03-105481 .111.111110.40.
City of Federal Way
Community Development Services Electrical Permit #:03 - 105481 - 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: MCGOVERN0
Project Address: 32607 39THS W Parcel Number: 873195 0030
Project Description: ALT-Rewire entry and add to existing wiring and replace lights&plugs.
Owner Applicant Contractor
Terrence E McGovern &E Joann McGovern ACTION PLUS ELECTRIC INC ACTION PLUS ELECTRIC INC
32607 39TH PL SW P.O.BOX 1423 P.O.BOX 1423
FEDERAL WAY WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
98023-2648 (206)650-7754
Electrical Fixtures
Description Quantity ` Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES June 15,2004.
Permit issued on December 18,2003
I hereby certify that the above information is coir- id that the construction on the above described property and
the occupancy and the use will be in accor.. .•- .. + the laws,rules and regulations of the State of Washington and
the City of Federal Way.
• Owner or agent: ` Date:
( 8 - 0 4.t frep
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CONSTRUCTION PERMIT APPLICATI
CITY OF �..,./ ON APPLICATION NUMBER: - L Q ,Z-i' -
Federal Way APPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
(APPLICATION 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.
. ■'PROPERTY INFORMATION '
SITE ADDRESS: 314, o 7 31 ,0,, et S 4J ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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■ PRO]ECT INFORMATION - _ -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERINGn❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): -24)/,2 c= EMMy A-4 D
70 EX r 5 riiv-` u/i/Laidu I "l026�°r_.4C' L-/ ,ie Pt.i s
PROJECT NAME: !A'2-
I• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
`/�/R/' y " G o v&- 2n/ ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STA IP):
32-4007 3 1 ' PL s ` '
CONTRACTOR: NAME: ' • ' Or w
DAYTIME PHONE: I - -
( Ii jai i iIII — 4= . I . (00552)-31 -7-61
MAILING AD ESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
ado& P `f z 3 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: } FAX NUMBER:
- - (253) ?s"-f9- 76 7/
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
/QCs l v eg a SPePE--
/ /
(copy of card required) I
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) - I
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
. . ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) )
**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 Value of Mechanical Work: $
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) ❑ 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 claim),w may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim • 'u of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information supplied to the ci t•• ! • .rt of this app• lion.
NAME/TITLE: r� LiLe DATE: / vS O Q ✓
o PROPERTY OWNER ❑ APPLICANT ❑CONTRACTOR
FOR OFFICE USE,ONLY:
ci NEW" P;IraDDITION ,- :ao ALTERATION r .'o REPAIR ,C]TENANT IMPROVEMENT "'"..
CENSUS'CODE s ,., - - -_b r, t.''''. .-, :LOT SIZE:-1.-,-. -,..-_;.;:r,.',7,',-,:-,,,--'-' _._~,
;ZONING DESIGNATION- _ -,_-- : BUILDING SHELL ONLY?1,-13 YES''2'-.-0 NO '"
COMP PLAN DESIGNATION : lig.,,,' :BASIC PLAN? "o YES ❑'NO.'"- -
SECTIONS , .'
TOWNSHIP ' - 'RANGE i,',- NEW ADDRESS REQUIRED? ' ci YES ci NO
PLATTED LOT?-` ❑°:• YES'' o`NO , CHANGE OF USE? ❑YES'�`=n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www•dtvoffedera Iway.com
•
■ ELECTRICAL -
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _If of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft2-$85.50;Each add'n 500 fl -$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) ____
ach) - $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 5 93.00
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amn 115.50 57.00 _0 to 100 1 93.00 1 57-00 601 -1000 126.50
=401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 rl
=over 1000 363.00 1
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-572.50: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
Service or Feeder _Over 1000 434.50 232.00 Residential!Multi-Family/Commerciai/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 i
1
i-P 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 1
permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr. ,I
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
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TOTAL COLUMN(D):
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)
• 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 /
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