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02-102809 City Community Development Services of Federal way CommuniElectrical Permit #:02 - 102809 - 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: SLEEMAN Project Address: 31017 22ND S Parcel Number: 053700 0575 Project Description: ELE-Upgrade panel and meter to 200 amps Owner Applicant Contractor Joan Marie Sleeman LANDER ELECTRIC CO INC LANDER ELECTRIC CO INC 31017 22ND AVE S 13359 NE 16TH ST 13359 NE 16TH ST FEDERAL WAY WA BELLEVUE WA 98005-2305 BELLEVUE WA 98005-2305 98003-4922 (800)794-4321 Electrical Fixtures Des4ription" 'Quantity ":.,. ; Description IQuantityl " F Description !Quantity Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES December 30,2002,IF NO WORK IS STARTED. Permit issued on July 3,2002 •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 the laws,rules and regulations of the State of Washington and the City of Federal Way. /� Owner or agent: • • Date: 1 1 S 7V G- / r fl/v „� R �EIVDD CIT/oF GgY CONSTRUCTION PERMIT APPLICATION • '°"A"E T-li ra -v E- — JUS 0 2 2002 a,Rr��EpauM :: ::: . ? . **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. ■ PROPERTY INFORMATION SITE ADDRESS: 221 ' Ave 3' ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY( ACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION `ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 01)8ra d e anal + me-for to 2t rn.ps PROJECT NAME: N O N E ( S I ee l f i a 1 • PEOPLE INFORMATION PROPERTY OWNER: NAME: �ba� Vliemari DAYTIME PHONE: i` (253RjS9 - 6q 511 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): a 'tA1 a5 30bsi �e CONTRACTOR: NAME: DAYTIME PHONE: L ande,r 'Elear i , Se -' L . ILL& (1-125 ) %1 - ►-17 i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP , ���� �� ��OS �ENING PHONE: i q st- !�/1,Co�/J� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / FAX NUMBER: 2w© c - 1 n LZIq4:-6 (42s ) 56/-2K0 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) L./1 N 066s19 / 5C 12- /31 /O L APPLICANT: NAME: YTIME PHONE: ( (Gilr) ( ) - MAILING ADDRESS( ADDRESS;CITY,STATE,ZIP): EVEN PHONE: RELATIONSHIP TO PROJECT: FAX NUMBE . ❑ ARCHITECT a TENANT a 0 DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER ❑APPLICANT ,, CONTRACTOR • DETAILED BUILDING INFORMATION y= EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLI a TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ■ ' . VATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • FIXTURES Indicate number of each type of fixture MECHANICAL • AIR HANDLING U - EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) _ BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) REPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FU•4 , E(S) DUCT(S) GAS PIP . LET(S) HEAT SOURCE: o ELECTRIC 0 GAS PLU' : G BATHTUB(S) LAVATORY(S) I • 1 AL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACU ; ' AKER(S) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACH - •UTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • DISCLAIMER/SIGNATURE 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 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 informationi‘itAliAit supplied to the city a,,s�agpartt of/Dia- ther 's application. NAME/TITLE: f t CL 1 V 4 DATE: i 7/1 /O ❑ PROPERTY OWNER o APPLICANTCONTRACTOR :FOR OFI°ICE USE ONLY.: 6 NEW t]:ADDITION `.. -- O-ALTERATION-:.:.-.: .-F REPAIR:::-:::::::r t3.TENANT:IMPROVEMENT`.is : :-:::..: : CENSUS.CODE::..:.. --. -. .... .... - . . :. ..:: . .::: ZONING DESIGNATION::::.:.. .. . :..... -�:�.� . .: BUILDING.SHEL#.ONLY'I. ::a7: :�=:�-F]::NO' . . .. . - COMP.PLAN:DESIGNATION::.: ;:5i. :-:. -.:::::.:: -;: .BASIC.PLAN-?:::-:`:.YES::; :::114Q: SETION::: : ..' WNSP : . RANGE : :- NEWA3DRESS REQUIRED? 5:'::::;.- ::fl.XES ". CSIO:::GH :PLATTED-LOT?. .i ID-YES •"C]NO:.: '::::.•.. •CHANGE:OE:USE?:::::-:::ii: ...-:C3:YES::..:a,3:NO::.:-- - COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com ■ ELECTRICAL 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 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$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 _201-600 189.00 _201-400 amp 101.00 50.00 _0 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 5 e ice or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/CommerciaVIndustria( 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 (1-4 circuits-$50.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'!plan review for other submissions is$75.00/hr. <:.:F il1RE aE . RIPTIogI(AY:: :::' ::FIXTURE:FEE::.. ol+!E TABL£B:: B}: titi UBEEL.o6 uNITSSO:A;':> ;_: ::: ::`>.:::<>:':' taTALIDI<:: . :: • //-- Total Column(D) �y Estimated Permit Fee: (12) LP D ' SO Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) • DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) • ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) • OTHER FEES = Mitigation Fee: (18) (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-January 18,2002