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03-104102 City of Federal Services Way Community DevelopmentElectrical Permit #:03 - 104102 - 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: STUMBO Project Address: 30255 2ND$-A yes Parcel Number: 339180 0250 Project Description: Alter and add electrical circuits for new addition. Owner Applicant Contractor Ralph Wayne Stumbo Jr. &Sherry Lynn Stumb Ralph Wayne Stumbo Jr. Ralph Wayne Stumbo Jr. 30255 2ND AVE S 30255 2ND AVE S 30255 2ND AVE S FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-4041 98003-4041 Electrical Fixtures Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES March 1,2004. Permit issued on September 3,2003 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: V�.Jkjl‘/.3 Date: 3 3 /0— / —6 3 irk* / ,yof Fn),,o--? /S elcy9 tO / l RECEIVED" CONSTRUCI ION PERMIT APPLICATION CITY OF 'W-N.......0.• SEP 0 3 2003 APPLICATION NUMBER: 03 - L QLl I O - E-(. Federal Way APPLICATION NUMBER: -CITY OF FEDERAL WAY kppLICATION NUMBER: BUILDING DEPT. - - **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. <111 PROPERTY INFORMATION , SITE ADDRESS: O2S i J ASSESSOR'S TAX/PARCEL #: - ce4 _ V1/4Y ',8 oD 3 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEARATE DESCRIPTION IF LENGTHY): PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING a MECHANICAL a DEMOLITION (ELECTRICAL 0 ENGINEERING a FIRE PREVENTION S ST€M PROJECT DESCRIPTION(Provide detailed descripti n)• �n� kc©%'�‘ort - r(sLt,LL 71.- A- g-eots tc 2c. l 1^5 s) PROJECT NAME: STVVI gjC) . : • ■ PEOPLE INFORMATION . PROPERTY OWNER: NAME: : DAYTIME PHONE Ripi-I S e-i 3 C'- ; (Z53) i t - ZzS9 MAILING ADDRESS(STREET ADD S;CITY,STATE,ZIP): 'Felt Pcwbund\c WA cf 2001 X33 S. eL CONTRACTOR: NAME: n� /�G. i DAYTIME PHONE: ©WGI 14 ( ) II MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE: I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I ( ) FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: I NAME&V DAYTIME PHONE: _ MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER a ARCHITECT a TENANT 0 OTHER( DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: I'ROPERTY OWNER CI APPLICANT ❑ CONTRACTOR I . ■ 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:a YES 0 NO WATER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) **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: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 dty,induding its officers and employees,upon the accuracy of the Info • upplied to the d .s a •art of this application. I NAME/TITLE: 1 - DATE: 9(3/03 D„3 MIROPERTY OWNER o APP T , CONTRACTOR !!! FOR.OFFICE.USE ONLY 1 -E Ew:. ADDm(1 ..o ALTERATION olREPAIRa. 0 TENANT-IMPROVEMENT4 .,, -_. rCENSUSiCODE kx =4x Win•;;; :ZONINGTDESIGNAT(ONr; ._ . rR 01}11 .. BUILDING.SHELL'ONLY? aYES*0 NO COMP?LANn DESIGNATION BASIC PLAN?' ; 3 YES ❑NO �" SECTION Vs - TOWNSHIP rf !RANGE ADDRESS-REQUIRED? _. y.; o YES 17-NO PL'ATTEU'LOT? s❑YES-=„r o NO " a 'CHANGE OF USE?`„ k ❑YES= =O'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 IN ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ea) (First 1300 ft2-$85.50;Each add'n 500 111-527.50) Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet _ Firft st 2500 1-$50.00;Each add'n 2500 ft`-513 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-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 II _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 5 93 00 _Up to 200 amp $ 93.00 S 27.50 Feeder 201 -600 216.50 201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 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 _#of circuits _Over 800 amp 289.50 216.50 _401-600 252.50 101.00 ills 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 c iceor Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial O 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 _over 600 125.00 (i-4 circuits-$57.00;Add'n circuits$6 ea) i 1 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'I plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE,FEE FROM TABLE B(B) - NUMBER OF UNITS(C) TOTAL(D) i i I • ' TOTAL COLUMN(D): I 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&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-December 23, 2002