03-104658 City of Federal Way /
Community Development Services Electrical Permit #:03 - 104658 - 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: HOME USA
Project Address: 2030 S 314TH 54 Parcel Number: 092104 9053
Project Description: Install 400-amp panel; refeed existing circuits.
Sip
1
Owner Applicant Contractor
ROSEN PROPERTIES KIRBY ELECTRIC INC KIRBY E TRIC
ROSEN PROPERTIES 4826 B ST N 101 4826 B ST#11111111111)
101
1715 114TH AVE SE UNIT 212 AUBURN ':101 A : RN WA 98001
BELLEVUE WA 98004 859-2000
1
lectrical F t ®-
i 3 72 lis s
Alt.Serv./Feed 201 amps-600 amps- 1
PERMIT EXPIRES April 17,2004.
Permit issued on October 20,2003
I eby certify that e above information is correct and that the construction on the above described property and
the cupancy and th se will be in accordanc- . 'th e laws,rules and regulations of the State of Washington and
the f Federal y.
Owner or agent: • Date: /a/7 (J3 •
RECEIVED
CONSTRUCTION PERMIT APPLICATION
CITY OF
Federal Way OCT 1 0 2003 APPLICATION NUMBER: Q
APPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER: -
RIJILDI(NG DEPT.
"The ronowing 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: a 030 S �iL ini s/ ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING a MECHANICAL a DEMOLITION
,ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM
/
PROJECT DESCRIPTION(Provide detailed description): Ath/X) fiZA•
,fir
i PROJECT NAME: f ICA Y�' _ L'
PEOPLE INFORMATION .:
PROPERTY OWNER: NAME ; DAYTIME PHONE:
loctsoE
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
4
CONTRACTOR: I NAME: , ) i DAYTIME PHONE:
1--1 :C . .. TJC r1�. � ( )
MAILING ADDRESS( EET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE:
I )
CITY O FEDERAL �
WAY BUSINESS LICENSER: { F
FAX NUMBER:
1 ( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy'Fcard required)
APPLICANT: I NAME:. DAYTIME PHONE:
( p y,.
MAILING ADDRESS(ST{LEET ADDRESS;CITY,STATE,ZIP): � /� EVENING PHONE'
C /MSN t i' ):A4-'7
RELATIONSHIP TO PROJECT: •) -R
I �,��- i FAX NUMBER:
0 ARCHITECT a TENANT o OTHER(DESCRIBE): Q( cuir-i.z ' ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT VONTRACTOR
" ■ 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:a YES o NO
WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN a 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 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) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o 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 MO against-the City of
Federal Way,but only where such daim aria-Mt-of the reliance of the dty,induding its officers and employees,upon t ie accuracy
of the information supplied to the city as
a part of this application. /� 2
NAME/TITLE: Steve j�D"" -� DATE: ICL/f )03
❑PROPERTY OWNER ❑APPLICANT CONTRACTOR
4.0.1t.OFFICEMSEONLYtrd
bl NEW 7 ADDITION ❑.ALTERATIO.No REP,AIR� c TENANT IMPROVEMENTS ,x 3
=CENSUS.CODE • ; - x " ' 'LOTSIZE At ..._ -f .-ae
ZONING;DESIGNATION ..MP „ BUILDING.SHELL ONLI(Z O:YES _ .❑ NO :;
:cMP PLAN DESIGNATION .agWi w e ABASIC PLAN? CI YES.; ..❑,NO r
SECTIONosit - TOWNSHIP #RANGE MM NEW ADDRESS REQUIRED? ;,.. o YES £r.$❑'NO
'PLATTED LOT? 5❑YESa NO '- CHANGE OFR USE? ..P, .n YES'ii•NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalwav,com
`
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 _ii of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft'-$85.50:Each add'n 500 ft -$27.50) _Service and feeder $93.00 _ft of Low voltage fire or burglar alarms
Square Feer. _ First 2500 ft2-550.00;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 $57.00 (First service/feeder-$57.00;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 557.00
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.OU
Up to 200 amp 5 93.00 $ 27.50 Feeder /X201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 $ 93.00 $ 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 b of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,S6 eai
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 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
-
#of circuits _over 600 125.00
(1-4 circuits-557.00;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'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
� l
TOTAL COLUMN(D):
Total Column(D)
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 (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002