03-103232 City ueveWay
Community
Development Services Electrical Permit #:03 - 103232 - 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: SACAJAWEA JR HIGH SCHOOL PORTABLE CLASSROOMS
Project Address: 1101 S DASH POINT Rd Parcel Number: 052104 9024
Project Description: Install 100 amp feeder for new portable P-3.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL*FEDERP SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
31405 18TH AVE S PO BOX 3630 PO BOX 3630
FEDERAL WAY WA KENT WA 98032-0210 KENT WA 98032-0210
98003-5433 (206)878-7333
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES February 14,2004.
Permit issued on August 18,2003
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 W .
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Owner or agent: //:---e-e,'—r-r..2Date: ' (g) _ L/
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• .7 c=- CONSTRUCTION PERM'T APPLICATION
EDS APPLICATION NUMBER: 03 -
APPLICATION NUMBER: ° '
•
APPLICATIbN 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: 1 0 I S. c75 !' 24- ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• I . PROTECT INFORMATION
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TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL CJ DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 OL). 6-01 P /9c ,/9'jv 014-c Fe•e-of
Foy )--e ) pc) Q do ex d 1
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PROJECT NAME: S M C -X-}4LC,Pte_ TOP .t b Le.._ 4-41; t(qs"-/
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
�. w S L 40ts7.c 2 9.63 )qys- -? 30
MAIUNG ADDRESS P1ADDRESS: ,STATE,2.1P):
•
CONTRACTOR: NAME: t DAYTIME PHONE:
SI -eleiX4 1.L-S01( EL.i <<c, rao6)87$ -7333
MAIUNG ADDRESS ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RFFU,/5vxWAY BUSIN� rt .3 J �.�7" 4ibt- `�8o3' (CITY )
UCENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE
(copy acard requinal S lt. P P /Y € 5 r e'7 /3 / l ao+o5
APPLICANT: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVEN!t.G PHONE:
( )
RELATIONSHIP TO%'PCJECT: FAX NUM E:ER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE):
E-MAIL A'MESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT DitCONTRACTOR
■ DETAILED BUILDING INFORMATION ti
EXISTINti USE: • EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY** * I
' NUMBER OF BEDROOMS: '- ESTIMATED SELLING PRICE: $ ,
• i
■ 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
• t
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
--,,I•BBQ(S) '�'r"+t.� FAN(S) HOOD(S) WOODSTOVE(S)
OILER(S) FIREPLACE INSERT(S) RANGE(S) i , MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
' DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S);2 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
'GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) • MISC.( ) I
INTERCEPTOR(S) SUMP(S)
kt �•" ■•. DISCLAIMER/SIGNATURE BLOCK
1
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 I
further agree to hold harmless the City of Federal Way as to any claim(induding costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such claim),which may be made by any person,including 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 supplied to the city a art of this apps* tion.
NAME/Ta6-1C4.1t/f. DATE: (pO3
❑ PROPERTY OWNER ILICANT CONTRACTOR
i FOROFFICEiUSEOONLY,# x
frSIV ®: v i ,�I�i��p. , ,. .:I fi .+s h+,l i i a�._.
• ..: h - •• , ALtE•R •ATI( IV .. ,: ,.,i• t i?Ai;R "•,:R.,,„...,'„, ::: . AI I pi OvE ENS
!i,CENSUS CODE:, ',Mtg.:: k.'... ar,_ _ �. n.`.'F,...,;`+; y�N iatot IZE:...r~, G P .0. , y w a:: ,�
ONING'I EgIGNATYdi 4'a� ?+ 3�,„ „�;; {,_:: ., re. 1
+ M ., , aUIL ELi_ONLY?F ❑ YES ❑ NO
'COIF WD IGI4AT:(O Iii Nroi ",filip,,"'' ri,r :t. Yi " r ES NO lr.s
ND (l�t'
;SECT±ON 4€' a 7 y.pik Nsl liP . ,.K;. RANGE„0,�1;'�'A .i EW 5 RE a ED?s 6 Y t ..❑ YES o NO
s OR�� Ili
•
PL iTED;LOT? l0ftS ❑ No 4 '�CHAN;G` "OF.USE?M' ', . , ❑ YES O .NO
COMMUNITY DEVELOPMENT SERVICES'•'33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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ELECTnIC/11rf
.
NEW RESIDENTIAL.SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family; _Service or feeder only $50.00 _II of Ihcrrnostnts(fiat-137.50;ndd'n:$11.50en)
(First 130011=475.00;Each:WWII 500 112-$24.00) `Service and feeder $81.00 H of Low voltage fire or hurglar alarms
Square Feet: F(rst 2500(1'-$4.1.50;Enc micro 2500 Ill-$11.50
Each outbuilding or garage $11.00 MOBILE HOME/RV PARK Square Feet:_
(Inspected With service) H of service or feeders *Per WA:2r 'u-46-g10(5)(h)(i&ii)
Each outbuilding or garage 150.0(1 (First service/feeder-350.00;;Add'n service/service/ H of Signs(first sign:$17.50;ncId'n sign
M(Inspected separately) leader-$32 each) $17.50 each)
-_Swimming pool,hot tub,spa 175.00
__Yard Pok meter loops $50.00
NEW MULTIFAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Scrvicc or Feeders
Service Feeder Amps Service or Add'n 0 to 200 1 R1.00
_Up to 200 amp $ 81.00 $ 24,00 Feeder 201-600 189.00
_201•400 amp 101.00 50.00; l 0 to 100 1 81.00 1 50.00 _601- 1000 284.50
_
401-600 amp,.,.; 138.00 68.50`; , 101-200 101.00 6.1.50 _over 1000 117.00
_601•800 amp;:,' 176.50 94.50'' 201-400 189.00 75.00 Hof circuits'
_Over 800 amp 252.50 189.1X) _401-600 220.50 88.50 (1-5 circuits-$63.50.Add'n circuits,$5 ca)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 •
(When Inspected separately from the services.) _801- 1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-family/Commercial/Industrial
_0l0 200 Amp,.,,;, $ 68.50 _Over 600 volts surcharge 63.50 _
tl- 100 1 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50
_ over 600 amp.;:.;:.. 151 CO _201-400 75.00
_-,Mast or meter te�' .,pair 17 0 _401-600 101.00
_Hofcircuits 4Y�rkYovcr600 rat,' 109.00
(1-4 circuits-S51I:6o Add'n circuits$5 en)
If a new or altered commercial service is 200 amp: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 4-$63.50,Add'I plan review for other sti tnistions is$75.00/hr.
)`.FIXI_URE,DESCRIP„tION.(A)?t"t ;,FIxTUFtE,f;EE;F,ROM TABLE 0(0)': . ..`C:NUMBER OF,UtitT,,S(C)..; . :is ,;;:1'LTtAL,(L7),',r; �,
, .",'r T.OTL ;LN,(I)): - ,
Total Column(b)
Estimated Permit Fee: (12)
• Estimated Permit Pee from ane 12
Estimated Plan Review Fee: $63.501-,(.' ,X.35)q(13) •
°8
■ DEMOLITION •
Estimated Permit Fees (14)____
Bond Amount:(15)
,' „ ■ ENGINEERING
Estimated Permit Fee:(16) •
-
Bond Amount: (17)
.r' t ■ OTHER FEES
itigatton Fee:(18) (20) (22)
3CC Surcharge:(19) (21) (23) ,-___________
Dtal raves one sIwo): LIne(s)(11)4-(12)+(13)+(14)4•(15)t(l6)+(17)+(10)+(19)+(20)+(21)+(22)+(23)= (24)_
illotin #100-February 19, 2002