03-103057 s I
City or Federal Way
Community Development Services Electrical Permit #:03 - 103057 - 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: STARKEY
Project Address: 2606 SW 323RD Si" Parcel Number: 873180 0430
Project Description: Adding 1 new circuit for new A/C unit.
Owner Applicant Contractor
Gilbert G Starkey Jr. T C M ELECTRIC T C M ELECTRIC
2606 SW 323RD ST 31034 55TH AVE S 31034 55TH AVE S
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98023-2521 (253)333-1190
Electrical Fixtures
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Circuits-Residential 1
PERMIT EXPIRES January 20,2004.
Permit issued on July 24,2003
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.
J/ /yam "It
Owner or agent: e /ir. /At" Date: 77' 4/- a 3
8 - -03 c-cnr-sc.1ak s /S
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i
Rough-in inspection:
Date
FINAL inspection: prat) �7 —//–off
i, r Date
0 1
i e V G
. 1*:, CONSTRUC 1 ION PERMIT APPLICATION
.7,0\r..
V FlY ��L PA'
WP APPLICATION NUMBER: - L(20,5-1—
of Fe Gp0. APPLICATION NUMBER: - -
6V GcC4 0— APPLICATION NUMBER: ,_ _ - _ _ _ _ _
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
//��
■ PROPERTY INFORMATION
SITE ADDRESS: C`9 [0O(0 S()... ? 3 Si--1 ASSESSOR'S TAX/PARCEL #: -
-- —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): c`iCiit2t Q.Q
-`..- PROTECT INFORMATION'
TYPE OF PROJECT(This application): ❑ :UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
,A ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): t �� -`IPC (..)/1/4.)._\,--L
P •
ROJECT NAME: 95kt
■ PEOPLE INFORMATION
. ,r
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;QTY STATE, ):
c2Lp.CCv Sw x.33' �—
_J
CONTRACTOR: NAME: _
T�`A— � DAYTIME PHONE: U
1v1 063) 333— Ij,CQ ,
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3103+-.SS's I� 5, Y \ov t 7$0013 )333 - l t `DC7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: (FFAAXX N,�UM _
��,BER: J(���
CONTRACTOR'S REGISTRATION NUMBER: 1 O 5 7 j0 O Q — ') 3 I �+0
EXPIRATION DAIS: 1
(copy of card required) 1 p` ny!1 C� j� 'X t 0 3 3 DY 3 1 /4Ve",9c 1
APPLICANT: NAM ,/'\/'�(� ,� DAYTIME PHONE: 111
��� �_ Y r \V�� \\r�)��'L 053) 333 — t1 ?
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3 i 03Lf—55 .44\ S, 'P\v\ov ?g)( (. .)-333- l 1?a
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT El TENANT El OTHER(DESCRIBE): ��f-. ) 333- I$ed
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER El APPLICANT CONTRACTOR
■ DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES El NO
WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ 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:
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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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)
'I -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 daim),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 accuracj
of the information supplied to the city as a part of this application.
I_ NAME/TITLE: a ��.` " S •A • DATE: °7-013-O3
❑ PROPERTY OWNER ❑ APPLICANT kONTRACTOR oficAc4-2,c
c:
;FOR;OFFICE USE,ONLY .'
N ❑ADDITION CJ ALTERATION;:: 1,21. ,REP,AIR. ;;` ® TENANT,IMPROVEMENT:
CENSUS:CODE `
LOT-SIZE:�;>�'<r...,r,,�:-. ;;� �:���,�r::s,� , `,�'- ,
ZONING ESIGNATIO JM= RUTLRING SHELL ONLY7 f ❑YES ;`'i❑ NO
�`: COMP PL°A IPI SIGNATION.:u nit 1, yw,4 3.: E3ASIC'PLAN? j D YESI' t NO*'' c��i ;
tSECTION " ' ` TOWNSHIP*'' `g`RANGE y��
_:, , --,. ,NEW ADDRESS REQUIRED?. �❑ YES �❑ NO_,�_
;PL'ATTED LOT? ❑ YES ,:'❑ NO '`' `CHANGE AF USE? ;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalwa i.com
r
. .'. ■ ELECTRICAL` R. : . i
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 #of Thermostats(First-$37.50;add'n-SII.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-543.50;Each add'n 2500 ft'-S 11.5C
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i R 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-532 each) $17.50 each)
_Swimming pool,hot tub,spa $75.0)
Yard Pole meter loops $50.00
_
. Hv6� t oP
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 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 $ 8100 $ 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
(\Vhen inspected separately from the services.) _801-1000 348.00 345.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/lndus'rial
_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
I#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/ o7---
permit
erpermit fee+563.50.Add'I 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 Ione 12
Estimated Plan Review Fee: $63.50-I-( 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)4.(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-February 19, 2002