03-104187 -a
City of Federal Wen
Community Development Services Electrical Permit #:03 - 104187 - 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: YETTER
Project Address: 31612 28TH' ?Nei Parcel Number: 092104 9245
Project Description: Removing overhead power and moving it to underground
Owner Applicant Contractor
Ralph L Yetter EXCEL ELECTRIC OF TACOMA EXCEL ELECTRIC OF TACOMA
31612 28TH AVE S 5832 S ADAMS SUITE A 5832 S ADAMS SUITE A
FEDERAL WAY WA TACOMA WA 98409 TACOMA WA 98409
98003-5038 (253)475-6950
Electrical Fixtures
Description, Quantity Description Quantity Description1Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
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 cordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. 9
Owner or agent: Date: ��
'S PES --
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CONSTRUCTION PERMIT APPLICATION
CITY OF �.." RECEIVED APPLICATION NUMBER: fj, 1 aI- 1' 7_ -
Federal Way APPLICATION NUMBER: - I SEP 1 0 2003 APPLICATION NUMBER: - -
*ahe g to F ng ERAis required information-Please print(in ink)or type**
[IY EDAV
Please note: Electrical, gikALVitkJiII Y A ns and Engineering permits may require a separate application.
•'PROPERTYINFORMATION
SITE ADDRESS: 3/& (-2 J-s/ `A e So ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
..- - ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
r
PROD CT DESCRIPTION(Provide detailid description): e1tice+t•a Cd vim- pc, u.,....,--/ w
V �� �v�
, PROJECT NAME: y E --rr
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. .. • PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
a( A -(r7 6-7P- ' ( ) -
MAILING A DRESS(SIR ET ADDRESS;CITY,STATE,ZI
22110( 7 2gf
CONTRACTOR: NAME: i'AYTIME PHONE:
MAILING(ADDi (STREETRtDRC ,STATE.ZIP)' 4- �a-G¢.N . A y ))47s--
�. EVENINGPHONE'
/S- V q S o
5 fS 3A So 4kaw;S 5$ ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ! FAX NUMBER:
- - C94-3)47 S- -665 9
^CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
�Y,A...4..,
(copy of card required) { / /
_APPLICANT: NAME: /W� ��/�'�' DAYTIME PHONE:
{ I MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( )
EVENING PHONE:
( `
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT ❑TENANT 0 OTHER( DESCRIBE): (
E-MAIL ADDRESS:
��
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER m APPLICANT 13,(;��ONTRACTOR
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o 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 claim(including costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supp to the dty as a part of this application.
NAME/TITLE: DATE: 7—/o—o 3
❑ PROPERTY OWNER o APPLICANT CONTRACTOR
FOROFFICE USE ONLY::'
7 NEW ADDITION ' ,;.,q ALTERATION . $TENANTIMPROVEMENTea ;r
.�o.REPAIR3„.
CENSUS`CODE ,C~
ONING;DESIGNATION �` ,� BUILDING SHELF;ONL ?a YES .�NO
COMP PLAN DESIGNATION x= ABASIC PLAN?, o YES a NO _-.
SECTION - TOWNSHIP E RANGE �. NEW`ADDRESS REQUIRED?` _-❑YES ='o'NO
'PLATTED LOT? %'4❑YESP NOtV- ..CHANGEOF USE? n 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.dtyoffe1eralway.com
••.-.
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$l3.00ca)
(First 1300 ft1-$85.50;Each add'n 500 ft'-527.50) Service and(ceder 593.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 1t'-$50.00:Each add'n 2500 ft'-513.00
_Each outbuilding or garage 535.50 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-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
I1 _Yard Pole meter loops $57.00
I i
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 $ 27.50 Feeder 201 -600 216.50
_201 -400 amn 115.50 57.00 _0 to 100 5 93.00 1 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 (1-5 circuits-$72.50;Add'n circuits,S6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
`S�c ice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
y 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
_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
(1-4 circuits-557.00;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+572.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE.FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
It ;
I i
I I I 1
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)
Estimated Permit Fee:(16)
Bond Amount: (17)
1 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 rt 100-December 23, 2002