03-103277 of
City Development Services eveWay
CommunityElectrical Permit #:03 - 103277 - 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: ABRAHAMSON
Project Address: 5311 SW 316TH P1 Parcel Number: 102103 9029
Project Description: Alter service for electrical to new addition..
Owner Applicant Contractor
David Abrahamson David&Sharon A Abrahamson David&Sharon A Abrahamson
5311 SW 316TH PL 5311 SW 316TH PL 5311 SW 316TH PL
FEDERAL WAY WA FEDERAL WAY WA 98023-2051 FEDERAL WAY WA 98023-2051
98023-2051 (253)945-5648
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feed 201 amps-600 amps-' 1
PERMIT EXPIRES February 7,2004.
Permit issued on August 11,2003
I hereby certify that the ab s ve information is correct and that the construction on the above described property and
the occupancy and the u> '11 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W. •
Owner or agent: I , ' Date: /'II 1O'
—
Li- -0-5 d'firifts,j
6€1
CIS
RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: Q 3 - 1 aii-2 7 - EL-
Federal Way AUG 1 1 2003 APPLICATION NUMBER: - -
CITY OF FEDERALIIRRWAY kPPLICATION NUMBER: - -
"The following isirLeDcNAPIEnrormation—Please print(in ink)or type"
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
V) 'PROPERTY INFORMATION
SITE ADDRESS: 53)l 3/10 'f°L, ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
IV PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING a MECHANICAL o DEMOLITION
XLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPT''IOP'N(Provide detailed description): dl t \( /\. UV a 06
7/5czvip-V7C l c-C(�LT�c C, -h "� / 3 e Q iu
PROJECT NAME:
Vi PEOPLE INFORMATION
PROPERTY OWNER: DAYTIME PHONE
/�,b/t 1c� ( sem) C S6 y8
MAILINGGAADDRESS
`(STREET ADDRESS;CITY,STATE,ZIP):
511 J lY g/ b-1-tt PL .
CONTRACTOR: NAME: DAYTIME PHONE:
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE-
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
) 1CONTRACTOR'S REGISTRATION NUMBER: 1 EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: 6 ��y,' DAYTIME PHONE: A
C�J 1 G� ' f "v2i't•f�.s�mss' ir. 1 i
L \ )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
.53 j) S,L)3 l(a•f-L. rot (253) gES kt172)
RELATIONSHIP TO PROJECT: j FAX NUMBER:
a ARCHITECT ay-TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ®"PROPERTY OWNER o APPLICANT o CONTRACTOR
- - ■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXI ' NG B ILDING ASSESSED/APPRAISED -ALUATI• $
PRI POSED USE. PROP SED VALUATION FOR I ROVEMENTS: $
SPR NKLERE BUILDIN • ❑YES ❑ NO ' RE SUPPRESSION •YSTEM PROPOSED/RE UIRED: ■ ES ❑ NO
WAT R SE• ICE PROVIDE' : a LA HAVEN ❑ HIGHLIN' a TAC• 'A a PRIVATE(WELL)
SEW ' RVICE PROVIDER: 0 /.KEHAVEN ❑ HIGHLINE . ••IVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEM T
FIRST
SECOND
THIRD N
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE N
HOW MANY FLOORS? _
TOTAL:
-
■ FIXTURES
I
I. icate 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: ❑ ELECTRIC ❑GAS
PLUMBING
BATHT- :(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DIS. ASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
1 '0 NKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
U DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury . :t the formation furnished by me Is true and correct to the best of my knowledge,and
further,that I am authorized by the owner • the above premises to perform the work for which the permit application is made. I
y. 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 def e of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but onty ere such daim arises out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the informatio up lied to the city as a part of this application.
NAME/TITLE: 4re-7 DATE: / •J )D 3
/f] PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
FOR OFFICE,USE ONLY r I
A NEWT_ 6;ADDITION .[I ALTERATION . , .n.REPAIR. :_ ,TENANT IMPROV..EMENT . a
+CENSUS;:CODE W. .!.,--7..-., t7LOTiSIZE:Ag? . . NM .. ,
1ZONINGG,DESIGNATION M� fBUILDING.SHELI ONIYt, O YESVin NO,
COMP PLAN DESIGNATION = (BASIC PLAN? '-U YES ] NC ;(4
SECTION ; TOWNHIP_
RANGE _ .NEi'A%AUURESS REQUIRED? ,, . ❑YES LINO ."
"PLATTED LOT?.=O..❑YES},O NO fr s .CHANGE OF USE? `,fit, `- ❑YES T.4-'.;.;13 *-A,' i:7
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 _#of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft'-S55 50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 #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 1 _Yard Pole meter loops $57.00
I l i
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 93.2)0
Up tc.200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 g 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 #of circuits
Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50,Add'n circuits,56 eat
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
a of circuits -over 600 t25.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
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) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
•
r r
11 I
TOTAL COLUMN(D): .
Total Column(D)
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
Estimated Permit Fee: (16)
Bond Amount: (17)
- -: ■ OTHER PEES _ _ _. •
.. .:.-
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