03-100345 City of Federal Way Electrical Permit #:03 - 100345 - 00 - EL
Community Development Services
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: ROZYCKI 5r
Project Address: 1812 S 330TH/UnitC Parcel Number: 321075 0410
Project Description: Replace existing 200amp subpanel
Owner Applicant Contractor
TIM ROZYCKI AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
1812 S 330TH ST UNIT C 25316 45TH AVE S 25316 45TH AVE S
FEDERAL WAY WA 98023 KENT WA 98032 KENT WA 98032
(206)718-3100
Electrical Fixtures
Alt.Sery./Feeder:0 to 200 amps-Mull 1
PERMIT EXPIRES July 23,2003,IF NO WORK IS STARTED.
Permit issued on January 24,2003
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: 4Date: r 0
{ -� 2 o 9 g-D&L f 6//m °� �� 7tre,
RECEIVED
�� CONSTRUCTION PERMIT APPLICATION
CITY OF ,A. RECEIVED
JAN 2 4 "flfl APPLICATION NUMBER: Q,g- /_ 0Q3 s-_ OD
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAY !APPLICATION NUMBER:
BUILDING DEPT. -
**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. r
! ■ PROPERTY INFORMATION
SITE ADDRESS: /3*/Z S • 3 3 0 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PRO3ECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �� E44241‘-‘1.7 2CY,DN . ,v6-
V
PROJECT NAME: RO7 c K,
■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: I DAYTIME PHONE:
-f'.Pr-) fee)zfci/Ca: ; ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAM i DAYTIME PHONE:
S'n.,n / 7EC L Cfit iOiC Syc1/,cj (206 ) 7/MAILI °DRESS EET A DRESS;CITY,STATE.ZIP): EVENING PHONE:
s 3 crs 7.4 -4 v'' S ! ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: � _ `
,42 C 5 0 2 / T— i EXP ON/ 70 / 0
(copy of card required) ��111
APPLICANT: NAME: ) DAYTIME PHONE:
MAILI DRESS STRE�ODRESS;CITY,STATE, EVENING PHONE: -
I 1
RELATIONSHIP TO PR JECT: j FAX NUMBER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ; ( ) -
E-MAIL ADDRESS:
,.� //
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT CONTRACTOR
A
-■ DETAILED BUILDING INFORMATION • -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEME
FIRST
1.
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: _
■ FIXTURES
Indicate number of each • • of fixture
MECHANICAL
AIR HANDLING UNIT EVAPORATIVE COOLER(S) LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) H• • • S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANG MISC.( )
COM' ' 4.SOR(S) FURNACE(S)
: •CT(S) GAS PIPE OUTLET(S) HEAT SOU' E: a ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) ATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a 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 1
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 em loyees,u n the accuracy
of the informatio • • • ied to the .ty as a part o this application.
NAME/TITLE: /i i, , , s0 i\ r�.�y /DATE: I el 3
a PROPERTY OWNER a APPLICANT Pc
CONTRACTOR
� �
-FOROFFICEIUSEONLY:-f
i NEW. .s1 _ADDITION t „ ALTERATION ' " `®lREPAIRTENANT IMPROVEMENT, _: „
CENSUSICODE 4 a 41:0T. ILEI: ', r a
ZONING;DESIGNATION: g� 4 ` IjILDING HEC ONL' ES M, NOs ' ,
=COMP PLAN ESIGNATION 4 ' 7.'"=..;..,BASIC;PLAN? c YES i NO a
`SECTION TOWNSHIP 'RANGE _' IEW ADDRESS REQUIRED? YESf `a NO V
"PLATTED LOT?` YESV7o NO CHANGE OFUSE? ' - o YES . ANO ,' Nt -.,
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 _f of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ftr-$27.50) _Service and feeder $93.00 ft of Low voltage fire or burglar alarms
•Square Feet: First 2500(1.1-$50.00;Each add'n 2500 ft1-$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-$57.00;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
e r Amps Service or Add'n _0 to 200 5 93.00
1 Up to 200 amp m�• ' .0 Feeder 201 -600 216.50
201 -400 amp . r 57.00 0 w 100 S 93.00 $ 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
Ate or Feeder /� ' r_Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
200 amp i 0 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201 -600 amp i _Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.00 _201 -400 85.50
_Mast Qr meter repair 43.00 _401 -600 115.50
_a of circuits over 600 125.00
(1-4 circuits-$57.00;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
permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i ll 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)
• 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