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03-104040 City Federalwan Community Development Services Electrical Permit #:03 - 104040 - 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: MILTON ROAD SOUTH Project Address: G}U Widk Parcel Number: CITY WIDE Project Description: Onstall service for street lighting on east sid eof Milton Road South in connection with road improvements. Owner Applicant Contractor NONE TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC. 2332 S JEFFERSON 2332 S JEFFERSON NONE TACOMA WA 98402 (253)383-5022 Electrical Fixtures Description Quantity Description Quantity Description Quantity Alt.Serv./Feeder up to 200 amps-Co 1 PERMIT EXPIRES February 25,2004. Permit issued on August 29,2003 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 r- 2o3 Owner or agent: Date: cy C)( b/17 ✓9 41/4 CONSTRUCTION PERMIT APPLICATION CITY OF APPLICATION NUMBER:©?j - I C2 Q i O-Q.0 Federal APPLICATION NUMBER: „— _ - - APPLICATION 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: 36(00 M t(---Th N R D. 3 ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): tN STAt L ST 0 E ,— LLC(41-1 N A PROJECT NAME: • PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: C IT? O F FE DE-12A t_ v i y ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: To►Ei"\ LE-c1QJC o:= (-0t .A ZN� . (a53) 3g3 -(5'033 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 4 O . Sax 10 6 3 -rpic,ofvuo, L . 98 ki \ ( • ) - v CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 19_ - 5' 9 t o (.0 7 - 30 ( CONTRACTOR'S REGISTRATION NUMBER: ^�- IOEXPIRATION DATE: (copy of card required) 1 0 1 Ei M (✓ T 3 1 a S ) C / 30 / .2 3 0 3 APPLICANT: NAME: DAYTIME PHONE: ToTar‘i EL-&-c-1-12( Or— TA c NA A X-4•J C_. (a•-•3) 3 8"3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ,t 2 )'- (093 Tia rv.z u,)A c'gYo ( ( ) - RELATIONSHIP TO PROJECT: f FAX NUMBER: ❑ARCHITECT ❑TENANT OTHER(DESCRIBE): Go2 ( 3) a-)a- - sa r L( E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT CONTRACTOR • PROJECT INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) W **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: o ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information,suppl-ied it to the city as aof this application. ✓ NAME/TITLE: V l0/Sh �'iGe Pf-' "S�0E-4v41 DATE: 8 a 7 -dOO o PROPERTY OWNER 0 APPLICANT CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ADDITION 0 ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES o NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑NO PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.cityoffederalway.com • r • • 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-$13.00ea) (First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$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-$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 $ 93.00 Up to 200 amp $ 93.00 $ 27.50 _ _201-600 216.50 _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 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 (1-5 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 _#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=1 plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLB(B) NUMBER OF UNITS(C) TOTAL(D) tock AmP sE ! c6 93..o) ( 43.oO TOTAL COLUMN(D): Total Column(D) Estimated Permit Fee: (12) 93.00 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) 9300 Bulletin#100-December 23,2002