03-100737 A
City of Federal Way
Community Development Services Electrical Permit #:03 - 100737 - 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
Projeciame: SEWELL •
=- -
Project Address: 30343 14TH4.AVeS Parcel Number: 052104 9185
Project Description: Add additional outlets and a switch;Altering up to(4)circuits
Owner Applicant - - Contractor
VINCENT SEWELL VINCENT SEWELL VINCENT SEWELL
PO BOX 24222 PO BOX 24222 PO BOX 24222
FEDERAL WAY WA 98095 FEDERAL WAY WA 98095 FEDERAL WAY WA 98095
(253)661-5711
Electrical Fixtures
I Circuits-Multi Family 4
PERMIT EXPIRES August 18,2003.
Permit issued on February 19,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil e in accordance with the laws,rules and regulations of the Sta,of.Washington and
the City of Federal W . / ,
Owner or agent: Date: i/ �� t few
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A. ��v�0 CONSTRUCTION PERMIT APPLICATION
CITY OF �...� VBG APPLICATION NUMBER: 0,3 - I _00737- 00
Federal Way �8 APPLICATION NUMBER: -
00;c.24-1'
**The
APPLICATION NUMBER: -
**The follong®Ft U urmation-Please print(in ink)or type**
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Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: E a.„.re, s-]
arASSESSOR'S TAX/PARCEL #: L efzs -�� �' /1/, '
LE. AL DE CRIPTI•N •FSU:J CTP!OPS•TY(ATTACH SEP•RATE DESCRIPTION IF LENGTHY): IV 4 -/e9 �/ #417-
_ /7; / ._ f i ., e .. /,e_ , _ i . .a'
• PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL o DEMOLITION
,LECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
i
PROD CT SCRIPTION(Provide detailed description): _i •i ,K/ ! , / //Z, / ,I , .! / 10
PROJECT NAME: ��j/�-
///■JJJ PEOPLE INFORMATION
iIir
LAYTIME PHONPROPERTY OWNER: AM G AD/De (STREET AD�DRESS;� ,A ZIP): (04. )o‘17
���moo X cm.z. 44
giopr 50
CONTRACTOR: ( NAME: I DAYTIME PHONE:
I U e/( ' c)61/ -j77
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE-
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) - r
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: i.
DAYTIME PHON
9'1
EVENING PHONE'
1 M L �DO X E.(T��LA/Q�S;CITY, ATE,ZIP): \ 46,/
�/ _
RELATIONSHI O PRO CT: FAX 3) �//
0 ARCHITECT ❑TENANT OTHER(DESCRIBE)/? raG I C5) - #
AIL A RESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: / ' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $4K.�%` , DJ
PROPOSED USE: 1' ' , JJ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: /'LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: .,AKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT 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 ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(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) 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 may be made by any person,induding the undersigned,a )filed against the City of
Federal Way,but onl r ere such daim ari • out of the reliance of the dty,induding its officers and e/, yees,upon the accuracy
of the informatio -.11• •lied to the ' s •( of this application. /
NAME/TITLE: _�d DATE:
❑ PROPERTY OWNER a APPLICANT ❑CONTRACTOR
'FOR:OFFICE;USE ONLYINI
ir1EW- _ � ADDIT ON _; ALTERATION r REPAIR '''" ,TENANT IMPROVEMENT ' -
(LOT` E
-ZONING DESIGNATIONSBUILDINGWSHELI.ONLY?
COMP'LANNDESIGNI►TION' •mak ASIC;PLAN? Q i1(ES, ci NO� `-
SECTIUN TOWNSHIP i?1UVGE , ;NEW DDRESS 1REQUIRED? YES t NO
PLATTED LOT? ❑YES ,❑NO ..=; CHANGE OF.USE?;IW ,. ❑.YES "'NO ;k ' ,`:
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyofederalway.com
IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I 3.00ea)
(First 1300 ft2-$85.50;Each add'n 500 Il'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 f12-$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 1 93.00
_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 5 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 (1-5 circuits-$72.50;Add'n circuits,$6 eai
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
#of circuits _over 600
1-4 circuits-$57.00,Add'n circuits$6 ea) 125.00
g
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) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) II TOTAL(D)
l 1
"TOTAL COLUMN(D): ! i
Total Column(D)
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)
■ ENGI.NEERING
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