02-101238 I City of Federal Way Electrical Permit #:02 - 101238 - 00 - EL
Community Development Services
3530 1st Way S
Federal W2y,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
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Project Name: MCAWAY
Project Address: 34243 18TH S Parcel Number: 412960 0055
Project Description: ELE-Adding(4)circuits to existing panel
Owner Applicant Contractor
Mary L Bellman E&F ELECTRIC INC. E&F ELECTRIC INC.
34243 18TH PL S E&F ELECTRIC INC. E&F ELECTRIC INC.
FEDERAL WAY WA 25806 136TH AVE SE 25806 136TH AVE SE
98003-6823 KENT WA 98042 (253)630-3843
Electrical Fixtures
'- 'Description:.-::..s:
14 . . .
_.&--__ ---(...e----
da„., G_ CONSTRUC 1 ION PERMIT APPLICATION
LAPPLICATION NUMBER: D 2- L 0 I Z 5 3-Fp.
APPLICATION NUMBER: - -
# .
APPLICATION NUMBER: - -
•
• **The following is required information—Please print(think)or type** • •
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
. • - -'-•
n -_' - .,-1!PROPERTY INFORMATION . _. -
SITE ADDRESS: "^/ 44'3 lett?er,5ti rtitetzt ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
=-.5 -. • _. -.. /, PRO3ECTZNFORMATION • . " . . .. . .
TYPE OF PROJECT(This application): ,.,BUILDING CI PLUMBING ❑ MECHANICAL CI DEMOLITION
Lel ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
il e ie6444,0-ete ' aid._ %tee, :14.7 eel/. eazeie.
ry-� — a4` a -, _ 472o4-p/O U
PROJECT NAME: tit(
._ ilrA.5ar
- . -•' •-.•- - - -- . .. -_r ■ PEOPLE INFORMATION : .:. . . . .• . - -
PROPERTY OWNER: NAME: 4, �we, /. 4 DAYTIME S3 PHO
/ 4/94,1
MAILING ADDRESS(STREET AD ;CITY STATE,ZIP):
ICZ'/1•S'-- daice-a- (A4 Par-aly2 uela ge? -v44 4-9
CONTRACTOR: NAME: / DAYTIME PHONE:
�oL7- CItJAi e /,tLC- (t2tr6 3o -34V1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( ) - I
CONTRACTOR'S REGISTRATION NUMBER:
eftLif r T p//L/9- EXP06"/ d DATE:
(copy of card required) % /oLai,
APPLICANT: NAME S _w , �.�. DAYTIME PHONE:
/iv,1T R.
( )
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
- • :.■ "DETAILED BUILDING INFORMATION ' - ' - ' -. --.- :-.-
EXISTING r • , E STING BUILDING ASS . ••/APPRAISED VALU ION $
PR• •OSED USE: 41111!•
PROPOSED _ r• •PROW NTS: $ _— •
SP'INKLERE r BUIL• ■ 'T' 7 NO FIR - • • _ ON SYST• •• •POSED/REQUIR ES ❑ NO -
WA ER ••VICE PR n •_• U LAKEH•VEN ❑ HIGH NE ❑ TACOMA ❑ PRI •
SEWER • • CE PR•VIDER: ❑ LAKEHA N • GHLINE 5 •• •ATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** I
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ,
. . . - -- ■ PROSECT FLOOR AREAS • . ,
--• FLOOR - EXISTING SQ.FT. ' PROPOSED SQ.FT. TOTAL •
•
BASEMENT' - .
•
4312,/gt -..
. •
FIRST
- SECOND
THIRD
-
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
- ■ FIXTURES -
` Indicate number of each type of fixture •
MECHANICAL
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AIR HANDLING UNIT(S) EVAPO• • • COOLER(S) GAS L (S)--"'- REFRIG.SYSTEM(S)
BBQ(S) ,f FAN(S) D(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S)- • RANGE(S) MISC.( )
COMPRESSOR(S) FURNACAS)-
DUCT(S) .GASY'IPE OUTLET(S) .EAT SOURCE: 0 ELECTRIC 0 GAS
''
/�-
�-�I PLUMBING
- B B(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
OISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ E . • C ❑ 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 where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatio supplied¶j hhe city .s`pa of this application.
NAME/TITLE: ^ ' / �'`' DATE: /ZZ-/O
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
:FOR OFFICE USE-ONLY:
1=NEWEM Exp=ADDITION 0-ALTERATION=-_ 0;REPAIR=?=_- .C]TENANTiMPROVEMENT= __=
tCENSOS CODE:=-===.5-:--_ - =_ =LOT;SIZE -_=°',;__=.-__ - - - -_
BONING_DESIGNATIO ft -- - -_ '-- -_ _BUILDING SHELL, .NLY? ❑=YES;• -❑ NO
- =COMP P C'DESIGNA'TION __ - _ _- _BASICI'AN?-*• ❑-YES -❑NO -
SECiION ii-i�, __TOWNSHIP RANGE= NEW ADDRESS,REQUIRED' - -- -_--❑YES ❑ NO
l`ATTED t OT? == ❑ yES- ❑ NO - = - " CHANGE flF USE? - ' ❑YES --❑=N0
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
-494111111111111111111, .
• • ELECTRICAL
TABLE B
NEW RE$1DENTIAL SERVICES - MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES '
_Single Family _Scrvicc or fccdcr only $50.00 _#of Thermostats(First-$37.50;add'n-SII.Soca)
(First 1300 112475.00;Each add'n 500 ft'-$24.00) _Service.and fccdcr $81.00 #of Low voltage fire or burglar alarms
- • Squarc Feet:- -. • first 2500 ft'-543.50;Each add'n 2500 ft'-SI 1.50
_Each outbuilding or garage . $31.00 MOBILE HOME/RV PARK ' Square Feet: ••
• (Inspected with service) _#of service or feeders • *Per WAC 296-46-910j5)(b)(i&ii)
_Each outbuilding or garage. .. . . 550 00 (I irst service/feeder-550 00,Add'n scrvicc/ • _#of Signs(I irst sign-537 50,add'n sign
(Inspected separately) feeder-532 each) $17 50 each)
Swimming pool,hot tub,spa $75 00
Yard Pole meter loops .. 550 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 . ....$ 81 00
Up to 200 amp....... . $ 81.00. . S 24 00 Feeder _201 -600 .. .. ... . 189 00
_201 -400 amp............ 101.00 ..50 00 _0 to 100 .... ......... $ 81 00 . S 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-S circuits-563 50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800-.... . . . ...284.50 120.50
(When inspected separately from the services.) _801-I000.............. .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 .... ....5 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
At#of circuits _over 600 . . .... .... .... . .. . 109 00
(1-4 circuits-S50.00,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(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)
• -- - - . - . - ■ OTHER FEES -- - • . - - -. , .
. Mitigation Fee:(18) (20) (22)
SBCC Surcharge: (19) (21) (23)
I
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