03-102801 City of Federal Way
Community Development Services Electrical Permit #:03 - 102801 - 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: SACAJAWEA JR HIGH SCHOOL
Project Address: 1101 S DASH POINT Rel Parcel Number: 052104 9024
Project Description: Install circuits for outlets and lighting,install voice data lines/outlets, install fire alarm lines/devices,
install intercom lines/devices;Work in connection with conversion of shop areas to classrooms.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
31405 18TH AVE S PO BOX 3630 PO BOX 3630
FEDERAL WAY WA KENT WA 98032-0210 KENT WA 98032-0210
98003-5433 (206)878-7333
Electrical Fixtures
Ertv, s'- ? o r
Circuits Commercial 16 Low Voltage-Other Commercial 2700 Low Voltage Fire Alarm-Commercial 2700
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 Wa .
Owner or agent: df Ci--.O Date: " Y'd _
/ 0 — to — v- r---4/14 �ra/'D
,,L
T RECEIVED CONSTRUCTION PERMIT APPLICATION
uV Ry APPLICATION NUMBER: Q - 11:222.g.0 L -
JUL 0 8 2003 APPLICATION NUMBER: - -
APPLICATION NUMBER: -
C�TY OF FEDERAL WAY - - - - - - - _ _
**The followin s 1910F Q�t®i R tion-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: HIV 6A ,Q/}S14 Pry 12a, ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1' .. ----.-:-.. . ■ PROSECT INFORMATION ,
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
cif ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descriptio/n): /7� dot,*7 S N�� 4/2_y04 AiA d) A(/1-0 t'-I/�..SS,P19m/f.4 S e F. ti'GTi2IiC/1 L1-- potvvA_ t. Lit,_N./ 12. 1 /.4,/GI-
1 A 7) C
1 , i('f 4-I A R/. Deft/it.L S t 1i / ot, tZ°.2 cis'A4 .
•
PROJECT NAME: 4..tL1.,� VV l,Y� �Vi H '1 SCAMP(
■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME PHONE:
Fed,li1 A l Gt, Se-40.6./ D.--$2:401, 7 (?s3 ) 9 ys -S54 a
MAILING ADDRESS(STREET AD CITY,STATE,ZIP): -
/oGG Sm, azo' S/,� �e � W, ) WW ,
CONTRACTOR: NAME: I DAYTIME PHONE:
s A r ' At,/. 04, /51,e,2k),c_ (za,) 8�8 - '333
MAIUNG AD (STREET ADDRESS;CITY,STA ZIP): EVENING PHONE:
P. o, 607' G�3r /-p A,7' 10J4. 9�a/� ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ,G-, qQ` l O, 0t p (2O,�j21.... FAX NUMBER:
- - 61'e)
CONTRACTOR'S REGISTRATION NUMBER: A/ T EXPIRATION DATE:
(copy - L of card required) L L5�L Q[ e / /
APPLICANT: NAME: DAYTIME PHONE:
4-AAi 4S cdA,17. /1-.7— 4_ ,4e, I,se ( )
MAILING ADDRESS(STREETADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT R CONTRACTOR •
■ DETAILED BUILDING INFORMATION
EXISTING USE: s LGt,n C! I-N EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: C.bf-45 Ado 110,5 PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ I•
■ 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 UNITS) 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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 aim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information sur.plied to thea as a part of this applicatii..n.
NAME/TITLE: __5' I._l _t_ .. ��!J i'.�� � DATE: 2-o7 03
❑ PROPERTY OWNER 0 APPLICANT Cif CONTRACTOR
• •F,,ICE SE ONLY:r,•
(+ .. ) ® [, .•� ®ALTERACI i .� ' r NA 4� l4 'O ,EMENT r i,;
• $/ ""g,.s,•- 1'� d�"?.' ''a`- -i"� s,, ` -. +°' }vim,•67,C.,r' +n14
t. t a OWN f IP" RANGE,, � �q��. bbRE S ,I IR D? b .® 0
),I TIED'LOT?' ' !'''70'44-1,4N.1, k a� ❑YE,S
.........• .....a��, a0 .:.�... � g� _� , 1-IAGL�Q��SE?� �•�s �F� �...�_
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
ywvw.dtvof federalway.com
t
• • ELECTRICAL
•
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/T .. ' :VICES
_Single Family _Service or feeder only $57.00 _If of Thermos . •irst-$43.01,•dd'n-$13.00ca)
(First 1300 ft'-$15.50;Each add'n 500 ft'-527.50) _Service and feeder $93.00 al#of Lo •oltage fire or burglar al. ms
Square Feet First 251: ft2-550.00:Each add'n 25 L12- 13. 0 3
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Squa Feet: O - [_
(Inspected with service) _#of service or feeders ' Per WA 296-46-910 - (b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _• o _ns(First si:n • .00;add'n sign
(Inspected separately) feeder-$37 each) . 1.01 eac
-Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
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 O0 3 93.0U
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 oto 100 $ 93.00 $ 57.0. _601 - 1000 326.50 !I!
_401 -600 amp 158.50 78.50 _101 -200 115.50 .50 over 1000 363.00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 C&k of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 11.00 (1-5 c' . 2.50:Add'n circuits,S6 ea i
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 13:.::
(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
_over 600 amp 1 74.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
_#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
permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE,B(B)- • NUMBER OF UNITS(C) TOTAL(D)
PO L Ou„7 ket5 �` ��
vat, D4/4... DvTI,e1`Sf 3r LP3 lit fu-
,'3 $
AxlVft ' *� :50 ► 39
/ Atc-v,rs N .Q -X(( .vii / 6
LI V- ii t, it
I
(at LC kd Q(,itnv)LTOTALCOLUMN(D): /D
0
D@5helitui4) mnTotalColu (D)
4$05.1*
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)
• 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)(1I)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002