03-102900 Cit,,of Federal Way ,�.. Electrical Permit -er3 - 102900 - 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: TRUMAN HIGH SCHOOL
Project Address: 31455 28TH S Ave$ Parcel Number: 092104 9054
Project Description: Install 16 pole lights,5 outdoor circuits,panel,and undergrounding of power along right-or-way.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL EXCEL ELECTRIC OF TACOMA EXCEL ELECTRIC OF TACOMA
31405 18TH AVE S 5832 S ADAMS SUITE A 5832 S ADAMS SUITE A
FEDERAL WAY WA TACOMA WA 98409 TACOMA WA 98409
98003-5433 (253)475-6950
Cewkac.+; �Sj)38o-9337
R lain
Electrical Fixtures
q
� , r .��A � @ g� l� a .7 "t9
Alt.Serv./Feeder up to 200 amps-Col 16 Circuits- Commercial 5 Mast or Meter Repair-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 wi ..e in accordan^e with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: . Date: f 3
7-- b -o3 3;To cD (.1 rX0fill iv , (2-7" "r` 31:›
2 2 P e-g2 6,off - E u e_(-42-a:e)
`7 3 Al Pn 13 LTs1,2, ee7 I bue)•
`t 161 04CVt�.Q. 4(
ttO
L-SfI 9-4
CONSTRUCTION PERMIT APPLICATION
CITY OF e�3 - 10.21 „oldi
Federal W APPLICATION NUMBER: 0 -
APPLICATION NUMBER:
APPLICATION NUMBER: - -
5 ?V
* `lie following` is required information-Please print(in ink)or type**
Y
Please note: Electrical,,,Ei i stems and Engineering permits may require a separate application.
O ,, /��'PROPERTYINFORMATION
SITE ADDRESS: 'I-] 5-S ,92g 44Ae cep ASSESSOR'S TAX/PARCEL #: -
,
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
ethi
- I', PROSECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
WELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desc iption):
r wS 46 ( J/e —AI 45 dYd o e- , ilius I1
49rouu i el- p
PROJECT NAME: i'/v e'w Tr...Acter / '7 N „S"c-' 1
I -PEOPLE INFORMATION =
PROPERTY OWNER: NAME: ( : DAYTIME PHONE:
rFO/ k',„\ ( .,euJ, Sc Lo ( Df f'3-1-,c A ; ( ) -
MAILING ADDRESS(STREET AODREWCITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
xc e 1 E 1e c4p-i'r 04- -TR cc et_ (g 53 ) Li 7- -cf;15-0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE:
I S S-32 St.-, Atvt_o,»-_s 5 +- Su vk e /4 -l'ar:,.°L ( s3)3 - 'i,-.01 r
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
1 q - 3 3 i o 3 7(10 (01-s ) A 7s-- Esq
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I NAME: DAYTIME PHONE:
` I '
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT o TENANT 0 OTHER(DESCRIBE):
( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
'■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING AS ' SED/APP•'•ISED VALUATION $
P• c •a SED USE: PROPOSED 'ALUATION FOR IMP•OVEMENTS: $
• SPRINKLE'ED BUILDIN . ❑ YES 0 N• , RE SUPPRESSION SYSTE •ROPOSED/REQU ' ED:0 YES 0 0
WATER SER CE PRI IDER: O LAKEHAVEN O 'LINE 0 TACOMA 0 PRIV• E(WELL) s
SEWERSERVIC- •ROVIDER: O LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
.RST
SECO 9
THIRD
FOURTH
OTHER FLOORS(DESC•• :E)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Ind' to number of each .• of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GA OG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o CTRIC ❑GAS
PLUMBING
:ATHTUB(S) LAVATORY(S) URINAL(S) WATER •TER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC to G•
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
Vi DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th•t 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 such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information s pplied to the city s a part of this application. gyp
NAME/TITLE l X e h'i ee DATE: -117/'f c—O3
❑ PROPERTY OWNER 0 APPLICANT T tONTRACTOR
_.FOR.OFFICE-USE ONLY:i;;;I
ANEW. . ADDIRON' s .U ALTERATION *0O.REPAIR ' 0 TENANT.IMPROVEMENT y 3
rCENSUS.`_CODE;�� ��-� � • �.,� .r=LOT:SIZES:�r �*��..� ��� �'�,'�;�;� _.:.�•� #::xt
ZONING DESIGNATION ..(0, " g," BUILDING SHELL ONLY? 0 YES�` ,❑NO
COMP PLAN DESIGNATION '. a (BASIC PLAN? ❑AYES ❑,NO, "s
•
SECTION •, TOWNSHIP_ fRANGE NEW ADDRESS REQUIRED?, _,❑YES ❑NO m
PLATTED LOT?x ❑YES . ,❑ NO r CHANGE OF USE? . -'O YES 14 in'NO•
t COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cttvoffederalway.com
IMIMIMMIMMIIIIM"IIIIIIIIIIIIIIA12222:3221.IIIIIIIIMMIIIIL'M".1.11.1.IIIMIM' ' .
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 ft'-$55.50,Each add'n 500 ft'-$27.50) Service and feeder $93.00 _ft of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00:Each add'n 2500 ft`-$13 00
_Ear_h outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ti 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
Yard Pole meter loops $5'7.00
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 200 amp $ 93.00 $ 2750 I Feeder 201 -600 216.50
_201 -400 amp 115.50 57:00 ij to 100 5 93.00 1 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 _Ek 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/Commercial/Industrial
_0 to 200 amp $ 71.50 Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201 -600 amp 115.50 i 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 1 15.50
vin of circuits _over 600 125.00
(1-4 circuits-557.00;Add'n circuits$6 ea)
i f
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) I FIXTURE.FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i
tt
+ i f
"TOTAL COLUMN(D): i
Total Column(0)
Estimated • it Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee. .72.50+( X.35) = (13)
- - ■ DEMOLITION - ,,.. _
Estimated Permit Fee: (14) IlligirV
Bond Amount:(15)
■ ENCiNEERIhi'
Estimated Permit Fee: (16) Allilli
Bond Amount: (17)
- ■ OTHER FEES .. -
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two):• 'ne(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23,2002