02-101820City of Federal Way
Conurumity Development Services Electrical Permit #: 02 -101820 - 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: AT&T WIRELESS SERVICES
Project Address: 2424 S 320TH Parcel Number: 092104 9172
Project Description: ELE - Altering up to 36 circuits on existing panel
Owner
Applicant
Contractor
John C Baxter
GROFF ELECTRIC INC
GROFF ELECTRIC INC
8802 28TH AVE NW
3308 S UNION AVE
3308 S UNION AVE
SEATTLE WA
TACOMA WA 98409
TACOMA WA 98409
98117-3819
(253) 383-3511
Electrical Fixtures
Circuits - Commercial T7671
PERMIT EXPIRES October 29, 2002, IF NO WORK IS STARTED.
Permit issued on May 2, 2002
• I hereby certify thaMuseil
'mation is correct a d that the construction on the above described property and
the occupancy and acco da ce wi e 1 s, rules and regulations of the State of Washington and
the City of Federal
Owner or agent: Date: � J D
'�-- q - o Z
6- k(- oz
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G- = - oma
C�C�t� � �t v trait $ ✓` Sq.c.� C�j-�'S olL � 1oae.k �',�� �s
1
anal G
REGE,v�D CONSTRUCTION PERMIT APPLICATION
PPUCATION NUMBER: 0 9-- _ D L _ 521Q - _ _
MQ� Y PPLICKRON NUMBER: -- — —— — — -
F ONO FEpERA�WR APPLICATION NUMBER: _ _— - _ _- —
"T44ovring is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
2 PROPERTY•. •
SITE ADDRESS: '7_42-v5 32-b ST ASSESSOR'S TAX/PARCEL *: _ _ _ _ _ _ - _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1^'��(�--- %(S't�%i� Z'DA4.1.5 1 KJ -00
PROJECT NAME: %�T w t.� SS C)
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
WmL-A�-Z. (4z5) 2816 -4o4Z6-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
avk
DAYTIME PHONE:
3-r3 - 3'SI
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�3(:S U"tOt,1"\,
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
I q -9q I o- c 6 g I o o-
/3 L-
FAX NUMBER:
(Z5,3) -3s"!>-
CONTRACTORS REGISTRATION NUMBER: / n r L �/ �/
6 6 � `T �7
�
}� I I
� P, v
EXPIRATION DATE:
'q / 36
(copy of card required) /lam r G
«/o Oiv/
MAILING ADDRESS (STREET ADDRESS; Cif`(, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): �r� I F�ZZ`�� (� T3) 51
3 -316 6
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
BUILDING•• •
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION ¢
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)
ssN�K IpENTIAICONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
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) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
DUCTS) GAS PIPE OUTLET(S)
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 OUTLETS) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMPS)
•BLOCK
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
kwestigation and defense of such daim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such daim 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: ! ' � �l l l d /L- DATE:
❑ PROPERTY OWNER *APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253661.4000 - FAX: 2S3661-4129
www.ctvo%edffalway.com
It
' ■ ELECTRICAL
NEW RESIDENTIAL SERVICES
FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Singlc Family
_ Service or fccdcr only .........................
550.00
_ q of Thermostats (First -537.50; add'n-S 11.50ca)
_
(First 1300 ft' -575.00; Each add'n 500 ft'
-524.00)
_ Service.and fccdcr ............................... 581.00
_ q of Low voltage fire or burglar alarms
Square Feet: "•
TOTAL COLUMN D :
First 2500 ft -543.50; Each add'n 2500 fe-S 11.50
_ Each outbuilding or garage ..... :......... :...........
S31.00
MOBILE HOME/RV PARK
Square Fect:
(Inspected with service)
_ k of service or feeders
• Per WAC 29646-910(5)(b)(i & ii)
_ Each outbuildingor garage ............ ..............
$50.00
(First service/feeder-550.00; Add'n service/
_ 9 of Signs (First sign -537.50; add'n sign
(Inspected separately)
fccdcr-S32 each)
517.50 each)
_ Swimming pool, hot tub, spa ...............575.00
Pard Pole meter loops .........................550.00
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 ..............................................5 81.00
_ Up to 200 amp .............. S 81.00 ................
S 24.00
feeder
_ 201 -600 .............................................. 189.00
_ 201 - 400 amp ................ 101.00 ....................
50.00
_ 0 to 100 .........................5 81.00.......
S 50.00
_601- 1000............................................284.50
_ 401 - 600 amp ................ 138.00 ....................
68.50
_ 101 -200 ........................ 101.00...........
63.50_
ovcr 1000.............................................317.00
601 - 800 amp ................ 176.50 ....................
94.50
_ 201 -400 ........................ 189.00...........
75.00
36 9 of circuits
_
Over 800 amp.................252.50..................
189.00
401-600 ........................ 220.50 ...........
88.50
(1-5 circuits -563.50; Add'n circuits, $5 ca)
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 284.50.........
120.50
31® S ! g-'5- -6 3, S'.
(When inspected separately from the services.)
_ 801-1000 ...................... 348.00.........
145.50
TEMPORARY SERVICE
Service or Feeder
_ Over 1000 ...................... 379.00.........
202.50
Residcntial/Multi-Family/Comntercial/Industrial
_ 0 to 200 amp ...............................................
S 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
_ q of circuits
_ over 600 ...............................................109.00
(IA circuits -550.00; Add'n circuits $5 ca)
u service is grearcr uran cvv amp, a plan review is req a. r•cc is »70 01 pemut rcc *aos.w. Ana i plan review ror ouicr wonussions is a i:).vumr.
FIXTURE DESCRIPTION A
FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
3- 5-Z)
TOTAL COLUMN D :
r� Total Column (D)
g.
Estimated Permit Fee: (12) G `� �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) _
S13CC Surcharge: (19)
■ DEMOLITION -
. - . . ■ OTHER FEES _
(20) (22)
(21)
TOtal (Pages one sTwo): Line(s) (II)+(12)4-(13)+(14)+(15)4(16)4(17)+(18)4(19)4{20)4-(21)+(22)4-(23) _ (24
Bulletin a 100 - January 18, 2002