04-100741 City of Federal Way Electrical Permit #:04 - 100741 - 00 - EL
Community Development Services
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: LAKEHVEN WELL 10A
Project Address: 34601 6TH'S Ache 5 Parcel Number: 202104 9126
Project Description: Upgrade of existing equipment to 800-amp.
Owner Applicant Contractor
FEDERAL WAY WATER&SEWER*FEDER FEDERAL WAY WATER&SEWER*FEDER FEDERAL WAY WATER&SEWER*FEDER
PO BOX 4249 PO BOX 4249 PO BOX 4249
FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249
(253)945-1595
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
[Service/Feeder:601-800 amps-Comrl 1
PERMIT EXPIRES August 29,2004.
Permit issued on March 2,2004
I hereby certify that the above information is con-p . '• :t the construction on the above described property and
the occupancy and the use will b- in accordan th- aws,rules and regulations of the State of Washington and
the City of Federal Way.
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Owner or agent: `AV/ // _ `j Date: ?—� '-' �
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RECEIVED CONSTRUCTION PERMIT APPLICATION
\>\> m=1L APPLICATION NUMBER: Q - 1 0 0�yi - t L
MAR 0 2 2004 APPLICATION NUMBER: -
„ITY OF FEDERAL WAY APPLICATION NUMBER: -
auILDINci DEPT.
**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: ?d(P 0/ �, ASSESSOR'S TAX/PARCEL#: ZO Z. / O - L Z 6
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
may. . - M PRO]ECT INFORMATION`- • -. , ,
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
ctiC,e I S 7w lj .,0_Cs2Lt t' itt&Y7 "F. sem'
PROJECT NAME: j�v�-•��-- ,'O4- 'L.'P
• • ■ PEOPLE INFORMATION •
PROPERTY OWNER: NAME:
DAYTIME PHONE:
II, 7/z(G7— ( fj ) 9Y5-
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MAIUNG
/'Q dick /2 ? 4444- 96'06 3
CONTRACTOR: NAME: DAYTIME PHONE:
4/4 ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME:
�/7� Y DAYTIME PHONE:
MiII[I1 G�RESY(STREET ADDRESS;CITY,STATE,ZIP): EVENINGE�T�PHONE:
04c)O PROJECT( / �j�l� f✓.rx #44 p0 Qi3 \ )
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ) OTHER(DESCRIBE):fdirkclerE (?-11 ) 2-4?)?
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR L' il"t4
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) •
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
. . •-ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$I I.50ea)
(First 1300 f12-$75.00;Each add'n 500 ft'-$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 ft=-S 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-550.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-532 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 S 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 S 50.00 X601-1000 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 L#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
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/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
#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ca)
If a 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+$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(0):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)=(13)
IN DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
i - ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) - (21) (23)
TOW(Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002