03-104487 City of Federal Way
Community Development Services Electrical Permit #:03 - 104487 - 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 )i (gO�
Project Address: 28606 25TH S/2..Pinta to 23541‘ P1 5 Parcel Number: 552900 0130
Project Description: Install 8 circuits in conjunction with conversion of garage to bedrooms,rec room w/laundry
Owner Applicant Contractor
Ronald L Vending R Barnes JEFFREY SWANSON JEFFREY SWANSON
2417 WESTERN AVE 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY
SEATTLE WA BELLEVUE WA 98006 BELLEVUE WA 98006
98121-1321 (206)406-8635
Electrical Fixtures
Description ;`; Quantity Description IQuantity Description (Quantity
Circuits-Residential 8
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 Wa
Owner or agent: Date: 1'4f / 0 3
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+ 1� R CEIVE0 CONSTRUCTION PERMIT APPLICATION ----
CITY OF 1/0 " 6%✓ 00
Federal Way OCT 1 2003 APPLICATION NUMBER: Q3- Loan _
APPLICATION NUMBER:
Q T gU F F D QEPT.AY kPPLICATION 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.
;` <� PROPERTY INFORMATION .
SITE ADDRESS: -4o061 ot-6O S Jar' 460 5 ASSESSOR'S TAX/PARCEL #: 5-5- I 0 0 - 0 1 �0
—
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): I-.4. 13 Ati I. 4....7
■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING o FIRE PREVENTION_ SYSTEM
.
PROJECT DESCRIPTION(Provide detailed description): OQ✓pik�r (��tlr+u(&) '1 4-4O/VC-G V-,0'1 ''IM✓ y
PROJECT NAME:
• PEOPLE INFORMATION ;
PROPERTY OWNER: NAME: DAYTIME PHONE
rTi' �/y T
�t5" h..>•�,s,, I ( -0 ) L(o - 8635-'
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
15- 7 .27 S E N.ewyo,J.. L&y (tel(e" 14404 , 5-0/24
CONTRACTOR: NAME: I i DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
( ) -
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
/ /
(covyefrard requtrea)
APPLICANT: ` NAME: O ►tet DAYTIME PHONE:
. I
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
1
SPRINKLERED BUILDING? O YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES 0 NO
I WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ID 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
_FIR
SECOND )
THIRD �
/ -
FOURTH /
OTHER FLOORS(DESCRIBE) //
1
DECK
f
GARAGE /
HOW MANY FLOORS? ,/
/
TOTAL:
Indicate number of each type fi e
MECHANICA Value Of 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: a ELECTRIC a GAS
PLUMBING N
BATHTUB(S) VATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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
1
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),wh'• may be made by any person,induding the undersigned,and filed against-#a City of
Federal Way,but only . ere such daim a •tit of the reliance of the dty,induding its officers and employees,upon fibs accuracy
of the Information s 'ed to . 'a �f�part of this application. /
NAME/TITLE: , .61 �d DATE: C� r/®3
❑ PROPERTY •• , �' . ❑ APPLICANT a CONTRACTOR
FOR.OFFFICE.USE ONLY: I
MW ,�ADDITION C3 ALTERATIONS REPAIR7' 'tTENANT IMPROVEMENTS
CENSUS.tODE,aVO gi P LOT SIZE it:44 1IFA's ,._,.;z
r
* 0` �_iBUILDING.SHELL ONLY? D YES . a NO
`ZONINGDESIGNATION� �� - �,, -�.,�- ���`��
COMP PLAN DESIGNATION o b r >' 1BASIC PLAN?'° #,'D AYES aNO0 �
;SECTIONS - -TOWNSHIP ' RANGE `' NEW ADDRESSiREQUIRED? ,:,',.-4-7e.1 YES d NO
i ~PLATTED LOT? - ❑YES _,.if NO s CHANGE OF USE? ,, -'o YES" =o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.com
• ■ ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.0Uca)
(First 1300 ft'-$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 111-550.00;Each add'n 2500 ft`-$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 557.00 (First service/feeder-557.00;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 5 93.00
•
_Up to 200 amp $ 93.00 5 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 $ 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
-O.ver 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-S 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
Service 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
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 fee+$72.50.Add''plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
j �
I
I l
I I i
I
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12) I
Estimated Permit Fee from Ane 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
■ DEMOLITION . - • 1
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)
i
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