03-104882 City of Federal Way
Community Development Services Electrical Permit #:03 - 104882 - 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: SCHULLIAN
Project Address: 30242 21ST&A4G 5 Parcel Number: 798290 0110
Project Description: Replace underground service meter and panel; add(2)20-amp,240-v circuits and(2)20-amp,120-v
circuits to garage.
Owner Applicant Contractor
Milton Schullian &Jean Schullian NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
30242 21ST AVE S 10224 29TH ST E 10224 29TH ST E
FEDERAL WAY WA EDGEWOOD WA 98372 EDGEWOOD WA 98372
98003-4249 (253)445-7029
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential ( 4
PERMIT EXPIRES April 25,2004.
Permit issued on October 28,2003
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 in acc rd nce with the laws,rules and regulations of the State of Washington and
the City of Federal
Owner or agent: Date: rC — 2 8-03
t(------ 1 ---c-). ---- .,.e.1(,/,'C.--r___ 19 /-- —.-eD _,,---::c- ------.___r---
9 el'.
O
/O
/11t/
`.
RECEIVED L6-
CONSTRUCTION PERMIT APPLICATION
CITY OF PV
Federal Way OCT 2 8 2003
APPLICATION NUMBER: CI _ (1 _ (.
APPLICATION NUMBER: JI
;;TTY OF FEDERAL WAY (APPLICATION NUMBER: - -
BUILDING DEPT
**The following is required information-Please print(in ink)or type**
Please note: Electrical,FI a Prevention Systems and Engineering permits may require a separate application.
:■ .PROPERTY INFORMATION , -
SITE ADDRESS: 3°2 - Z1 st- _5' ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
tv1/441l,e,. F00v.1/41,,k. 2-4.s-e)\1-4.
- ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
LECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
ZOO !Ch^-q> NL J%Qt -w
etru •d, 11-NJn
le-Q. CANct. Dxf..-
'
Azko, �-z'� 20 Icyp ?4D v GLre..u.)-5 C t\Ac,e
it. ti. it T k lTO V Lk.r4-, 415 Ck&r e _
PROJECT NAME:
' ;::R PEOPLE INFORMATION
PROPERTY OWNER: NAME: - DAYTIME PHONE: /
fV\ll S G.�i.I �V� (Z.53 )8 Z Z-+-i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
C-
4
i C 1 ^ z t `-� i S
CONTRACTOR: ( NAME: DAYTIME PHONE:
_ I jv'o rk ure - C�Le��vu. c SQry l L2 ! ( `dbb) '2.,0 -Z,( D
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I. EVENING PHONE:
l (DZzs - z f' St- - E - EJ e;,ocx2t u3c, (6q.57 -z,_. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) _ ,
CONTRACTORS REGISTRATION NUMBER:
,) I� EXPIRATION DATE:
(ropy of card required) NO Cr-14 Esd1 ,jCF — / /
APPLICANT: NAME: ! DAYTIME PHONE: '
-�c vE --E(LL(t3(-TO!J (71) Y1-45 (-(8(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
) EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: 1,,� -` j FAX NUMBER:
( A.. MAO
0 ARCHITECT o TENANT 0 OTHER(DESCRIBE). ' a_ ] ( ) -
E-MAIL ADDRESS: I
I I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT 3;f1,6QNTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
i PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o 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
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 o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 su daim), hich may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where s dal '' • out of the reliance of the dty,induding Its officers and employees,upon the accuracy
i of the information su lied to a dty . a .-rt of this application.
NAME/TITLE: s- 7
DATE:
o PROPERTY OWNER ❑APPLICAN o CONTRACTOR
-FOR.OFFICE0SE ONLY:Al
NEW Q;ADDITION u ALTERATION .REPAIR : .TENANT=IMPROVEMENT
:CODE S �= � �r ' ° FLOT::SIZE: >. ', ate:i ..2.- ,�x .te=a.
.CENSUS: .� -
' ' BUILDING SHELLONLY? 'a YES 4 ❑NO
ONING DESIGNATION �., a-'� �
- .-,.-._...,_ -:-,� :� -•c� -3rd ;51',
`COMP PLANDESIGNATION - I, - =. .,=. ';BASIC PLAN? h YES '[j,`NO, ,~ '- -
SECTI ,1 . , -- TOWNSHIP kr,F RANGE _NEW ADDRESS REQUIRED?, ,"-4 ❑YES.. ❑:NO ,
"PLATTED LOT? = -❑YES _o;NO r:7-.,,,....1."- 'CHANGE OF USE? , .0 YES f.II 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
■ EKEV(RYCCAL
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 ft2-585.50;Each add'n 500 02-$27.50) Service and feeder $93.00 if of Low voltage fire or burglar alarms
iquarc Feet. First 2500 ft2-$50.00:Each add'n 2500 ft'-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _if of service or feeders * Per WAC 296-46-910(5)(6)(1 K ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _i1 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
1 _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's _0 to 200 5 93-U0
tJp 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 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 if of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-572.50: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/Commercial/Industrial
I 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
t#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i 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
permit fee+$72.50.Add''plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from hoe 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