00-105242City of Federal Way
Commmmity Development services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: YMCA - NORMAN CENTER
Project Address: 33250 21ST SW
Electrical Permit #:00 -105242 - 00 - EL
Project Description: ELE - Addition of a 20 amp circuit for new sign
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 132103 9028
Owner
Applicant
Contractor
Y M C A OF SEATTLE
NONE
TCM ELECTRIC
909 4TH AVE
SEATTLE WA
4023 S 216TH ST
98104-1108
NONE
KENT WA 98032
Electrical Fixtures
Circuits - Commercial
PERMIT EXPIRES April 17, 2001, IF NO WORK IS STARTED.
Permit issued on October 19, 2000
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: o _ � o �� Date: Jb — q ` 00
Rough -in inspection:
Service inspection:
FINAL inspection:
I IV 9113 /ou— Nox- I*r'
Date
Date
Date
0 &F CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER:
APPLICATION NUMBER:
1
APPLICATION NUMBER:
Q� %Af*e following is required information —Please print (in ink) or type**
IF
f-eueIR2 tr
ujt UU��--�t� ��ctrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 3 �sc) al �UJ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
9ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): SIo� � ULI 'L`UC�'1 t t 1Oe5� —. �
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME:
DAYTIME () NE
MADDRESS (STREET ADDRESS; CITY, SPATE, ZIP):
MAILING
SSC)
NAME: --IF `-' \ \ C J
DAYTIME 13_51�-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
_9'(0 l
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
(am)BsY
W/
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
APPLICANT: NAME�"DAYTIME PHONE:
�oc� mW
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
03645-5) 9'sg- 0(e t L
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT XC—
rTcm c ED
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 0 HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN(S)
HOOD(S)
WOODSTOVE(S)
FIRST
FIREPLACEINSERT(S)
RANGE(S)
MISC.( )
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
FOURTH
PLUMBING
OTHER FLOORS (DESCRIBE)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DECK
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
SHOWER(S)
WASH MACHINE OUTLET
TOTAL:
SINKS)
WATER CLOSET(S)
MISC. ( )
Indicate 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(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
]TSrI_ATMFR/STrNATIIRF RI C
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:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
_ Service or feeder only .........................
$44.25
_ # of Thermostats (First -$33.50; add'n-$10.50ea)
_
(First 1300 ftZ-$67.00; Each add'n 500 11'
421.50)
_ Service and feeder ...............................
$72.25
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ftZ-$38.75; Each add'n 2500 ftZ-$10.50
Each outbuilding or garage ...........................
$28.00
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 garage ...........................
$44.25
_
(First service/feeder-$44.25; Add'n
service/
'14# of Signs (First sign -$33.50; add'n sign
_
(Inspected separately)
feeder -$28 each)
$16.00 each)
Progress inspection per 1/2 hr ...............$33.50
_
_ Swimming pool, hot tub, spa .................67.00
Yard Pole meter loops ...........................44.25
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ...............................................$ 72.25
Up to 200 amp ............... $72.25 .................
$ 21.50
Feeder
_ 201-600 .............................................. 169.00
201 - 400 amp .................. 89.75....................
44.25
_0 to 100..........................$72.25 ........
$ 44.25
-601-1000 ............................................ 254.50
_
401 - 600 amp ................ 123.25....................
61.50
_ 101-200 .......................... 89.75...........
56.25
over 1000 ............................................. 282.75
_
601 - 800 amp ................ 158.00....................
84.25
_ 201-400 ........................ 169.00...........
67.00
# of circuits
_
Over 800 amp ................. 225.25..................
169.00
_ 401-600 ........................ 197.00...........
78.75
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
_
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 254.50.........
107.25
(When inspected separately from the services.)
_ 801 - 1000 ...................... 310.75.........
129.75
Temporary Service
Service or Feeder
-Over 1000 ...................... 339.00.........
181.00
_ 0 to 60..................................................$38.75
0 to 200 amp ................................................
$ 61.50
_ Over 600 volts surcharge ......................
56.25
_ 61-100 .................................................. 44.25
_
201 - 600 amp ................................................
89.75
_ Mast or meter repair..............................
61.50
_ 101-200 ................................................ 56.25
_
over 600 amp ................................................
135.25
_ 201-400 ................................................ 67.00
_
Mast or meter repair .......................................
33.50
_ 401-600 ................................................ 89.75
_
# of circuits
_ over 600 .................................................97.75
_
(14 circuits -$44.25; Add'n circuits $5 ea)
it service is greater man ivv amp, a pian rcvicw is rcq u. rcc is » io vi PCI n[It - A N.al..,,.. " ..,..,u", , W ,. ,....
Total Column (D)
Estimated Permit Fee: (
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + X .35 = (13)
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
■ DEMOLITION
■ OTHER FEES
(20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100 - August 29, 2000