03-100921 •
Cloy of Federal Way
Community Development Services Electrical Permit #:03 - 100921 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210 _
Ph:253.661.4000 Fax:253.661.4129 s Inspection request line: 253.835.3050
Project Name: RONQUILLO ,— - - �
Project Address: 1538 SW DASH POINT =-- Parcel Number: 515320-Q681
Project Description: Upgrade to 200 amp-Paneland rewire/remodel as needed due to fire damage -:-
Owner Applicant Contractor
Teresita Ronquillo Teresita Ronquillo Teresita Ronquillo
1538 SW DASH POINT RD 1538 SW DASH POINT RD 1538 SW DASH POINT RD
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-4525 98023-4525
Electrical Fixtures
»p;W 4 t :_:Descripti61 °. ..R
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES September 2,2003.
Permit issued on March 6,2003
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 ' accor ance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
_-_ —��—
Owner or agent: Date: o 3 03
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CONSTRUCTION PERMIT APPLICATION
CITY OF �..� RECEIVED APPLICATION NUMBER: Oa- 0013 l
Federal Way APPLICATION NUMBER: - �� �_
�
MAR 0 APPLICATION NUMBER: - -
**The folio )tjys gilcedE information—Please print(in ink)or type**
j' U WAY.
Please note: Electrical, Fire Prevengib{� enp Engineering permits may require a separate application.
t c • PROPERTY INFORMATION '
bu
SITE ADDRESS: r J J `- -)A f 1 1 ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING 0 MECHANICAL a DEMOLITION
ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPT ON(Provide detailed description): (/4 ti ( ` '/-e L �,. C /c j
y
. I a o , I1� c 7 t� vs-T— ' - ,p:7/, -
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PROJECT NAME: $ / e C Ce--,ii/OW .el . '^& r LCa rAill v
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: • ; DAYTIME PHONE:
�5 i*. 7, , /u()) ,JI / i s,) (7_53) 2- ' U56-3
MAf-g
G ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/ c 5.LNj, ,✓l 5/-4 c "<✓> , 7
CONTRACTOR: NAME: DAYTIME PHONE: -
MAILING-ADDRESS(STREET ADDRESS;-CITY,STATE.ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
1 (copy of card required) /
` APPLICANT: NAME: DAYTIME PHONE:
CRAMIt ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( -
I
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT ElTENANT ❑ OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES ❑ NO ,
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) sr
**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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 myt 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 claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),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 su plied to th• d A•s a •art of this application.� 2
NAME/TITLE: ' CG?5j T. A.tib" (DATE: v > — 6 -05
PROPERTY OWNER o APPLICANT ❑CONTRACTOR
FOR OFFICE USE,ONLY Ri
ANEW , �p ADDITION C7 ALTERATIONe REPAIR ="b NANT IMPROVEMENTM4
CENSUS'CODE .; LOT:SIZE; �
ZONING DESIGNATION• �
�.� � � BUILDING St�ELL�ONLY7�❑,YES ❑NQ . � ��
:cMP PLAN DESIGNONATI " ' ,ABASIC:PLAN?,,., YES ❑ANO
ECTION -- TOWNSHIP_ ANE.WADDRESS REQUIRED?..... YES,.
❑ NO
PtATTED�LOT?��'❑YES,��❑NO _�.,� ,;� ..,CHANGE OF USE? ��
"❑YES'❑
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
• 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-$13.00ea)
(First 1300 ft1-$85.50;Each add'n 500 ft'-$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
_Yard Pole meter loops $57.00
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 $ 93.00 f
Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 5 93.00 1 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 _#of circuits
_Over 800 amp 289.50 (I
216.50 _401 -600 252.50 101.00 -5 circuits-$72.50;Add'n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
w-vice or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
AO 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
_#of circuits over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 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+$72.50.Add'I plan review for other submissions is$85.50/hr.
t
FIXTURE DESCRIPTION(A) FIXTURE.FEE FROM TABLE B(B) II • NUMBER OF UNITS(C) TOTAL(D)
! I 1
j 1 1 I
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)
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