03-102166 City of Federal Way . Electrical Permit #:03 - 102166 - 00 - EL
Community Development Services
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: WATERS f
Project Address: 30304 19TH SW Parcel Number: 085050 0050
Project Description: Adding 5 outlets,exterior floodlights,fan light,switches;altering(2)circuits
Owner Applicant Contractor
Stephen H Waters Stephen H Waters Stephen H Waters
30304 19TH PL SW 30304 19TH PL SW 30304 19TH PL SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-3416 98023-3416
Electrical Fixtures
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Circuits-Residential 2
PERMIT EXPIRES November 24,2003.
Permit issued on May 28,2003
I hereby certify that the above information is correct and that the onstruction on the above described property and
the occupancy and the use will . ' accordance with the law rules and regulations of the State of Washington and
the City of Feder.
Owner or agent: /-1G Date:
2 —03 ( o eL,961/4/ 7frf0-0(/& d _
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,,A. N�� RIVO CONSTRUCTION PERMIT APPLICATION t-�
CITY OF 4 D1 / / _ /_- 2-1
} j(j.E(J (C(C
Federal W uNm�'E�OpM�o�p APPLICATION NUMBER: /73--
M ,�®� APPLICATION NUMBER:
ANN 2. 'APPLICATION NUMBER: -
**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: 30 301i /9 01*--P1 5i ASSESSOR'S TAX/PARCEL #: C �5 J-0 576 - 0 0 5-0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION - -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL a DEMOLITION
ELECTRICAL a ENGINEERING
-�❑+ FIRE PREVVENTTIOyN SSYSTEM / //1, h-t-
/ YiO ,-
PROJECT DESCRIPTION(Provide detailed description): S 0�' �4 S / '� r`' _kSO� FA,/•F N /1.att+
CL1 f s LA) -/-i\.
PROJECT NAME: Yv ✓ £X/5-1,A)C-' e,f-t)I c'I-- C.,l rc to 'S
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: 51t ew 4),)4 41e-5
DA Mx1 (053
4-3
MAILING ADDRESS STREET D` STATE,ZIP): cXC)/ Lt/43030 ( 7 -
5x023
CONTRACTOR: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
R - - { ( )
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) j / /
APPLICANT: NAME: DAYTIME PHON :
5.ei h.44/J WAl'-,vrs (253) Tf(O - 3QS-;
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): EVENING PHONE:
30 30q lel 'el Sc,J 7J gVG1Z-3 ! (Z. O_?6. -6E63
RELATIONSHIP TO PROJECT: / FAX NUMBER:
o ARCHITECT o TENANT 0 OTHER( DESCRIBE): E
Ju r.-- ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECTROPERTY OWNER o APPLICANT 0 CONTRACTOR
■ 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 XNO
WATER SERVICE PROVIDER: 'LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE XPRIVATE(SEPTIC)
a
**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) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( J
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 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 dty,induding its officers and employees,upon the accuracy
of the Information supplied to the city as a partaof
this application.
NAME/TITLE: �� �y DATE: L 2'00 3
)RROPERTY OWNER o APPLICANT o CONTRACTOR
FOR-OFFICE,USE,ONLY -I
-.SY& I ADDITION ��i5 ALTERATION O#REP IR � i TENANT IMPROVEMENT �_;.
"CENSUS`CODE :410 'LOTSIZE ' . . *; ` 4_ it
ZONING DESIGNATION _!` ;:
.,.. „:4 .� ���UILDING SHELLONL5f7n YE5*Li N0 � �m_t,
COMP PLAN DESIGNATION i' BASIC_PLAN? o YES --o NO x .` r .,;
$ECTION_ , � l '" _. ,1 . ,. ,:;Q ., E,.
.�., TOWNSHIP RANGE ,_ ..,�� ;NEW ADDRESS.RE UIRED7 ;,:4_�o YES V,II NO ..
PI ATTEDLOT?. bo YES a NO 41W- •.• _CI ANGE yOF
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cityoffederalway.com
■ ELECTRICAL
TABLE B
Ms
4NESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
le Family Service or feeder only $57.00 ft of Thermostats(First-$43.00;add'n-$13.00ca)
st 1300 ft2-585.50;ciach add'n 500 ft1-$27.50) !Service and feeder $93.00 ft of Low voltage fire or burglar alarms
Square Feet: 12-0 ' First 2500 ftm-$50.00:Each add'n 2500 ft`-513-00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ff of service or feeders 'Per WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _f;of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
II _Yard Pole meter loops $57.00
I t
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 93.0U
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50 `s
( =201 -400 amn 115.50 57.00 =0 to 100 $ 93.00 S 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 _ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-572.50:Add'n circuits,$6 ea)
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/Commerciai/Industrial
_0 to 200 amp $ 71.50 _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
ja of circuits _over 600 125.00
(1-+circuits-$57.00;Add'n circuits 56 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.'plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B)- ' NUMBER OF UNITS(C) TOTAL(D)
t✓ Quads; ,ail ti) �xls1-4Nei -
E o Ftooa4tj/ iii1cL\ e iit c
j I /,U L0 r Faviat'l ' L11/5w1M
• " 'TOTAL COLUMN(D):
Total Column(D)
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)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24)
Bulletin #100-December 23, 2002