03-102541 •
-a 4
City of Federal Way
Community Development Services Electrical Permit #:03 - 102541 - 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: MILLS
Project Address: 906 SW 298TH 5jf" Parcel Number: 195460 0035
Project Description: Alteration of up to(4)circuits for the wiring of oulets,lights and switches in attached garage addition of
existing residence.
Owner Applicant Contractor
Harry L Mills Harry L Mills Harry L Mills
906 SW 298TH PL 906 SW 298TH PL 906 SW 298TH PL
FEDERAL WAY WA 98023-8255 FEDERAL WAY WA 98023-8255 FEDERAL WAY WA 98023-8255
(253)839-8255
Electrical Fixtures
3 `F x,' a 1 0 ;' '( C,tan ty � 00,Crdpt a� * _. .`0tl
� � �� as ' ���:,,+,,,
Circuits Residential 4
PERMIT EXPIRES December 17,2003.
Permit issued on June 20,2003
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: Oit7 -Gl.c_ Date: 6
9 -- 3 -tz,ut,1 4,1,1) /tie v ed
- I `- (93 cp LIQ- 'f'1 ° 4) S -tt -
J
RECEIVES CONSTRUCTION PERMIT APPLICATION
CITY OF ��
Federal Way JUN. 2 0 2003 APPLICATION NUMBER: )$ - /O7- 5-(// -4-24.7 -
APPLICATION NUMBER: - -
kppLICATION NUMBER: - -
BUILDING DEPT.
CITY OF FEDERAL WAY
"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: /D,6 6 CL) „Z 95r,y ASSESSOR'S TAX/PARCEL #: / f 5 'y 6 O - O 0.B..Jr
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
06/22A2 a-Poov P.68/T/DN /�i .1,K /J /.or 7
I PROJECT INFORMATION ,
TYPE OF PROJECT(This application): o ByILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
LECTRICAL a ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): / G,�.e l96.&
PROJECT NAME: /17/ 1,
. ,:`I-PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
//9.e c�/ e ,4r /V/LLS j (.2.53 ).63f -i23,2 /
MAILING ADDRESS{STREET ADDRESS;CITY,STATE,ZIP):
90 6 SI.J -2.9.6r,,, / 7 ?) 40,9-7, hi,, 99c.2
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): I. EVENING P"`HONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: ( NAME: ! DAYTIME PHONE:
1
/4,ee7 /VA,6/fmiein ,fi .5MAILING ADDRESS(STREET ADDRESS, Y,STATE.ZIP): EVENING PHONE:
904 s w 29BT/ Feb ii_,07 LJ.a 9e i x,53 )k3 5 - .5.8.
RELATIONSHIP TO PROJECT: / j FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: 6.57.e.96e EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ 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
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.( )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ 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 daim(induding 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 daim arises out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application.
NAME/TITLE: (9ATif_A,JA 7.7„42/4 DATE:
ci PROPERTY OWNER ❑ APPLICANT ❑CONTRACTOR
_:FOR.OFFICE.USE ONLY:'.
.T7 NEW:rMO'ADDi mON :. ❑ALT: ... IO ..
,, "-�� �- ` 'ERATION Yt;4="..61a:REPAIR,�„�= �.n;fENANT IMPROVEMENTF.-4"`;
'CENSUS`CODE: .s ,. =•. � . ,-' LOT SIZE: ,;•' -,. ,.,, -- .x -
ZONING'DESIGNATION ' . ��_ BUILDING SHELL'ONLY? ❑YES? =❑ NO
=COMP PLAN DESIGNATION : . .BASIC PLAN? s❑YES ❑'NO
SECTION ,-.7.0 NSHIP ' •!RANGE NEW ADDRESS REQUIRED? , ri -0 YES ❑'NO
}PLATTED LOT? .❑YES,_; rtIO r. ''CHANGE OF USE? = a YES-- -fl NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvoffederalway.com
. • ELECTRICAL
- - 7
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 ft of Thermostats(First-543.00;add'n-$I3.00ca)
(First 1300 ft'-$85.50;Each add'n 500 ft -527.50) _Service and feeder $93.00 4 of Low voltage fire or burglar alarms
Square Feet: - First 2500 Il'-$50.00:Each add'n 2500 ft`-513 00
_Each outbuilding or garage 535.50 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/ _1f of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa 585.50
I _Yard Pole meter loops 557.00
I i
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Scry ce or Add'n 0 to 200 3 93-Ulm
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amn 115.50 57.00 _0 to 100 1 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 ft
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 of circuits
Over 800 am _289.50 216.50 _401-600 252.50 101.00 (I-5 circuits-572.50:Add'n circuits,£6 cap
'.arlial `ED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspecte. separately rom the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
=
0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 U-100 $ 57.00
201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 !I
_over 600 amp 174.00 I -201 -400 85.50
Mast or meter repair 43.00 i 401 -600 115.50
I! a of circuits over 600 125.00
I ' (1-4 circuits-557.00;Add'n circuits$6 ea) I`
i
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)
! I
1 I I I
I
f
TOTAL COLUMN(D): I
Total Column(D)
Estimated Permit Fee: (12)
• Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35)= (13)
■ DEMOLITION -
r
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) i
Bulletin #100-December 23, 2002