03-102804 City ofFederalWay
Community
Development Services Electrical Permit #:03 - 102804 - 00 - EL
33530 Ist Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SAGHALIE JR HIGH SCHOOL
Project Address: 33914 19THrSW Parcel Number: 242103 9088
Project Description: Install circuis Ave.'r 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*FEDERA 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
,- s.' ,ttr t �,'".. Qtfantlt _ irse tptio .__ . an 9,.%
Alt.Sery/Feeder up to 200 amps-Coal 1 Circuits- Commercial 23 Low Voltage Fire Alarm-Commercial 4800
Low Voltage-Other Commercial II 4800
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.
Owner or agent: 6,....,,,,, 4 Date: 7 ` 2 Y---0
`L_a. o._,b k - o e-sh -- -sk_ e--ti,w-
g — 7-ft—0 3 c-ia l .ti e eq.,.e r-A 1 1 /„Gv...3 E-7-- .
10 — 'OA— fiin" rp/O
SPP 1
2
(.0 .
""(7
C\_0c bka
SA h41 4()r',Ia/.
RECEIVED CONSTRUCTION PERMIT APPLICATION----
uV — APPLICATION NUMBER: 03- L 2 O �,/ 00
�1
JUL U 8 2003 APPLICATION NUMBER:
APPLICATION NUMBER: _ - _ _ -
CITY OF FEDERA ��//ppvv
**The folloB o � iifdhnation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 3 3_9 ) Lj )9 Ss IU, ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
, • PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING El MECHANICAL El DEMOLITION
V ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4c.�GC J'mit,'4L C//�J.A5,42 of c,/1A S , PRS✓/ s1
) _S/A 5) 7A't 2 'w5 �J°f_k7:I A/ 1 �Q 1 c ,� CJ J I F.'t�e
I rz n., d r/1`'- - /Aa/'/ Y/e r 0/1-.1 •
PROJECT NAME: 1 - ��$4 0",01 /� o/GCf?)'s'ivv
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
F,ed e/t4 W4/ 5 ovJ' tsh, 7 (2 )9 - 93o
MAIUNG ADDRESS(STREET ADDRESS CITY,STATE,ZIP):
>0oUG so azsr�� F�P ,��
CONTRACTOR: NAME: DAYTIME PHONE:
5 h ASD ,�A!s lw fi/LG /7e l L (��) -
MAIUNG DDRESS( TREE ADDRESS; ZIPk 0
Ps D )3,7r a.GUgA,
1.v. `�''8a,9 ( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: [/ 9 0 o/8 95 A 0 O FAX NUMBER:
_ ( ZD(i) S78 - �?07
CONTRACTORS REGISTRATION NUMBER: A I � EXPIRATION DATE:
(copy of card required) .S t E P 1 L E s.� J—a / / 3 1, / o 3
APPLICANT: NAME: DAYTIME PHONE:
Ch , c�tiT.�,�c7-�A ,� bo ve ( )
MAIUNG ADDRESS(STREET AD RESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
1 /
1111 DETAILED BUILDING INFORMATION
EXISTING USE: -.5Cv c9 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: CI 0 S.SJtO 0 jvf s PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:y,YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 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
_FIS -
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)MS)
BBQ(S) FAN(S) HOOD(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: El ELECTRIC 0 GAS
PLUMBING
.
•
BATHTUB(S)• LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 daim),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 city,induding its officers and employees,upon the accuracy
of the Information supplliedd to‘the d as a part of this application.
NAME/TITLE: �_� --'r"`-t / [A...4_,./ , DATE: '7" ®7 - 00
❑ PROPERTY OWNER 0 APPLICANT A CONTRACTOR
FOR:OFFICE�USE ONLY:
pD NEW�� CI,ADDITION 4y❑ ALTERATION!..:;::4:..4. ' -;REPAIR C ::U TENANT Ii,.J,
MPROVEMENT T
CENSUS CODE::r+.. ..'LOTsSIZE Vifili . . ;
ZONING,DESIGNATION, ' .. I
BUILDINGHELL ONLY? ❑<YES t] NO .
COMP*PLAN'bESIGNATION m
' BASIC.PLAN?* fF5 ❑ NO , :,,,,!!e,..,.E.,!,,',.
SETON, r _, {TOWNSHIP RANGE NEW ADDRREQURED? ❑.YES ❑t3!,
;.
PLATTED LOT?:° T❑YES, :❑ NO CHANGEOKUSE? ❑.:YES, -,❑ NO
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
•
■ ELECTRICAL '
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC[QUI' • • •• ' 'VICES
_Single Family _Service or feeder only $57.00 • . ermostats(First-$43.00;a..' $13.00ca)
(First 1300 111-$85.50:Each add'n 500 ft'-$27.50) _Service and feeder.. $93.00 ' . ti of Low voltage fire or burglar alarms
Square Feet: _ irst 2500 11'-1,5 9.00;Each add' 500(l'-$1 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK -1'4-Square Feet: 9 v
(Inspected with service) _It of service or feeders WAe t1
296-46-910( )(b)(i :•"
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _• t -'. . - - • i , •'n sign
I oolhot tub,s
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming p , pa $85.50
Yard Pole meter loops $57.00 `
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL • • • ' • •USTRIAL
(Includes three units or more) Altered S. ice or Feeders
Service Feeder Amps Service or A Id'n*�00 to 200 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 - $: 216.50
_201 -400 amp 1 15.50 57.00 _0 to 100 5 93 00 5 57.01 ml 10 326.50
_401 -600 amp 158.50 78.50 _101 -200 115.50 72.51 over 100 363.00
_601 -800 amp 202.50 108.50 _201 -400 216.50 85.'1 f circuits
_Over 800 amp 289.50 216.50 _401 -600... ...600...................... 252.50 101.0. (I-5 circuits-$7 _0:Add'n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _80l -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 174.00 _201 -400 85.50
_Mast or meter repair 43:00 _401 -600 115.50
_a of circui'L'' _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i
It 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',plan review for other submissions is$85.50/hr.
J( ftof inc(udIc1 , / 4,1rra,tilU fee,.
• ,:gt 41.7 4•l: 1At•PL9' IXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
amLPTps,a plan
[Z -IIIME2i MIIIIIIIIMIr
D
1 1 .1' X7 �• 1111. l Siff �-
111 O /MII • )06
' 671171fflari OTAL COLUMN D
Total C�)4 ti /��.Q [i" 95 4 2.��
ri
Estimated Permit Fee: (12) # F.
V
Estimated Permit Fee from tine 12
Estimated Plan Review Fee: $7250+( 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-December 23, 2002