03-101933 City'of Federal way Electrical Permit #:03 - 101933 - 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: BOREN
Project Address: 30319 6TH SW Parcel Number: 039580 0330
Project Description: Fire damagt'repair and upgrade to 200amp service; plus alteration of(5)circuits
Owner Applicant Contractor
T J Boren T J Boren T J Boren
2952 SW 302ND PL 2952 SW 302ND PL 2952 SW 302ND PL
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2357 98023-2357
kLso 6' E- t Q3 101 -4)4D -set
Electrical Fixtures
d .:,.141 , .,.: ,y+ at*Nfir
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 5
PERMIT EXPIRES November 10,2003.
Permit issued on May 14,2003
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: Date: .5/-14".43
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RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER: Q 5 - t_ b J i s 3 - Q'U
Federal Way MAY 1 4 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
kPPLICATION NUMBER: - -
**The folBUL e' 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: z, c / ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION ` ' -
TYPE OF PROJECT(This application): a BU DING o PLUMBING 0 MECHANICAL o DEMOLITION
4jECTRICAL / NGINEERING o FIRE PRR NTION SYSTEM/ /
i
PRO ECT DESCRIPTION(Pr. - .eta ed descriptio : .4.1 __ r_di/�IF/�%/If A" `_�' d _ .A
r
PROJECT45 - 1)*livu." ) cT NAME:
i
• PEOPLE INF(IRMATION
PROPERTY OWNER: N / — . I DAYTIME PHgplS �
--y7f24
M N DDR (STREE8�DRESS-CITY,STATE,Apayd 2, 11
CONTRACTOR: NAME: DAYTIME PHONE:
( ) ' -
M N ADD E ST RESS;all',STA , IP: �. EVENING PHONE.
(I � ( ) -
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: � FAX NUMBER:
- - i ( )
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I NAME: I DAYTIME PHONE:
f ( ) -
MAILI A DSS ADDRESS CITY, A ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
- ■ DETAILED BUILDING INFORMATION -
illpr
EXISTING USE: / P EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: ;
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
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,[LUMBER OF.BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT 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: C3 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 s daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppli t,`e city as a part of this application.
NAME/ E: �/ DATE./ /•� /Ya
P PERTY OWNER o APPLICANT o CONTRACTOR
_,FOR.OFFICE.USEi,ONLY :1
:D NEW T o ADDTTION =d ALTERATION �f;o.REPAIR- 3 0 TENANT IMPROVEMENTS�=,,,, _
`CENSUSCODEAk" - = ,?4 ' X.' ` : :LOT SIZE. '- vi : `At--2 ,_ °,_3
ZONING DESIGNATION BUILDING SHELL ONLY? a YES: .a NO t
COMP PLAN DESIGNATION x, „ � ABASIC PLAN?: ; a YES O.NO;"
SECTION TOWNSHIP RANGE VP, REQUIRED?' . 4V:7o'YES
PLATTED-LOT?»_,,'o YES o'No ,ffert ' CHANGE OF USE7.`- YES `"`=O NO ,•
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.ciboffederalway.com
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■ ELECTRICAL
TABLE B
NE 'ESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Sing amity _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$13.O0ea)
(First 1 . ft'-s: .50;Each add'. _r 11'-$27-50) _Service and feeder 593.00 _f+of Low voltage fire or burglar alarms
Square Feet. _ First 2500112-$50.00:Each add'n 2500 ft2-$13 00
_Each outbu.din- • :.'":re $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspecter • scry • _ft of service or feeders ' Per WAC 296-46-9I0(5)(b)(i R.ii)
-. outbuilding or garag $57.00 (First service/feeder-S57.00;Add'n service/ _ft of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-S37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
-Yard Pole meter loops 557 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 5 93.:10
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amo 115.50 57.00 0 to 100 1 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 #of circuits
_Over 800 antp 289.50 216.50 _401 -600 252.50 101.00 TF-5 circuits-$72.50:Add'n circuits,$6 eai
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Sery or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial I
14 to 200 amp $ 71.50 Over 600 volts surcharge 72.50 0-100 5 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
ISa of circuits -over 600 125.001
(1-4 circuits-557.00;Add'n circuits$6 ea) I{
i
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) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i I I
I
I
I TOTAL COLUMN(D): I !
Total Column(D)
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)
■ EN.GINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES _- ' .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Tbtal (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
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Bulletin #100-December 23, 2002