ APPLICANT CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
(75v) �'s3 - >5/l
EVENING PHONE:
FAX NUMBER.
-MAIL A �RESS: `
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PR0POSE0/REQUIRED: ❑ YES
❑ LAKEHAVEN ❑ HIGiHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ L.AKEHAVEN ❑ HIG;HLINE ❑ PRIVATE (SEPTIC) '
❑ NO
_.�. 01,. rt,un�
10,,,17/00 1 TUE 08:41 FAX 2536614129
s:NEyy RESIDENTIAL CONSTRUCTION un�.i T T
1=STIMATED SELLING PRICE:
Indicate number of each type of fixture
e b
I certify application is made. I
under penalty of perjury that the Information fu �ol perdf by e is
wori a an which the pd correct to ermit f my knowledge, and
further, that Y am authorized by the owner
Federael Way as any claim (in which
costs, expenses( and attorneys' fees incurred In the
further agree to hold harmless the City which may be made by any person, Including the undersigned, and filed against the City of
Investigation and defense of such claim),
Federal Way, but only where such claimarisess art of this ere ante of the city, including its officers and employees, upon the accuracy
of the Information supplied to e city00n/z fJ GD
�—� - DATE:
NAME/TITLE: . r
❑ PROPERTY OWNER ❑ APPLICANT
ac 15 '2000
OOMMUNETY DEVELOPMENT SERVECES * 33530 FIRST WAY SOUTH • P„O. BOX 9718 • fibEM. WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
MECHANICAL
C*OLER(S)
GAS LOG(S)
REFRIG. SYSI'EM(S)
WOODSTOYE(S)
�— AIR HANDLING UNITS)
EVAPORATIVE
FAN(S)
HOOD(S)
RANGE(S) __
____ MISC. ( )
B
BBQ(S)
FIREPLACE INS, ERT(S)
-- BBQ(S) (S)
COMPRESSORS)
GAS PIPEfURNACE(OUT,UI-T(S)
"FAT SOURCE: 1] ELECTRIC E3 GAS
DUCTS)
PLUMBING
WATER HEATER(S)
BATHTUB(S)
LAVATOKY(S)—VACUUM
URINAL(S)
BREAKER(S)
❑ELECTRIC ❑ GAS
DISHWASHER(S)
<
RAIN WATER _.YS. _
__
WASH MACHINE OUTLET
MISC. ( —�
DRINKING FOUNTAIN(S)
SHOWER(S)
SINK(S)
WATER CLOSET(S)
----
GAS PIPE OUTLET(S)
SUMP(S)
INTERCEPTOR(S)
—
e b
I certify application is made. I
under penalty of perjury that the Information fu �ol perdf by e is
wori a an which the pd correct to ermit f my knowledge, and
further, that Y am authorized by the owner
Federael Way as any claim (in which
costs, expenses( and attorneys' fees incurred In the
further agree to hold harmless the City which may be made by any person, Including the undersigned, and filed against the City of
Investigation and defense of such claim),
Federal Way, but only where such claimarisess art of this ere ante of the city, including its officers and employees, upon the accuracy
of the Information supplied to e city00n/z fJ GD
�—� - DATE:
NAME/TITLE: . r
❑ PROPERTY OWNER ❑ APPLICANT
ac 15 '2000
OOMMUNETY DEVELOPMENT SERVECES * 33530 FIRST WAY SOUTH • P„O. BOX 9718 • fibEM. WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
10!17/0 TUE 08:44 FAX 2536614129
CITY OF FEDERAL WAY LQ uuv
NEW RESIDENTIAL SERVICES
Single Family
— (First 1300 ft' -$67.00; Each add'n 500 ft' -521.50)
Square Feet_
Each outbuildingor garage ........................... $28.00
(inspected with service) $44,25
Each outbuilding or garage ..................
(Inspected separately)
NEW MULTI -FAMILY
(includes three units or more) Feeder
Service
_ up to 200 antp............... $72.25 ................. $ 21.50
201 - 400 amp .................. 89.75 ... ,....... .........44.25
401 -600 amp ................ 123.25.................... 61.50
601 - 800 amp ................ 158.00.................... 84.25
W Over 800 am .. 225.25 .................. 169.00
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the services.)
Service or Feeder
10 to 200 amp .................... ...................... .... �6L5.
_ 201 - 600 amp .............................1.............1..11 89.75
over 600 am ............................1 135.25
p ................... .33.50
Mast or ntctcr repair ..............................
�4 of circuits
(1-4 circuits -344.25; Add'n circuits $5 ea)
If service is greater an 200 amp, a plan review is req'1
TABLE- B
MOBILE HOMES $44.25
Service or feeder only .....................
Service and feeder ............................... $72.25
MOBILE HOME: /RV PARK
_ 9 of service or feeders
(First service,rfeeder-$44.25; Add'n service/
feeder -$28 each)
COMMERCIAL/INDUSTRIAL
Amps Service or
Add'n
Altered Service or Feeders
Feeder
0 to 200 ...............................................$
0 to 100 ..........................$72.25
........
$ 44.25
—
101-200 ..........................
89.75...........
56.25
_
201-400 ........................
169.00...........
67.00
401 -600 ....... .............
197.00...........
78.75
_
601-900 ........................
254.50.........
107.25
_
801 - 1000 ......................
310.75.........
129.75
1000 ......................
339.00.........
181.00
_Over
Over 600 volts surcharge ....1.111 .............
56.25
_
Mast or meter repair .........1
...............1....
61.50
of pepemtiit fee +$5625. Add'l plan
/ Total Cotwnn (0)
Estimated penult Fee: (12) l�
Estimated Pian Review Fee: $56.25 +
Estimated Permit Fee: (1
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18) _
SBCC Surcharge_ (19)
Estimated Permit Fee from line 12
(20)_
(21)_
M[SC EQU[PMENT/TEMP SERVICES
_ N of Thermostats (First -$33.50; add'n-$10.50ca)
_ 0 of Low voltage fire or burglar alarms
First 2500 ft' -$38.75; Each add'n 2500 ftl-$10.50
Square Feet:
Per WAC 296A6 910(5)(b)(i & ii)
_!I of Signs (First sign -$33.50; add'n sign
$16.00 each)
_ Progress inspection per 1/2 hr ...............$33 50
_ Swimming pool, hot tub, spa.................67.00
Yard Pole meter loops ...........................44.25
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
0 to 200 ...............................................$
72.25
_
201-600 ..............................................169.00
_
601 - 1000 ............................................254.50
_
over 1000 .............................................282.75
_
9 of circuits
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
Temporary Service
to 60 ..................................................$38.75
—0
61 - 100 .................................................44.25
—_ 101-200 ................................................56.25
201-400 ................................................67.00
—
401-600 ................................................89.75
_ over 600 .................................................97.75
X.35 = (13)
(22)
(23)
7
Total (PagrsonedTwo): une(s)(11)+(12)+(13)+(14)+(15)+(16)+(:l7)+(18)+(14)+(20)+(21)+(22)+(23) = (24)
�� 15 2000
Bulletin #100 — August 29, 2000
`t 1 BWAY
UILDING DEPT