04-100180 r t
City ueveWay
Community Development Services Electrical Permit #:04 - 100180 - 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: ROONEY e
Project Address: 36924 5TH SW Parcel Number: 218820 2080
Project Description: Replace 200-amp meter pak for mobile home.
Owner Applicant Contractor
Timothy M Rooeny LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC
36924 5TH AVE SW 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-7346 (800)794-4321
Electrical Fixtures
Description 1Quantity Description Quantity Descri tion Quantity
Service or Feeder-Manu./Mobile Ho 1
PERMIT EXPIRES July 19,2004.
Permit issued on January 21,2004
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: E . 5?\LQ. Date: , - Z l ^Oy
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COMMUNITY DEVELOPMENT SERVICES
' '' 33530 FIRST WAY SOUTH•PO BOX 9718
Y OF CUt. r—. FEDERAL WAY,WA 98063-9718
ederaI Way PERMIT APPLICATION 1 253-661-4115•FAX:253-661-4129
www catro((ederalwarr corn
FW File Number:Q " L — 1_ 0 0 1_ ' U O — C) To
For Office Use Only v
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS: 3-(06314 'S7-1 f' S ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION (eg: Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
SQUARE FOOTAGE OF LOT:
• PROJECT INFORMATION
TYPE OF PERMIT (This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prvide detailed description of work included on this permit onitl): ,.
QZ.12- OR 00 Ce,r)29 rr 0 1.0/3! irvug_..
PROJECT NAME(Name 0 Business/Owner Last Name):
• PEOPLE INFORMATION
PROPERTY NAME y�� p/� PRIMARY PHONE:(� �fj
OWNER: --1-1 tri O 4r O k—utt Got 3 /5A - ((/ (
MAILING ADDRESS(STRT DD CESS_ ( } V CITY STATE, IP 9 g o 3
CONTRACTOR: I NAME/Y/J{,f , j�l.V I COMPANY OFFI EPHONE:
/` �G. Utce (,t� / �,� ( 9542177/
IAUNG.3 35 /SS(STREET i'V /ADD STAT ,ZIP CEL PHONE:
W ' `1' of ( 7 <J 70 *7
ii
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FA?(.NUMBER:
A 0 - (2a. t a �b 7 - O d /Aie / /i (#a5f �Y6(
CONTRACTOR'S REGISTRATION NUMBER / _ EXPIRA ON DATE.
(copy of card required with each application)/ A /V D G 6j - '2 9 l 6 c...... / / � /
:.ENDER: NAME: DAYTIME PHONE:
If Proposed Value>$5,000) ( `
MAILING ADDESET ADDRESS,): CITY,STATE,ZIP )
APPLICANT: NAME •
COMPANY OF ICE PHON
D.✓Lie COI CS%R.NieL L 2 7- / / 7/
MAILIN ADDRE S(ST EET ADDRESS): CI STATE,ZIP EVENING PHONE:
I ,;) l b'sg. �Jn�..►�� 61/4-14)63( ) -
ELATIONSHIP TO PROJECT. � FAX NUMBER:
0 Architect 0 Tenant c7/Other(Describe): i7Q C R/&j"- ( ) _
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor [I/Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE: ��vV��
iXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ i D/W
;PRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
;EWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?) /
GARAGE/CARPORT
HOW MANY FLOORS2 TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. U FIXTURES
ndicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPO TI E O GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commarm i) WOODSTOVES
BOILERS FIREPLA N ER S RANGES MISC(Describe)
COMPRESSORS FURNAC S GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING \.)
BATHTUBSIGTb/Shoo•Combo) SHOWERS WATER r'T"CTC (Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smk VACUUM BREAKERS ELECTRIC WATER HEATERS
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 information supplied to the city ash a part of this application. ( /�
NAME/TITLE: Iv t1j-t'-L. I' /L_ DATE: ` .V' L/ccccJJJJazure) 1«// ,/' (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant ❑-Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES ❑ NO DEMO PERMIT REQUIRED? ❑YES a NO
,t .I.AI; ,17"`•. .. 0t-P-t Page 2
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LiSingle Family Square Feet:
Service or Feeder Each Add'n
(First 1300 ft2-$87 00,Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74:00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00 .
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 - 600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294 50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Erhiratinnal/Instit,,,finnal Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑. Service Over 400 amps
$74.00 plus 35%of Permit Fee
OBILE HOMES TEMPORARY SERVICE
Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK U 101 -200 74.00 51.00
❑ # of service or feeders 0 201 -400 87.00 n/a
(First service/feeder-$58.00,each add'n-$37.50)
0 401 -600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats U # of Signs
(First-$43.50; add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System 0 Additional Plan Review
❑ Voice Cabling (for modified submittals) $87.00/hour
❑ Data Cabling
0
(Per System(s) 1a,2500 ft2-$51.00;
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(b)(i&it)
■ FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
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