03-104111 irt ,
Ciof Federal Way
.I•Comm unity Development Services Electrical Permit #:03 - 104111 - 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: LAKOTA JR HIGH
Project Address: 1415 SW 314TH C Parcel Number: 072104 9143
Project Description: Replace existing panel with new 200-amp panel and 200-amp feeder and new energy-efficient lighting in
connection with a TI to add demising wall splitting existing space into 2 rooms.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL PRIME ELECTRIC INC SHEPPARD&NELSON ELECTRIC
31405 18TH AVE S 13301 SE 26TH ST PO BOX 3630
FEDERAL WAY WA 98003-5433 BELLEVUE WA 98005 KENT WA 98032-0210
(206)878-7333
Electrical Fixtures
Description Quantity Description Quantity Description [4uantity
.e.--Ser-v./Feeder up to 200 amps-Co 1 Circuits Commercial 24
PERMIT EXPIRES March 8,2004.
Permit issued on September 10,2003
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: L - 2 5=03
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motor '_t CONSTRUCT I ION PERMIT AP LIGATION
_ RECEIVED
�� -- APPLICATION NUMBER: Q3 - '1 OPLi L L -00
SEP 0 4 2003 APPLICATION NUMBER: -
APPLICATION NUMBER:
AY
CITY s01I ;E AL'T.-
**The followation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
_ . - . • PROPERTY INFORMATION
SITE ADDRESS: /WS 5)4/ -1/,‘l Cdr ASSESSOR'S TAX/PARCEL#: 01 L Q .4 - Gi j ii 3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.. _ - ■•PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
1-0 ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): De• C.Yf ?a i/ d, ' �24� 12 l A5� 41-,e,.7
:
/ q
___ A/C-11_1, ZVATdV Pacrof2ZEZ - 4✓ 1 LTJ , J7 9 516 g ,lf-c..,
till.ic WO*
PROJECT NAME: L aprO/* elk 4,/7 _4A7. s?ic
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:........, DAYTIME PHONE:
. MAf aL76Rq'C' LiA ' $DRESS(STREET ADDRESS CITY,STATE,ZI17 eS ( ) -
CONTRACTOR: NAME).2_ DAYTIME PHONE:
(4L5 747-
zee
MFLGAD / ZI PHONE:
/ , - -5t
Rtf ^� 799 -6
FEDERAL WAY BUSINESSLICENSENUM
a - 0 t1 /2J747-u2BL, IRAT�1g7 -' Z-
CONTRACTORS REGISTRATION NUMBER
(copy of card required) /?/Q ___ .1-/ 'I .pr o/ l SO/
APPLICANT: NAME' DAYTIME PHONE:
✓k' E�f� al (mac') 7,71?- 5
M UNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
UlARELATIONSHIP TO PROJE - 1 ��/e�(/(L U : 749 "-_
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): AX 72/7-5652-`/
E- AIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 1 CONTRACTOR e . •
■ 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:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
_f
A*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: .
ESTIMATED SELLING PRICE: $
• PRO3ECT 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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. - VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- U. 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 supplied to the city as a part of this applic�tiion.
NAME/TITLE. I vvioto 5lie)e..4M41 A lieb DATE: .2i1ti,4-- CV` c3
❑ PROPERTY OWNER 0 APPLICANT 'CONTRACTOR
`FOR OFFICE.USE ONLY
❑ NEW .. ❑ADDITION ❑ALTERATION " -❑_REP•AIR• ❑ TENANT IMPROVEMENT
CENSUS CODE: ' `LOT.SIZE
•
ZONING DESIGNATION BUILDING SHELL ONLY? °❑.YES ;;❑ NO:v
COMP,PL.AN DESIGNATION BASIC PLAN?-`: ❑IXES i❑ NO'
;SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT?, ❑ YES ❑ NO CHANGE AF 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
I ' „,
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _it of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
_Each outbuilding or garage $30.00 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 $48.00 (First service/feeder-$48.00;Add'n service/ _it of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL ERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n L 0 200 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _ 01-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/lndustiral
_0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 Mast or meter repair 66.00 _101-200 61.00
ver 600 amp 146.00 _201-400 72.00
M or meter repairL36.00 _401-600 97.00
o ircuits over 600 105.00
(1 circuits-$48.00;Add'n circuits$5 ea)i.
f service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
'. F TURE•DESCRIRTION`(A).,. , FIXTURE ,EE-FRO.M,TABLE.B'(B)V,'4-. ,1VUMBER°OF.l1NITS(C) , .11` ,-- `-'OTAL{D) _ i. �_
".,1;,� TOTAL'COLUMN`(D)
Total Column(0) jI
Estimated Permit Fee: (12) J
Estimated Permit Fee from fine 12 �(,
Estimated Plan Review Fee: $56.25+ X.35=(13) `J
■ 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-August 20,2001