03-105060 e
City of Federal way
Corrul,i�pity Devel<vment Services Electrical Permit #:03 - 105060 - 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: PARK
Project Address: 942 S 293RD 5.1' Parcel Number: 515280 0080
Project Description: Altering existing service and circuits for new remodel,hooking up new hot tub and wiring
Owner Applicant Contractor
JAMES&HEATHER PARK JAMES&HEATHER PARK JAMES&HEATHER PARK
942 S 293RD ST 942 S 293RD ST 942 S 293RD ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
\ \ (206)349-4406
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Hot Tub 1
PERMIT EXPIRES May 10,2004.
Permit issued on November 12,2003
I hereby certify that the above information is correc and that the construction on the above described property and
the occupancy and the use will be in accordance wi 1 the laws,rules and regulations of the State of Washington and
the City of Federal Way. -
1 �
Owner or agent: _.__ �a Date: II /-1--/0 7
2—i/— - 3
�Z 2 9-0 3
•
- z —o"
e r,`-€c04/ oyDsvy3H
s C
S 1 9' 4 eocceLA„,„
fl
\,\O \\
RECEIVE[
�� CONSTRUCTION PERMIT APPLICATION APPLICATION 03 0- _
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAYAPPLICATION NUMBER: - -
BUILDING DEPT.
..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.
I PROPERTY INFORMATION : -
I y . 6/
-igA` C+Y(Y (40 - ' ,y�
f SITE ADDRESS: S Vir'J )r 7k/ ASSESSOR'S TAX/PARCEL #: -
I. LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- I PROTECT INFORMATION
1 TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING o MECHANICAL 0 DEMOLITION
1" IY1LECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
.
PROJECT DESCRIPTION(Provide detailed description): AQ��/N C- /y� in r 7 ' �v
/ ccs A fc' 10/R A)c--7,/ C.E tr, '/cq c-- ; A7E4 fi el,416' ti'f 7-
OF
O/ Se/1F oh- 77i� /fr-r ,
I`
I':
PROJECT NAME:
I PEOPLE INFORMATION
PROPERTY OWNER: NAME: i DAYTIME PHONE:
NiE S PA R j ( .-o6 )36-1 - G
MAILING ADDRESS(STREET ADDRESS;CITY,ST TE,ZIP):
31 6u ?CAC,.irc 14ti/ : s. Ifr 61 -r6PGML ( A0-c', wA 9 007
CONTRACTOR: I NAME: I DAYTIME PHONE:
( )
i MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): i. EVENING PHONE:
s � ( ) -
1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: i FAX NUMBER:
- - i ( )
CONTRACTOR'S REGISTRATION NUMBER: l
1 IXPIRATION DATE:
((copy of card required) /
APPLICANT: I NAME: DAYTIME PHONE:
1 ! ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
s ; ( )
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT ❑TENANT 0 OTHER(DESCRIBE): ; ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
s PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• . • -± • • ; .
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: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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,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 SA//��i� l= i`suppliedK.-to the city as a part of this application. `
NAM /TITLE: i DATE: // // A 7
( RROPERTY OWNER o APPLICANT ❑CONTRACTOR
-FOR DFFICE.USE ONLY.ixi
;U„NEWADDm( 1 'o ALTERATION ❑REPAIR ,- --; TENANT:IMPROVEMENT:,l�,,.-rt-IM
CENSUS`CODEiwoRra 0 -ito rLOTSIZE Vg ` ..-.. ` al.
` ZONING DESIGNATION W 1 BUILDING.SHELL ONLY7 `o YES ,a NO
COMP PLANNDESIGNATION , . gt fBASIC PLAN? a=YES -;❑.NO f . r
SECTION; :-:TOWNSHIP ' GRANGE` r NEW`ADDRESS REQUIRED? .. g :"o..YES -•aNO
'PLATTED LOT?;-,"❑YES ._a N0 ;rnkt6;:-174W.R6'''CHANGE OF USE? *? :5.',', .CI YES 'P-b'NO,--,1,-!`.:54.:!,-,-•:-Y--..---,4,-
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
A -
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-Sl3.00ca)
(First 1300 ft'-x;5.50.Eych add'n 500 ft'-$27.50) _Service and(ceder $93.00 _4 of Low voltage fire or burglar alarms
iquare Feec. _ First 2500 ft-S50.00:Each add'n 2500 ft'-$13 0(;
_Each outbuilding or garage $3550 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _4 of service or feeders ' Per WAC 296-46-910(5)(b)0R ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ 4 of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) 20.00 each)
1/Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
I �
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 $ 93 00
_Up to 200 amp S 93.00 S 27.50 Feeder 201 -600 216.50
201 -400 amn 115.50 57.00 _0 to 100 $ 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 _II of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50;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
S'ervj,ce or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
W 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 1155.50
a 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
permit fee+572.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
1 l {
I I
+ i
l I
TOTAL COLUMN(D): l
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