03-101812 City of Federal Way
Community Development Services Electrical Permit #:03 - 101812 - 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: BOREN
Project Address: 30319 6TH 59/Ave SII Parcel N : 039580 033
Project Description: Check wires,remove fire and smoke damaged devices fo w sheet ro . id re ce damage circuits.
Owner Contrae or
T J Boren ACTION PCrim
4 ACTION PLUS ELE$ I RIC
2952 SW 302ND PL P.O.BOX P.O.BOX 1423
FEDERAL WAY WA MAPLE V A 98038
98023-2357 (206)650-7754
Electrical - xtures
• i E7 I s R ,- a 1,
Circui : sidential MI 4 '
PERMIT E i ' \1111?2003.
Permit' ie. • �
I her,• certify that the above formation' .rrect anditi , ,struction on the above described property and
the oc• .ancy and the use w. be in . c , + e with the a s d regulations of the State of Washin on and
the City . Federal Way. 'l /'
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Owner or agent: Date: v
al
. ,T •
City of Federal Way
Community Development Services Electrical Permit #:03 - 101812 - 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: BOREN .#E
Project Address: 30319 6TH SW Parcel Number: 039580 0330
Project Description: Check wire's;remove fire and smoke damaged devices for new sheet rock and replace damaged circuits.
Owner Applicant Contractor
T J Boren ACTION PLUS ELECTRIC INC ACTION PLUS ELECTRIC INC
2952 SW 302ND PL P.O.BOX 1423 P.O.BOX 1423
FEDERAL WAY WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
98023-2357 (206)650-7754
fr(fo 2_
Electrical Fixtures l �� 3 /-((
Description 'Quantity Description f Quantity ascription : Quantity
� �°�
Circuits-Residential 4
PERMIT EXPIRES November 3,2003.
Permit issued on May 7,2003
iiitteby 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 rV
the City of Federal Way. /A-0/
Owner or agent: Date:
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RECEIVEDc�-
CONSTRUCTION PERMIT APPLICATION
CITY OF �•..� MAY 0 7 2003 APPLICATION NUMBER: 03 - L of EL G- 0-
Federal Way CITY OF FEDERAL w APPLICATION NUMBER: - i
BUILDING DEPT AY 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.
1PROPERTY INFORMATION
SITE ADDRESS: 3 O 3/ 6 AOC- Sle ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
)(ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
1060 41141. .41:z
PROJECT DESC IPTION(Provid detailed escription): W`/
1-O 4 t rz r g
PROJECT NAME:
A I. PEOPLE INFORMATION
PROPERTY OWNER: NAME: �!t%'i /o -Ai DAYTIME PHONE
MAILING ADDRESS(STREET ADDRESS;CITY;STATE,ZIP):
CONTRACTOR: I NAME: j DAYTIME PHONE:
A.LT/D N oaty S f LE`z-�2r a ; ( t t) t..4 - _ 1 I
MAILING AlaQRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE'
CITY OF FEDERAL WAY ESS LICE SE MBER: O/ - / Z i 4, r - 040, FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: E 9/3 7•174J v i' c d fr� E i EXPIRATION DATE:
^/TL`7/ G /J
(SPY of card required)
APPLICANT: I NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (
E-MAIL ADDRESS: I
I.
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT o CONTRACTOR i
-■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: . ESTIMATED SELLING PRICE: $
■ PRO3ECT 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 ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o 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 perju. , at the information furnished by me Is true and correct to the best of my knowledge,and
further,that I am authorized by the o, e of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the Ci o Federal Way as to any claim(induding costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such d•i ,which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where s ' arises out . the reliance of the dty,induding Its officers and rnpioyees,upon the accuracy
of the information supplied t j• - ' as a part • s appli tion.
NAME ` " v
/TITLE: . DATE: � �
o PROPERTY OWNER ❑ APPLICANT ❑CONTRACTOR
•
.,FOR,OFFICE,USE.ONLY: ',
t3 NEW ADDITION .ii ALTERATION # .REPAIR .. a TENANT:IMPROVEMENT .,,
:CENSUS':CODE. �h€i
*�€voakg,A,. .` . Nit- m
-ZONINGTDESIGNATION'n 1 .? 11, sBUILDING.SHELL ONLY? 0 YES �.0 N0
COMP PLAN DESIGNATION ,�, .. �c 5 €BASIC PLAN? ❑YES.:'., a NO �
;cSECTION TOWNSHIP k RANGE ' :NEW ADDRESS REQUIRED? � o YES - D''Now-
PLATTED LOT? YES _o-NO trtt ' '. CHANGE OF USE? €-_`-.❑YES '-a NO
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
•
■ ELECTRICAL ,._
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 ft'-527.50) _Service and feeder 593.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 fl'-$50.00;Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 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-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
I _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 5 93 tiu
Up tc.200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 =0 to 100 $ 93.00 1 57.00 =601 -1000 226.50
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 (1-5 circuits-$72.50: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/Commercial/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 _
�j 401 -600 1 15.50
a of circuits _over 600 125.00
(1-4 circuits-$5 7.00;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
ncrmit fee+$72.50.Add'!plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i r
1 f
I i I I
TOTAL COLUMN(D): !
Total Column(0)
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