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03-101838 • City of Federal Way Community Development Services Electrical Permit#:03 - 101838 - 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: PASBRIG Project Address: 5235 SW 316TH PI Parcel Number: 102103 9035 Project Description: Installing new 200 amp service for newly constructed ADU Owner Applicant Contractor Roy E Pasbrig INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC 5235 SW 316TH PL 4501 KENNEDY RD NE 4501 KENNEDY RD NE FEDERAL WAY WA TACOMA,WA TACOMA,WA 98023-2038 98422 (253)943-0500 Electrical Fixtures Service: -Residential 800 PERMIT EXPIRES November 4,2003. Permit issued on May 8,2003 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: as- ok--03 c "jf fc.„ ..ce-A of ; F Qd--- 6 kr et,,up tt- r /24)v e - 21 -03 &loti iZ— z —03 ary-r..cc•c4Oh s t) (awl©4 �� os--1 ,\°44" 5 "ro � r Ditch cover inspection: /Ur/2-o v> , 2--( Date Rough-in inspection: n Date Service inspection: iff®L V t(9 —W 2-3 --v.3 Da e FINAL inspection: � i v Dile RECEIVED BY . Aiii, COMMUNITY DEVELOPMENT DEPARTMENT CONSTRUCTION PERMIT APPLICATION CITY OF115111111.6%.r." �/r 8 2003 . APPLICATION NUMBER: 613- /OL Z _ CZ EL Federal Way A APPLICATION NUMBER: 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. I .PROPERTY INFORMATION SITE ADDRESS: ..5123...0Sw 2f‘-ft- Pk ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S I']? I PROJECT INFORMATION - TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION kELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIP ON(Provide de fled description): / W I e N ^ • i�f� Nati Pte^ h r � ]a v;c Lv ) s- eattaTC ser '/c e . /'e, , , e PROJECT NAME: POS t0:---7 . ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: GG77 ; DAYTIME PHONE: MAILINGAC( ESS(qET ADR/E55;CITY,STATE, P): _ I (25 3 ) F�k -i11 -/2.J� -5CV 3(Qr' QC e , e ` t(/a, CONTRACTOR: NAME: ____ / DAYTIME PHONE: -JP1e - /e c - c (25"3 )279- -Q03 0 MAILING ADDRE SIE ADDRESS;//iITY STATE,ZIP): / L I. EVENING PHONE: 5O OF I' K ' WAY BUSINESS LI`�1qyNUMBER: " IN1' (. $3 )9Y3 CTS'G C CITY N( FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: /(Ii(/ /�� W I At7 (� ' � g.2/L � EXPIRATIONs /0( 2QC�' DATE: (copy of Card required) I 5 � / APPLICANT: NAME: DAYTIME PHONE -CC/01 e Qr CO-i.tV0Jc— I ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: 1 � ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑ TENANT o OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER 0 APPLICANT CONTRACTOR 1 ■ 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:❑ YES 0 NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGNLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC) • **NEW RESIDENTIAL CONSTRUCTION ONLY** _ NUMBER OF BEDROOMS: 2 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: ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 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 supplied to the d a part of this application. NAME/TITLE: OwH Q r DATE: O S ❑ PROPERTY OWNE• ❑APPLICANT $fCONTRACTOR _:FOR.OFFICE.USE.ONLY ., l 3p NEW;'" ®VADDITIONi ❑ALTERATIONO.REP.;AIR 1�TENANT IMPROVEMENTS . _s ?';CENSUS CODE V� W?- 0r- - ; '.'' BUILDING SHELL�ONLY? DYES `:a NO , . ZONING DESIGNATION, .m.- gt.wiare �. -•-, COMP:I AN DESIGNATION - 3 BASIC'PLAN? ❑YES ❑`NO,, SECTIQN .. TOWNSHIP k` ,GRANGE S NEW ADDRESS REQUIRED? ," ..a YES °a NO , PLATTED LOT?x ..❑YES _o`NO °`CHANGE OF USE? °,-a YES . NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,cltvoffederalway.com • IN 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 1t'-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: gCQ _ First 2500 fl'-$50.00:Each add'n 2500 ft1-$13 06 _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-$57.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign (Inspected separately) feeder-$37 each) $20.00 each) _Swimming pool,hot tub,spa 185.50 _Yard Pole meter loops 15'7 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 93.00 tip to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50 -201 -400amp I 15.50 57.00 -0 to 100 1 93.00 $ 57.00 -60 f - 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 1-S 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 _a of circuits over 600 125.00 (1-4 circuits-157.00;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'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 r � I i l TOTAL COLUMN(D): ! Total Column ID) 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)+(1l)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-December 23, 2002