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03-104488 .na•r... , City of Federal Way Community Development Services Electrical Permit #:03 - 104488 - 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: SWANSON cRe3 10 Lf Project Address: 28624 25TH S /23'6.14 D-5' PIS Parcel Number: 552900 0160 Project Description: Install 8 circuits in conjunction with conversion of garage to bedrooms,rec room w/laundry Owner Applicant Contractor Darrell S Jacobson JEFFREY SWANSON JEFFREY SWANSON 17030 51ST AVE S 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY SEATTLE WA BELLEVUE WA 98006 BELLEVUE WA 98006 98188-3246 (206)406-8635 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Multi Family 8 PERMIT EXPIRES March 29,2004. Permit issued on October 1,2003 I hereby certify that the above informa '•n is correct and that the construction on the above described property and the occupancy and the use will be in cordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa if/r3 Owner or agent: _ % Date: `s 10 — 1 s v 3 K0tottA l- -0 3 .,c / 117 EL RECEIVE® CONSTRUCT I ION PERMIT APPLICATION CITY OF OCT�� APPLICATION NUMBER: )' 0 1 2003 Q � 0 _14��_c�o Federal Way APPLICATION NUMBER: CITY OF FEDERAL WAY CAppLICATION NUMBER: - BUILDING DEPT. "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: 014-0.2`1/2-11-6.24e, .2- eiS ASSESSOR'S TAX/PARCEL Jl: S5—.Zq/ LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1 t [v fit I:41,7 A,'# s PR0]ECTINFORMATION TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION )(ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION-1SYSTEM PROJECT DESCRIPTION(Provide detailed description): C ,[ O(,/��ty (�' ) 'i'.4o v-ce- room .4/p.viv o ), PROJECT NAME: l• PEOPLE INFORMATION: :. PROPERTY OWNER: I NAME: ; DAYTIME PHONE: 7 5�.,� �,,� (2pc.) 1106 - 8435' MAILING ADDRESS(STREET ADORS;CITY,STATE,ZIP): S 7 )- / SEA1.42.140,- t%)..7 &y j "dreuKt 144/ (1,?-0, ©OC/ CONTRACTOR: NAME: DAYTIME PHONE: ) MAILING ADDRESS(STREET ADDR SS;CITY,STATE.ZIP): EVENING PHONE' I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( ) FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: - l ( ) l IXPIRAT70N DATE: (co Ytl requirecIr APPLICANT: ( NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE ) - RELATIONSHIP TO PROJECT: j FAX NUMBER: 0 ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT ❑ CONTRACTOR r: ■ DETAILED BUILDING 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: a LAKEHAVEN o HIGHLINE 0 TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) **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 o fi e - MECHANICA / Value if Mechanical Work: $ AIR HANDLING UNIT(S) EVAPORATIVE COOLER _ GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT ) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE UTLET(S) HEAT SOURCE: 0 ELECTRIC ❑GAS PLUMBING N. BATHTUB(S) VATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a 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), ,'. may be made by any person,induding the undersigned,and filed against-e Gity of Federal Way,but only where such daim • ,• -of the reliance of the dty,induding Its officers and employees,upon-t accuracy of the Information su•,li:d to the city . . art of this application. 41/ r%�NAME/TITLE: ..• ./IDATE: P ( e23 Alr❑ PROPERTY •Ao • ❑ APr7 •NT 0 CONTRACTOR FOR OFFICE:USE ONLY; I �D.,NEW; ; i ;;ADDITIONa ALTERATION ' D REPAIRair;.-." O;TENANT=IMPROVEMENT a 3= CENSUS{CODE {c- P ' LOT SIZE:W--M +'. `:"`,. £ .' r, ---•. 'ZONING DESIGNATIONa m nt w '`, oma., BUILDING SHELL ONLYTa'`o YES I NO •(OMP PLAtrDESIGNATION •.... ,? t fBASIc PLANT D AYES;mak❑:NO r , r SECTION , .TOWNSHIP 4'. RANGE V- NEW ADDRESS REQUIRED?`, , _❑i&-1-z:_-.176'NO r .PLATTED LOT?:x 5a YES a NO �.• -CHANGE''OF`USE? fi ,. .-.❑YES -b`NO _ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.cItyoffedera Iway.com r ' - • • • ELECTRICAL - TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family Service or feeder only $57.00 _N of Thermostats(First-543.00;add'n-513.00ca) (First 1300 112-585.50;Each add'n 500 ft`-527.50) _Service and feeder $93.00 _d of Low voltage fire or burglar alarms square Feet: First 2500 IV-550.00.Each add'n 2500 ft'-513 00 _Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) N of service or feeders • Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ _N of Signs(First sign-543.00,add'n sign (Inspected separately) feeder-$37 each) - $20.00 each) Swimming pool,hot tub,spa $85.50 II Yard Pole meter loops 557 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAl COMMERCIAL/INDUSTRIAL (Includes three units of morel Altered Service or Feeder Service Fcedei AmpsService of Add'n _0 to 200 5 93+)U ' _Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50 _201 -400 any 115.50 57.00 _0 to 100 5 93.00 5 57.00 60 1 - 1000 326.50 _401 -600 amp 158.50 78.50 _101 -200 115.50 72.50 _k over 1000 363.00 601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _ of circuits ..O •v mp_ 289.50 216.50 401 -600 252.50 101.00 t I-5 circuits-$72.50.Add'n circuits,36 eat ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately front the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial _0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _U- 100 5 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 1 15.50 2#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 fcc+$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) i I TOTAL COLUMN(D): °' Total Column(0) 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) EN.GIIVEERING -, 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-December 23, 2002