03-104697 " „
City Development Services eveWay
Communityof Electrical Permit #:03 - 104697 - 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: SMILEY
Project Address: 28501 24TH II:.AV25 Pare 027120 0260
Project Description: Replace and relocate 200amp panel
1111
IN S °IP
Owner t Contractor
Steven G Smiley &Christy R Smiley -ven G Smiley Steven G Smiley
28501 24TH AVE S 4TH AVE S 28501 • H AVE S
FEDERAL WAY WA FED. WAY WA F.0 1 - •AY WA
98003-3301 98003-3 1
Electrical Fi re
Description � r'�'" J Descripticnu Description Quantic
Alt.Serv./Feeder:0 to 200• 'es.l 1
lio
PERMIT EXPIRES April 11,2004.
Permit issued on October 14,2003
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: - -`‘...) 1 10 14�n3
l— Z'i— o A servi'e.e. 4_ rr34_s5 �S
P
- �O A 'S-e.eve ,ka,rd....0 was
_ • CONSTRUCT ION PERMIT APPLICATION
CITY of / E %V ED APPLICATION NUMBER: 3- J
Federal WayAPPLICATION NUMBER: - -
OCT 1 4 2003pp !APPLICATION NUMBER: - -
**Thedlit\cnd l¢ hTormation—Please print(in ink)or type**
AILIPlease note: Electrical, Fire PPaivenntioG�s and Engineering may
Systems g' g permits require a separate application.
�1. PROPERTY INFORMATION. •
SITE ADDRESS: 2aC0 l Z#' AJit S ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- 4 PROTECT INFORMATION s'
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL a DEMOLITION
ELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): RePLAC.t 14n10 j -CLL,OCA'9 ELtc r C/A L
a PROJECT NAME:
>b PEOPLE.INFORMATION r
PROPERTY OWNER: NAME: ; DAYTIME PHONE
Sieve" G. Smiley (2% ) 3Z% -(4100
MAILING ADDRESS(STREET ADDRESS-CIiY,STATE,ZIP):
28So 1 24' AviE 5' F+Eb(not C WA1 w/vA (Ig003
CONTRACTOR: $ NAME: DAYTIME PHONE:
( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): i. EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I )
FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: ( NAME: I DAYTIME PHONE'
9TEkl" Q SYVN I LII 1 ( 2 0 G) 3 Z 1 _9i OO
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
EVENING PHONE:
�itSO1 z4' Avr� s , ERAL vs/Ay WA 6i170o3 ; (ZS3) s-29 - X2.41
RELATIONSHIP TO PROJECT:
- I FAX NUMBER:
❑ARCHITECT ❑TENANT a OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT a CONTRACTOR
1 I
-1M DETAILED BUILDING INFORMATION • -
EXI NG USE: EXISTING BUILDING ASSESSED/APP' :'SED VALUAT •N $
PROP•SED USE: PROPOSED VALUATION F s R IMPROVEMENTS: ,
SPRIN LERED BU •ING? 0 YES ❑ N• FIRE SUPPR -SION SYSTEM PROPOSED/'EQUIRED:o YES o NO
WATER .ERV • PROVIDER: ❑ LAKEHAVEN • IGHLINE • TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGH 'E o 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
_ 1
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
Indicate • mber of each type of fi e
MECHANICAL Value s Mechanical Work: $
AIR HANDLING UNITS) APORATIVE COOLER(S) GAS LOG 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: ❑ EL RIC o GAS
PLUMBING
BATHTUB = LAVATORY(S) URINAL(S) WATER HEATER(S)
DISH HER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
D• •KING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
•• PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) MP(S)
- la DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha 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 dty,induding its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application. I
NAME/TITLE: ''' � � �
DATE: to h4 l03
"(PROPERTY OWNER a APPLICANT a CONTRACTOR
:FOR.OFFICE.USE ONLY:-1
,NEW ;„ ,..[ADDITION .z o ALTERATION a REPAIR a: ❑TENANT-IM..PROVEMENT ;
CENSUSCODE�*'� ,_ � i q. z�,.'.
.�-�� ,x,-..�� �� :.��r��-- i"�„��,�..� Y LOTSIZE•�'. err .f. -;. -� � . ::: �', ,
ZONINGxDESIGNATION} - � s�BUILDING SHELL ONLY? a YES ?,❑ NO
COMP PLAN DESIGNATION r t ABASIC PIAN? ❑YES" a NO >"
SECTION rt.,i ,- TOWNSHIP #RANGE _NEW ADDRESS REQUIRED? , . ❑YES nil]:NO
•PLATTED LOT?a" • �a, ` - . t
0 YES .r.E❑ NO d5J 1CHANGEpF USE? = T]YES -fl'NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•SFAX:253-661-4129
www.dtyoffederalwaY.Com
•
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TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _4 of Thermostats(First-$43.00;add'n-S I3.00ca)
(First 1300 ft2-585.50;Each add'n 500 ft`-$27.50) _Service and feeder $93.00 4 of Low voltage fire or burglar alarms
'square Feet. _ First 2500 ft2-$50.00;Each add'n 2500 ft`-513 06
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _4 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/ _II 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 S57.00
I i
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 93.0u i
_tip to 200 amp S 93.00 S 27.50 Feeder 201 -600 .216.50
-201 -400 amp 115.50 57.00 -0 to 100 5 93.00 S 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 ti of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.00 t 1-5 circuits-$72.50;Add'n circuits,S6 ear
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
rvice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/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 I _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+572.50.Add''plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) I NUMBER OF UNITSkC) TOTAL(D) I
: n 1,50 1 i '11.50
i
It
1
r 1
I
' TOTAL COLUMN(D): I 1 (•SO
Total Column(0)
Estimated Permit Fee: (12) '1 1 •SO
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)
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)t-(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002