03-104479 City of Federal Way Electrical Permit #:03 - 104479 - 00 - EL
Community 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: SMITH
Project Address: 1604 SW 351ST 9' Parcel Number: 920200 0120
Project Description: Replace 200-amp electrical panel.
Owner Applicant Contractor
Chizuko Smith QUICK WIRE ELECTRIC QUICK WIRE ELECTRIC
1604 SW 351ST ST 29715 55TH AVE S 29715 55TH AVE S
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98023-6918 (253)887-9650
Electrical Fixtures
Description Quantity < Description Quanti Description !Quantity
Alt.Serv./Feeder:0 to 200 amps-Res.L 1
PERMIT EXPIRES March 29,2004.
Permit issued on October 1,2003
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: Date: /0 ` 0 3
•
�a 03 TGr., .
v1/
RECEIVED CONSTRUC1 ION PERMIT APPLICATION
CITY OF �./ APPLICATION NUMBER: 0 3- L O kf (-17 -EL
Federal Way OCT 0 1 2003 APPLICATION NUMBER: - -
CITY
R OF FEDERAL WA.YAPPLICATION NUMBER: - -
**The followit(�t AIOirigMTormation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• 'PROPERTY INFORMATION
SITE ADDRESS: •' 'O 7 514 3 I ?ST ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
].EC€CTRICAL ❑ ENGINEERIN o FIRE PREVENTION SYSTEM
PROJ - DESCRIPTION(Provide detaile• •escri• '• • _/L/�./, Off/
• � i
• PROJECT NAME:
_. • PEOPLE INFORMATION.
PROPERTY OWNER: NAME: T ; DAYTIME PHONE:
C teav �4 3 �3� 3-
5�YI.7 y (ZrS ) 3 j
MAIUNG ADDRESS ADDRESS;CITY,STA
TE, _1 ‘ ; 5 ^
go 23
CONTRACTOR: NAME: / .. DAYTIME PHONE:
......f...„...,e... ./t//(///MAILING DRESSr� 1253 )$S7 -.7GS"o
(STREET ;CITY.STATE.ZIP II
t :::::?v.z.....c.‘
:) 1. EVENING PHONE:
CITY F FEDE L WAY BUSINESS LICENSE NUMBER: I FAX NUMBER: 1
i ( ) -
ONTRACIOR'S REGISTRATION NUMBER:
EXPIRATION
IXPIRATION DATE:
(copy of card required) / u1GC ✓ J(/ 9 ? 7Q44 l l
APPLICANT: NAME:
1I
DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( 1
RELATIONSHIP TO PROJECT:
j FAX NUMBER:
❑ ARCHITECT ❑TENANT 0 OTHER( DESCRIBE): ( )
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR I
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 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
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: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied to the dty as a part .f this application.
NAME/TITLE: ' �/-441(110,- DATE: /v —/ 6 3
❑ PROPERTY OWNER o APPLICANT ❑CONTRACTOR
FOR:OFFICE USE'ONLY: I
';o NEW �Ii ADDITION , h ALTERATION S n REPAIRS . n TENANT.IMPROVEMENT
"CENSUSCODE
2ONINI )ESIGNATION3Es. . .. fes` BUILDING SHELL ONLY? Q YES ; ,a NO
COMP I N DESIGNATION ,, BASIC PLAN? ci YES ' .fid NO', . r -
SECTION, TOWNSHIP_ #RANGE NEW ADDRESS REQUIRED?, ❑'YES d NO
PLATTED LOT? ,'❑YES' _,D NO 4t;* ' ` ^ :CHANGEOF USE? .,, 'n YES 7"'=fl NO '•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cltvoffederafway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 II of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-585.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _ir of Low voltage fire or burglar alarms
iquarc Feet. _ First 2500 ft'-$50.00:Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _il 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-S43.00;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'ri 0 to 200 5 93 00
_Up to 201 amp $ 93.00 $ 27.50 Feeder 201 -600 210.50
_201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 57.00 601 -1000 126.50
=
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 b 401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00
of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 -CF-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
Seryice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0- 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 -600 115.50
rr of circuits I _over 600 125.00-
(1-4 circuits-557.00;Add'n circuits$6 ea) it
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',plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) ( FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
I I
! l 1
I i I
TOTAL COLUMN(D): (
- Total Column(D)
Estimated Permit Fee: (12)
i
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35) = (13)
- • DEMOLITION -•.. _ -
Estimated Permit Fee: (14)
Bond Amount:(15)
■ EN.GINEERING .. :- - - '-
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