03-104388 City of Federal Way
Community Development Services Electrical Permit #:03 - 104388 - 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: SOGURA
Project Address: 28810 28TH& PI S Parcel Number: 029450 0180
Project Description: Rewire electrical service panel.
Owner Applicant Contractor
Michael J Sogura Michael J Sogura Michael J Sogura
28810 20TH PL S 28810 20TH PL S 28810 20TH PL S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-3834 98003-3834
Electrical Fixtures
u
AI
Alt.Serv./Feeder:0 to 200 amps-Res.l 1
PERMIT EXPIRES March 22,2004.
Permit issued on September 24,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ,L __ . __ Date: c-Z y-G3
•
001/1 C 41/0/Vow (-)
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RECEIVED CONSTRUCI ION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: Q 1- _/032.y-ac)
Federal Way SEP 2 4 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY WPPLICATION NUMBER: -
**The –Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 2 SS SSI C' Z a t PC, XJ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO3ECT INFORMATION
TYPE OF PROJECT(This application): o BBUILDING o PLUMBING a MECHANICAL o DEMOLITION
, f ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): .Q c.")%r f' 1 e CTrb L -` f 4k to
PROJECT NAME:
■-PEOPLE INFORMATION. '
PROPERTY OWNER: NAME: { DAYTIME PHONE:
kil t C4 4-e t r.• o� vlr+4— (Z53 ) 946-3-75 Z
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2Ff t O 20-' ft. 50‘,4L, trd'erv-
1 J
CONTRACTOR: NAME: DAYTIME PHONE:
SIA Alf
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: aI
(ropy of card required)
APPLICANT: NAME: DAYTIME PHONE:
Sl9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
{ RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE):
I I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
. . - --■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. e L
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY F e •RS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechani • ork: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) - OG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIP s I LET(S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASH • RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRI •G FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
•. PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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
Idvestigation and defense of such claim),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,induding its officers and employees,upon the accuracy
of the Information supplied to the city
as a part of this application.
NAME/TITLE: (1 DATE: ! '2.'
o PROPERTY OWNER o APPLICANT o CONTRACTOR
.,FOR,OFFICE USE.ONLY:;t'
ldADDIiION q,ALTERATION* n REP,AIR t,- h,TENANT-IMPROVEMENT�=„t . .
CENSUS,CODE:Wailit**0**1 ,.,F. . - *
`ZONINGwDESIGNATION at; 't 0, BUILDING SHEL ONLY?. DYES ❑ NO
.:COMP PLAN DESIGNATION ? ? ,, BA3IC PLAN? ❑YES; ' .❑'NO,° . `�
SECTION r TOWNSHIP x ,;RANGE ,_ NEW ADDRESS REQUIRED?, ,:❑YES ,n ANO
PLATTED LOT? f,'❑YES a NO s'4° - 'CHANGE OF USE?,-;43•,47;,%,,t--;Ci-YES, i3 NO ,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 s FAX:253-661-4129
www.cityofeJeralway.com
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TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 11'-555.50;Each add'n 500 10-527 50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
iquare Feet. First 2500 ft2-$50.00;Each add'n 2500 10-513 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-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
1 (Includes three units 01 more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 93.00
tJp to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 =Oto 100 g 93.00 5 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 eat
_
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
oror Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
0 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
01 -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
a 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+572.50.Add'I 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 1
il 1
1
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)
■ ENGINEERING .
Estimated Permit Fee:(16)
Bond Amount: (17)
OTHER FEES -
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (P..,. Ione&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002