03-102268 City of Federal Way Electrical Permit #:03 - 102268. 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: GULIAN
Project Address: 2840 SW 300TH fl Parcel Number: 416660 0155
Project Description: Low voltage secuirty and stereo prewire
Owner Applicant Contractor
James M Gulian &Laurie J Gulian A S D SYSTEMS INC A S D SYSTEMS INC
2840 SW 300TH PL 314 182ND AVE E STE B 314 182ND AVE E STE B
FEDERAL WAY WA SUMNER WA 98390 SUMNER WA 98390
98023-2325 (253)630-1047
Electrical Fixtures
i ...pV r t t1 -.. :: .._ U ?. Tom...... _ _ ,IPtIO -s;*x S 01)4601Y
Low Voltage Burgler Alarm-Residem 5305
PERMIT EXPIRES November 30,2003.
Permit issued on June 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.
See Application See Application
Owner or agent: Date:
23 9 3 P S I S e ems. tce 45 Dpi r_5;74" r L ReA)
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CLE-
arror CONSTRUCTION PERMIT APPLICATION
G
C ErZFIL- RECEIVED BY APPLICATION NUMBER: 03 - Ddab la- try
COMMUNITY DEVELOPMENT nPARTn"EN7 APPLICATION NUMBER:
JUN 0 3 2003 APPLICATION NUMBER: _ _ Flt CEivEt3B'F _ - _
COMMUNITY I)FVEI.O P M ENT DEPARTMENT
**The following is required information—Please print(in ink)or type** ppAA��vv c� Q .�,�
Please note: Electrical,:Fire Prevention Systems and Engineering permits may require a sepal apil 83
■ PROPERTY INFORMATION
SITE ADDRESS: a ott-D 3 Pk- Su.) ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): L..(51,0 VC)1471 ') SP C.LE1rl.t(1 SIC(ro (e(�t'l rG)
PROJECT NAME: 0LoNst. V �l l l cov , 11.fLS, 1 Gt I,Iran
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
T su, s _ (Lias)5S-7 -R561r
MAILING ADDRESS( • ET ADDRESS;CITY,STATE,ZIP):
PO 6041. 1321(9 1 man
CONTRACTOR: NAME: DAYTIME PHONE:
CI,S
MAILING ADDRESS�STRE�E ADDRESS;CITY,STATE,TZIP): EV( E )(60 DAYTIME
HONE:
3(Lk 1. CIAA. �t.c�t� (J' Ste - RW ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
a - v L (DI L -3 - `� o ( ) %a. -IQ8;
CONTRACTOR'S REEGISTRATION NUMBER: L, C �/ -r r EXPIRATION DATE:
(copy of card required) n �L t S �` .ice u 0 �� l ()1 /) I / b3
APPLICANT: N E: DAYTIME PHONE:
( )
MAILING DRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT CONTRACTOR
• 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: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
•
• ELECTRICAL
• TABLE B 5 °9,1
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPME /TEMP SERVICES
Single Family _Service or feeder only $50.00 _#of Thermost (First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 1#of Low vol ge fire or burglar alarms
Square Feet: First 2500 ft2-$ 3.50;Each add'n500 112411.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 50-11- 55. 9.32-
(Inspected
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
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 $ 81.00
Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add=n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
_#of circuits over 600 109.00
-
(1-4 circuits-$50.00;Add'n circuits$5 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+$63.50.Add=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( 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-February 19,2002
� 1
**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: ❑ 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 or 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,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the ity as a part of this application.
NAME/TITLE: DATE: 5/X403
o PROPERTY OWNER o APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION BUILDING SHELL ONLY?> ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES o NO CHANGE OF USE? o 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.atvoffederalway.com