03-104402 City of Federal Way
Community Development Services Electrical Permit #:03 — 104402 — 00 — EL
33530 1st Way S
Eyrleral Way,WA 98003-6210
Ph:.253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DEAN
Project Address: 1419 SW 323RD 5i Parcel Number: 010450 0220
Project Description: Install 4 circuits in garage.
Owner Applicant Contractor
Shauna L Last NONE NONE
1419 SW 323RD ST
FEDERAL WAY WA
98023-5535 NONE
Electrical Fixtures
r Description Quantity Description bQuantity Description !Quantity
C r�cuits-Residential 4
PERMIT EXPIRES March 22,2004.
Permit issued on September 24,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a ' - • -•l be in -ccordarlfce with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ,
Owner or agent: 40 ` Date: 97----dt-1-/CPJ •
/C, 14. 4,,efet„,0
Grr
(S/5/1
�1` l G'OMMuwil r"4" '- .”CAYI DEPARTMENT CONSTRUCTION PERMIT APPLICATION
CITY OF ‘P--"ft.✓
��p �� ���� APPLICATION NUMBER: 63- / 0H 1102_ _-
Federal Way APPLICATION NUMBER: -
tAPPLICATION 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.
111 INFORMATION
SITE ADDRESS: \4\0\ Slii 32- ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-- -:` ■ PRO]ECT INFORMATION ;, _ -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
'ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): X j•-1:. ."7-)41_,L, (sf) }.„`'v
0J....Od t/
PROJECT NAME: Q.—q--3" ..._. Ci P-C t'I -1--s'
PEOPLE INFORMATION:`., -
PROPERTY OWNER: NAM �t JAYTIMEPHONE:
MAIILI ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
\e LL-.) S'2� S's' t X14
CONTRACTOR: NAVA--1.1_2 (
^ �c_� ri .req �I 3 �2MADRESS(STREET ADDRESS;> CITY,STA .ZIP): J ;f.1(EVVENING PHONE" '�iT/-1L
�� 0 ) S \ Av C6U g--s'�u 91n-2-1 ( ) -
. CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - - FAX -
CONTRACTOR'S REGISTRATION N MBER:irel,_J[ �y I EXPIRATION DATE: 9� / -,�-�[���7U
(copy of card requd) \J �c.�G- C \ � i 10
/ -30 J
APPLICANT: NAME is DAYTIME PHiiK
1 \(Ak.,-- _,- .1/ L-5- 1'-' QASJ S-C (-2S' l'3 3 - 2 3-t
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER
o ARCHITECT o TENANT `i10THER( DESCRIBE): Z_`c.1 C&N � i ( )233 - b
E-MAIL ADDRESS:
I i
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER p APPLICANT ONTRACTOR
- ■ 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:❑ YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT 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 Value of Mechanical Work: $
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 a 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 • • •- ense of su• claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,,.ut only • su., daim arises o t of th: liance of the city,induding its officers and employees,upon the accuracy
of the inform :on su iior-.• • e city as • •art , this a,�j •tion.
0
NAME/TITLE: � •� • -i DATE: .7()_\(_,(63
0 PROPERTY OWNER a APPLICANT CONTRACTOR
/
FOR OFFICE.USE ONLY I
._. .. y ayyr YV S v.' ai y .t�._ kR �n u.nY vm }+�'3°'Y` �'».'_� .;. ..:w A'#i.w: �> __
�� .sY}3 x.3v4.
NEW t 0 ADDITION a t]ALTERATION : REPAIRS `a TENANT IMPROVEMENT
'CENSUS CODEiww - ,. `._ SLOT SIZE - — -• 4 4 -to4
ate, �x�:�
(ZONING:DESIGNATION' - `�"" * :
BUILDING SHELL ONLY?�O YES*❑ NO irt#
COMP PLAN DESIGNATION 04s IBASICPLAN?. ' YES `4❑,NO'tg
SECTION. TOWNSHIP_ #RANGE ' `ANEW ADDRESS REQUIRED? ,,W'❑YES- :a:NO '
PLATTED LOT7';=''"'❑YES „ONO •:- ,CHANGE OFUSE? ,, O YES '=❑"NO-A,ff r s
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederalway.com
• ■ ELECTRICAL
' TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _a of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft'-$85.50.Each add'n 500 ft'-$27.50) _Service and(ceder $93.00 a of Low voltage fire or burglar alarms
Square Feet. _ First 2500 ft2-$50.00:Each add'n 2500 ft`-S 13 110
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders • Per WAC 296 46-910(5)(6)(1&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _ft 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 of morel -
Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 i 93.00 i I
_1.1p to 2(N)amp $ 93.00 $ 27.50 Feeder _201 -600 216.56
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 is of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (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/Commerciai/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
M t or meter repair 43.00i _401 -600 11550
rt o circuits _over 600 125.00
'(1 circuits-$57.00;Add'n circuits S6 ea) it
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'l 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 ► i
i
I
i
TOTAL COLUMN(D):
Total Column(D)
I
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