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03-104957 • • City of Federal Way Community Development Services Electrical Permit #:03 - 104957 - 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: JUSTICEBRADLEY Project Address: 35615 3RD SVLyiskie, Parcel Number: 302104 9022 Project Description: Install electrical feeder to new detached garage. Owner Applicant Contractor Barbara J Justice &SPOUSE:BARBARA JUS' Barbara J Justice &SPOUSE:BARBARA JUS' NONE 35615 3RD AVE SW 35615 3RD AVE SW FEDERAL WAY WA FEDERAL WAY WA 98023-7366 98023-7366 Electrical Fixtures Description Quantity Description Quantity Description Quantity Service: -Residential 1 PERMIT EXPIRES May 1,2004. Permit issued on November 3,2003 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. Owner or agent: See Application Date: I — 3 -03 - 5-- O Gorv-ce11f / AfproA0 /fr• re. i (- RECEIVED CONSTRUCTION PERMIT APPLICATION CITY OF �...� NOV 0 3 2003 APPLICATION NUMBER: C 3- L Q . q 1 1 - EL Federal Way APPLICATION NUMBER: CITY OF FEDERAL WAY BUILDING DEPT APPLICATION NUMBER: - - I *"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:3 S LQ c 3 i$ I lV`...K.! ASSESSOR'S TAX/PARCEL #: -• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PRO]ECT INFORMATION, TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION ELECTRICAL O ENGINEERING o FIRE PREVENTION SYSTEM r P JECT DESCRIPTION(Provide detailed description): _ + — TSL _• - , _it i 1 .t•_.Avd�.. ; LAA j .. reht.)e.A._ i-rn -... • '1 A • VII 6, 4 . 0 1 PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: r' NAME:g &AIL,TDAYRIM PHONE6a2 '-�JLf_ I 005) 72 am - : G LING ADDRESS EET ADDRESS;CITY,ST�IP): /5-- ` ‘, 4) On ` 9O2A CONTRACTOR: NAME: ' DAYTIME PHONE:1� - }` MAILING ADDRESSSTREET ADDRESS;CITY,STATE.ZIP)*) � EVENING PHONE ( ) CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: - - ( ) CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (ropy of card required) / / APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - I RELATIONSHIP TO PROJECT: j FAX NUMBER: o ARCHITECT IA TENANT o OTHER( DESCRIBE): ( ) - 1, E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 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:0 YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN 0 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 32c 32-C HOW MANY FLOORS? f TOTAL: 32- 3z5" ■ 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: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) 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,and filed against the City of Federal Way,but o. where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the inforrnatio s p•lied to '. d •s a •- of this pplication. NAME/TITLE: r DATE: I k; ©3 ,ROPERTY OWNER a APPLICANT ❑CONTRA OR ..FOROFFICE.USEONLY;Al .. NEW:' . 1pADDITION ,s .t ALTERATION .p.REPAIR �O„TENANT IMPROVEMENTS -' :CENSUS''CODE: ZONING';DESIGNATION;-. A a BUILDING SHELL'ONLY? '`o YES ,-:;0 NO COMP PLAN DESIGNATIONBASIC PLAN? ,o YES SECTION TOWNSHIPtliiAOCE ,V ,NEW ADDRESS REQUIRED?, _ :.a YES o'NO . 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 110 + ..tea ...�. I ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 ____14 of Thermostats(First-$43.00;add'n-$I3.0Uca) (First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms Square Feet-. _ First 250011'-$50.00;Each add'n 2500(C-S13 00 _Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) -rte' #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-543.00;add'n sign (Inspected separately) feeder-537 each) $20.00 each) !�! Swimming pool,hot tub,spa $85.50 Yard Pole meter loops $5700 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 g 93.o t Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50 _201 -400 amn 115.50 57.00 _0 to 100 $ 93.00 S 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,S6 ca) 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 $ 7 I5.9....-- _Over 600 volts surcharge 72.50 _0.100 S 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 1 15.50 #of circuits _over 600 125.00 (1-4 circuits-$57.00;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 nennit fee+$72.50.Add'l plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) ' NUMBER OF UNITS(C) TOTAL(D) I j I i I I I I 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