03-100124 at
r
City of Federal Way
Community Development Services Electrical Permit #:03 - 100124 - 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: ANDERSON
Project Address: 36045 3RD A ye--s Parcel Number: 113780 0270
Project Description: Relocating existing 200 amp service from north side of existing garage to north side of new garage.
Owner Applicant Contractor
Kevin A&Barbara B Anderson Kevin A&Barbara B Anderson Kevin A&Barbara B Anderson
36045 3RD AVE S 36045 3RD AVE S 36045 3RD AVE S
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(206)870-1100
Electrical Fixtures
', Q d + riptioll.. a - i . `C scnption . .. G a'.INA
,
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES July 8,2003,IF NO WORK IS STARTED.
Permit issued on January 9,2003
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: ("1-‘1. 2_, \ a...„, Date: i /9/6 3
1o --
1-2 - 03 COe.-R-ic—n\w' wait?AL - aee
`21--co 3 p AniVeD a at #e a, '
Q_ 1 - d - e.cArye ;� -4
G7�
c.... . 0,, ‘..741;:i,)50k
Ditch cover inspection: A. r-0. -0D.- e-4.e-4.-0..
4i
`� Date
Rough-in inspection: D' .,---de—C-..„ v— '--c)3
Date
Service inspection: 7101- 5 8-4-0 3
1 Date
FINAL inspection: ` 1)w R A / __
Date
A__ CR CONSTRUCTION PERMIT APPLICATION
CITY OF �....- RECEIV _!�M� APPLICATION NUMBER: (� 3 - i fJ U 1 z L - a) EL-
Federal Way - - - -
2003 APPLICATION NUMBER:
JAN 0 9 (APPLICATION NUMBER: - -
**The follow pselgpReFfriit!trraibn-Please print(in ink)or type**
Lill...DING DEPT.
Please note: Electrical,Fire Prevensystems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION
SITE ADDRESS: 347045 3 t' do ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROSECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
71.ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): / tri M�J V
/ d:tur- --e Art-0/ •s/I, 1 en . 2_ "`` AXS �® (..JAs�
; e�o..y- 0---al
Eae_ /�ew-- YI - W
/ W. ,,6...91-k Aeie
-eh C ip0..�, ,Yri-t _144_0,s Q.A. /J 1-
PROJECT NAME:
• PEOPLE INFORMATION .
PROPERTY OWNER: NAME: ^ rte` I DAYTIME PHONE'
‘<€-..)...-)...) fN\c c.+v j (Zo(� ) k74) - //OO
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3 be 4-5 4.)i, S F cyLA w.N. Lip.: Q?& 3
CONTRACTOR: NAME: DAYTIME PHONE:
KE.)),1 ..J ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER:
I EXPIRATION DATE:
(copy of card required) / /
•
APPLICANT: NAME: DAYTIME PHONE:
I m (z.6 ) 870 - 1/ oo
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 9y4,03 i EVENING PHONE:
3(0ogS 3'`�' -{�,Jc_ .. t-e ac vJa-\ W A. l! ( Lc3 ) 83w - is15-Z-
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 1XTENANT o OTHER(DESCRIBE): ; ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT o CONTRACTOR
•
• 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 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLO - 111IFINPir9". 1=1.1111.1111..
FLOOR EXISTING SQ.FT. PROPOSE':_Y. - 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) RANGES) MISC.( )
COMPRESSOR(S) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 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 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 part of this application.
•
NAME/TITLE: _,, Q,�r -� DATE: / ,/e) 3
PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
.LTOROFFICEMSE ONLY:f
IEW-� ADDITION .z., 't]ALTERATION
at f.,-..4i-1-ilitTENANT-rIMPRbVEMENT
CENSUS'CODE -. .; d LOT(SIZE
BONING DESIGNATION,: 0w. B 'I ING S ELS. NL.f',? 'YES 0 NO ' 0 ;4
COMP'PLAN DESIGNATION 4BASICPLAN? YES' NOe,_ ice- ' ,*=r.
'SECTION , :ul . .:I.,: r '•
�TOWNSHIP'��" RANGE � �, IYEW�ADDRESS;REQUIRED? ;,�.���(ES � [� NO.,,.•
'.
'PLATTED LOT?4:111 YES ❑NO k 7 OF USE? 0 _❑YES .11 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 _ft of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-585.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 4 of Low voltkgr'fire o:.burglar alarms
Square Feet. First 2500 ft2-$50.00;Each add'n 25(10 ft2-$13.00
_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)(b)(i&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 or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 $ 93.:10
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
=
201 -400 amp 115.50 57.00 =0 to 100 $ 93.00 5 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 (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 $ 57.00
201 -600 amp 115.50 Mast or meter repair 78.50_ -
over 600 amp 174.00 101-200 72.50
_ 201 -400 85.50
_Mast or meter repair 43.00 _401-600 115.50
_ft of circuits _over 600 125.00
(1-4 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'I plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) ' NUMBER OF UNITS(C) TOTAL(D)
I 1
i
I 1
1
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
•
Estimated Plan Revievy Fee: $72.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGI.NEERING _
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