03-102478 CitOf
Oy Development Services ereWay
Community Electrical Permit #:03 - 102478 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.8i5.3050
Project Name: DUMINICA
Project Address: 2923 SW 314TH 5-f' Parcel Number: 150310 0270
Project Description: Circuit alterations to serve lighting and outlets in a garage to bedroom conversion.
Owner Applicant Contractor
MARIJANA DUMINICA MARIJANA DUMINICA MARIJANA DUMINICA
2923 SW 314TH ST 2923 SW 314TH ST 2923 SW 314TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(206)660-1273
Electrical Fixtures
Description Quantity Description Quantity Description [Quantity'
Circuits-Residential 4
PERMIT EXPIRES December 14,2003.
Permit issued on June 17,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e wil be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W y.
Owner or agent: �` ��„ Date: t!
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K- GDR- 2 c (J o of W (1-r
r2 - 11 - C7 pee,7 L. 0'40 Cc,, (a c
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._,A,..___. CONSTRUC 1 ION PERMIT APPLICATION Fid
CITY OF C `�
Federal Way
RECEIVED APPLICATION NUMBER: (- i(22„ /1 oa
APPLICATION NUMBER:
JUN 1 7 2003 kPPLICAATION NUMBER: - -
"The 1ffo\llloOwFng_i5 fr frf formation-Please print(in ink)or type"
Please note: Electrical, FircetttbialtiOrPgTems and Engineering permits may require a separate application.
PROPERTY INFORMATION
iLt
SITE ADDRESS: r 90 5 31
V V 5/ ASSESSOR'S TAX/PARCEL #: / S C3_71 -O - 0 01
L
U 1\k)AL DESCRIPTION OF UBJECT PROPERTY(' ACH SEPARATE DESCRIPTI• IF LENGTHY): a ` ' i j T�
iL. Jai ._ � --ID` i, 42--4c a.
- • ■ PROTECT INFORMATION _ - _ -
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
i LECTRICAL o,,ENGINEERING/1o FIRE PREVENTION SYSTEM /�
PROJECT DESCRIPTION(Provide detailed description): l PJC✓ l% / (r l� � G-27f1O AL ? i
vZA16 01 V.1iJ 7 - / _ / s ( u ` 7- i . f
PROJECT NAME: 61i/viApe_,4- / zr (20ilue?i2i--il%/
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: I ; DAYTIME PHONE°
v ALT 6t )64..z) - G73
MAILING ADDRESS(STREET ADD SS; ATE,ZIP):
X3/0 —11-�.—��/L-5.:/`t/� (/ -6V14,'01\ NII
CONTRACTOR: NAME: DAYTIME PHONE: j
0�A7Cs- ° _ e>4.l ' ( ) -
MAILING ADDRESS(STREET ADDRESS;C ,STATE.ZIP): EVENING PHONE:
I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
_ _ ( )
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
/ /
(copy of card required)
1
I
APPLICANT: NAME: /� DAYTIME PHONE:
L f Vl lC.j 066
MAILING ADDR (STREET ADDRESS; STATE { EVENING D -
): E�VE/NING PHONE'
glis- /Lb/4J ._<5(94p64.9# //1111- y- e
RELATIONSHIP TO PROJECT: ,/ j FAX NUMBER:
0 ARCHITECT o TENANT ,)j OTHER( DESCRIBE): ((/ 3,9� b Z3J
' `
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT FA CONTRACTOR
"■ DETAILED BUILDING INFORMATION s
EXISTING USE: Air G t ♦Li4 ' E ISTING BUILDING ASSESSED/APPRAISED VALUATION $ 37) 4/v
PROPOSED USE: l�L/ 61A11/rhACpROPOSED VALUATION FOR IMPROVEMENTS: ; 5--Ot3 : 00
' "I
SPRINKLERED BUILDING? o Y S ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ANO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 pen4ty 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 daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information sup. ' • ' , the city as a part of this application.
NAME/TITLE: } DATE: 6/( A)
1
,ROPERTY OWNER o APPLICANT .. CONTRACTOR
,16'
FOR.OFFICE USE ONLY: <;
';D NEW , . i7 ADDITION ,_q ALTERATION .❑.REPAIR,- .,.-O„TENANT.IMPROVEMENT
CENSUS`CODE *-► - .. ; 'LOT SIZE' '`
ZONING DESIGNATION• _V ',_ ,g .BUILDING.SHELL'ONLVg6 YES:" ❑NO "'
Y COMP PLAN DESIGNATIONk- . . . '. ,BASIC PLAN?W❑YES 7 ;0 NO'".
SECTION- .' -.. TOWNSHIP :e RANGE .: ?:F,F- NEW ADDRESS REQUIRED? .'D YES . ='o'NO
PLATTED LOT? ❑YES 7=. ' CHANGE OF'USE?,Y , O YES";mo=b NO
roNO ss`` �� __ 7,
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
•
■ ELECTRI •L . ,_
TABLE B
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 ft'-$85.50:Each add'n 500 R'-527.50) Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 11'-$50-00:Each add'n 2500 ft'-S 13 00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-9I0(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
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 200 $ 93.00
_Up to 2011 amp S 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 $ 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 #of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 i I-5 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
_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
u of circuits I _over 600 125.00
(1-4 circuits-557.00;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) I TOTAL(D)
! � i
' i f
i ► 1
TOTAL COLUMN(D): l
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)
r
• OTHER FEES -: -
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (pges one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24)
Bulletin #100-December 23, 2002