03-104921 City of Federal Way
Community Development Services Electrical Permit #:03 - 104921 - 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: QWEST
Project Address: G�- Wt Parcel Number: CITY WIDE
Project Description: Repair"to existing 100 amp service. Equipment located between 33205 35th Ave SW and 33202 36th Ave
SW(see attached map)
Owner Applicant Contractor
PAGEANTRY COMM OF WASHINGTON QWEST KEN BOBKO ELEC CO INC
PAGEANTRY COMM OF WASHINGTON 1005 17TH ST ROOM 1570 PO 7009
25400 74TH AVE S DENVER CO 80202 TACOMA WA 98407
KENT WA 98032 (253)756-0944
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps=Comm. 1
PERMIT EXPIRES April 27,2004.
'ermit issued on October 30,2003
I hereby certify that the above informati. • orr-. and that the construction on the above described property and
the occupancy and the use will be in . dan - with the laws,rules and regulations of the State of Washington and
the City of Federal `
Owner or agent: '�_� Date: 0
i 2
4-0
7 -.)
/79/0)k")
® RECEIVED
�, '% . CONSTRUCT I ION PERMIT APPI'ICATION
CITY OF �..� T 3 0 2003 APPLICATION NUMBER: 0 3- J -"l 2-i - za
Federal WaERALWAY APPLICATION NUMBER: - -
art OF FED DEP • APPLICATION NUMBER: -
BUILDING
**The following is required information-Please print(in ink)or type** Of-
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- ' :` _ -, �� PROPERTY INFORMATION
_,: - -
SITE ADDRESS: �S `1 sv" -z2_N-') P 1 ' ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
\ . ..1:111 PR07ECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING o PLUMBING 0 MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
'Z PI i - --X S7-1-d`1 CC- \OiOf U6- S SLE
PROJECT NAME: CrW S\-- ‘14 L
PEOPLE__INFORMATION ::..
PROPERTYOWNER: NAME: a\s„ T DAYTIME PHONE
_ .
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): t
1
CONTRACTOR: I NAME'K DAYTIME PHONE:
T
/ MAIUNG ADDRESS(STREET ADDRESS;��� .ZIP ����� � (2-5-5 156
(3�.� �C� � (�{�/(�� (\`'�/��)X� ����K ��ELVENJING PHONE: _
I s VL CITY OF FEDERAL WAY BUSINESS UCENSE66ict ����1 )`
O — - — — FAX NUMBER: _
CONTRACTOR'S REGISTRATION NUMBER:
_ ^ EXPIRATION DATE:
(ropy of card required) - - 1 / /
APPLICANT: NAME: c( DAYTIME PHONE
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
1 ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT ❑TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR TMIS PROJECT: 0 PROPERTY OWNER D APPLICANT CONTRACTOR
-1-•■ DETAILED.BUILDING INFORMATION " -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
1 PROPOSED USE: - PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
'
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY••
NUMBER OF BEDROOMS: ESTIM ,RICE: $
,. ■ PROTECT 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 a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
111 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 •• premises to perform the work for which the permit application Is made. I
further agree to hold harmless the City of F••- •1 ay as to any daim(induding costs,expenses,and attorneys'fees Incurred In the
investigation and defense of such daimv •• ay be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such d/;' an out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the Information supplied to th- as part of this application.
NAME/TITLE: / • r DATE: w -30 O 3
• s-'j • . a A: T) ONTRACrOR
FOR OFFICE USE ONLY
���, r.,:t mow- 'r.� .G_, w..,�,..L :; :� .z„xx .'. -�..'^.L, 'v
Aa NEW Q ADDITION .a ALTERATIO.N4y a.REP,AIRt. ❑TENANT IMPROVEMENT; = _ :_
, = s
CENSUS:CODE" * ��� � :���� f�� �LOT_SIZE��` `;;.�, �r �;tx..+� +,•.,.tom`,=4+g tix4
ZONING DESIGNATION '� '' �
���,,,� v;142g BUILDING SHELL ONLY?, ❑YES �- ,a NO _ - �
TCOMP"PLAN DE' S V ION W gt a
SECTION ��
� TOWNSHIP �� RANGE����� NEW ADDRESS RE�UIRE07�, aa
°PLATTEU LOT?.)-a YES•-ONO CHANGE-OF USE?,--7:••"",=;'!-,-"a YES a NO Fin
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
1vww.dtvorfederalway.com
•
• • ■ ELECTRICAL .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-SI3.00ea)
_
(First 1300 ft2-585.50;Each add'n 500 ft`-527.50) Service and feeder $93.00 _#of Low voltage fire or burglar alarms
First 2500 ft'-$50.00;Each add'n 2500 ft`-S13 00
iquare Feet.
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) it of service or feeders • Per WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
Yard Pole meter loops 557.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
i (Includes three units or morel Altered Service or Feeders
Service ['cede' Amps Service or Add'u �0 to 200 5 93.0()
Up to 200 amp $ 93.00 S 27.50 Feeder _201 -600 216.50 i
201 -400 amp 115.50 57.00 0 to 100 5 93.00 5, 57.00 _601 -1000 126.50
-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 b of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 TT-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/Commercial/Industrial
ll=
0 to 200 amp S 71.50 Over 600 volts surcharge 72.50 _U- 100 5 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 I _401 -600 115.50
a of circuits I ( _over 600 125.00
(i-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'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)
j I
{
I t
1
=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)
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
y 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
/