02-105775 •
City of Federal Way
Community Development Services Electrical Permit #:02 - 105775 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection re. • •• 53.835.3050
Project Name:# A'GODOA
Project Address: 518 S 288TH I L , el Number: 5293 02
Project Description: Installing new 200 amp service and wiring for new residence
Owner Applicant Co tor
Lawrence&Shirley E Agodoa ADVANCED ELEC&SECURITY INC A V C&SEC TY INC
13217 GLENHILL RD 3217 MERIDIAN AVE RIDIAN A E •
SILVER SPRING MD PUYALLUP WA 98371 AL 98 •
20904-3260 ( )
Elec cal Fixtures
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nescri•tlon .. ;. - o a 7 ter;: 1 t61•
A
Service: -Residential
PERMIT EXPIRES June 25,2003,IF NO WORK IS STARTED.
Permit issued on December 27,2002
I here rtify that the above information is correct and that the construction on the above described property and
the occ y and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City o deral Way.
Owner or agent: See Application Date: Z31'o1-
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Ditch cover inspection:
Date
Rough-in inspection: 419/ f42t/,Q/ �� �✓ 13. D3
IV
Date
Service inspection: ' `P /2/0 U ) �Z-"' 14— °.)
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FINAL inspection: r � 3
Date
0. O ' '
a"Of = RECEIVED BY A BY F CO\STRUCTION PERMIT APPLICATION
Ep�(ITY DEVELOPMENT DEp '4431-1:31.7
ICA E N Kra ,7-- -r7)--
r �?D��`PL1CATION NUMBER: t7 _ - �(7 �' DU
DEC nF\iF1 APPLICATION NUMBER: - -
DEC 2 7 2oOZAPPLICATION 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.
-■ PROPERTY INFORMATION
SITE ADDRESS: 5/e 3, 0-6: " / ezifLQ .) ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - ■. PROJECT INFORMATION '-
TYPE
-
i tPE OF PROSECT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION Provide detailed description): /eG CG /� i-)p/ �C
31 /e Q i l re5(C> 4u�� `�
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
T rth.ns�� (,JIB )e)--) 6at,0 (y 53
s5-c - 93
MAILING ADORES ( ADDRESS;CITY,STATE,ZIP):
,U & /.3a-L, z5 a- 4 -- 404- %8Oa'7
CONTRACTOR: NAME: DAYTIME PHONE:
Adf/GZti2P'i t/ c is 9 S .1-i4 / . nC . (015 3 )(f / -870
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):. EVENING PHONE:
.Y2/7 /fle4/(4 VA___414-e zfige a-44 /ion 7,57/ ( 3 )g V' -876Co
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
/i -- 28 - l Q5- 397 - 6'D-A(ASa ) e�j� - nip
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(Copy ofcard required) .f ID V A- 10 E s 69 a/0 7 646 . / 110 3
APPLICANT: NAME: ' DAYTIME PHONE:
Alva .iCly e/e ;G i .. (3)3c'ff -$7O1i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): , EVENING PHONE:
3al(7 /7fp4;C u.t A}-vie E -r cl )d� p x`37/ 3 )?I/ -s' 71 a
RELATIONSHIP TO PROJECT: -�(�`G FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DE RIBE): Ceryl 'v '(A3 )�'/6 - /9/0
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 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•0 if
**NEW
,
**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) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 art ; out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppli to the city as a ..rt of this application. /Gf
NAME/TITLE: AM"/eilf — DATE: // l [/o�
❑ PROPERTY OWNER 0 APPLICANTL� CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 ADDITION 0 ALTERATION 0':REPAIR: 0 TENANT IMPROVEMENT.
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION:: BUILDING$HELLONLY? 0 0
COMP PLAN DESIGNATION BASIC PLAN?
❑.YES 0 N -
SECTION , TOWNSHIP RANGE NEW ADDRESS,REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvof federalway.Com
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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-$1 1.S0ea)
(First 1300 ft2-S75.00;Each add' 500 ft1-$24.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: 5,3L{ First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuildingor garage. $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders • Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/lcedcr-$50.00;Add'n service/ _#of Signs(First sign-S37.50;add'n sign
(Inspected separately) feeder-$32 each) S 17.50 each)
-Swimming pool,hot tub,spa $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 $ 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
_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 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 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 c.))
_act k.t`YC) 224-1, •
TOTAL COLUMN(D): 4 31 LOO
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) •
1
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