03-102019 City of Federal Way Electrical Permit#:03 - 102019 - 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
�. � `1 -'132. — 304'1
Project Name: CITY OF TACOMA 2ND SUPPLY PIPELINE
Project Address: 6.i-j ' j dpi Parcel Number: N/A
Project Description: Remove and re-install 1phase 100amp street light service pedastal; near Scuba Set on 1405 S.324TH.
Owner Applicant Contractor
CITY OF FEDERAL WAY-CDS PARAMOUNT ELECTRIC INC. PARAMOUNT ELECTRIC INC.
33530 1ST WAY S 225 S TACOMA WAY 225 S TACOMA WAY
FEDERAL WAY WA 98003 TACOMA WA 98402 TACOMA WA 98402
(253)272-4285
Electrical Fixtures
1119W1,31friii'NLP-IiMin tf _ lark* pesc ipti s tail tity
Alt.Serv./Feeder up to 200 amps-Co I
PERMIT EXPIRES November 15,2003.
Permit issued on May 19,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u - will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa .
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16
Owner or agent: �� ' Date: h 3
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®11` RECEIVED CONSTRUCTION PERMIT APPLICATIONGU
CITY OF �1 a - 102.404
Fea -
Federal Way PPLICATION NUMBER: 6/ - ..Yi. ,,,[
MAY 1 9 PPLICATION NUMBER:
CITY OF FEDERAL WAN' (APPLICATION NUMBER: - -
=ThBrol�DN9Ds EregT.red information-Please print(in ink)ortypes*
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
n1 PROPERTY INFORMATION
SITE ADDRESS: {rLAO J ' 2--�� ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,y PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Ab) Y'-e'h 'L- 11 l(J0t\
5 �
t_\-C <2 5 )L(. as L____
CJS Coco) ' Cc L,C�-j'c-•D
PROJECT NAME: ( ,0 A - U PP `'P k_AsNf
)1 PEOPLE INFORMATION
PROPERTY OWNER: l NAME: DAYTIME PHONE
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I ( I
CONTRACTOR: NAME: DAYTIME PHONE:
MAI N/nfinnG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): i. EVENING PHONE:
22� Sa \nlk""t, . C'tS(`U•z i ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
I (253)33 - 150S '
CONTRACTORS REGISTRATION ¼(JkM
R: EXPIRATION DATE:
(copy of card required) Z€Dj L.\
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APPLICANT: NAME: DAYTIME PHONE:
`-,`, i ( )
MAILING ADDRESS(STREET DRESS,STATE,ZIP): EVENING PHONE:
2-2--S S . t . e`k 0-L--! ( )
1 RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT ❑TENANT o OTHER(DESCRIBE): (VEK _ ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT Il4 CONTRACTOR
■ DETAILED BUILDING INFORMATIONIII
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR I. •ROVEME 'S: $
SPRINKLERED BUILD G? o YES ❑ NO FIRE SUPPRESSIO SYSTEM PROPOS D/REQUIRED: n YES ❑ NO
ER SIRVICE P OVIDER: ❑ LAKEHAVEN IGHLINE o TA .MA ❑ PRIVATE(WE,
SEWER S RV PROVIDER: ❑ LAKEHA ❑ HI LINE 'RIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** J
NUMBER OF BEDROOMS: • ESTIMATED SELLING PRICE: $ //
• ■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL''
BASEMENT
FIRST
SECOND /
THIRD -
FOURTH
OTHER FLOORS(DESCRIB
DECK j
GARAGE /
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
I • cate number of ea•• type of fixture
MECHANICAL
AIR HANDLING UNITS EVAPORATIVE COOLER(S) c • LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) H• • c ) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE( MISC.( )
COMPR • •(S) FURNACE(S)
D .. ) GAS PIPE OUTLET(S) HEAT SOURC . . ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WAT • - •TER(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) •UMP(S)
-
Mi) 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 on where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information upplie. to the dty:s` part of this application.
/J J
NAME/TITLE: ��OVA
t% ,
II. Pz-J DATE: (/, 603
❑ PROPERTY OWNER ❑APPLICANT ., TRACTOR
.:FOR OFFICE,USE,ONLY e•
.:VII EW p ADDIIIOii ;Q ALTERATION. . ;. REPAIR + o TENANT IMPROVEMENT-..
'CENSUS.`.CODE .:, . : ..4t"O n"r f#,WM t" <LOT.SIZE 4.€`*0 a' �. °.l'. k4,
•`ZONING:DESIGNATION;a '� . . f%UI DING SHED ONLY?l0 YES: ❑NO. f ;i-ti,I
COMP PLAN DESIGNATION 4a s, `^-.e.,, ...*,ABASIC PLAN? `o YES `-,--❑.NO`fi``. : ' ,;; .. • :-:-
SECTION' -..TOWNSHIP ,; °RANGES* � -NEW•ADDRESS REQUIRED? �:.❑YES -•o) .
ftAw a .`CHANGE OF USE? 4. 5,;= t YES '❑NO ,.
PLATTED'LOT?<���'❑YES",;Q'NO � _
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.con
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft2-$85.50;Each add'n 500 111-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: _ First 2500(t'-$50.00;Each add'n 2500 ft`-$13-00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
I _Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL CO(�AMERCIAL/INDUSTRIAL
(Includes three units(II mote) VV Altered Service or Feeders
Service Feeder Amps Service or Add'n to 200 5 93.00
_Up to200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amn 115.50 57.00 _0 to 100 5 93.00 5, 57.00 _60 i -1000 326.50
=
#
601-800 amp 202.50 108.50 401 -600 amp 158.50 78.50 -101 -200 115.50 72.50 _over 1000 363.00
201-400 216.50 85.50 of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.06 (1-5 circuits-$72.50:Add'n circuits,S6 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/Commerciai/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 I!
_over 600 amp 174.00 _201 -400 85.50
-Mast or meter repair 43.00 _401 -600 115.50
a of circuits _over 600 125.00
(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
moult fee+$72.50.Add'l plan review for other submissions is$85.50/hr.
XTURE DESCRIPTION(A) '� FIXTURE FEE FROM TABLE;B(B) < NUMBER OF UNITS(C) TOTAL(D)
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` TOTAL COLUMN(D): !
Total Column(D)
Estimated Permit Fee: (12)
timated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35)= (13 _
■ DEMOLITION
irry
Estimated Permit Fee: (14)
Bond Amount:(15)
a ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES . _ • -.
Mitigation Fee: (18) (20) (22)
SBCC$urcharge: (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