02-105683 City of Federal Way Electrical Permit #:02 - 105683 - 00 - EL
Corrmrunity Development Services
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: LEE
Project Address: 2655 S 298TH Parcel Number: 768380 0300
Project Description: Install new 200-amp panel in new RV storage building(1800 sf)w/10 circuits
Owner Applicant Contractor
Michael N&Lynda G Lee NONE Michael N&Lynda G Lee
2655 S 298TH ST 2655 S 298TH ST
FEDERAL WAY WA FEDERAL WAY WA
98003-4220 NONE (253)945-7923
Electrical Fixtures
Descriptiu00Q a tttty Descr ption - 1Quanttty pirscrlption . Quantity
Service: -Residential 1800
PERMIT EXPIRES June 18,2003,IF NO WORK IS STARTED.
Permit issued on December 20,2002
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 accordan - with the laws,rule • d regulations of the State of Washington and
the City of Federa Wa . ;lie/
Owner or agent: �IL`r / v` Date: /� O
--Z Gexyv64ceig tit— S
— 0 3 'kg -y1h 1 0:41/ cz yen- c e i L7 /6 �'t✓� S Ep i c
1 l
A/PP-ova . — OP
1 - 2-1- 6 3 r,kms( 0�,�
RECEIVED
Mir* .
DEC 2 0 2002 CONSTRUCT I ION PERMIT APPLICATION
�jV � L APPLICATION NUMBER: OZ - L O 5-6 y,3 - 00_40
CITY OF FEDERAL WAY APPLICATION NUMBER: - 0-
BUILDING DEPT.
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.
Q ■ PROPERTY INFORMATION
SITE ADDRESS: Z(oSS S �� 0 ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ ri ' '_:,R PROJECT INFORMATION , . ..
TYPE OF PROJECT(This application): ....._❑ BUILDING ❑ PLUMBING l:=1 MECHANICAL ❑ DEMOLITION
LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I ) e ) 2‘)0 A J p pA 1.,1111111 ( t.)
- l) . 'Q cgc. .:.\• ,•) j O c,, ,--c s 1
PROJECT NAME: `eG
. ■ PEOPLE INFORMATION
,---
PROPERTY
_PROPERTY OWNER: NAME:
VADAYTIME PHONE:
�� \ N . (ZS )51-1s - )V23
MAILING ADDRESS(STREET ADDRESS SI"TY,STAge):ZIP). �e V V7o �N , ����
Z�S s S Z 1��
CONTRACTOR: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME:
DAYTIME PHONE:
v"`7.^ ( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT Cl TENANT ❑ OTHER(DESCRIBE): ( )
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? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
t '
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
-.u.- +w' •T?.��.M-Av.'.>.�..T• Tv{Cs�.MM/°Mt +{nF"RM.14`P'RW 111 F�f*�/�
uRES444.4i,"!J`i.. F:14, IF.,•;?T•.1f32MIM4,1410 /4♦.M: ,•,...1V,47.• •'i.bi.
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by a y person,induding the undersigned,and filed against the City of
Federal Way,but only where such da' arises out of the relianc f the city,induding its officers and employees,upon the accuracy
of the information supplied to the art of this appli ' n.
NAME/TITLE: �. DATE: /
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
-FOR OFFICE USE ONLY: r
'NEW iAiE Ar fIiTON` ;-.0 ALTERATION g_ �L] REPAIR _❑TENANT IMPROVEMENTS ::;,
:CENSl1S:,CODE ' 3::. 1 _ _ ��� ; .
ON IIGDDES GNAT4O 11 sem �gUILDING ELL ONLY? ❑YES' L� NO �g
COs„MP L`A�Ti DESIGNATION � ,�? # BASIC ALAN?
EC OIv TOWNSHIP RANGE - ,',, rNEWAIDDRESSREQUIRED? N ((.E5 ,NO
P TTED LO- ❑j(ES a O NO •„CHANGE OF,USE?,, x,f,- }E.NOF; - -
��1fES =mom,-.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.c•tvoffederalway.com
i
. . ■-ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
,Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$I I.50ea)
(First 1300 ft2-$75.00;Each add'j 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: 1 g 0 0 I� First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuildinaor 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)
fEach 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
_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 (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 $ 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+$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)
•
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002