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03-100403 City Federal Way Community Development Services Electrical Permit #:03 - 100403 - 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: LAKEHAVEN WELL#25 Project Address: 30903 8TH S Ave S Parcel Number: 082104 9128 Project Description: Alteration of service for the installation of(1)8.5 KW generator set. Owner Applicant Contractor FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER PO BOX 4249 PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249 FEDERAL WAY WA 98063-4249 (253)945-1595 Electrical Fixtures . ' r 'o "* ,,- [001-1* ''`tet e's 5n ft 116 ° Qe4cr p o .` o ; i Alt.Serv./Feeder up to 200 amps-Co 1 PERMIT EXPIRES July 28,2003,IF NO WORK IS STARTED. Permit issued on January 29,2003 I hereby certify that the above information is correct . •• that the construction on the above described property and the occupancy and the use will be in .ccordan - . •- laws,rules and regulations of the State of Washington and ,00010 the City of Federal Way. AirQ Owner or agent: /� ....1 1 Date: ('- -/ r WV .1% RECEIVED «Twf o L JAN 2 9 2003 CONSTRUCTION PERMIT APPLICATION uv FEDERAL WAY APPLICATION NUMBER: 03 - l04 f0 - __oilBUILDING DEPT. 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. 1 - • - ■ PROPERTY INFORMATION SITE ADDRESS: 5 / (C7 ST g '47/F S, ASSESSOR'S TAX/PARCEL#: v ,�ZiU17_ - 1/2i8 we - LEGAL DESCRIP IO0N FO BJECT8PRR OPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): - -.' .■ 'PROJECT INFORMATION'. .:` TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION $'ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): _/,/c77 _ __, r PROJECT NAME: LA'IC617t ' GUG�[.--- 7'fr ,2,r- . ; :■ PEOPLE INFORMATION . i - PROPERTY OWNER: NAME: DAYTIME PHONE: >s11v4✓ 6"" Y . ""/ f';,z«i 0..0 ) ?fir-/)_,r MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ,0o 6a.k 4{Z4{9 __OFrz l-ti 9- �Zc3 CONTRACTOR: NAME: DAYTIME PHONE: MAILI ADD (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ) CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ) - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: /Q `/^ DAYTIME PHONE: MAI 41e2 (STREET ADDRESS;CITY,STATE,ZIP): (3 )9fr EVENING PHONE: ` 3�+3 s4i yrs«/JT,2o � Way 6./4f��Z3 ( ) - RELATIONSHIP TO PROJECT: / FAX NUMBER: ❑ ARCHITECT El TENANT OTHER(DESCRIBE): e_4v TEL. ( ) - f E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER AAPPLICANT ❑ CONTRACTOR ■ 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 ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN El HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROSECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _ BASEMENT I . FIRST SECOND +• THIRD { 1 FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: T -..c .n.i s. >�. •.-..-n« ..-. . 6,:e-.....a9r+sti•-uir..Su.S.I •.W FiXTURE.S xie,;+ew-v us .:.-.er,...i�,:.-ni.:i+•n,. .ae+iro%a:-+a�.s-..nr.-+�...b+..�ai+i 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 b= ad by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises o , e :lance of the city,induding its officers and employees,upon the accuracy of the information supplied • e city as a •" , s a,•lication. NAME/TITLE: i4_,_/ 1/ DATE: r` -63- NAME/TITLE: ❑ PROPER r' OWNER .'4 •PPLICANT ❑ CONTRACTOR i , FOR OFFICEUSE"ONLY dD Nl ,fix ❑ADDI7ION ALTERATION ' ,�.,��., - gitEPAIR -❑TENANT=IMPROVEMENT' - ._�. uCENSUS.TCODE �== •• y - -< t O IZE ,4''- '� 3 , �� .L res �� _. O TI ._,r,,,,,,..,TION ._ �...„....,a-°1--1S, UILDING SHELL ONLY? YES', L NO! OMP L 1 DESIGNATION- 4 ":.� _'i BASICL# ? C (ES 41:3147,,-,R_ ; - a ECTION TOWNSHIP --yRANGE;, . ,, NEWADDR S, EQUIRED? �. ,-, `,4 ,..,. .,, .PL�JITTED LOT? YES >� IVO CHANGE OF;USE?. YES a©,NO .�; ODMMUNrrY DEVELOPMENT SERVICES.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 980639718.253-661-4000•FAX 253-661-4129 www.dtvof federalwav-com _____-.....mmalllIN1111111111111111. 111111111111111111111111111.M111111 -- , 4"4144115taw, ■-ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES -Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ca) (First 1300 ftr-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft=-$43.50;Each add'n 2500 ft2-$11.50 --(Inspected Each outbuilding or garage $31.00 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 $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 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 $ 81.00 _Up to 200 amp $ 81.00 $ 24.00 Feeder 01-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _ovcr 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 #of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 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+S63.50.Add'I plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE 11(B) NUMBER OF UNITS(C) =TOTAL(D) TOTAL COLUMN(D) Total Column(o) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING • Estimated Permit Fee:(16) Bond Amount: (17) i ■ 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-February 1 o -ton-)