03-104754 r I
City of Federal Way
Community Development Services Electrical Permit #:03 - 104754 - 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: COLE
Project Address: 1421 SW 304TH S' -1 Number: 53 O 71
Project Description: Upgrading existing 125-amp panel to new 200-amp service,1 uding a • ch for a 're or a uture
front gate
Owner ApplicantContra
James F Cole James F C Ja Octor e
1421 SW 304TH ST 1421 SW 31 S 142 W 304TH ST
FEDERAL WAY DERA •Y WA FED L WAY WA
98023-3418
Electrical Fixtures
�Description •uantity Description Quantity I Description Quantity
Alt.Se der.0 to 2 amps-Res. 1
PERMIT EXPIRES April 14,2004.
Permit issued on October 17,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil i e in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. / '/ y�
Owner or agent: •� /'` �/ JO Date: /J%7/403
P
‘ ,...f.
tt; 40 Nt%ffit t l.eJ 4/t- M,;-)4.4.
Ditch cover inspection: C //— Z-(-0 3
Date!
Rough-in inspection: ' ( /
Datp-
Service inspection: /( �
›FINAL
Date inspection: _
' to
RECEI!/EQ
CONSTRUCTION PERMIT APPLICATION
CITY OF ^ ./
. OCT 1 7 Z003 APPLICATION NUMBER: 03 -j C�LL
Federal Way APPLICATION NUMBER: - -
CITY OF FEDERAL 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.
• 1
• PROPERTY INFORMATION
SITE ADDRESS: 14 2 ( (5(AJ c-2 JC)H ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION
VELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): LAp� _ex 4-1'(� p f r �Cp
MvJ lo Doc) 1�1
� l C� �tM S/t 12rr� daw-vt rite« -o ;n a emuiP n9d1
n
PROJECT NAME: CA9t2--
•
PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
—L60 A-- n(1 _ If (? 3Li I - (33 0
MAILING DRE ET ADDRESS;CTJ
1,STA P): F e- td (�( 11.(J A- 9'193-391'3
CONTRACTOR: NAME: DAYTIME PHONE:
��af\,‘,.6)ie
(P5-6) 9111 - (33C
MiG fSTR D CST )` pii ` 4ENING PHONE:F- deOA)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of Card required) /
APPLICANT: NAME: DAYTIME PHONE:
(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ❑OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: N4ROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
. i
r **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: ❑ 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(including costs,expenses,and attorneys'fees incurred in the
investigation and defen - of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only , ere su • •im ad -,- e -!lance of the city,including its officers and employees,upon the accuracy
of the information su•,l lied to -�`� �, i �• tion.
NAME/T - L i/i./, O// DATE: / 17 ö3
wry
❑ PROPERTY • NER ❑APPLICAN o CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW o ADDITION o ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 112-$85.50;Each add'n 500 ft-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft-$50.00;Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 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 $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
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 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601-1000 326.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 over 1000 363.00
_601-800 amp 202.50 108.50 _201-400 216.50 85.50 _#of circuits
-Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Saiice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
�/0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201-600 amp 115.50 Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.00 _201-400 85.50
Mast or meter repair 43.00 _401-600 115.50
#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 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+$72.50.Add'l plan review for other submissions is$85.50/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: $72.50+( 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)