04-100546 ll
City of Federal Way
Cbmmunity Development Services Electrical Permit #:04 - 100546 - 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: VENTANA SUBDIVISION
Project Address: C14 WI dc Parcel Number: CITY WIDE
Project Description: 100amp s reet light service& 10 street lights.Service is located on the corner of 25TH AVE SW&25TH
PL SW.Nearest address is 30506 25TH PL SW
Owner Applicant Contractor
WELLINGTON MORRIS CORP BOONE ELECTRIC CONST,INC. BOONE ELECTRIC CONST,INC.
10335 MAIN ST 16609 110TH AVE E 16609 110TH AVE E
SUITE 8 PUYALLUP WA 98374 PUYALLUP WA 98374
BELLEVUE WA 98004 (253)848-6998
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps-Comm' 1
PERMIT EXPIRES August 17,2004.
Permit issued on February 19,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy ,•d the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City o '-dera
obii...
Own. or agent: .. 11/11
' Date: e2//25,
03 .9-R 04 ' tkos(At_
1
y06
o u6
CT" G CONSTRUCTION PERMIT APPLICATION
EIDi uV EIZRI_ APPLICATION NUMBER: Q c � C)
APPLICATION NUMBER: -
APPLICATION NUMBER: -
**The following is required information—Please print(Ih ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
�a ::PROPERTY INFORMATION - -
SITE ADDRESS: 050/p -A5-614 pi., 5. to, ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;�; - ._ 1, PROTECT INFORMATION - - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
•
PROJECT NAME:
• ■ PEOPLE INFORMATION - . " -• . : • - -
PROPERTY OWNER: NAME: DAYTIME PHONE:
IAA I l '' L)" -rr�5 Ctrrg • ((FA ) -tea'
MAILING ADORES E ADDRESS;CITY,STATE,ZIP)
1 335 Ma In i3 l►he VUE, U1A 680O4
CONTRACTOR: NDAYTIME PHONE:
'-F/,rte✓(,/t 6`/ {`/ ��nJyry
MAILING ADDRESS(STREET ED 'F✓ (3 )Syg-F�< /g
MAILING
y `'�tE CITY,STA J�ZZIPP))): /�!//'/� /�B(y�� /(, -//� EVENING PHONE:
/1600 IID`CITY OF FEDERAL WAY&1SINESSPu LICENSE NUM t ! (/1.11 N I VV/ cI✓&/(1
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER. EXPIRATION DATE. r/
(copy of card required) a Q Q ! C /_ 0 ,6 (.3--J Q'4 / //
APPLICANT: NAM3,.
�/� DAYTIME PHONE.
MAILINGREST ADDRESS'CI EVENING PHONE
( ) I
RELATIONSHIP TO PROJECT* FAX NUMBER.
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (
E-MAIL ADDRESS.
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- ■ 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**
•
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• - -• ■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. ' PROPOSED SQ.FT. TOTAL
BASEMENT' •
FIRST
SECOND
THIRD
FOURTH
OTH P ` Url (DESCRIBE)
DECO(
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) WOOOSTOVE(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 ❑ 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only • e such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of th= -formation s t. the city as a part of this application.
NA /TITLE- DATE: 'r7
❑ PROPERTY OWNER El APPLICANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY:
'❑.NE1M1/= = :-
II-ADDITION ❑ ALTERATION 0-REPAIR ❑TENANT IMPROVEMENT
`CENSUS CODE: - LOT SIZE:
ZONING,DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
-COMP_PLAN DESIGNATION BASIC PLAN? - ❑ YES ❑ NO -
SE'CTION 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
www.cityoffederalway-corn
iy
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMAT/TEMMERVICES
_Single Family _Service or feeder only • $50.00 _4 of Thermostats(First-$37.50;add'n-5 11.50ea)
(First 1300 ft2-575.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 II of Low voltage lire or burglar alarms
- Squarc Feet: - First 2500 ft2-543.50;Each add'n 2500 ft2-S 11.50
_Each outbuildingor garage....,. .. : . ....$31 00 MOB(LE HOME/RV PARK Square Feet
• (Inspected with service) _#of service or feeders * Per WAC 296-46-9100)(b)(i R ii)
_Lach outbuildingor garage. . $50 00 (First service/feeder-$50 00,Add.n service/ . _#of Signs(First sign-537.50,add'n sign
(Inspected separately) feeder-532 each) $17 50 each)
_Swimming pool,hot tub,spa . $75 00
Yard Pole mctcr?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 aril!)..._._.$ 81.00 . - $ 24 00 Feeder 201-600 . ..... ._. .. .. ........ 189 00
201-400 amp.............. 101.00- . ....50.00 K 0 to 100---. . .5 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 (I-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 . . $ 68.50 _Over 600 volts surcharge.... . . 63.50 _0-100-- ----------- .$ 50 00
201-600 am ........ 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
--(I
#of circuits over 600 ..... - 109 00
(I-4 circuits-$50 00,Add'n circuits$5 ca)
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(0)
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12) 41''''. (XI r 00
Estimated Permit Fee from line 12
-
Estimated Plan Review Fee: $63.50 +( X.35) = (13)
. - - - ■ DEMOLITION ' . -
' Estimated Permit Fee: (14)
Bond Amount:(15)
Al 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