03-101114 City of Federal Way Electrical Permit #:03 - 101114 - 00 - EL
Community Deielopment Services
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: MONDRAGON
Project Address: 1826 S 310TH S T, Parcel Number: 785360 0095
Project Description: Running feeder from main house to garage and adding(1)circuit..Mounting lights,outlets,and wiring
breaker box.
Owner Applicant Contractor
Carmen Mondragon Carmen Mondragon Carmen Mondragon
1826 S 310TH ST 1826 S 310TH ST 1826 S 310TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-4912 98003-4912
Electrical Fixtures
. lt.. I ... .. F:;. ..r ,o ua0„ ,:tOtDescriptio 1 tloWititA
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 1
PERMIT EXPIRES September 17,2003.
Permit issued on March 21,2003
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 Federal Way. 3- 7/Owner or agent: all(/7 /KJlj/ l/7 Date: '3
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4,44 ....„ CONSTRUCTION PERMIT APPLICATION
CITY OF 7
o
Federal Way F ECEIVED APPLICATION NUMBER: �J= J J _( -
APPLICATION NUMBER: �T t'
MAR 2 1 2°°3 APPLICATION NUMBER: - -
**The following is r�q g�i4 f�litnation—Please print(in ink)or type**
\1Y OF FE t1�� -fT
p
Please note: Electrical, FirergynC ystemS and Engineering permits may require a separate application.
- _ . M PROPERTY INFORMATION
SITE ADDRESS:ifA6 S 3 10 ' S+ '-PAc rt\ ll)co1 Kin-ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PA PROJECT INFORMATION .
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
(X ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description : /� [!J4 i ! d# T�L'YNZ kez_
/� C . „ v
li i. i. ( o. ; .4 /A A A a c: . . o ,rt "I% ._ it - 1
I _
PROJECT NAME: i
1V PEOPLE INFORMATION
PROPERTY OWNER: &c. ; DAYTIME PHONE:
wVe v\ \OnA t' C41 a53 ) R Ll I -g7 6 J
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP):
I - : # th , I-. At frv/9- ',f, 73
CONTRACTOR: NAME: ' DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: --- i. EvENIVIG PHONE' _ _-- -- - -
)
I CITY OF FEDERAL • ;. NESS LICENSE NUMBER: FAX NUMBER:
-
( )
'� " EXPIRATION DATE:
CONTRACTOR'S REGISTRATION NUMBER:
I
(copy of card required) / /
APPLICANT: ( NArb
DAYTIME RHONELek"nelet : + -s-1
6
MAILING ADDRESS(STREETlADDRESS; 0 r( f oE,ZI k (I3NG PHONE') 'l9`
1
1.55-1& 5 3(O1k s-1--e.deY-c ()oak( w/4- J ; ( ) 99( - g--1 6
RELATIONSHIP TO PROJECT: i FAX NUMBER:
o ARCHITECT o TENANT ❑ OTHER( DESCRIBE): i ( )
I I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT:f*pROPERTY OWNER ❑ APPLICANT o CONTRACTOR
- -• DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: : •• ED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES . • a FIRE SUPPRESS • EM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROV • •, o LAKEHAVEN ❑ HIGH LINE 0 TACOMA 0 PRIVAT L)
SEWE• - LICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r
**NEW RESIDENTIAL CONSTRUCTION ONLY** .
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•• ■ PROTECT 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
Indi , • number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) RE•• G.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOO► OVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. \ )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o GAS
PLUMBING
B: HTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
ISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) UMP(S)
RI DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th• 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 the city as a part of this application.
NAME/TITLE: (L1flt6'7 114/7aralvh DATE: 3 -7/-0,.
o PROPERTY OWNER o APPLICANT o CONTRACTOR
:.,FOROFFICE.USEONLY:;--t.
;
d" NEW �n ADDITION xp ALTERATION p uREPA R o TENANT IMPROVEMENT-v:-c•
`CENSUS:CODE .,. 0 , s.- s =LOT
ZONING'DESIGNATION;tu.' ,; `;_ , BUILDING SHELL'ONLY? 0 YESt!=0
COMP PLAN DESIGNATION �. _ ,z rBASIC PLAN?.- -n YES , ❑ NO j - -
SECTION• 4 ATOWNSHIP z` .RANGE •NEW ADDRESS REQUIRED? Y: . ❑YES..;a'NO'
PLATTED LOT? ❑YES= o4NO •• YES'` = f 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
•
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 d of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50:Each add'n 500 ft2-$27.50) _Service and feeder $93.00 ft of Low voltage fire or burglar alarms
Square Feet. First 2500 fl2-$50.00:Each add'n 2500 ft2-$13(10
_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/ _d 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's _0 to 200 5 Vi 00
tp to 200 amp S 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 $ 93.00 $ 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-S 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
1 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 I over 600
(1-4 circuits-$57.00;Add'n circuits$6 ea) 12�00
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) TOTAL(D) I
t I
i I
I I
1 t II
I I ,
. I TOTAL COLUMN(D): i 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)
-. 1 OTHER FEES . . • .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TotaI (Pages One&rwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002