02-104948 City of Federal Way
Community Development Services Electrical Permit #:02 - 104948 - 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: PEPLOWSKI
Project Address: 32706 17TH SW Parcel Number: 010453 0360
Project Description: ELE-Electrical work for the installation of hot tub for residence.
Owner Applicant Contractor
Anthony&Tina Peplowski MR ELECTRIC OF TACOMA MR ELECTRIC OF TACOMA
32706 17TH AVE SW PMB 260 PMB 260
FEDERAL WAY WA 98023 5303 PACIFIC HWY E 5303 PACIFIC HWY E
TACOMA WA 98424 (253)537-5208/74
Electrical Fixtures
.Desgriatio('1'.. ._._:.1 ASA r, ii .,w7..4 7=dcnption > x, .. "*.ititY « n'l escri flCffl. +�
Hot Tub 1
PERMIT EXPIRES May 6,2003,IF NO WORK IS STARTED.
Permit issued on November 7,2002
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 aws,rules and regulations of the State of Washington and
the City of Federal Wa /
Owner or agent: Date: Cl/'2/O.2__
�� G RECEIVED CONSTRUCTION PERMIT APPLICATION
mErtAL Nov p 7 200Z APPLICATION NUMBER: O2 - L '11`if- C
APPLICATION NUMBER: - -
CITYUOF FEDERAL D P WAY APPLICATION NUMBER: -
**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.
,/� •II� \\PROPERTY INFORMATION
SITE ADDRESS: 32:7 0 �1 ►'[1J�- S W ASSESSOR'S TAX/PARCEL#: ( 0 'T 6-3 - _DJ G CJ
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑PLUMBING o MECHANICAL o DEMOLITION
)'C ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR ECT DESCRIPTION(Provide detailed description):
c`F&LQ SC itvP 22-0 Uof r k + 1-1.413
PROJECT NAME: PrnC.ce,,,s/c
• PEOPLE INFORMATION
PROPERTY OWNER:
DAYTIME PHONE:
772n PLO LQ it (2S3 )
MAILING •+ -� ADDRESS;CITY,STATE,ZIP):
170 Fkr(LA a0 iia , , IA,'i 9?
CONTRACTOR: NAME: DAYTIME PHONE: '/
f1 - ELSCTRIC cc "lco►vU4 (2s3) 75Z -0g74
MAILING ADORES(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
5-3&3 Pzc I Fi c liAARA g Pm16 2-6o (2-63)&o(0 - V 5c
CITY OF FEDERAL WAY BUSINESS LIMO, NUMBER: FAX NUMBER:
2 -o - Yooq 7(A-oo �� ,� l �2 cl - ( 253) 2�L1
� a -0%V
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) L` E Lr e 'r Q L a
APPLICANT: NAME: DAYTIME PHONE:
/? L4�vLC/' ( )
MAILING ADDRESS ADDRESS;CITY,STA ZIP): �/ EVENING PHONE:
( )
REATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑TENANT o OTHER(DESCRIBE):
�T E-MAIL ADORES:
PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT )CCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE ❑TACOMA ❑PRIVATE(WELL)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
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) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) a ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINKS) 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 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:11 bv9re L/L fil n C1 `I 'C ' d t24 at'/ DATE: ///7/DZ
•
❑ PROPERTY OWNER „ CANT ❑ ••
FOR OFFICE USE ONLY:
a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? a YES a NO
COMP PLAN DESIGNATION BASIC PLAN? a YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES a NO
PLATTED LOT? a YES a NO CHANGE OF USE? a YES a NO
• 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-$11.50ea)
(First 1300 f12-$75.00;Each add'n 500 t12-$24 00) -Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft-$43.50;Each add'n 2500 ft-$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)(bXi&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ -#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
I Swimming pool, t tub,sp) $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 $ 81.00
_Up to 200 amp S 81.00 $ 24.00 Feeder 201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 =601-1000 284.50
_40l-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 (l-5 circuits-563.50;Add=n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 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 $ 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 ea) -
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=1 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(CO
Estimated Permit Fee: (12) 7 5. °k)
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)
v
Total (Pages One&Tyro): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)