03-100152 City of Federal Way
Community Development Services Electrical Permit #:03 - 100152 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253 661 4000 Fax.253 661 Inspection request line: 253.835.3050
Project Name: POWELL
Project Address: 430 S DASH POINT Parcel Number: 052104 9055
Project Description: ELE -Addition of(5)circuits
Owner Applicant Contractor
Monte B&Diane E Powell MACS ELECTRIC,INC. MAC'S ELECTRIC,INC.
29607 8TH AVE S MACS ELECTRIC,INC. MAC'S ELECTRIC,INC.
FEDERAL WAY WA 4759 LAKERIDGE DR E 4759 LAKERIDGE DR E
98003-3721 SUMNER WA 98390 (253)862-7087
Electrical Fixtures
n rl eslrrl do zn ...s r.►p io I � g° €
Circuits-Residential 5
PERMIT EXPIRES July 12,2003,IF NO WORK IS STARTED.
Permit issued on January 13,2003
I hereby certify that the a.pv- information is correct and that the construction on the above described property and
the occupancy and the u / tr 1 b- in accordance with the laws, rules and regulations of the State of Washington and
the City of Fed- . •r..
,`v
Owner or agent: Date: �� 0.3
/— /4 —0 3 w4`
2- 2 6- °3 7Z N A-y 5(, f 0,2 btu �E� --? .�
(K/-;
a�� y
6
ze
�, CONSTRUCTION PERMIT APPLCATION
CITY OF �"'%...� PPLICATION NUMBER: 03- I_ Q a L-5-2-- 19a
Federal Way kPPLICATION NUMBER: - -
kPPLICATION 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.
• PROPERTY INFORMATION
SITE ADDRESS: H30 `�.i-C,f*-t—P►, � 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 0 MECHANICAL ❑ DEMOLITION
y%ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
PROJECT NAME: 1 ev( (
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: PHONE:
Ac»it. Outl,L j ( ) -
MAILIN ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
l I
CONTRACTOR: ( NAME: DAYTIME PHONE:
jfl -c
c S Cr <C / . 0( ' (955)e(0a-- 77
MUN—GADDRESS(STR�FT ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
H L 1--‘01-c--4e-oz(‘' p 4 5LI, qg 'U ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
i ( )
CONTRACTOR'S REGISTRATION NUMBER:
! EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
'W5 ct - r(40c L (;-S a)—= 7Ug7Mrf\
NG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: i FAX NUMBER:
0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ; ( )
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT 0 CONTRACTOR 1
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** - -
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT 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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC 0 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 aty 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 aty of
Federal Way,but . . whe`'�s aim arises out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the Info •on sup. '.- j . e 'ty as a part of this application. Q l
NAME/ , E: /- DATE: � _� 1 /V 1)3
Y a PROPERTY Or;. APPLICANT CONTRACTOR
/ ..FOROFFICE;USE ONLY I
NEW TON tfALTERI lREAIR NAN 'P RbVEMENT `DN ` ® . ; .i . .;& ,
CENSUS"CODE .:
nzONING,,DESIGNATION: - :m.,,, , BUILD:NG.SHEL NINil S'ES*An•NO-;.--..=.4-f•.'!41;41.:4..0.
'COMP WPLANnDESIGNATION W ' R 7,. BASICYPLAN? 71(ES•t7INOV` - '4 - t' x-
i*ECTIQN W { TOWNSHIP RANGES ,, ,NEWAUDRI S REQUIRED? , n YES f yo NO
PLATTEDI)T? " YES :: NO .$ T- . .S r ..;"'.,
-� CHANGE OF.'USE?, �n�'�;�.❑:YFSNO �`�` ,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalwav,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-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _ft of Low voltage fire or burglar alarms
Square Feet: First 2500 112-$50.00;Each add'n 2500 ft2-513.00
_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-$57.00;Add'n service/ _11 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 3 93.00
Up to 200 amp 1 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 1 93.00 1 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 eat
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
$of circ _over 600 125.00
(1-4 circ its-$57.00;A Id'n ci cuits$6 ea)
If a new or altered commercial se 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) TOTAL(D)
j !
I
I
I
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from Erre 12
Estimated Plan Review 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