03-104804 re
City of Federal Way Electrical Permit #:03 - 104804 - 00 - EL
Community Development Services
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: STARKEY
Project Address: 2606 SW 323RD S'}" Parcel Number: 873180 0430
Project Description: Install(4)new circuits and relocate meter base for addition.
Owner Applicant Contractor
Gilbert G&Geraldine M Starkey &Geraldine c Gilbert G&Geraldine M Starkey Gilbert G&Geraldine M Starkey
2606 SW 323RD ST 2606 SW 323RD ST 2606 SW 323RD ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2521 98023-2521 (253)874-5624
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 4
PERMIT EXPIRES April 19,2004.
Permit issued on October 22,2003
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: . gZ12. I • 'i Date: /040 0 U 3
I- 4-03 Pav4kG, �U\ 0 IG c^ c--€ a v- -0D 1 .►tc,� rave
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CITY OF ._,...._-INN,...__ RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 04 - L G' V aU q -E 4 -
Federal Way APPLICATION NUMBER: - -
(�r T 2 2 200 !APPLICATION NUMBER: - -
**The 16iiikAa heti 'rination—Please print(in ink)or type*'
BUILDING DEPT.
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 07806 C,564..)C,564..) L� 3 1-/J •+ ASSESSOR'S TAX/PARCEL #: Y 73 / 8r Q - J , Q
LEGAL DESCRIPTION OF SUBJECT40 �OPERTY(ATTACH SEPARATE DESCRIPTION IF LEaN%THY):
3
u Mees
• ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
7ELECTRICAL 0 ENGINEERING)� d ❑ FIRE PREVENTION SYSTEM
1 C.A
PROJECT DESCRIPTION(Provide detailed description): 6, L- DSLS CQIC ,46
, f77OA/,
PROJECT NAME: LfiT/7kEI
PEOPLE INFORMATION -
•
PROPERTY OWNER: NAME./Z/1� V 107 k DAYTIME PHONE
MAILING
ADDRESS
(STREET 5 ADDRESS;CITY,, STATE,ZIP /��j ier-/ G !/t/4 9�3 I
�.�JC�/'S 3 (((JJJJJ Ctt.LLL../// I
CONTRACTOR: NAME: �O } �
� l�T/\ i A0
� /
MAILING ADORESS (STREET ADDRESS;CITY,STATE,ZI EVENING PHONE' �I
cue. r.>�'rl�. ( ___-)------ I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy''Fcard required) / /
APPLICANT: I NAME: DAYTIME PHONE: `�
��� � � 4-53) B7/ -MAILING (STREET ADDRESS;CITY,STATE,ZIP): _ EVENING PHONE:
.. .�// F }
RELATIONSHIP TO PROJECT:
I '�/ I FAX NUMBER: Q�
0 ARCHITECT ❑ TENANT o OTHER(DESCRIBE): a-04f ( )) )/ -r6 S S ..
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: "9/06-LE f4/71ILfEXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 405, 000
PROPOSED USE: VI/J6 L1 611771(-1 PROPOSED VALUATION FOR IMPROVEMENTS: $ 0305, 00 0
•
SPRINKLERED BUILDING? o YES ja1 O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES y1410
WATER SERVICE PROVIDER: p'LAKEHAVEN O HIGHLINE o TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: 7LAKEHAVEN 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 Value of Mechanical Work: $
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: a ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a 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 filgd againste City of
Federal Way,but only where such daim arisl?otitof the reliance of the dty,induding its officers and employees,upon to accuracy
of the information pplied to the
�dty
y aas a part of this application.NAME/TITL . � 4%27 ! DATE: /O/ /)2o2) 3
ff PROPERTY OWNER 'APPLICANT NTRACTOR
.;FOR-OFFICE.USE ONLY '
'p 161MtlO ADDITION'. tq ALTERATION a o,REPA R -r a TENANT IMPROVEMENT -
'CENSUS`CODE ., . k e 'LOT.SIZE �° L',�u> ^� ,
��.��i�#`r�� � iG�,, as ... .�.'.'. •'.� �3fYF R;,_� 'M , "�� �, .�
ZONING DESIGNATIONx a * BUILDING SHELL ONLY? o YES s. •
o NO .
COMP PLAN DESIGNATION ra ABASIC PLAN? n YES . `;❑ NO,="'
SECTION} „ , TOWNSHIP ' RANGE i NEW ADDRESS REQUIRED? _-o YES ❑'NO
PLATTED LOT? .,x❑YES o NO' xi°;` ._ CHANGE OF USE? . , , -.❑YEST:`~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
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$I 3.00ea)
(First 1300 ft'-$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 I11-550.00.Each add'n 25(10 ft`-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) ft 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-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57-00
I j
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
i t(Includes three unitsAltered Service or feeders
or more)
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 amp 115.50 57.00 0 to 100 $ 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 (I-S circuits-572.50;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/Commercial/Industrial
=
0 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
4#of circuits _over 600 125.00
(1-4 circuits-$57.00;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
nermit fee+$72.50.Add'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE:FEE FROM TABLE B(B) > NUMBER OF UNITS(C) TOTAL(D)
i
1
i t 1
TOTAL COLUMN(D): 1 !
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)
■ EN.GINEERING ;<
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