03-102896 City of Federal Way
Community Development Services Electrical Permit #:03 - 102896 - 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: 8TH AVE S&312TH SIGNALS
Project Address: Gil ji dei Parcel Number: N/A
Project Description: Traffic signal installation and service of NE Corner of West T-Intersection located approx.312TH&S.
8TH AVE
Owner Applicant Contractor
CITY OF FEDERAL WAY-PW*GARY KENT MT ELECTRIC INC MT ELECTRIC INC
33530 1ST WAY S
FEDERAL WAY WA 98003
(425)888-2232
Electrical Fixtures {i
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES January 11,2004.
Permit issued on July 15,2003
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 law rules and regulations of the State of Washington and
the City of Federal
c____Way.._,)
LOwner or agent: Date: 7 -/,-QJ
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CONSTRUC 1 ION PERMIT APPLICATION
CITY OF / APPLICATION NUMBER: Q_1 - 1 02s-64, i
Federal Way GGG APPLICATION NUMBER: —
1APPLICATION 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: 3/. - .SA ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): d, C.✓ /1-4t i
k.' 1� Cir . o( t.-)E'Sr ,Lar rS-eCiC'd tJ
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
j ftECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 7) ,Z c �ic�w�t_ 1w.1 1-4(,-if-jZptl cc a.vc-0
S�r�ec e
PROJECT NAME: 3!2 ,�y r
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE'
C^c)g. c)t a0e0rt_ C„44t y i )
MAILING ADDRESS(9112EET ADDRESS;CITY,STATE,ZIP):
33 S.7a /s/417C sQ fc way
CONTRACTOR: NAME: i DAYTIME PHONE:
/-4- C !w (.f?-S) ire-4"- S `(3
MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): I. EVENING PHONE'
/)o fox 9c 9 SrvvQ .-- fro (ifis) q8Y - X1605
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
� 1 _ 10 4. els" I ( s ) rt - c"tr
CONTRACTOR'S REGISTRATION NUMBER: / /� G -"‘OriPIRATION DATE:
(copy �(of card required) M 7T t L L L l� .0 3 Q `� i 9 / /r / a Y
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;�,STATE. IP) (40 i1 EVENING ONfr-c/'i3
eux 65'6 W 4 9raG f ! ( 2,6 ) 7t(- 7633
RELATIONSHIP TO PROJECT: � j FAX NUMBER:
❑ ARCHITECT o TENANT 6 HER ( DESCRIBE):_Apj_Att/nlJ/e... ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
• -■ 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:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER 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: 0 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 be mad by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the rel' nce of the city,induding Its officers and employees,upon the accuracy
of the information the city as a part of this ap tion. Ace3 NAME/TITLE: DATE: /7-1' -O 3
❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY:
=o„NEW 4:n ADDITION a ALTERATION- :• *
OREPAIR -4o,TENANT IMPROVEMENT "; ,{„•
CENSUS'CODE. . , s` '.x, : - . *: ;LOT SIZE: v 44„ _.
'ZONING;DESIGNATION .._ r ; , . s.._,; BUILDING SHELL ONLY?'3Y=DYES: =❑ NO
;COMPPLAN DESIGNATION :.: - :BASIC PLAN? -`❑YES "ID:NO
SECTION fi,41 .,r TOWNSHIP `RANGE ?_'y NEW ADDRESS REQUIRED? =- ❑YES ii NO
PLATTED LOT?r ❑YES o`NO '' r 7 CHANGE OF USE? z-. = ❑ -o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,drioffederaiway.com
•
• ELECTRICAL
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-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _a of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$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&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
1 _Yard Pole meter loops $57.00
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 93.00
Up to 204)amp 1 93A0 $ 27.50Feeder _201 -600 16.50
1 201 -400 amp_..... 115.50 57.00 1 93.00 5 57.00 _601 -1000 126.50
_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 _It of circuits
Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,$6 ear
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
_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-$57.00;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'l 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 Il .
I l
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)
• ENGINEERING ..-
ti' 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