03-102959 City of Federal Way
Community Development Services Electrical Permit #:03 - 102959 - 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: THOMPSON
Project Address: 1254 SW 296TH 5r Parcel Number: 062104 9060
Project Description: Install elevator circuits in existing residence
Owner Applicant Contractor
Eugene E Thompson &Judith R Thompson GREENWOOD ELECTRIC INC GREENWOOD ELECTRIC INC
1254 SW 296TH ST GREENWOOD ELECTRIC INC GREENWOOD ELECTRIC INC
FEDERAL WAY WA 98023-3410 119 NW 79TH 119 NW 79TH
SEATTLE WA 98117 (206)783-7797
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES January 13,2004.
Permit issued on July 17,2003
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: 7- / 7 e3
9 - c, - U 3 s ,z.,--�� `t
C c(*) "
v
` RECE+R►ED 6-W
�, CONSTRUCTION PERMIT APPLICATION
CITY OF JUL
II 1 7 2003 S-
Federal Way .� APPLICATION NUMBER: ��_ � (� a �=
APPLICATION NUMBER:
Cl1YOF FEC)I tTiA%_ Vice{ Ippp��iION NUMBER:
BUILDING DEPT - -
**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.
Ill PROPERTY INFORMATION :
SITE ADDRESS: �� 5(),) (�/ Sf ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROTECT INFORMATION - -
TYPE OF PROJECT(This application): o BBUILDING o PLUMBING 0 MECHANICAL ❑ DEMOLITION
/- ELECTRICAL o ENGINEERING to FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Inc5'1-L.C.lz sv14-7-z,-f= ( f2�c. / 77 /"I ex.571. res'aaitrc--e
PROJECT NAME: �o mps .v
I. PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME PHONE:
771,,A,V1P—S Gtoco)9'6,3 - ' 5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
� I
DAYTIME PHONE
CONTRACTOR: NAM&k-1_�I w COO I-- �i.Z 7/Li.c__ �i L. ' (2OW) 733 7 79
7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE:
Al 7 9 ‘ i
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: L�� �_ i EXPIRATION DATE:
(SPY of card required) C -� 1 /
APPLICANT: NAME: DAYTIME PHONE:
Pa_1-- SIO/4 ,-)
(20(2).25-5-- -7186
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
If t Nw 7 Ste-. VVA . c13/ / ; ( ) -
RELATIONSHIP TO PROJECT: I FAX NUMBER:
0 ARCHITECT ❑TENANT o OTHER ( DESCRIBE): ? ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT /�-CONTRACTOR
-.■ DETAILED BUILDING INFORMATION
EXISTING USE: 51 Ntl l e i'✓t l11J EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ 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
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 a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information s
�li to the city as part of this application.
NAME/TITLE: C k1/G-�`,`y-
DATE:
❑ PROPERTY OWNER ❑APPLICANT ONTRACTOR
_FOR.OFFICE USE.ONLY:.'
K137NEW �,;l7 ADDITION =a ALTERATIONitlao REPAIR UiTENANT IMPROVEMENT _,.
CENSUS'CO IE:..,4- ;04 LOT.SIZE 440404tkr4- 2,04x x. ,„ a. .
:ZONING QESIGNATION; ,., „ :__ , (BUILDING•SHELL''ONLY?Vo'YES ,-i NO '‘
:tom-001.41i EsiGrafiask n; 3 ;-. ; ?BASIC PLAN?' 0 YES' .;a.NO; -
SECTION -TOWNSHIP x RANGES ��, WeiiI ADDRESS REQUIRED? =f_'❑YESit ❑'NO
''PLAiTED LOT? _ ❑YES nos NO , ,AA,,:;,4; ,r,,i4.-... . CHANGE OF USE?---..,,-,.,:.--:❑YES,a 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.com
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft'-$85.50;Each add'n 500 ft`-$27.50) _Service and feeder 593.00 ft 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) _ft of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _ft 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 $57-0(:
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morci Altered Service or Feeders
Service Feeder Amps Service or Add'a 0 to 200 :1 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 5 93.00 5 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 _it of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 ii-5 circuits-$72.50:Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately front 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
&#of circuits l 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
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)
te
1 fidde2 a2...._
I
I
TOTAL COLUMN(D):
S To.syJ Column(D)
_ii
Estimated Permit Fee: (12) • �( 0-f-,
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( 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°ne&rwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002