03-101285 -w r
City of Federal Way
Community Development Services Electrical Permit #:03 - 101285 - 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: STEARNS Au-
Project Address: 29865 11TH SW Parcel Number: 195460 0095
Project Description: Adding service to garage and adding(2)circuits
Owner Applicant Contractor
Edward E Steams Edward E Steams Edward E Steams
29865 11TH AVE SW 29865 11TH AVE SW 29865 11TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-8210 98023-8210 (253)839-7496
Electrical Fixtures
g• ?�i ' . t .` pt o : ^j1QuanttlbA .„.,.. ..SCCIpi1C111 Q�$t�tlljt
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 2
PERMIT EXPIRES September 29,2003.
Permit issued on April 2,2003
I hereby certify that the above information is correct and that the construction on the above describedproperty 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 ay
Owner or agen ice' �m_` f $.. t Date: c7.1 -- 5
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LE-
CONSTRUCTION PERMIT APPLICATION
CITY OF ...� APPLICATION NUMBER: .03- j D g
Federal Way APPLICATION NUMBER: -
kPPLICATION 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.
-
'Al PROPERTY INFORMATION : _
SITE ADDRESS: ( /JQ�S--- 0114 fi14 ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
/.1 PROJECT INFORMATION
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): c��&c-\ J, I k �� (c -C&j
PROJECT NAME:
i'1 PEOPLE INFORMATION
PROPERTY OWNER: NAME: — �/�l i DAYTIME PHONE'
CSB
C `YM ZC �t�S j ( 0 ) `7J'(' -
MAILING ADDRESS(STREET ADDRESS;CITY,ST ZIP):
CONTRACTOR: NAME: j DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: f AME: I DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: i FAX NUMBER:
❑ ARCHITECT o TENANT 0 OTHER(DESCRIBE): i ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EX - ;• -•ING ASSESSED/APPRAISED VALUATI• $
PROPOSE?USE: PROPOS • VALUATION FOR IMPROV ENTS: $
SPRINKLEIRED BUILDING? o YES o NO FP. SUPPRESSION EM PROPOSED/REQUIRED: • YES • .O
WATER S •VICE PROV P R: ❑ LAKEHAVEN ❑ HIGH LINE • •MA ❑ PRIVATE(WELL)
SEWER SER •OVIDER: O LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
HUMBER.OF BEDROOMS: - ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOG• EXISTING SQ.FT. PROPOSED SQ FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES ' {
dicate number of each type of fixtu •
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 EL- RIC o GAS
PLUMBING
BATH Pd B(S) LAVATORY(S) URINAL(S) WAT • HEATER(S)
D WASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC . GAS
•.: NKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
III 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 claim(including 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 city,induding its officers and employees,upon the accuracy
of the information su lied to the city as a part of this appli tion.
NAME/TT(LE:I DATE: — () 3
o PROPERTY OWNER o APPLICANT o CONTRACTOR
-FOR,OFFICE.USE,O.NLY: ,
• ���� �8.s�wKe'.:vsc. ,u��...... x✓:r�:a _... .�,.-<�u.n •::��1 ..cxc;a�r:a ,
7i7 NEW£ , welib ITIO.Nsf zo ALTERATION:; ,. O„REP,AIR . 0 TENANT IMPROVEMENT'-'
• CENSUS`CODE''►%. fi ' : ' SLOT:-;SIZE;. t r , � ��, =r,
'ZONING BUILDING.SHELL':ONLY? +'D YES- o r445172-4f147-,6#1;5
COMP PLAN DESIGNATION vAr- , <ABASIC PLAN?�o YES o NO h` re `
$ECTION.' ��.... `
x¢�. -�..TOWNSHIP.��r.., RANGE���-� NE1N ADDR...ESS REQUIRED?`'¢.* ❑YESW [iNO -�
PLATTED LOT?3..Ma YES o NO .GRANGE OrUSE? , T]YES''"'lam N0=, ,
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 _#of Thermostats(First-$43.00;add'n-$I3.00ea)
(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 ft2-$50.00:Each add'n 2500 111-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders 'Pcr WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
I (Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
I 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 5 93.00
0 U to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
_201 -400 amp 115.50 57.00 0 to 100 5 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 #of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 5-5 circuits-572.50: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
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
arrofcircuits _over 600 125.00
t1 4 circuits-557.00;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'1 plan review for other submissions is 585.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B). NUMBER OF UNITS(C) TOTAL LII3
i
I ! ! I
1 �
' 'TOTAL CO • N(D): !
Total ..•.n(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( 13)
■ DEMOLITION • -. : • -
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING .._
Estimated Permit Fee:41111//1111(16)(16)
Bond Amount: (17)
-- ■ OTHER FEES .` ...
Mitigati. n Fee: (18) (20) (22)
SBCC Surcharge: ( ' (21) (23)
Total (P..-.one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-December 23, 2002