03-104395 City unity Development Services eveWay
CommunityElectrical Permit #:03 - 104395 - 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: SCHUKAR
Project Address: 2034 S 308TH cjt Parcel Number: 053700 0290
Project Description: Remove and replace electric service panel.
Owner Applicant Contractor
Charles F Schukar &Lorraine P Schukar Charles F Schukar Charles F Schukar
2034 S 308TH ST 2034 S 308TH ST 2034 S 308TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4822 98003-4822
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder 0 to 200 amps-Res. 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 oragent: f—� C%`' �r/`v Date:
to _
Ca �
) 4"1--
�� CONSTRUCT ION PERMIT APPLICATION
CITY OF �� RECEIVED APPLICATION NUMBER: - L(2 rl 5 -c )
Federal Way APPLICATION NUMBER: -
SEP 2 4 Z003 [APPLICATION NUMBER: - -
**The folloting isj r ,tnfpr,Ip� n—Please print(in ink)or type**
�1�111 ttttNNEt.YYYY
Please note: Electrical, Fire Preve&WaVailaRall Engineering permits may require a separate application.
I
: . PROPERTY INFORMATION .: _
SITE ADDRESS: ,:;O 31-- ?•51- � . ASSESSOR'S TAX/PARCEL #: -
I LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
]ELECTRICAL a ENGINEERING ❑ FIRE PREVENTION SYSTEM
/
PROJECT DESCRIPTION(Provide detailed description): AC, ,_ _ _ , / /.�* - -
, / -
PROJECT NAME:
• • PEOPLE INFORMATION. '
PROPERTY OWNER: NAME: ; DAYTIME PHONE
G/frj.70k c�i_// ; (Zs.i ) 57 -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i02° 4t-- > ao sT / F /-L w Gig 9J70-d3
CONTRACTOR: NAME: ; DAYTIME PHONE:
��"'� ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
� ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE
'Mt
LE I ( )
fI MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENINGHONE:
i ( P) -
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANTXOTHER(DESCRIBE): -y� � ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECTPROPERTY OWNER XAPPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: /Z ....0-,OL CvTT- *li EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ C, , Gt
PROPOSED USE: Sf}'/✓1C PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES )r...1!!0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ,LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 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 of fixture
MECHANICAL Value of Mechanical Work: $
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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o 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 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,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: DATE: g/2-3/Or
o PROPERTY OWNER o APPLICANT ❑CONTRACTOR
,FOR.OFFICE-USE ONLY: .;I
',17 NEW._,;"�r ,=,�gADDITION ❑IILTERATION�.� n REPAIR�,„� i],TENANT-IMPROVEMENT- ,� . .:
ZONING'DESIGNATIONy� . - .. BUILDING SHELL ONLY? o YES sn NJ
COMP PLAN DESIGNATION - ABASIC PLAN?' ❑YES" o NO,"� , ,
-SECTION*;r TOWNSHIP,rRANGE _=i .NEW ADDRESS REQUIRED? ,.-.,.. a YES 44,-,:113 NO
~PL'ATTED LOT? n YES 7:70-ho 5,7,CHANGE OF USE? _, T]YES Cl`NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
• ELECTRICAL
• ., TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
__Single Family _Service or feeder only $57.00 tt of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-585.50;Each add'n 500 ft`-$27.50) _Service and feeder $93.00 P of Low voltage fire or burglar alarms
Square Feet _ First 2500 ft2-$50.00;Each add'n 2500 ft`-$13 00
__Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _it 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/ _4 of Signs(First sign-543.00;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
Altered Service or Feeders
(Includes three units OF mord -
Service Feeder Amps Service or Add'n .00
0 to 200 5 9 3
_Up to 200 amp $ 93.00 S 27.50 Feeder _201 -600 216.50
_201 -400 amp 1 15.50 57.00 0 to 100 g 93.00 5 57.00 _601 -1000 126.50
-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 is of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 f 1-5 circuits-$72.50;Add'n circuits,S6 eat
A RED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
V in ected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or ceder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
10 to 20 amp $ 71.50 Over 600 volts surcharge 72.50 _0-100 $ 57.00
201 00 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_ er 600 amp 174.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 1 15.50
I _a of circuits I _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i
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) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(CI TOTAL(D)
•i I
l 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 . , - - • • -.- ,
r
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-December 23, 2002