03-104671 Cityof iunity Development Services Federal Way
CommuElectrical Permit #:03 - 104671 - 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: ROTEN
Project Address: 29750 3RD t Av4 S Parcel Number: 692860 0400
Project Description: Feeder, 100-amp subpanel and approximately 6 circuits to serve a new,detached 640 sqft garage.
Owner Applicant Contractor
James D Roten &Patricia L Roten James D Roten James D Roten
29750 3RD AVE S 29750 3RD AVE S 29750 3RD AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-3618 98003-3618 (253)941-6915
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Outbuilding/Garage-Residential 1
PERMIT EXPIRES April 10,2004.
Permit issued on October 13,2003
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 Federa .
Owner or age /14111WAii,,,/,'— Date:
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• CONSTRUL I ION PERMIT APPLICATION
CITY OF �...� APPLICATION NUMBER:Ca- 106_7_1 - 00
Federal Way APPLICATION NUMBER: -
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.
I PROPERTY INFORMATION; :.
SITE ADDRESS: r 97se) $,z C ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 PRO]ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
yELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ,� y¢ll ,E/7 6E
d C / - �`� 0,c, // / / i�tl // '(f
PROJECT NAME:
PEOPLE INFORMATION
PROPERTY OWNER: NAME: 257 ; DAYTIME PHONE:
i k1,1o v--‘ ice) 9,i/-d 9/J,1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): 1 EVENING PHONE:
i { ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE'
,c7o � / ,r. 9 I 2 ) (J-6 s`s:
RELATIONSHIP TO PROJECT: J'' 6',
/UR FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER(DESCRIBE): C.
i { )
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: ROPERTY OWNER ❑ APPLICANT o CONTRACTOR (Lpa7Or i)(70eiti r:
--■ DETAILED BUILDING INFORMATION
EXISTING USE: / w ` EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ V40407e'9
PROPOSED USE: LIi<OkL.. PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES YNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES )(NO
WATER SERVICE PROVIDER: yCAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) 4
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
P
■ 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: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 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 dty,induding Its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
AAP
NAME/TITLE: DATE: ��s ��
.3
ROPERTY NER a APPLICANT a CONTRACTOR
_.FOR.OFFICE USE.ONLY: 1
`'. -
';I7'.NEW, r_ ,gyp ADDITIONrAI],ALT'ERATION ," �;�3._�ba.REPAIRfTENANTrIM PROVEMENTMos . :
CENSUS CODE:*X4 4*-- %_
ZONING'DESIGNATION;s x r6-0, �. ;:
y .,,_�. -� -� ��.��'°"� _ BUILDING SHEL�,:ONLY7:�'�'❑.YESxn NO
COMP PLAN DESIGNATION ; ' '.- ABASIC PLAN? ❑YES ;❑.NO`
SECTIONTOWNSHIP k `RANGEWh NEW ADDRESS REQUIRED? _.'❑YES ❑ NO
°PL:ATTEDLOT? ❑YES' ❑NO .•�
� � ._ � CHANGE OF USE? , n YES'I'l'4=a'NO .�. =.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffeieralway.com
■ ELECTRICAL
r
' or' ►L.BLE B ,.
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 ft of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft'-585.50:Each add'n 500 ft -$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl2-$50.00:Each add'n 2500 ft`-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-543.00,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
Altered Service or Feeders
(Includes three units or more)
Service Feeder Amps Service or Add'n 0 to 200 5 93.00
up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 5 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 (I-5 circuits-572.50:Add'n circuits,S6 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
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
j 0 to 200 amp C-$7175-0-2' _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201 -600 amp 11550 _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 1 15.5(
#of circuits _over 600 125.00-
(1-4 circuits-557.00;Add'n circuits S6 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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i I I i
r 1
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
i
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 8,Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
•
Bulletin #100-December 23,2002