03-104233 - ' w J
City of Federal Way
Community Development Services Electrical Permit #:03 - 104233 - 00 - EL
33530 1st Way S
Federal Way.WA 98003-6210
H:253441 4b00 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: NEGASH
Project Address: 1925 S 291ST Si" Parcel Number: 422300 0200
Project Description: Changing out existing 200-amp service&replacing with new 200-amp service and rewiring most of the
fire-damaged areas
Owner Applicant Contractor
Christine L Bishop C&W ELECTRIC LLC C&W ELECTRIC LLC
1925 S 291ST ST PO BOX 127 PO BOX 127
FEDERAL WAY WA EATONVILLE WA 98328 EATONVILLE WA 98328
98003-3818 (253)307-3429
Electrical Fixtures
Descriptionuar tity Description IQuantity Description Quantity]
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES March 13,2004.
Permit issued on September 15,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W y.
Owner or agent: a, "7711:1(.1 ....,–,-,. Date: ,,- /c—d 3
R-41re•?frN.- 114 eilliipoe—C,g,:) "je/. ...'------5- ,,-A./
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,........_"'N.,......„ CONSTRUCTION PERMIT AP LICATION
CITY OF `, / J/1_ 1/} q 3-J�-) /�
Federal WayRECEI V�� APPLICATION NUMBER: �/�/-
APPLICATION NUMBER:
• } • Q c p 1 5 2003 'APPLICATION NUMBER: - -
**The following is. 1 ation-Please print(in ink)or type**
4�' DZZD$'bU"-
'TTY OF F �, 3.p-V�4�t�'
Please note: Electrical,Fire Pr4►�kiffi Mn°a.id Engineering permits may require a separate application.
. III PROPERTY INFORMATION
SITE ADDRESS: /,`.25- 5 ...g1/ $' ASSESSOR'S TAX/PARCEL #: 12 3eX7110.2 OCs
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
(ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION�C (Provide detailed,description): -�P e
200 - tbrit-p Suitt aQ I` rwXhq p .y .J A /0( xos.
PROJECT NAME: A/ / /(2 11/ _
PEOPLE INFORMATION _ -
PROPERTY OWNER: ! NAME: ///��� DAYTIME PHONE:
e � i -
MAILI��z � ADDRESS;CITY,STATE,ZIP): ! l )
/925 S' g/
CONTRACTOR: ( NAME: i DAYTIME PHONE:
Cle l' Ze-' PIC G C (25s )73 -ire/73
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
r2/ /2 7 -tatiAe v%9 WA '9?3 2 ( ) -
CITY OF FEDERAL WAY BUSIN LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy of cand required) C LcJ l G_ `990 G l /
APPLICANT: I NAME: DAYTIME PHONE:
!I C Z e7(i-'/C Z Z C (29) )732- -t'?3
MAIU G ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
1,0 go- /24 frvi</& iLiA war ! ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:•
❑ ARCHITECT o TENANT o OTHER( DESCRIBE): c , i-(jl'. ( ) -
E-MAIL ADDRESS:
I •
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT , (CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o 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
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) ❑ 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 claim(induding 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 o where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information �plied o the city as apart of this application. ,rye
NAME/TITLE: / r ���� DATE: v f o.
o PROPERTY OWNER o APPLICANT ❑CONTRACTOR
..FOR OFFICE USE ONLY:
O NEW , .0`ADDITION = 0 ALTERATION ..Y1-:;0 REPAIR ❑;TENANT IMPROVEMENT -
CENSUS'CODE .: !- . '?t , .-:-. =LOT SIZE:-:'- ':,:,4-:,. .t-c.'. ., ?
;ZONING DESIGNATION:- , , .:::; BUILDING SHELL ONLY? BYES .❑NO
-COMP PLAN DESIGNATION •.: ABASIC PLAN? --'o YES =`❑'NO - - _ •
SECTIONTr- , 1;TOWNSHIP 'RANGE iy'� .NEW ADDRESS REQUIRED? =_ ❑YES a NO
.PL:ATTED;LOT7. '❑YES;. .;o`NO - CHANGE OF USE?. ❑YES --`=n NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederaiway.com
•
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n=$T3.00ea)
(First 1300 ft2-$85.50.Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft'-$50.00:Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeder ' • *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;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
Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/IN DUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morel Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 5 93.00
_Up to 200 amp.. 1 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 =0 to 100 $ 93.06 S 57.00 -601 -1060 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 fl-5 circuits-$72.50;Add'n circuits,$6 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
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
10 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 !I
_over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
-a of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits 56 ea)
i f
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) FIXTURE.FEE'FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
iI
f I
I
I I I
1
TOTAL COLUMN(D):
Total Column(D)
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 (Pa9esOne&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002