03-100427 City of Federal Way
Community Development Services Electrical Permit #:03 - 100427 - 00 - EL
33530 1st Way S
Fhde2a3.W6a1y.,40W0A 9F8326532.1606
1.4129 Inspection request line: 253.835.3050
Project Name: JACOBS
Project Address: 330 SW 292ND S � Parcel Number: 119600 0255
Project Description: Install one 240 V 30 A circuit and one 120 V 20 A circuit for future connection of elevator. Circuits will
end in J box.
Owner Applicant Contractor
EDMOND JACOBS NONE GROFF ELECTRIC INC
330 SW 292ND ST 3308 S UNION AVE
FEDERAL WAY WA 98023 TACOMA WA 98409
NONE (253)383-3511
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V2.ev 74-v ( s7` DA("fie cs1►ty o fvN
Electrical Fixtures (4, ye, es L2 2 g
i QO:0.10 1 [1(4a _.• �� 6'nptto11 s.., s ° Q an
Circuits-Residential 2
PERMIT EXPIRES July 29,2003,IF NO WORK IS STARTED.
Permit issued on January 30,2003
I hereby certify that the above information is correct and that the construction on the above described property am.'
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:_ See Application Date:_1130/0
3 VDIA-,9b4- PrPpc-19v t_Re
7
CC"�bluNljy R €1VED�By CONSTRUCTION PERMIT APPLICATION
VV FAY L .IAM dT DEFART��— ' APPLICATION NUMBER: 0.3 - L0 G/ 2 - e�
3 0 2003APPLICATION 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.
•
■ PROPERTY INFORMATION
SITE ADDRESS: 33 a 292\y'c1 S. is ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): SN%sk+�� 4M%1 t\ y(ylQ '
•
• PROTECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Iy\`jk-0.1` o-r 2`{00 1404 C.VR-OtAl- 01/44 a-e
LlO Q 260 c•rto,t-- -cr.,,r -c;`'r,A,re cCNNtec1riv e oLV. eleoato 6- a CrcuIN`5
;ll end ,v, \I 6-74
PROJE NAME: ECX.)►/`0-4\A ,10�cc,\.s
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: c DAYTIME PHONE:
��ov\A I/LC(45 (153 ) 5% -46205
MAILING ADDRESS(STREET ADDRESS; ITY,STATE,ZIP):
- 3O 9.9,2 AA Gs. u) 1 ce.XUkk )UJr,` ct8O23
CONTRACTOR: NAME: DAYTIME PHONE:
Gra' r E\v.Q.ru-tC. (263 ) 3n -S51 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
'530R So U`vme,-"" \ L °\g9'Oci ( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: 1 FAX NUMBER:
1 a - a a- Lo ac9 t -c5 (x53) 3t�3 -316 o
CONTRACTOR'S REGISTRATION NUMBER: /* /� C EXPIRATION DAA
(copySS of card required) 3 Sl I E. it y 1g Q ( '1 / Olt
APPLICANT' NAME: ` DAYTIME PHONE:
. cksvMe v Cc,�1 Vv�C_ ,oif- ( )
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
'
0 ARCHITECT 0 TENANT OTHER(DESCRIBE): C'cn
, F'CCviL CJ1• ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: A PROPERTY OWNER 0 APPLICANT Q CONTRACTOR
•
O DETAILED BUILDING INFORMATION
EXISTING USE: 5wI 1i,�./ l 1:Ati' RQ5 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: eyq PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) 1
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such cl im arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information sup ied to the cit y a part of this application.
NAME/TITLE: / /'0,1„it.'.A SJ'- '1.h°x.��l` DATE: ....28-O3
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 ADDITION ❑ ALTERATION Cl REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? El YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES Cl NO
Comm'INKY DFVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY.WA 9ROAY-Q71R. -Annn —
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$I0.50ea)
(First 1300 ft--567.00;Each add'n 500 ft'-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 It'-$38.75;Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or(ceders * 1'cr WAC 296-46-910(5)(h)(i&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(inspected separately) fccdcr-$28 each) $16.00 each)
_Progress inspection per 1/2 hr $33.50
_Swimming pool.hot tub,spa 67.00
_Yard Pole meter loops 44.25
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601- 1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75 1
_601-800 amp 158.00 84.25 201-400 169.00 67.00 _4 of circuits
_Over 800 amp 225.25 169.00 __401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61 - 100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25 1
_over 600 amp 135.25 _201-400 .67.00
_Mast or meter repair 33.50 _401-600 89.75
Z k of circuits rig,4 _over 600 97.75
(1-4 circuits-S ;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
. TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12) •
. 1- Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ 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): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) • `J
i
•Bulletin#100-January 3, 2001