04-100886 City of Federal Way
Community Development Services Electrical Permit #:04 - 100886 - 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
S 1
Project Name: JONES '
Project Address: 31403 31ST1SW Parcel Number: 438801 0400
Project Description: 200-amp panel replacement.
Owner Applicant Contractor
Gloria V Jones LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC
31403 31ST AVE SW 13359 NE 16TH ST 13359 NE 16TH ST
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98023-7839 (800)794-4321
Electrical Fixtures
Description Quantity Description Quantity I Description suantity
Alt.Serv./Feeder:0 to 200 amps-Res. I
PERMIT EXPIRES September 11,2004.
Permit issued on March 15,2004
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. L
Owner or agent. See (T
Application Date: 3—� S `0
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COMMUNITY DEVELOPMENT SERVICES El c_
33530 FIRST WAY SOUTH•PO BOX 9718 ��..//
Y OF s'f`'4�....' ` RECEIVED BY FEDERAL WAY,WA 98063-9718
ederal Way PERMIT APPLICAl °5Y DEVELOPMENT DePt�deralwavcom 129
For Office Use OnlyQ q — J 0 0 g ? V - `'�!'4
FW File Number: / /
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
II PROPERTY INFORMATION pr
SITE ADDRESS: .3/y-03 J/V / A-ve (/(/U ASSESSOR'S TAX/PARCEL#: 13 O7 t) . - _0 y D 0
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 ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only):
2aavr,p lra?L / fLa(2rn ?/ —t
PROJECT NAME(Name 0 Business/Owner Last Name:
- • R PEOPLE INFORMATION
PROPERTYWNER: NAME:�LOri4 Tom lT PRIMARY PHONE:7 O
OWNER: ��) (L7 - 3
MAILING ADDRESS 3 (STREET ADDRESS;): CITYed rrL £J4J9C , la• yW01.3
CONTRACTOR: I,NAME^� h �/�ma� I COMPANY�� � I OFFICE PHONE:
ki V / ' ( / ii\a'( / ( 7`7'l c2 (iw) 3�.2 -17 7/
MAILIN DRESS(STREET ADDRESS,): CITY,STATE,ZIP CELL PHONE:
/3359 Nv g;to Ji- • &?lle vuc3 uw' 9e ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBEREXPIRATION DATE: FAX NUMBER:
Q� - / / 7 Op p /JJy L ( ) -
CONTRACTOR'S REGISTRATION NUMBER: ��Al � � ��67 q / � � /EX�RATION DATE:
(copy of card required with each application) o�
LENDER: NAME' DAYTIME PHONE:
If Proposed Value>85,0001 ( ) —
MAILING ADDRESS(STREET ADDRESS,): CITY,STATE,ZIP
%PPLICANT: NAME: COMPANY OFFICE PHONE:
(.01//10 € U OvA7 M07Or ( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT' FAX NUMBER:
❑ Architect 0 Tenant 0 Other(Describe): ( ) -
-ONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
IN DETAILED BUILDING INFORMATION
i XISTING USE: PROPOSED USE:
SXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
3PRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
;EWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
U 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: $_
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 EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
B°I"-ITUBS or Tu uj Suowzl combo) SHOWERS WATER!7 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smir 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, upon the accuracy of
the information supplied to the city as a part of this application.
NAME/TITLE: PDATE:
�joay-
(Sign ure) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant 0 Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
2004 Page 2
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single 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 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 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 0 Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN 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)
0 401 -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-$43.50; add'n sign$20.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
O Security Alarm System ❑ Additional Plan Review
El Voice Cabling $87.00/hour
(for modified submittals)
0 Data Cabling
0
(Per System(s): 1si 2500 ft2-$51 00;
Each add'n 2500 ft2-13 50) *Per WAC 296-46-910(5)(b)(i&n)
. ■ 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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