03-101714 City of Federal Way
Community Development Services Electrical Permit #:03 - 101714 - 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: THOMAS
Project Address: 30112 21ST i Ave-S Parcel Number: 798290 0010
Project Description: Remove old 100-amp panel and replace with new 100-amp panel in existing residence.
Owner Applicant Contractor
WILLIAM&FRANCES THOMAS WILLIAM&FRANCES THOMAS WILLIAM&FRANCES THOMAS
30112 21ST AVE SW 30112 21ST AVE SW 30112 21ST AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)640-5699
Electrical Fixtures
M t orl - €e . ¢r pti; 4 : F irt ti2r4,,z Or: cripti rG .(,:inti
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 info •• :,. 's correct and that the construction on the above described property and
the occupancy and use w*! .. m accordanc ••• • ie laws,rules and regulations of the State of Washington and
1
the City of Federal /y.
Owner or age' Date: U ��� �b�
— 37-- -3 ,--o -
�., RECEIVE® CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: D3- /e)( 7/v- QlJ
Federal WayAPR 0 20 APPLICATION NUMBER: - -
03APPLICATION NUMBER: - -
--The i IF�CI17/ic to7ormation—Please print(in ink)or type**
Please note: Electrical, Fire Prev��ron-S9sEI�i66 and Engineering permits may require a separate application.
■ PROPERTY INFORMATION ,: -
SITE ADDRESS: UU" /ST 4 142___ S . ASSESSOR'S TAX/PARCEL #:7 ? Y ,.. . 10 - ®v( O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. a PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
ELECTRICAL❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descripti n): /> -„/d(/e d c) E'e9e/V' L"' //t C I -/ C
P4_ , i..3/,(s t fu e l., 1. I On .-'e/4r Q) XC'')-e cc e 40/T/f /'Dv',1.4,.—
"V /ti /3ize4 ' '— P .tieL
PROJECT NAME: 7%/41A5-
■ PEOPLE INFORMATION
PROPERTY OWNER: ME NADAYTIME PHONE'
/ / /,."-F-1 //-f a,s ; (2ss.3) 64to - SG 2y
M6,14ING0A,/ (STREET ADDRESS;CITY,i S STAB,ZIP).v e S r 4 v,�// ,y ^Z 9Z ---5
CONTRACTOR:
CONTRACTOR: NAME: p� DAYTIME PHONE: /
leuf.1/er ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: . DAYTIME PHONE,
Gam,f/, tl.e i CITY, l (-1- e� (z1.� ) v - e 9
MAILING AD/ES`S'(SIFtEET ADDRESS; f STATE,ZIP): v n % 'o I (A�G)PHONE* -
±1 RELATIONSHIP` TO`PROJECT: -K.
j FAX NUMBER:
I 0 ARCHITECT ❑ TENANT OTHER(DESCRIBE): 0ke2 ( ) -
E-MAIL AD9 S :
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR ib/e? g, /��JO%,th,,¢4.. , con
■ DETAILED BUILDING INFORMATION /
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
1
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY** r .
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: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ 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 . • z ade by any person,induding the undersigned,and filed against the City of
Federal Way,but on re such,daim ad • ••ut of the r• •• of the dty,induding Its officers and employees,upon the accuracy
of the Informatio pli to as a .• 4.f this •_;; -ratio "- 20 - D 3
NAME/TITLE: /C, �' DATE:
zi, RROPERTY OWNER /PPLICANT o CONTRACTOR
•,FOR,OFFICE.USE ONLY e1
.n. NEW:.;. ,?Q ADDIRON. '.a ALTERATIONS .REPAIR TENANT IMPROVEMENT � _r
CENSUS`_CODE' ,o 's' ;motex
ZONINGYDESIGNATIONf,aBUILDING SHELL'ONLYt �O YE5 a NO
FBA .
COMP PIANsDESIGNATION ,,,_ ,, SIC PLAN?, k rn YES ' ❑NOYrs
SECTION= •*. *TOWNSHIP_, '°'ON GE 7'41'0 _NEW ADDRESS REQUIRED? .,❑YES o NO i
'PLATTED LOT? P ❑YES;=,,a NO ,1111%t '.e CHANGE OF USE?,: 4 , ="n YES~l=fl'NO z. ;
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cttvoffederalway.com
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 557.00 _#of Thermostats(First-543.00;add'n-$13.00ea)
(First 1300 ft2-585.50;Each add'n 500 02-527.50) _Service and(ceder 593.00 #of Low voltage fire or burglar alarms
square Feet: _ first 2500 1t1-$50.00:Each add'n 2500 f12-$13 0(;
_Each outbuilding or garage 535.50 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 557.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-537 each) 520.00 each)
I I _Swimming pool,hot tub,spa 585.50
-Yard Pole meter loops 557.00
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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 1 93.00
_Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50
-201 -400amp 115.50 57.00 - #0[0 100 5 93.00 $ 57.00 -601 -1000 326.50
If 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-572.50:Add'n circuits,56 cap
A - 0 GLE/MULTI FAMILY _601 -800 326.50 138.00
Viten inspec ed separately from the services.) 801 -1000 399.00 166.50 TEMPORARY SERVICE
' Service or F•der Over 1000 434.50 232.00 - Residential/Multi-Famiiy/Commerciai/Industrial
0 to 2''amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 $ 57.00
2 f -600 amp 115.50 _Mast or meter repair 78.50 _I01 -200 72.50
_over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
I _#of circuits over 600 125.00
_
(1-4 circuits-557.00;Add'n circuits 56 ea)
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+572.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE,FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i l ! II
t 1
`TOTAL COLUMN(D):
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)
■ OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
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` Total (pages one&rwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23,2002