02-103142 City of Federal Way
Community Development Services Electrical Permit #:02 - 103142 - 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
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Project Name: PANTHER LAKE ELEMENTARY SCHOOL
Project Address: 34424 1ST S Parcel Number: 202104 9110
Project Description: ELE-Installing 5 parking lot lights
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL BETSCHART ELECTRIC CO INC BETSCHART ELECTRIC CO INC
31405 18TH AVE S PO BOX 88 PO BOX 88
FEDERAL WAY WA OLYMPIA WA 98513 OLYMPIA WA 98513
98003-5433 (360)943-4545
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Electrical ixtu
De'scriptiorir..: ;: 1: ELM z " Descriptio uan 1 Description Quantity
Circuits- Commercial 3
PERMIT EXPIRES January 20,2003,IF NO WORK IS STARTED.
Permit issued on July 24,2002
•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: 5''11,646,5- Date:
o( y Cin ut 5 D rC c(r', '
( u f5 rt b t c 5-e
e-G-G"Z Ccn•Chu.�-s vw` ` �\� � �v QN4- 6w-GlGA.l/6
fin - f /1-411 7- l sire LDS rj. t 6qr-s o n/ Pole
772 f ce tt's ` 421.f -- a 2 c e-a6Q—S �,i � 4 e e
D Pit (2,2 v,,s
4110
07/23/2002 13:41 FAX 2536614129 CITY FEDERALWAY IJ002
V.."( RECEIVED CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER: Q 2- Q - �C-
N);\ !TY J U L 2 4 ?002 APPLICATION NUMBER:
CITY
OF FEDERAL WAY APPLICATION NUMBER: _ _ - _ _ _ - - - - - -
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"*The fol1ov t< c�ti ilTiformation-Please print(in ink)or type*"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application_
4ROPERTY.INFORMATION'.:.:
SITE ADDRESS: 3 79,2y /s T 4k' c_ _ _ ASSESSOR'S TAX/PARCEL, #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
•
VRO3ECT INFORMATION
TYPE OF PROJECT(This application): U BUILDING ❑ PLUMBING ❑ MECHANICAL [ 1 DEMOLITION
;if ELECTRICAL ii E[NGINEERIjNG( 1 FIRE PREVENTION SYSTEM '
PROJECT DESCRIPTION(Provide detailed description): PGY,v/ e✓ take efeineiag✓y
. 125T l9//i� c _ S . r'n5 1-1542(i
PROJECT NAME: Pc(it'&L'r f. e ( cts S-eAir.,,. ( o+!)
':.PEOPLEINFORMATION _- .- - ,
C
PROPERTY OWNER: NAME: DAYTIr'ILPHONE;
Fed,-CC/iASc,400 .1i)!_-_._. /2:fc (as 3) VC' 5"?30
MAILING ADuiu:S5(S ET ADDRESS;CITY.SPATE,2iP):
1o6.6 5- Sao 14 reJ-ct/,-y
CONTRACTOR: NAME: —_ — - -'
DAYTIME PHONE•
6ciscflow < (360) 9Y.3 - WKS"
MAILING ACURI SS(STREET ADDRESS:CITY,STATE,21P): i EVENING PriONC:
P-o- aux 38 oryy p�9 4/..4 '784-o> c ) -
C1 IY pF FEDERAL WAY t&uSiNrsS 1 ICEN,E NUMFER: fAx NUMEER
- - - -- - - - - ( ) -
._.(ON1RACTOR'S REGISTRATION NLIMHEI2 .. - - ExPIRATION DATE. _.
(coyly of ca*d required)
APPLICANT: NAME: , DAYTIME Pl10Nf:
� d_ $ f _ c ) .
MAILING ADDRCSS(,'i two-I ADD SS,CITY.STATE.ZIP): tvENING PHONE:
)
RCIAIIONSHIPTO PROICCI' 1AX NUMStrl-
n ARCHITECT 0 TENANT LI OTHER(DESCRIBE): ( ) -
� E-MAtt ADDRESS' — --
CONTACT PERSON rOR THIS PROJECT; 0 PROPERTY OWNER ❑ APPLICANT i��'CONTRAC70R
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213ETAILEDBUILDING INFO RMATION-
EXISTING USE: .. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $__•_ -
PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS: $—.,.., _
SPRINKLERED BUIL DING? 0 YES fJ NO DIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:l] YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVFN L) HIGIILINF 0 TACOMA ❑ PRIVATE(WELL) •
SEWER SERVICE PROVIDER: 0 LAKF_NAVIN I ) HIGIILINE U PRIVATE(SEPTIC)
07/23/2002 13:41 FAX 2536614129 CITY FEDERALWAY 2003
•**NEW RESIDENTIAL CONSTRUCTION ONLYAc+
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• - - - • - - • ■ PROJECT FLOOR ARIAS •
FLOOR EXISTING S i.FT.' PROPOSED •.FT. TOTAL
-BASEMENT
FIRST
•
• SECOND •
•
THIRD _
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GAi'.AGE -
HOW MANY FLOORS?
TOTAL:
- ■ FIXTURES •
Indicate number of each type of fixture • •
MECHANICAL
AIR HANDLING UNIT(S) _ EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQCS) — FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGES) MISC.( )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) _ WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Q GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
'r- 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
firther agree to hold harmless the City of Federal Way as to any daim(including Costs,expenses,and attorneys'fees incurred in the
iivestigation and defense of such daim),which may be made by any person,including the undersigned,and filled against the City of
Federal Way,but only where such cairn 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.
NAMEIUTLEi _ DATE: 7-29-oz-
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PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
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SLI w.l 1V „ "� -2 ; •; *" '"' $use s '15.1.1 7 •NG'Y>.,":4J!YES''',;; AM:
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OOMMl1NUI DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•PO PDX 9718-FEDERAL WAY.WA 98063.9718•20-G61-4400•FAX:253-661'4129
www.citvoRedelalway.cpsn
07/23/2002 13:42 FAX 2536614129 CITY FEDERALWAY f j005
r,=.. ' • ■,.ELECTRICAL
. TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/IEMP SERVICES
Singk Family _Service or feeder only.._ _ $50.00 _R of Thermostats(Fist-$3730;add'n-S 11.50ea)
(Fust 1300 111-$75.00;Each add'n 500.112-$24.00) _Service and feeder_______........._______$81.00 . if of Low voltage fire or burglar alarms
• 'Square Fes- First 2500 ft2-543.50;Each add'n 2500 flZ-S 11.50
_Each outbuilding or garage, $31.00 MOBILE HOME/RV PARK • - Square Feet_
(Inspected with service) l{of service or feeders •Per WAC 296 6-910(5)(bXi&ii)
_Each outbuilding or garage S50.00 .. (First suvicc/Cccdcr.S50.00;Add'n service! _11 of Signs
(Inspected separately) feeder-$32 each) $17.50 each)
(First sign•S37.50;add'n sign
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops...........____ $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INSTRIAI
(includes three units or more) Altered ServiceDUn
Service Feeder Amps Service or Add'n _0 to 200 S 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 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 6830 101-200 101.00.._ 63.50 over 1000 317,00 '
601-800 any..._......_..176.50 94.50 _201-400.._. _.189-00 75.00 3_11 of circuits
-Over 800 amp.___._.....__.252.50 189.00 _401-600_._..._._._.__...____.220,50 88.50 (1-5 circuits-563.50;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 RcsidcntiaVMulti-Family/Commercial/Industrial
0 to 200 atop__.__ $ 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 25.00,
Mast or meter repair 37.50 _401-600.__ 101.00
#of circuits _over 600 109.00
(I-4 circuits-$50.00;Add'n circuits$5 ca)
Ka new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee 4163.50.Add')plan review for other submissions is 575.00/hr,
`•:FYXl'URC•:bl;SCRIP7loN A - ' FIXTI,IRE•FEE•FROMTABLES.(B), . "-NUMBER4OF-11NITS,(C): - f---4.-: 4.TOTAL(b)'
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»..1.. TOrAL'.;COLilMH'(D);=a
Total Column(0)
Estimated Permit Fee: (12)_
C.--timated Permit Fee from rme 12
Estimated Plan Review Fee: $63.50 t( X 35)=(13)
- - - -- .- . - . - - IN DEMOLITION - - -
Estimated Permit Fee; (14)
Bond Amount(15) _.�_-...
- - , _ . - - -- ■ ENGINEERING - . - ., . -
Estimated Permit Fee:(16)
Bond Amount (17)
- - . - . - • ■ OTHER FEES - - - -- -- - --
- .
Megaton Fee:(18)- (20) (22),_
-
S8C3C Surcharge:(19) (21) (7.3)_
Total(Page;One&two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)t(21)t(22)t(23)= (24)
Bulletin#100-February 19,2002