03-102810 A
City of Federal Way
Community Development Services Electrical Permit #:03 - 102810 - 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: HANDLEY
Project Address: 1921 S 291ST 91 Parcel Number: 422300 0210
Project Description: Install new meter can and 200amp panel in place of ones that were burnt in fire
Owner Applicant Contractor
Bret J Hadley ECONOMY ELECTRIC ECONOMY ELECTRIC
1921 S 291ST ST 4842 S ADAMS 4842 S ADAMS •
FEDERAL WAY WA TACOMA WA 98409-2821 TACOMA WA 98409-2821
98003-3818 (253)473-7660
Electrical Fixtures
'ah,. -
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Mast or Meter Repair-Residential/Mi 1
PERMIT EXPIRES January 5,2004.
Permit issued on July 9,2003
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: Date: -9` Q 3
,09
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1` CONSTRUCT ION PERMIT APPLICATION
CITY OF IP- '-Rm.r/
Federal Way RECEIVED APPLICATION NUMBER: - 1 Q 2 SJD-
APPLICATION NUMBER:
! O 9 2003 !APPLICATION NUMBER: - -
"The following is required information—Please print(in ink)or type"
��AWAY
Please note: Electrical)FYr�rg `���� terns and Engineering permits may require a separate application.
ILD
■ .'PROPERTY INFORMATION
SITE ADDRESS: X92/ ` . -2 9/.17 .5 • ASSESSOR'S TAX/PARCEL #: / 1 Z 3 0 0 - (•/ 2 LD
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 0 ENGINEERING o FIRE PREVENTIONIOSYSTEM �
PROJECT DESCRIPTION(Provide detailed d/esc',iption): /yJ'�e G /vet, /C/t--.G C/9ti /1�y/
.200/11,1,/,,,A,e Z_ /.v / . a 0A/et 774,-7 4,6>e.--e_
,eii e.✓7- //,., /.c-L
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: ' NAME' • i DAYTIME PHONE
ieef' `� Q•A.v�! Ac-„dLel, (433)3 4 -3303
79 ADDR,SS(STR ADDRES ' ZIP
STATE,
/C.d 44.V
CONTRACTOR: NAME: DAYTIME PHONE:
,__COA/C)/y e—LP G�72i•G (253) 4/73- 74 GO
MAILINGl/ki/STREET D:tESS;CITY, - 1 ATE ^ `E`VENING PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: '-I J/ FAX NUMBER:
- - ( ) - 1
CONTRACTOR'S REGISTRATION NUMBER: 1 EXPIRATION DATE:
(�Yofmrd. l�) c� N 0 2 a �? i 6 4,.,) / 6cl
APPLICANT: I NAME: DAYTIME PHONE:
l I
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: I FAX NUMBER:
0 ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT 0 CONTRACTOR
-■ DETAILED BUILDING INFORMATION
E G USE: _��;� � G Bs ILDI • ' �0 • VAL •illpIllIPPP.--..../ �
• ir
Alli • Atillilliti.A1 ■ PR• OSE► ••,AlPROV Akti ' ..
WATS -� • •�� o� o N� • � .PPRESSI• � OPOjp,>. •i NO
:•-iiia ■ �?�._V ■ o TAC'�� u� � p1�IVATE(r Y
SE AA - •RO ! R: o i IN a - E 0 PR i ,T—
**NEW Rx DENTIAL CONSTRUCTION ONLY**
NUMB'' OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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 fi re
MECHANICAL
AIR HANDLING U• (S) EVAPORATIVE COOLER(S) GAS LOt S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRES R(S) FURNACE(S)
DUCT(S GAS PIPE OUTLET(S) HEAT SOURCE: • ELECTRIC o GAS
PLUMBING
ATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
• HWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRI ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. )
INTERCEPTOR(S) SUMP(S)
V4 DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th• 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 city,including its officers and employees,upon the accuracy
Of the Information supplied • the city as a part of this application. 7- Q
NAME/TITLE: DATE: % O3
o PROPER ./NER o APP CANT CONTRACTOR
FOR OFFICE USE ONLY::;?,
:o NEW.;i,;: (ADDITION = 0 ALTERATION wx .❑,REPAIR _ ,r,F ❑;TENANT IMPROVEMENT,'•-k •
CENSUS`CODE Vis; ?;: -LOT'SIZE
-
;ZONINGDESIGNATION BUILDING SHELL ONLY?., DYES.'' =❑ NO
COMP PLAN'DESIGNATION .r BASIC PLAN? 4J o YES ❑'NO
SECTION
.TOWNSHIP =' RANGE i' . " •NEWADDRESS REQUIRED? __ ❑YES ❑NO
+ _.n•,:
PLATTED LOT?, ','D YES o NO CHANGE OF USE? . ❑YES''`=a NO
COMMUNITY DEVELOPMENT SERVICFS•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
TABLE B
1.---
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50:Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. First 2500 ft2-$50.00;Each add'n 2500 ft2-513.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#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/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops S57.0(..
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three wets or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 i 93.00
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.0C _0 to 100 $ 93.00.......$ 57.00 _601 -1000 326.50
-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 #of circuits
LOver 800 amp 289.50 216.50 _401-600 252.50 101.00 i 1-5 circuits-$72.50;Add'n circuits,$6 ear
TERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
hen inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
rvice 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 _0-100 $ 57.00
201 -600 amp 115.50 _Mas[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 circuits 1 -over 600 125.00
(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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) URE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
.
I i l
i !
TO COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from
Estimated Plan Review Fee: $72.50+
■ DEMOLITION -
Estimated Permit Fee: (14)
} Bond Amount:(15)
- `- - : ■ ENGINEERING -:.
I
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES , ..
Mitigation Fee: (18) (20) (22) .I
SBCC Surcharge: (1• (21) (23)
Total (Pages• e&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin rt 100-December 23, 2002 i