02-105707 4
City of Federal Way
Community Development Services Electrical Permit #:02 - 105707 - 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: ANSARI
Project Address: 30230 17TH SW Parcel Number: 005070 0160
Project Description: Altering 3 circuits for lighting&heating for remodel work
Owner Applicant Contractor
Irfan A&Shaista Q Ansari Irfan A&Shaista Q Ansari Irfan A&Shaista Q Ansari
30230 17TH AVE SW 30230 17TH AVE SW 30230 17TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3454 98023-3454 (253)835-9407
Electrical Fixtures
Q
Circuits-Residential 3
PERMIT EXPIRES June 21,2003,IF NO WORK IS STARTED.
Permit issued on December 23,2002
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 laws,rules and regulations of the State of Washington and
the City of Federal Way.
/
Owner or agent: C51AAAQ1/4 ' /- ` Date: ( f 2 q�
— V 3 G40,-- 7 a A) w/Z-f-Cr ®v
PD« ; ? eAi;7V ?7 0A) crs-7—e- .
Rough-in inspection: N�p�r-aJ 1�Z 7' .__
VV Date
Service inspection:
Date
FINAL inspection: APP PSD V At9. q- o3
ism (1- --1 _ 03
"
p Date
arroOrG RECEIVED CONSTRUCTION PERMIT APPLICATION
uV �' DEC 2 3 2002 APPLICATION NUMBER: Q - /� GI"- CLv
APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: _ - _ _ - _ _
BUILDING A T
**The following is requl 8tl information—Please print(in ink)or type** - I°CI 5
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a PP
separate application.
P
1r( (PROPERTY INFORMATION
•
I�
SITE ADDRESS: O� " ft�I W I'cd t^t ASSESSOR'S TAX/PARCEL#:
z3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' :':11 PROJECT INFORMATION' .
TYPE OF PROJECT(This application): GBU LDING taiPLUMBING ❑ MECHANICAL ❑ DEMOLITION
EGLELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ,.,2 �vh' S / P" 'r m ns
Pa neck_
•
•
PROJECT NAME: 14 1) fr e vt c'( 4-i trY\
L1 PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
ISl d �- J� SOV 0�3)�1L " 11)3- 4-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): /j
30)-30 I4k Ai 151/0f ed w 1^14kqW 3
CONTRACTOR: NAME: DAYTIME PHONE:
77 ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: (� ,j ,l�P DAYTIME PHONE:
V'U1 )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION " •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED • • e
PROPOSED USE: p• •)=•-- UATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ■ - ❑ NO FIRE SUPPRESSION SY • •OPOSED/REQUIRED:Cl YES 0 NO
WATER SERVICE PRO / •: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(
SEWER SE: E PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMEN
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: All1166.,'
y.�.
>— s•-.cs:a::vwnlrra�cs+:w.i..lusaa�s�aFIAIURES'T4r:•:.,isr.+,-'r..•"e•:....+r.w• Ti:+ra.i»i•�au:ae.x=^~::_.i�swri-a-s.>e-:>.H•ay.:w!rra.a...
Indicate number of each type of fixture
MECHANICAL
AIR HANDLI r UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER FIREPLACE INSERT(S) RANGE(S) MISC.( )
• COMP• OR(S) FURNACE(S)
DU" (S) GAS PIPE OUTLET(S) HEAT SOURCE: D ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
.►v/ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th•t th• 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,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 3J1/ VV 9 440-14' DATE: 1 3--/7„. /6\,,-
• 'g.-PROPERTY OWNER ❑ APPLICANT ELCONTRACTOR
FOR;OFFICE USE ONLY:d
❑AUDITI 'N,_ ,�,E-ALTERATION: Fes* REPAIR - ❑TEN ANT IMPROVEMENT " .:i
10ENSUS;CODE ate "• i4At`Y
O G� ESIGNATYON r may: BUILDING HELL ONLY? L YES ❑ NO S
3.:OMPDESIGNATION ;VIN*fliniC P1AN?1;:y C ,IO TES �+� ii ; ':;.4;0'6
gSECION' 4 E ..� ,S
,NEWADDRESREQUIRED7�� _,u�YES ;;.�;,❑ NO;�
,� � ,.TOWNSHIP
PLAT EDLOT?. U]YES ❑ NO : _, CHANGE OF USE?,, OYES _,❑.NO , _ `
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalwav_com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$I I.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet First 2500 ft2-$43.50;Each add'n 2500 ft2-$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)(b)(i&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)
_Swimming pool,hot tub,spa $75.00
i'' �,,� _
� Yard Pole meter loops $50.00
NEW MULTI-FAMILY ' 2-°' 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 (1-5 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 S 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_ovcr 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+563.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B:(B) - .NUMBER OF UNITS(C) 1 :TOTAL(D
TOTAL C• CMN(D):
..I Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from 1
Estimated Plan Review Fee: $63.50+ _(13)
Aiiiiiiill DEMOLITION
Estimated Permit Fee: (14)
•
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
k ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surt:har.- 19) - (21) (23)
f0 Ps Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002