02-101829City or Federal Way
Comn^+.rity Development Services Electrical Permit #:02 -101829 - 00 - EL
3530 1 s Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: DE MERS
Project Address: 28434 MILITARY S Parcel Number: 332204 9086
Project Description: ELE - Service change to 100A
Owner
Applicant
Contractor
Harrison H Demers
STEPHENS ELECTRIC CO INC
STEPHENS ELECTRIC CO INC
30640 PACIFIC HWY S
34008 18TH PL S SUITE B
34008 18TH PL S SUITE B
FEDERAL WAY WA
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
98003-4889
(253) 838-1296
Electrical Fixtures
anti
Alt. Serv./Feeder: 0 to 200 amps- Res. I
PERMIT EXPIRES October 30, 2002, IF NO WORK IS STARTED.
Permit issued on May3, 2002
.I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal W .
J.4 /1"t' -
Owner or agent:Date: ��j /Q 2.-
6)
0
OF
G RECEIVED CONSTRUCTION PERMIT APPLICATION
fes — PPLICATION NUMBER:
MAY 0 12002 APPLICATION NUMBER:
PPLICATION NUMBER: - -
CITY OF FEDERAL WAY—
**The follg"iftjN040SKinformatiori —Please print (1h ink) br type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
!:PROPERTY INFORMATION
SITE ADDRESS: - a -y �6.1r�2y t�D • S� • ASSESSOR'S TAX/PARCEL #: .; 3
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
•• •• •
PROPERTY OWNER. NAME: >
6SO /I% fJ
MAILING ADDRESS (STREET ADDRESS; CrrY, ATE,
3CO ydACG,�GC_
CONTRACTOR: NAME: /�
S'C�#�A/S
MAILING ADDRESS (STREET ADDRESS; CITY, STATE,
APPLICANT:
CONTACT PERSON I
EXISTING USE:
PROPOSED USE:
of care mom) S
. )tc_
WE
AYTIME PHONE:
ds'_� ) 9
ws'3) /d945
EVENING PHONE: -
FAX NUMBER-
l 0 - /, (d.S'3)s'oE= 'off
EXPIRATION DATE:
CL Cid 10-3 k l3('- / O-?
'DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $.
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑. NO
- 1
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
_ Service or feeder only .........................
$50.00
_ U of Thermostats (First -$37.50; add'n-S I l .50ca)
_
(First 1300 fi'-575.00; Each add'n 500 ft'
-$24.00)
_ Service. and fecdcr................................
$81.00
_ p of Low voltage fire or burglar alarms
Sq� Feet:- 4
First 2500 fV-S43.50; Each adtl'n 2500 ft' -$11.50
Each outbuilding or garage ..... .......... :...........
S31.00
MOBILE HOME/RV PARK
Square Feet:
_
(Inspected with service)
k of service or feeders
' 11er WAC 296-46-910(5)(b)(i R ii)
Each outbuilding orgaragc...........................
$50.00
_
(First service/fecdcr-S50.00; Add'n service/
_ k of Signs (First sign -537.50; add -n sign
_
(Inspected separately)
fecdcr-$32 each)
517.50 each)
_ Swimming pool, hot tub, spa ...............$75.00
_ Yard Pole nicter 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 snip .............. $ 81.00 ................
S 24.00
Fccdcr
_ 201 -600 .............................................. 189.00
_
201 - 400 amp ................ 101-00 ...................
50.00
_010100 ......................... s 81.00...----
S 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
_ q of circuits
_
800 amp ................. 252.50 ..................
189.00
_ 401-600 ...................... -220.50...........
88.50
(1-5 circuits -$63.50; Add'n circuits, $5 ea)
_Over
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/Commercialtindustrial
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 .............................................. 101.00
# of circuits
_ over 600 ...............................................109.00
_
(1A circuits -$50.00; Add'n circuits $5 ca)
It service is greater titan Luu anip, a pian review is req a. tee is s3%u of pemrt tee +bos.3u. Aaa 1 pian review tut umci bumnu-Niuns u a n.vvinr.
/fix / &Total Column (D)
Estimated Permit Fee- (12) °U/ ?, -S-0
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X.35) = (13)
Estimated Permit Fee: (1
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
SBCC Surcharge: (19)
■ DEMOLITION
■ OTHER FEES
(20) (22)
(21)
TOtal (PayMone&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin # 100 - January 18, 2002
**NEW F.ESIDEI'[7IAL CONSTRUCTION ONLY"
. NUMBER OF SEOROOMS: ESTIMATED SELLING PRICE:
■ PROIECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SO. FT.
TOTAL
BASEMENT'
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL-'
AIR HANDLING UNIT(S)
BWS)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATOKY(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. ( )
INTERCEPTORS) SUMP(S)
'Itscl &TMFRiSiGNATURE BLC
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 claimout of the reliance of the city, including its officers and employees, upon the accuracy
of the Information Su ed o the d pe f this application.
NAME/TITLE: , Ci2 DATE: 3
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253661-4000 - FAX- 253661-4129
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