03-105257 City of Federal Way
Community Development Services Electrical Permit #:03 - 105257 - 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: ELIASEN
Project Address: 29125 23RD lS Pl 5 Parcel Number: 422260 0150
Project Description: Service upgrade to 200amp subpanel in garage; outlets and lights
Owner Applicant Contractor
George A Eliasen &Laurel L Eliasen RONDEAU ELETRIC,LLC RONDEAU ELETRIC,LLC
29125 23RD PL S 11044 SE 186TH ST 11044 SE 186TH ST
FEDERAL WAY WA RENTON WA 98055 RENTON WA 98055
98003-7946 (425)277-2939
Electrical Fixtures
Description Quantity Description Quantity Description Quantity]
Alt.Serv./Feeder:0 to 200 amps-Res, 1
PERMIT EXPIRES May 29,2004.
Permit issued on December 1,2003
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.
J
Owner or agent: A / �� _ 0 1' ' Date: /2(9/'O
— 0 3
C\ti) 4,61-f
•
CONSTRUCTION PERMIT APPLICATIO(�
CITY OF oi'1 "'►...� APPLICATION NUMBER: 3- 10 5122 S-7—
Fe d e ra l Way APPLICATION NUMBER: - -
kPPLICATION 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: 21/2S' 2 3 -P4 S ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM A
PROJECT DESCRIPTION(Provide detailed description): C// - - �/ .. r ZCs2mr[- / ''
• r s
PROJECT NAME: e 1 U 5.4
_ • • I PEOPLE INFORMATION
PROPERTY OWNER: NAME: ‘iti..1<(-5 .. /(/ i DAYTIME PHONE3Xr�2MAILING AS(STR S ,STATE,EZA _-5--, t i (2 )9V- 1VJ ei
2�vz � Z3 " III;
CONTRACTOR: ( NAME: DAYTIME PHONE:
19NO 24 ZA CT)c �L ' (%z a77-293
MAILI GG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
I �/ ��� ' �' - /70,ver))Ac42,1-277 Z9
CITY(I(PL L WAY BUSI LICENS NUMBER: FAX NUMBER:
� ( ) I
CO CTOR5 REGISTRATION NUMBER: I EXPIRATION DATE:
APPLICANT: I NAME: i DAYTIME PHONE: i
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: 1
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR I
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
I
**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) RANGES) 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) ❑ 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 supplied to the city as a part of th's application.
NAME/TITLE: .'l L ' -e7; /►�l CC!A. I 'ATE:
o PROPERTY OWNER o APPLICANT ❑CONTRACTOR
_:FOR-OFFICE.USE,ONLY:;,I
• EW_`.,, i •ADDITION 0 ALTERATION 4.,r Zrko REPAIR . 17;TENANT IMPROVEMENT 4 ,
'CENSUS.'CODE .i` -P. - s .; LOT SIZE.... .;t ...,_ 3 _ ,.
ZONING`yDESIGNATION. ¥ "-'-;';e,. BUILDING SHELL'ONLY? OYES ,.❑NO .
=COMP PLAN DESIGNATION = BASIC PLAN? ❑YES o`NO
;SECTIONI , TOWNSHIP ,_* -RANGE .NEW ADDRESS REQUIRED? '�' ❑YES 4-❑'NO'
• 'PLATTED.LOT? ';"❑YES' $'ONO # CHANGE OF USE? , - o YES;_P. NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoflederalway.com
. IN ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft'-$85.50;Each add'n 500 11'-$27.50) _Service and feeder $93.00 _ft of Low voltage fire or burglar alarms
Square Feet: First 2500 f1'-$50.00;Each add'n 2500 ft'-$13.00 ,
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _fl 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/ _At of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 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.tiU i
_
Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 _0 to 100 5. 93.00 1 57.00 601 -1000 12650 l
=
sol -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 it of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,$6 ear
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/Commerciaiflndustrial
10 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 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i 1
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) ' FIXTURE FEE FROM TABLE B(B)• : NUMBER OF UNITS(C) TOTAL(D)
t i
l 1
' 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)
. l ulletin #100-December 23, 2002