03-103288 City of Federal Way
Community Development Services Electrical Permit #:03 — 103288 — 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: OTROKH p.4E
Project Address: 31317 33RD SW Parcel Number: 438801 0170
Project Description: Install 5 circuits to serve heaters,lights and outlets for a 756-square foot,second-story addition.
•
Owner Applicant o
Audrey A Balun &Natasha V Balun SERGEY&NATALIA OTROKH S Y&NATALIA• (1111111
31317 33RD AVE SW 31317 33RD AVE SW 3131 AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDE AY WA
98023-7857
Electr ' tures
Description Quantity Description . i e P ription Quantity
Circuits-Residential 5
41111)
' ITEXPI Fel • 8,2
'i t issued o'., • ugust 2
I hereby certify that the above information is correct and • stru o e a ve described property and
the occupancy and the •- will be in accordance with - laws,rules and of the State of Washington and
the City of Federal Wa
Owner or agent: • /- f /-411
Date: ,', /, '
0 C,-S `\ -• \ ♦ %, 0 raV-
c —\o -- o 5— - ' Ove, S -mss
CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: 03 - L032J-Qo
Federal Way APPLICATION NUMBER: -
'APPLICATION 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
,j33
ilW ieSITE ADDRESS: deiedgr �//2� SESSOR'S TAX/PARCEL #:LEGAL DESCRIPN OF SUBJECT PROPI�IERTY(� SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION - :_ : _
TYPE OF PROJECT(This application): ❑ ILDING �'' BING o MECHANICAL o DEMOLITION
16 ELECTRICAL o ENGIINEEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
G-74-"c .v.[5 t.- H
'1 Ste-acs . r-os
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: (�!�j 4, C //a e in/42P ; DAYTIME PHONE:/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): J
� 1
CONTRACTOR: NAME: DAYTIME PHONE:
i ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
i ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(ropy of card required) //��
APPLICANT: I NAME: /7€ .14drddg /� ,)� )/ � DAYTIME PHONE .2
MAILING ADDRESS STREET ADDR SS CITY,STATE,ZIP): EVENING PHONE'
r/3/Y- 33R-4 / i //14 (2
7:(lo`Z
I RELATIONSHIP TO PROJECT: ��
FAX NUMBER:
0 ARCHITECT o TENANT o OTHER( DESCRIBE): P%a (Z53) '
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 40PERTY OWNER ❑ APPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 6‘' H
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. ■ PRO3ECT 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: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) ?� LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC a 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 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to • e city s part of this application.
NAME/TITLE: ] "' "' DATE: /77 0 v
o PROPERTY OWNER a APPLICANT o CONTRACTOR
_.FOROFFICE.USE ONLY:'- I
p NEW;, ,rrinDDITION V4,ALTERATION REPAIR� ,TENANT IMPROVEMENT' ,, - ._';
CENSUStODE' £i ~ ORa M kkit.k LOT:SIZE.Wit -,
.1ZONIN4:DESIGNATION: _l; a g'C' • , BUILDING SHELL ONLY a YES -_o NO
COMP P.L/1N DESIGNATION ,,,, k+= .BASIC PLAN?; gyp 0 AYES:''.0 NQ, z r
SECTION,- TOWNSHIP_ RANGE - :NEW`ADDRESS REQUIRED?, ,, 'oTYES .❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
-Single Family Service or feeder only $57.00 _t of Thermostats(First-$43.00;add'n-$I 3.00ea)
(First 1300 ft2-$85.50:Each add'n 500 ft'-$27.50) _Service and feeder $93.00 ft of Low voltage fire or burglar alarms
Square Feet. First 2500 11'-550.00:Each add'n 2500 ft1-513 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-$57.00;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 557-00
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 i 93.;0
Up to 200 amp S 93.00 5 27.50 Feeder _201 -600 216.50
=201 -400 amp 115.50 57.00 -0 to 100 $ 93.00 $ 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 fi 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 front 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 5 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 1155.50
a of circuits _over 600 125.00
(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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) I TOTAL(D)
! f
r I
I
I I
i t f
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 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 rt 100-December 23, 2002