02-100860 City of Federal Way
Community Development Services Electrical Permit #:02 - 100860 - 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: MCKELVEY
Project Address: 521 SW 317TH Parcel Number: 745080 0110
Project Description: ELE-Changeout to a 200-amp service for existing residence.
Owner Applicant Contractor
James 0&Velva D McKelvey James 0&Velva D McKelvey James 0&Velva D McKelvey
2832 SW 340TH PL 2832 SW 340TH PL 2832 SW 340TH PL
FEDERAL WAY WA 98023-7734 FEDERAL WAY WA 98023-7734 FEDERAL WAY WA 98023-7734
(253)529-9292
7 �
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES August 25,2002,IF NO WORK IS STARTED.
Permit issued on February 26,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy 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 agen. 411L. Date:Z 2_ Co ^ 0 '2--
2-I2 / D Sem 4 i E.:67 le_ 2c-, �
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CLOS (51 J - -
: ' ,
a,.C. CONSTRUC I ION PERMIT APPLICATION
uvAPPLICATION NUMBER: _ - /d C3 G O
RECEIVED ,�' -et)-Et.
APPLICATION NUMBER: - -
• FEB 2 6 2002 APPLICATION NUMBER: - -
**The following is rewired formation—Please print On ink)or type**
CITY OF FEDERAL W
Please note: Electrical, Ire
igolE0lKIeMit- ms and Engineering permits may require a separate application. .
.. ■ .PROPERTY INFORMATION
I'7
SITE ADDRESS: _ 7 1 ` ( k. j .- I -7 ,, --9-0--t-}LAS. SESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -
•, . '` ::'-:;11.PRO7ECTINFORMATION x .....1-:-.
TYPE OF PROJECT(This application): UILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ CI
❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): C Tl !f n ci e 7 C <, ck._
PROJECT NAME:
.:.; -- • ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
•i 1'4 S /"kt. kLlve- ., (As ) ; 2- -ci - qL2----
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): !I
CONTRACTOR: NAME: ifC� DAYTIME PHONE:
e
MAILING DDR`ADDRESS(STREET DDRE�I7Y,STATE,ZIP): /�Le ��fr&j EVENING PHONE:
G� ego ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - `�0��� n oo�
FAX NUMBER: -
CONTRACTOR'S REGISTRATION NUMBER: a /�`.9 EEXPIRATION DATE:
(copy of card required) ��0)7 v4 l l
APPLICANT: NAME- DAYTIME PHONE:
0w ti E'er ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- ,..1 °.DETAILED BUILDING INFORMATION' .
EXISTING USE: 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)
**NEW RESIDENTIAL CONSTRUCTION ONLY** Y
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROTECT 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 UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Cl GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
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,induding its officers and employees,upon the accuracy
of the inf....ation supplied to the city as a part offs application.
NAME/TITLE: 'nom" C h a + c l_v? DATE: L— ` —
C4fTROPER •WNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
NEW-4W-711-1� fl ADDITION ❑ ALTERATION_ ❑ REPAIR: - ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP_PLMI DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION ; TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX 253-661-4129
wwwatyoffederalway.com
■ ELECTRICAL
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES •
-Single Family " ' _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$l 1.50ca)
Iii
(First 1300 ft'-575.00 Each add'n 500 ft'-$24.00) _Service and feeder • $81.00 #of Low voltage fire or burglar alarms
- Square Feet: - . First 2500 fie-$43.50;Each add'n 2500 ft'-$11.50
_Each outbuilding or garage... . . . ...531 00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage- . . . . $50 00 (First service/feeder-$50 00,Ade-n service/ _#of Signs(First sign-$37 50,add'n sign
(Inspected separately) fccdcr-$32 each) $17 50 each)
Swimming pool,hot tub,spa. .. . $75 00
Yard Pole meter loops ......... $50.00 1
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200. ............................$ 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-$63.50,Add'n circuits,$S 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
4 0 to 200 amp S 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'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) , NUMBER OF UNITS(C) TOTAL(D)
•
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
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)
S • 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