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04-100356 City of Federal Way Community Development Services Electrical Permit #:04 - 100356 - 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: BRONGER Project Address: 840 S 297TH pi Parcel Number: 515160 0255 Project Description: Repair mast damaged by tree. Owner Applicant Contractor John T Bronger &P D Bronger S C G ELECTRIC,INC. S C G ELECTRIC,INC. 840 S 297TH PL PO BOX 58744 PO BOX 58744 FEDERAL WAY WA SEATTLE WA 98138 SEATTLE WA 98138 98003-3731 (206)824-2656 Electrical Fixtures Description Quantity Description 1Quantity Description Quantity Mast or Meter Repair-ResidentiaUMI 1 PERMIT EXPIRES July 31,2004. Permit issued on February 2,2004 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: •`•` 1 ��r� Date: f- J L ur 2 _ tea- c' e(t;`•e.-� �I pQ�4`�� S (f) 0 S - C E -�30 FIRST WAY SBOX 978 lT CITY OF�� FEDERAL WAY,WA 980G7-9714 Federal Way PERMIT APPLICATION Z004 2536611IIS•FAX 25J-6611129 �) ^� `-LB 0 2 I[wIuRlinffederalWaymm For Office Use Only FW File Number: 0 - I V a35 5 G - ,4$.Y 6F F E I E RAL�{ Y/ -- / ©z----- Bt ILDIN DEf T, The oilowin• is re•uired in ormation-an incom•tete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or •e. • PROPERTY INFORMATION SITE ADDRESS: C3I-K) • VJe SUITE/APT# ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: INIA- LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1) L.,,,,,_047--,4Gin j ii (Attach separate pagscription) • • PROJECT INFORMATION TYPE OF PERMIT(This application): BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): Ti ip .g'ai- mitwt.— Oa*- III sLIZZi - !yr_. .. PROJECT NAME(Name of Business/Owner Last Name): • PEOPLE INFORMATION PROPERTY NAME: `�— �•�` (- PRIMARY PHONE:r OWNER: L.)o n Y�J� HO ra � -t7 s ` Li. MAILING ADDRESS(STREET ADDRESS;): aw STAT,E,ZIP CONTRACTOR: NAME COMPANY OFFICE PHONE: Se MAILING ADDRESS/(STREET` `ArD1DRESS;) ,STATE,ZIP uvrt; 1 o- ,,�/�r�y V©✓ I 1 C� �XPI � FAX NUMBER: -� r �F FE L WAY BUSINESS L CENSE NUMBER: ��J /pi- � / 2 / /DATE:d / (-Do ��) vJl � � J ` `vva4��CJ0C���� CONTRACTOR'S REGISTRATION NUMBER. E PIR(A�TIIIOONN DATE: _� (coPy of cud required with each application)S L_OL(--c9} /1 `7 V / Ob LENDER: NAME: DAYTIME PHONE: of Proposed valve>$5,000) l MAILING ADDRESS(STREET ADDRESS;)- N CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE S� G o , © to }--W MAILING ADDRE S( •ET ADD S(' CITY,STATE, IP ) EVENING PHONE. RELATIONSHIP TO PROJECT: FAX NUMBER. 0 Architect ❑ Tenant Other(Describe): C ---ate"1 CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-MAIL ADDRESS: • DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED ALUE $ VALUE OF P POSED WORK: $ Allillr SPRINKLERED BUILDING? ❑ YES ❑ NO F SUPPRESSION SYSTE PROPOSED/REQ. RED?: 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION j EXISTING _FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED")) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE- $ • ■ FIXTURES Indicate 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 EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS BBQS FANS HOODS(Commerci.J) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) _COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or comb..) SHOWERS WATER CLOSETS Iroaii) MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER S'iS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS ■ 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, u on the accuracy of the information supplied to the city as a part of this application. NAME/TITLE:w. y 0 DATE: '''Q/6/<41+-- ignature) (Title) RELATIONSHIP TO PROJECT: E Property Owner U ApplicantContractor ❑ Architect ❑ FOR OFFICE USE ONLY: a NEW ❑ ADDITION LI ALTERATION n REPAIR c TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION: CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED? n YES n NO UP/SEPA/SU? L YES a NO PLATTED LOT? ❑YES c NO DEMO PERMIT REQUIRED? a YES a NO - 4 • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'rt ❑ Single Family Square Feet (First 1300 ft2-$S7 00, Each add n 500 ft'-$28 00) ❑ 0 to 100 amp S. 94 50 S 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) 5 58.00 ❑ 601 -800 amp 332 00 140 50 NEW MULTI-FAMILY(three units or more) LI 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 LI 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 U 0 to 200 amp $ 94.50 (Inspected separately from service) ❑ 201 -600 amp 220.50 Service or Feeder U 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72 50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177 00 ❑ # of circuits to be added/altered (1-5 circuits-$74.00,Add'n circuits,$6 00/ea) ❑ #of circuits to be added/altered (1-4 circuits-$58 00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW ❑ Service over 200 amps Mast or meter repair $43 50 ❑ Medical/Educational/Institutional Facility $74 00 plus 35%of Permit Fee SINGLE/MULTI FAMIL• • • REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE 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 ❑ 101 -200 74.00 51.00 ❑ # of service or feeders ❑ 201 -400 87 00 n/a (First service/feeder-$58.00,each add'n-$37.50) ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats ❑ # of Signs (First-$43 50, add'n-$13 50/ea) (First sign-543 50, add'n sign$20 50/ea) ❑ Low Voltage U Swimming pool/hot tub ... . . . . $87 00 Square Feet to be served by system(s) (Includes additional circuit, if required) D Fire Alarm S}stem U Yard Pole meter loops . $58 00 D Security Alarm System U Additional Plan Review 587 00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling CI (Per System(s) 1,,2500 ft2-$5] 00, Each add'n 2500 ft2-13 50) •/r,wt,-.,",, ,,',l ni J!Jb r. ,y 1