03-104115 A
City of Federal Way
Community Development Services Electrical Permit #:03 - 104115 - 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: GOWER
Project Address: 36525 11TH$ Q) 5 Parcel Number: 292104 9119
Project Description: Add 1 30-amp circuit to serve heat pump; relocate two circuits to serve furnace.
Owner Applicant Contractor
William L Gowers GS ELECTRIC GS ELECTRIC
36525 11TH PL S 5923 VICKERY AVE E 5923 VICKERY AVE E
FEDERAL WAY WA TACOMA WA 98443 TACOMA WA 98443
98003-7407
Electrical Fixtures
Circuits-Residential 3
PERMIT EXPIRES March 2,2004.
Permit issued on September 4,2003
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- cordance with the laws,rule and r lations of the State of Washington and
the City of Federal Way. /
t?'
Owner or agent: �''t �^ Date: 41' Q,
q— Cert'",€ S .
P
RECEIVED CONSTRUCTION PERMIT APPLICATIO
CITY OF �.� APPLICATION NUMBER:C2 3- I Q i°1_1 1 5-
Federal Way SEP ® 4 2003 APPLICATION NUMBER: - -
kPPLICATION NUMBER: - -
CITY OF FERE p� �v
"The followir It r i"j I'i�.tion-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. - I''PROPERTY INFORMATION
SITE ADDRESS: 36 5?;3 III"
PL: 5 , ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION _ -
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
1OLECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM I_
PROJECT DESCRIPTION(Provide detailed description): 1 - 30 6N 0 vo 1 V`�c �t7y+�fJ
cii
cG0, 1 .. r�e — rv,� .e �x, sYr5 ( S/cw fv✓v�,� e �L}
(,C Cs 1�U� `l +a gG r43 t?f s�e. c Vl e.,�, 15' /c t"..) P-0,, , erg.
PROJECT NAME:
■-PEOPLE INFORMATION
PROPERTY OWNER: NAME: , ; DAYTIME PHONE
, II 60we,5 3292.
MAIUNG ADDRESS(STREET ADDRESS; ,STATE,ZIP):.
36-S ZS if 9L, 5,
• CONTRACTOR: NAME: i DAYTIME PHONE:
�/ r'c�� 'C (253 ) xe, - ,505t
i4MAIUNG RESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE:
1 g�� U FEDERAL WAY BUSINESS oSE�MJMBER: J c (2)-3 ) W e -$ 4�7
FAX NUMBER:
- - (75.3 ) 926 -6703
CONTRACTOR'S REGISTRATION NUMBER: y / I EXPIRATION DATE: �l yJ
(copy of card required) 6 5 C . ? 7r K /G� 86 V 0 ; 7 1 "/ / `/
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I
( )
lI RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER o APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**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 I
AIR HANDLING UNIT ) 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.( )
COMPRESSO• S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC ❑GAS
I
PLUMBING
: •THTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 ./-ederai Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
invgstigation and defense of such d•• 'which ma be by any person,induding the undersigned,and filed against the City of
Federal Way,but only where su • m arises of liance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to . rity as a p of plicati
I
NAME/TITLE: 4,t_liNC:),.,--- DATE: 9 _ / '—. 0
❑ PROPERTY OWNER ❑APPLICANT [ ONTRACT R
vFOR.OFFICE.USE ONLY:
57 NEW;f --iCribbYiloil1-V4N-6 ALTERATION ❑:REPAIRI ;-a Vii-TENANT-IMPROVEMENT ,.
!CENSUS!COD E . 0 WA-0. i N';"NtLOT SIZE:A. ,a 0 :gt :;.,. ,_ .
'ZONING!rDESIGNATIONs .3*.tt BUILDING SHELLONLY?` D YES Vis❑ NO
COMP PLAN DESIGNATION ,,_, ..: - BASIC PLAN?- ,❑YES '.7;:.!.'❑,NO,
SECTION 4.5 •TOWNSHIP xi ':r,RANGEr 0. NEW ADDRESS REQUIRED? °' a YES aNO
'PL'ATTED•LOT? : .o YES Z.5,-o7NO ; `fr .- i,-..--.:'11.:,0 CHANGE OF USE? , --.❑YES 7..''-�d'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
# hABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 it of Thermostats(First-$43.00;add'n-$13 00ca) i
(First 1300 ft'-585.50,Each add'n 500 ft`-$27.50) _Service and(ceder $93.00 a of Low voltage fire or burglar alarms
Square Feet. First 2500 1t2-$50.00:Each add'n 2500 fu-S 13.(10
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _N 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/ _a of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops $57.00
I '
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units of more; Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 3 93.00
_Up to 20')amp $ 93.00 S 27.50 Feeder _201 -600 .... ..216.50
201 -40(1 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 Is of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-S circuits-572.50:Add'n circuits,S.eai
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 _U- 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
- . or meter repair 43.00 _401 -600 115.50
i • a of ircuits _over 600 125.00
(i circuits-557.00;Add'n circuits$6 ea)
i
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+572.50.Add'I plan review for other submissions is$85.50/hr.
XTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C] TOTAL(D)
j lI
i 1 �
� l
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
' Esti .ed 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