03-101698 City of Federal Way
Community Development Services Electrical Permit #:03 - 101698 - 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: YOUNG
Project Address: 30513 5TH SW AVe/S V1 Parcel Number: 178890 0190
Project Description: Install 200 amp service and associated wiring in single-family home.
Owner Applicant Contractor
ROGER YOUNG JR. ROGER YOUNG JR. ROGER YOUNG JR.
4323 NASSAU AVE NE 4323 NASSAU AVE NE 4323 NASSAU AVE NE
TACOMA WA TACOMA WA TACOMA WA
(253)376-6007
Electrical Fixtures
WW1*. l , ."IQUaritLt, l :i01atlo11,'. J . 11ti
Alt.Serv./Feeder:0 to 200 amps-Res.' 1
PERMIT EXPIRES October 27,2003.
Permit issued on April 30,2003
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 era Way.
Owner or agent: i- // ripDate:
atr
7- 3 , J 3 -1,4/A
CONSTRUCTION PERMIT APPLICATION
CITY OF 1.1"164......" C�
APPLICATION NUMBER: OS- 0 1 6 1 _cu
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
SITE ADDRESS: 36611E e 14 " 4k), ASSESSOR'S TAX/PARCEL #: / 788 goo -
Qz2c -7
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1- 3 453
►: PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): •1EC,i- / Ak-k) ' k R__
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NA ; DAYTIM HONE:
( � L jar) e* Y I (743)7( 6cr 7
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP):
443 Iu -T ivA too-
CONTRACTOR: NAME: i DAYTIME PHONE:
; (
_ f MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): EVENING PHONE,
I (
CII'OF FEDERAL WAY BUSINESS LICENSE NUMBER: f FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE'
i ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR •I
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: P' s •IS- • ' . •T •• '1R P• T .
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ 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 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 1
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 claim(induding costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such daim),which may be made by any person,including 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 informatio. •• to the city •s part of this ap. '•-tion.
NAME/TITLE: %., `I / DATE: ✓�-�'
PROPERTY OWNER • APP •NT CONT•4!
X
_;FOR.OFFICE USEONLY ..
",b NEWSiO ADDILIUN .D ALTERATION :;q,REPAIR.,. ; 'D.TENANT IMPROVEMENTg nea. ,,, .
'CENSUStODE<-, "$. -ai if. ,e**" * ;LOT SIZE . *z4 `A _O`, ;
ZONINGDESIGNATION _r ; r - ' .. BUILDING:SHELL'ONLY? 'D YES .o NO ;'
COMP PLAN•DESIGNATION N- , ' �BASIC PLAN?~ ;o YES =❑ NO.="
SECTION . , .',TOWNSHIP ,F; RANGE i ; , iNEW ADDRESS REQUIRED? . .a YES o NO
PLATTED LOT? It YES .fo`NO ": .`Pi ,. CHANGE OF USE?. -`o YES -n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvofederalway.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 ft1-$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 fh-S50.00: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/ _d of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
I1 _Yard Pole meter loops $57.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or nwre) Altered Service or Feeders t
Service Feeder Amps Service or Add'n 0 to 200 5 93-00
Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 $ 93.06 $ 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 ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 i 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
J_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
last or meter repair 43.00 _401 -600 115.50
e of circuits I over 600 125.00
i
(i 4 circuits-557.00;Add'n circuits$6 ea) it 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 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C)_ TOTAL(D)
i I i
I j i I
l
TOTAL COLUMN(D): i
Total Column(0) -
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)
-.• -. I 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 #100-December 23, 2002