03-104065 City of Federal Way
Community Development Services Electrical Permit #:03 - 104065 - 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: CELEBRATION PARK APARTMENTS
Project Address: 32023 11TH SS Bllldg-DPI Parcel Number: 172104 9061
Project Description: Wiring for as fan and kitchen light in units 1,2,3&4
Owner Applicant Contractor
EVERGREEN VILLAGE ASSOCIA INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
1750 DEXTER AVE N 4501 KENNEDY RD NE 4501 KENNEDY RD NE
SEATTLE WA TACOMA,WA TACOMA,WA
98109-3021 98422 (253)943-0500
Electrical Fixtures
Circuits-Multi Family 8
PERMIT EXPIRES February 29,2004.
Permit issued on September 2,2003
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 wi ' the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: G r�3 v.z
l/
/() /'1
F/ec
� CONSTRUE 110N PERMIT APPLICATION
fITY OF �"�+..� APPLICATION NUMBER: Q _ - L _ 0 -
RECEIVEI� -
Federal Way APPLICATION NUMBER: - -
SEP 0 2 2003 1APPLICATION NUMBER: - -
"The followingis required information—Please print(in ink)or type"
CITY OF FEDERAL WAY
Please note: Electrical,Fire Pr tttIINe4De and Engineering permits may require a separate application.
�.'PROPERLY INFORMATION -:
i/PC/ itt5
SITE ADDRESS:J,20.2_3 /r /-/ 'o'r ✓7ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
: ■ PROJECT INFORMATION ' -
TYi— F PROJECT(This application): 0 BUILDING 0 PLUMBING r a ECHANICAL 0 DEMOLITION
)(ELECTRICAL 0 ENGINEERIN FIRE PREVENTION SYSTEM
PRCTLy DESCRIP ON (Provide de fled cription): __ !-/,_A e. !% _ ,: %ii kJc/cfr, ad
c x-howaH /W ba Hiroo At iih/ j /311
PRO'ECT NAME: elebrQ/ IC1 1 G�,,," A,04,-,--1,0e/'i7.
■ PEOPLE.INFORMATION
PRCPERTY OWNER: NAME: , ; DAYTIME PHONE.
tvegoree V /f 0-
,..4
-�
, ;c, L' I i ) -
MAILING ADDRES(STREET ADDRESS;CITY,STA) ,ZIP): _
q� 41,,,--f-4
1
l, � 0e)der ,4 ,,, J (.?,-J y s ✓)d'I-1e. 1:- ''.a -J/0 F
CC RA i OR: NAME: ,,, i i _ - DAYTIME PHONE
_ 7` A. I {yam -
J'`a% d"/, Y I- L c i r-7( .,f r. (,,7.-. ) r (",, :�„3
MAILING ADDRESS TREET A6R S;CITY.STATE. ` i EVENING PHONE- —�
/� r "7T
L�uco/ ,re/4/1 v /`i 61 /1/1`' /47 c c,� g i' 4 5q-4,,,;.7-7 i ( .. 6:6-0 ',r°:;-~r1 j
I CITY OF FEDERAL WAY BUSINESSLICENSE NUMBER: FAX NUMBER:
(2,-0) ' 1,3-/9.5 7
CONTRACTOR'S REGISTRATION NUMBER: INT C t 98' .z Na" i EXPIRATION D25 /OS 101`
0
(copy of card required) 1 3 9
_APPLICANT: NAME: DAYTIME PHONE:
cmc of 60r t ,c - } ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
• 0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( )
c-MAS AD KESS:
CC NTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR y" $r7P1't� C,�O/Cc,`
:,: _ --■ DETAILED BUILDING INFORMATION
EXI`;TING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
J '
**NEW RESIDEN(IAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
_ FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
—FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
R 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)
BOIL£T(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTJB(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)
■ 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
ITh-ther 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,induding Its officers and employees,upon the accuracy
of the Information sup lied o the ci
41art of thissapplicatoo
NAME/TITLE:,/ gees; 71. DATE: (0f://
/ I �
❑ PROPERTY OWNER 0 APPLICANT /CONTRACTOR
FOR OFFICE USE ONLY
Y ;,. z o�=� Mme•, :� ,� -
Li NEW ,�ci ADDmoN ❑.ALTERATION o REPAIR o TENANT IMPROVEMENT „
CENSUS.`.CODE ri z �- + `= LOT SIZE:, ~ x -04M
;ZONING DESIGNATION, BUILDING`SHELLONLY? `a YES ❑NO
COMP PLAN DESIGNATION -b ,a}Y , MABASIC PLANT 'a YES ❑ NO rr air
;SECTION =._.,, TOWNSHIP RANGE NEIN°ADDRESS.REQUIRED? -� YES -- a NO -
PLATTED LOT?x , ❑YES*7D NO .$ ,'CHANGE OF USE? - : r,;❑YES R~17 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.com
• . - - ._ II ELECTRICAL '
s
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 _II of Themiostats(First-$43.00;add'n-$l3.00ea)
_
(First 1300 I-C-585.50: Each add'n 500 ft`-$27.50) _Service and feeder $93.004 of Low voltage fire or burglar alarms
Square.Feet. First 2500 112-$50.00;Each add'n 25(10 1-F1-513.00
_
_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/ _4 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 557.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three ut:it.s.or more) Altered Service or Feeders
Service Feeder Amps Service or ,,vid'is __0 to 200
up to 200 amp. . ,,,,,, .. 5 93.00 5 27.50 Feeder 201 -600 216.50
_
_201 -400 amp , ,, . .. ... I 15.50 57.00 I _0 to 100 5 93.00 5 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 4 of circuits
Over SOO amp 289.50 216.50 _401 -600 252.50 i 01.00 (1-5 circuits-572.50:Add'n circuits,$6 ea,
_
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately front the services.) _801 - 1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
0 to 200 amp S 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
MaSICir _
meter repair 43.00 401 -600 115.50
51circuits
1 _over 600 125_00
(1-4 circuits-$57 00;Add'n circuits 56 ea) ,
If a new or altered.-,immtercial 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'l plan review for other submissions is$85.50/hr.
L I FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B(B), - NUMBER OF UNITS(C) TOTAL(D)
L _____
•
. .,
i
l -I
,
•TOTAL COLUMN(0): .
Total Column(ID)
•
. Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
. .
Estimated Plan Review Fee: $72.50+ ( X.35) = (13)
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Feti (18) (20) (22)
SBCC Surchai-je: (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--December 23, 2002