03-105256 c ^r
City unityFederal Way
Community Electrical Permit #:03 - 105256 - 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: EAST EMPIRE GARDENS
Project Address: 33311 18TH 6 LA S Parcel Number: 79 0
Project Description: Replace section of damaged underground wire; (2)350's&(1)4/o neutral 40
Owner Applicant Contractor
EAST EMPIRE ASSOCIATES LL*EAST EMP RONDEAU ELETRIC,LLC /EAU ELETRIC,LLC
1647 S 333RD ST 11044 SE 186TH ST 1 186TH ST
FEDERAL WAY WA RENTON WA 98055 WA 98055
98003-6415 7-2939
lectrical Fi res
Description Quantity Q i it i 11 y , Quantity
Alt.Serv./Feed:201 to 600 amps-M
1111 RMIT EXPIRES May 29,2004.
'ermit issued on December 1,2003
I e.y • \ that the •ve info 'on is correct and that the construction on the above described property and
occupancy and the us '11 be ' ordance with the laws,rules and regulations of the State of Washington and
\ ity of Federal Way.
O' .r agent: g i ,I j L�—.t iii _ Date: (2 0/''/
raw-- 4,/01-‘&49){2
- CONSTRUCTION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER: cr3- + Oros- 0 -ere)
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: 3 3 3 (( /g —LAiveLS, ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): �o��BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
6a-ELECTRICAL 0 ENGINEEERIING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): il-7'*' E. �,�G_ /O,0 -did& fi
PROJECT NAME: /`-' '5 7- ��dli //'G E , ip -
-
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE'
,EA-S /e//e ,��� 5 i ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33.E/( /8 -,IV.� 5a - F��G�/1-r WA 3
CONTRACTOR: NAME: An ' DAYTIME PHONE:
V ^. C� �_t' '°,C Z C ! (9251 z77-2?y 9
MAILING DURESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
I �,, , Afir///' p,901-c ) s4`4,6--
CITY• • DERAL WAY: INESS LICENSE NU BER: FAX NUMBER:
( ) -
CONTRACTOR'S REGISTRATION NUMBER: // /�\ / EXPIRATION DATE:
(copy of card required) /2 Q A/22EL V J ".Q 1 /1 / 1, / 2c2— 1
APPLICANT: I NAME: ! DAYTIME PHONE:
( )
S74 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: -
1
RELATIONSHIP TO PROJECT' j FAX NUMBER:
I i
❑ ARCHITECT 0 TENANT o OTHER( DESCRIBE): ( ) -
I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
•■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PRO]ECT 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: 0 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.( )
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 only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: r'e9"',l'—l`L " �J,�1��a 'l DATE: f
o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
_.FOR OFFICE-USE:ONLY , I
o NEW_�.;. �p ADDITION � a,a ALTERATION o.REPAIIM: ;TENANTIMPROVEMENT` ,.
CENSUS`CODE.. i -°_ _ f. LOTSIZE.; ?� .. , ;. _ .x.,.... .
ZONING-DESIGNATION,=e ;; . ` ; ' 'BUILDING SHELL ONLY? n YES =o NO
COMP PLAN DESIGNATION 3 ' ABASIC PLAN? ,o YES ❑ NOKIR
`SECTION'•W - -TOWNSHIP- ' ,GRANGE ANEW ADDRESS REQUIRED? F '❑YES.- -'e, NO
PLATTED'LOT? ''❑YES_:=o'NO -'CHANGE OF USE?.` `_,, , _ ❑YES F"'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.dtyoffederalway.com
. ■ E ECTRICAL
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-$13.00ca)
(First 1300 ft2-585.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms s
Square Feet: First 250011'-$50.00:Each add'n 2500 10-513-0(; 1
_Each outbuilding or garage S35.50 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-557.00;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 5 93.00 i 1!
-A,201
Up to 200 amp $ 93.00 $ 27,50 Feeder _201 -600 216.50
a 201 -400 amp ' 115.50 <i 6 0 to 100 $ 93.00 $ 57.00 601 - 1000 126.50 i
( -
401-600 amp 158.50 78:50 =101 -200 115.50 72.50 =over 1000 363.00 l I
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 t 1-5 circuits-$72.50;Add'n circuits,$6 eat
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
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+$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) TOTAL(D) I
l I I i
r l I l
I t i
I . = '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 rt 100-December 23, 2002 ,