03-104046 City of Federal Way
Community Development Services Electrical Permit #:03 - 104046 - 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: STONEHAVEN
Project Address: 1900 SW CAMPUS Dr Parcel Number: 132103 9103
Project Description: Replace four circuits in connection with fire-damge reapir work in units 105&204.
Owner Applicant Contractor
AGL INVESTMENTS NO 10 LIM MADSEN ELECTRIC MADSEN ELECTRIC
1050 17TH ST#1200 3939 S ORCHARD ST 3939 S ORCHARD ST
DENVER CO TACOMA WA 98466 TACOMA WA 98466
80265-2050 (253)383-4546
Electrical Fixtures
,' + rm lapeiciroilob .. ..` .
Circuits-Multi Family 4
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
Owner or ag= t: _ _ Date:
3/a,/99
6-41 ( rc
c.„V7/
CONSTRUCT ION PERMIT APPLICATION
CITY OF �..� APPLICATION NUMBER: -
k 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.
-> . ■ PROPERTY INFORMATION
SITE ADDRESS: /er CAN&`',�S b r, C(..), ASSESSOR'S TAX/PARCEL #: -
ci
LEGAL DESCRIPTION OVIUBJECf P OPErt Y(ATTAC4. HSEPARATE DESCRIPTION IF LENGTHY):
. : I PROJECT INFORMATION _ -
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION
I/ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION,(Provide detailed description): \\-e �i f- LV C 1 if- LL �s 1� 9,
"--c. `( jcC 11
PROJECT NAME: t2\ c;5 (70n S
- I PEOPLE INFORMATION . .-
PROPERTY OWNER: I NAME: ; DAYTIME PHONE:
) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
G &QIN 2 Pc`�-s c' 3)733=1/.S4I6
MAJU G
ADDRESS(STREET ADDRESS;CITY,STATEZIP): EVENING PHONE:
3R :CEc\- ecc ACWA, Qgt/G6 ( ) 54-x1t r
OF FRAL WAY LICNUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: - ) L% ‘O l/9
(copy of card required) J 1 d\a es r1® ? — — — EXPIRATION/- ATE: /
APPLICANT: NAME: J I DAYTIME PHONE:
Agit 2 Os C6A+CA Ci-C-tr- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1 � ( 1
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER(DESCRIBE): i ( )
GE-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
- -■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO . SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOM' • •RIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. j PROPOSED SQ.FT. AL
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 a GAS
PLUMBING
BA UB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
SHWASHER(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 filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the Information suppli•. to the city as a part of this application.
NAME �} r ^^ ./6.9,9/
� .[�� .Q�j�..o1L �QS•��`1�r9.� f►`(�nifj.4-Pr DATE:
❑ PROPER •WNER ❑APPLICANT )rCONTRACTOR
--FOR.OFFICE.USE ONLY: 4
u NEW ADDITIUN s o ALTERATION �o REPA R _ n TENANT:IMPROVEMENT ,,
CENSUS CODE 4- * ; . f...: . 'E*'.": .LOT.SIZE
ZONING'rDESIGNATION; .
` BUILDING SNELL�;ONLY't�':[I YES', 'a NO -
:COMP PLAN DESIGN/1TION = , ,_, h ' BASIC PLAN? _❑YES ❑`NO', ..
SECTION. .... .5TOWNSHIP x-:' RANGE ? NEW ADDRESS REQUIRED? > "o'YES
r'PLATTED LOT? : n YES: a NO � � `CHANGE OF`USE? ❑YES ro 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
•
• ELECTRICAL
TABLE B •
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft2-585.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
square Feet. _ First 2500(12-$50.00:Each add'n 25(10 ft`-$13.00
_Each outbuilding or garage S35.50 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 S57.00 (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
1 _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 i '9_,00
_Up to 200 amp S 93.00 S 27.50 Feeder _201 -600 716.50
_201 -400 amn 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601 - 1000 126.50
=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 f 1-S circuits-$72.50;Add'n circuits,$6 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
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
600 amp 174.00 _201 -400 85.50
Mas or meter repair 43.00 _401 -600 115.50
#of ircuits _river 600 125.00
I '(1 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'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS Ig)------r-
TOTAL(D)
TOTAL COLUMN(D):
Total Column(0)
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&T ; . Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulle n rt 100-December 23, 2002