03-102708 City of FederalWay
Community
Development Services Electrical Permit #:03 - 102708 - 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: KENNEY
Project Address: 30033 14TH S giVe.5 Parcel Number: 025300 0285
Project Description: Upgrade service from 100-amp to 200-amp.
Owner Applicant Contractor
Chester F Staszak VALLEY ELECTRICAL CONST INC VALLEY ELECTRICAL CONST INC
30033 14TH AVE S 31816 109TH AVE SE 31816 109TH AVE SE
FEDERAL WAY WA AUBURN WA 98092 AUBURN WA 98092
98003-4107 (000)833-9234
Electrical Fixtures
,' Q.11`=' a 4eitriptItik714aOtiOntity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES December 28,2003.
Permit issued on July 1,2003
I hereby certif tha e above info •.tion is correct and that the construction on the above described property and
the occupancy . d the . 1 be ' ccordance with the laws,rules and regulations of the State of Washington and
the City of Fede Way.
;CAPOwner or agent: ` (....Q Date: ---2k
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. CONSTRUCTION PERMIT APPLICA ION
CITY OF �./ EGEIVED APPLICATION NUMBER: 0 - (0,R 201c _l.N
Federal VVayAPPLICATION NUMBER:
JUL O - -
IT 2003 kPPLICATION NUMBER: - -
**The fo�fdvY.i r ikYhrYnation-Please print(in ink)or type**
I DEPT,
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- - - ; I.PROPERTY INFORMATION` ,
SITE ADDRESS: 3:25-z---5-2- \O' '4i i. S ASSESSOR'S TAX/PARCEL #: -
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 o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): U P49-61\--., 4¢-a
`�� P _sem. 2 - A M p
PROJECT NAME: 'Q,..,••/\.V\e,-/ cJ cR-0.K.,2_, ( )42 G-9-A b1/
PEOPLE INFORMATION
PROPERTY OWNER: NAME: 1^^ : DAYTIME PHONE:
V V\�. C_\/\.V'L i •
MAILING ADDRESS(STREET ADDRESS;CITY STATE,ZIP):
CONTRACTOR: NA ME PHO It- aG ,`` ``s y �
3 ��
` MI (STREET ATE.ZIP): 4 PHONE*
I \b* RUQ t Avgp-1
. , ! ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / FAX NUMBE _
- - --3A(,-,3
- 4b
CONTRACTOR'S REGISTRATION NUMBER: IXPIRATION GATE: , ,,
� I
(copy of card required) V. ,Z �C-'�s Z I . / 63
APPLICANT: NAME: ! DAYTIME PHONE:
( ) "
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( )
RELATIONSHIP TO PROJECT: I FAX NUMBER: '
0 ARCHITECT ❑TENANT o OTHER ( DESCRIBE): i ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT 4tCONTRACTOR
■ 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:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o 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.( )
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) ❑ 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 a I. orized by the owner of the above premises to perform the work for which the permit application is made. I
further agree t. old ha • less the City o Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred in the
Investigation a • defense . ch daim) which may be made by • - person,induding the undersigned,and filed against the City of
Federal Way,b :only whe • ch arises out of the reiian . • • e city,including its officers and empl.tees, t pon the accuracy
of the informati 1 supplied . the city s a part of . :ppl' U.
0
NAME TITLE: i•_ ' DATE: 1 •
0 PROPERTY OWNER ❑ APPLICANT ❑ ONTRACTOR
FOR OFFICE USE ONLY: --
�o;_NEW .., _o ADDITION � ,:. o ALTERATION - . o.REP ,AIR _ =;•0 TENANTYIMPROVEMENT -
CENSUS°CODE: _•. :e .2-- ,N ,t`- LOT SIZE --,4- .. 4.-x. .',-.,-it
ZONING DESIGNATION . s;4:. ,s' BUILDING SHELL'ONLY? DYES` =❑ NO _.
COMP PLAN DESIGNATION - _-'- . BASIC PLAN? ,``❑YES ;. '❑'NO
SECTION--.-.,-. ,, TOWNSHIP °" i'RANGE.7:0"-P%- NEW ADDRESS REQUIRED?.:. `>- -❑YES", 'd NO
-PLATTED LOT?, `.'AYES foNO - '"... . - .' 'CHANGE OF USE? ❑YES '-t7 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
IN ELECTRICAL
, TABLE B
- or,
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ii of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ftr-$85.50:Each add'n 500 ft2-$27.50) Service and feeder $93.00 _4 of Low voltage fire or burglar alarms
Square Feet: _ First 2500 ft1-550.00;Each add'n 2500 ft`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _4 of service or feeders `Per WAC 296-46-910(5)(6)(1&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops $57.00
f I
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 93 0L)
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 5 93.00 $ 57.00 -601 -1000 126.50
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 4 of circuits
Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (I-S circuits-$72.50;Add'n circuits,$6 ear
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
4 0 to 200 amp $ 7 L50 _Over 600 volts surcharge 72.50 -0- 100 5 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 201 -400 85.50
_Mast or meter repair 43.00 401 -600 115.50
u of circuits I _over 600 125.00
(1-4 circuits-S57.00;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
permit fee±572.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLES(B) NUMBER OF UNITS(C) TOTAL(D)
i
•
I
1
M 1
TOTAL COLUMN(D): !
Total Column CD)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
. . • • DEMOLITION -- .-. .> _ - -
x 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-December 23, 2002