02-102003e
City 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: LAKEHAVEN UTILITY DISTRICT
Project Address: 3203 SW DASH POINT
Project Description: ELE - Replace new Skreeter machine
Electrical Permit #:02 -102003 - 00 - EL
Inspection request line: 253.835.3050
Parcel Number: 122103 9105
Owner
Applicant
Contractor
FEDERAL WAY WATER & SEWER
STETNER ELECTRIC *MIKE STETNER *
STETNER ELECTRIC *MIKE STETNER
P.O. BOX 695
P.O. BOX 695
QUINCY WA 98848
QUINCY WA 98848
(509)787-9109
Electrical Fixtures
Service/Feeder: 0-100 amps - Comm.11 1
PERMIT EXPIRES November 11, 2002, IF NO WORK IS STARTED.
Permit issued on May 15, 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 a laws, rules and regulations of the State of Washington and
the City of Federal Way c_ /�
Owner or agent: Date: J — // `� Z
«rye G CONSTRUCTION PERMIT APPLICATION
PPUCATION NUMBER: 0 —1-- 0 2 - n
PPLICATION NUMBER: - -
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: 3L03 S,U✓ VL5 h P+ 96.A- ASSESSOR'S TAX/PARCEL #: - - _ _JJ _ _ - _/A_L_ _/
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): L n LLQ _f'Z r VGti
(l, 4- . ; .- ' a I J, M-1,
1,
PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT, DESCRIPTION (Provide detailed description): 1 `e- 12 l pe4.,j L- ld- E-; t:7 I C IC -
j" 1 AC' -1 f-, C
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP): 3 1 1+ iii . SvL TK Fe.� r �- t 0 , JZ
NAME:((
i
DAYTIME PHONE:
(ZCC.) (o IY7
- 2-(0..0
GST-�C
ler { a�-
MAILING ADDRESS (STREET
i2�o
, • CITYSTA ZIP):
W)
EVENING PHONE:
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
_ _ - _ _ _
FAX NUMBER:
( 413- ) 6LO
-SOS
CONTRACTORS REGISTRATION NUMBER:
S G T dI G
EXPIRATION DATE:
Q / 2.7
/ 2 ooc
(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):
CONTACT PERSON FOR THIS PROJECT. ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
� oqf
DETAILED BUILDING•• •
EXISTING USE: �.J 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)
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_ Single Family
_ Service or feeder only ...........................
$50.00
_ # of Thermostats (First -$37.50; add'n-$11.50ea)
(First 1300 ft2-$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 ftZ-$43.50; Each add'n 2500 f? -$11.50
Each outbuilding or garage ............................
$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 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
40
_
_ 201-600 ...............................................189.00
_ 201 - 400 amp .................101.00.....................
50.00
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/Commercial/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 ...............................................101.00
_ # of circuits
_
over 600 ................................................109.00
(14 circuits -$50.00; Add'n circuits $5 ca)
_
u a new or anerea commercial service is tuu amps or greater, or a new or anerea resraennat service is greater than 4uu amps, a plan review is requrrem lee is 53% of
permit fee +$63.50. Add=1 plan review for other submissions is $75.00/hr.
FDCMRE DESCRIPTION A FDCTURE FEE FROM TABLE B @L NUMBER OF UNITS C TOTAL D
TOTAL COLUMN D
Total Column (D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Pian Review Fee: $63.50 + ( X .35) _ (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
OTHER
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TOtal (Pages One@Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(38)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin #100 - February 19, 2002
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILER(S)
THIRD
RANGE(S)
MISC.(
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
o ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
o ELECTRIC o GAS
DRINKING FOUNTAIN(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 qty 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 qty of
Federal Way, but only where such claim arises out of Jfte reliance of the city, including Is officers and employees, upon the accuracy
of the information led to th tity as a it of 4J,application.
NAME/TITLE: DATE: O
❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ ALTERATION
Indicate number of each type of fixture
CENSUS CODE:
LOT SIZE:
MECHANICAL
BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACEINSERT(S)
RANGE(S)
MISC.(
COMPRESSOR(S)
FURNACES)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAINWATER SYS.
VACUUM BREAKER(S)
o ELECTRIC o GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC.
INTERCEPTORS)
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 qty 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 qty of
Federal Way, but only where such claim arises out of Jfte reliance of the city, including Is officers and employees, upon the accuracy
of the information led to th tity as a it of 4J,application.
NAME/TITLE: DATE: O
❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION
BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES o NO
PLATTED LOT? o YES o NO
CHANGE OF USE? o YES o NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cityoffederalway.com