03-104941 City of Federal Way
Community Development Services Electrical Permit #:03 - 104941 - 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: LOFFER peg"
Project Address: 32230 26TH1SW Parcel Number:
Project Description: Replacing existing wiring damaged in auto accident
IIISi
•
Owner Appli Contr. •r
LAWRENCE LOFFER LAWRENCE - AWRENCE LOFFE•
32230 26TH AVE SW 32230 26TH SW 32230 26TH AVE SW
FEDERAL WAY WA FEDERAL FEDERAL W
(253)874
Electrical res \ON>\
1 k
Description Quantity Description Quantity
Low Voltage-Other Reside• 'al 1
— 11:11)
' I T EXPIRES April 28,2004.
'ermit issued on October 31,2003
-reby certify that ,e above •.,". orrec •nd that the construction on the above described property and
occupancy and ths. . .- :, dance w. the laws,rules and regulations of the State of W.shmgt., and
k City of Fede . Way.
O ,er or age k t: / / Date:
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�p ti } (1 ' Ji ' ?a:-.10APPLICATION NUMBER: D3- ?� Q q:� C ' -F
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• ' �- 7'tk.', $utnner WA98390.(i16 -7609.• , Engineering permits may require a separate application.
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''''''''''''.)1.PROPERTY INFORMATION;
SITE ADDRESS: r 3�a 3a 4.- F 74r/( . `- ASSESSOR'S TAX/PARCEL It: _ — — — - —
LEGAL DESCRIPTION OF SUBJECT PROPERTY . U ACH SEPARATE DESCRIP •• ENGTHY):
•
,s • § • i PRO]ECT..INFORMATION , _
j TYPE OF PROJECT(This application): BUILDING 0 PLUMBING a MECHANICAL a DEMOLITION
ELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
��9 C 4e 1•✓C 6<i$r,// -LA- L "Po r ? 4(i Tc )),1h4\ 46-c-
e14mace. COiri(n..0)
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PROJECT NAME: Lo G ?----
..
. _.• • _
- . -, - �� PEOPLE INFORMATION, , - - -
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
fr l_—y&�cc' r i,dic-te_i_e_e LPr"3) 29K �� >s
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1 3� c c,26 %` 6- S , w A¢-7 5'8 az- 7
CONTRACTOR: ( NAME: ,_DAYTIME PHONE:
C14- (laii T- ( )
MAIUNG ADDRESS( ADDRESS;CITY,STA ZIP): _ - I EVENING PHONE:
1 eS U� %�-t aC`01, c 1•-- C ' ! ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: , FAX NUMBER:
SC 1 .,t--‘?- -- ( )
CONTRACTORS REGISTRATION NUMBER I EXPIRATION DATE:
/ /
(copy of and required)
APPLICANT: I NA t DAYTIME PHONE:
It i,(',.t ( t/!e•`2-ler- - I ( )
IMAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
111 I 0 ARCHITECT TENANT o OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
1 1
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT a CONTRACTOR
-1- '....•■ DETAILED'BUILDING INFORMATION
EXISTING USE: 5r EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ - --
e. PROPOSED USE: 5F1?.__ - PROPOSED_VALUATION FOR IMPROVEMENTS:� S ' e>`�"`�-'•
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: CVAKEHAVEN o HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: OAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** Q
Nl1MBER 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?
Alill .
TOTAL:
` ` ■;;FIXTURES. . r. - -
Indicate number of each type of fixtu -
MECHANICAL Value o 4 echanical Work: $
AIR HANDLING UN r (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.( )
COMPRES • °(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o EL- RIC ❑ GAS
PLUMBING
e •THTUB(S) LAVATORY(S) URINAL(S) WAT • HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC • AS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
-
1a;.DISCLAIMER/SIGNATURE BLOCK• :;
I certify under penalty of perjury tha 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 peiform the work for which the permit application Is made. I
further agree to hold harmless the aty of F al Way as to an daim(induding costs,expenses,and attorneys'fees Incurred in the
Investigation and defense ofsudtdaim),vihi ' may be ade y ny person,induding the undersigned,and filed ag inst the City of
Federal Way,bufonly where such dai ar o- of P. e rel'- nc, of the city,induding its officers and employees, on the accuracy
of the Informatio supplied to the d as a pa. •1�y `.//1r'
NAME/ ITIS: �G" L ///1/ e` DATE: 3
❑ PROPERTY OWNER ❑APPLICANT ci CONT ¶/OR
FOROFFICE--M--S--
USE ONLY
_i_'� d S £$xx"F` Mi ---"-AT N iJ5 4� [.'y�Y X_i w_v:r v R,v.
D IVEWp Al)l)I7ION , ,_.p;`ALTERATION .:.r--� - ��
.-REPAIR. ,TENANT IMPROVEMENT -
ICENSUS'000Er44oa kw CLOT SIZE - e , z' ,"r` ._ - � ,
fZONIIVG DESIGNATION ` &t '- -` ' o BUILDING SHELL'ONLY? o"YES''' _ :
COMP PLAN DESIGNATIUNK ABASIC PLAN? uYES;",,-4-,-X--,0„--.1:-N--zO;--;;"f.4._4,-,-,--_',-4t---.,---t-rLt-t
f
EC ION TQWNSHIP- { RANGE ” ' . ` r €
__s = : _.:. �-,..-- .... �� ''� NEVYADDRESSREQUIREO?�,' '; rpYES 9NO1,
'�PU4TTED LOT? :YES -0 NO + " `:t- M 'F CHANGE OF-USE? ,- , .gYES ---fl NO ,F.
COMMUNITY ENT SERVICES-33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffe ieralway.com
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TABLE B
NEW RESID TIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP /ICES
AM
_Single Fami • _Service or feeder only 557.00 __k of Thermostats(Firs ,.00;add'n-513.00ca
(First 1300 ft - k5.50,Each add'n 5(10 ft`-527.50) _Service and feeder )
593.00 k of Low voltage fir ourglar alarms
iquarc Feet _ First 2500 ft'-550.00 ..h add'n 2500 ft`-S13 00
_Each outbuilding or aragc 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with scrvic _#of service or feeders ' Per WP 16-46-910(5)(b)(i&ii)
Each outbuilding or gars c 557.00 (First service/feeder-557.00;Add'n service/ _#of Sign, ;t sign-543.00;add'n sign
(Inspected separately) feeder-537 each) S20.0' h
_Swirr .g pool,hot tub,spa 585.50
_Ya jie meter loops 557 00
\
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more) MMERCIAL/INDUSTRIAL
Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 -
- 2 �_50
_Up to 200 amp..._...__. 5 93.00 27.50 Feeder _201 -600 216.50
-201 -400 amp 115.50 7.00 -0 to 100 f 93.00 5 57 -601 - 1000 126.00
401 -600 amp 158.50 7 50 101 -200 115.50 over 1000
363.00
601-800 amp 202.50 108. _201 -400 216.50 50 k of circuits
_Over 800 amp 289.50 216.5 -401 -600 252.50 1.00 (1-5 circuits-572.50;Add'n circuits,56 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50.... .38.00
(When inspected separately from the services.) -801 -1000 399.00. .166.50 TEMPORARY SERVICE
Service or Feeder Over 1000 434.5( ....232.00 Residential/Multi-Family/Commerciai/Indusuial
_0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 _0- 100 5 57.00
_201 -600 amp 115.50 _ -st or meter repair 78.50 101 -200 72.50
_over 600 amp 174.00
20f -400
-Mast or meter repair 43.00 - 85.50
-a of circuits -401 -600 115.50
(1-4 circuits-557.00;Add'n circuits SO ea)
over 600 125.00
i
Ifs new or altered commercial service is 200 amps or greater,or a new o. -red r ential service is greater than 400 ampsa plan review is required.Fee is 35%of
Permit fee+572.50.Add'I plan review for other submissions is 585.50/hr. /
c.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE .) NUMBER OF UNITS(C) TOTAL(D)
iI
i I
I
f�
1
( 1 = 'T• AL COLUMN(0): + I
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72. .-( X.35) =(13)
Estimated Permit Fee: (14)_
Bond Amount:(15)
INSIMEMESEMEMEW -r
._ .-.:.ENGINEERING ,-, . . < _
Estimated Permit Fe 1 6)
Bond Amount: (17
t L''''''::
;=;.-..OTHER FEES- :_;
Mitigation Fee:(18)- (20)
(22)
SBCC Surcharge: (19)_ (21)
(23)
Total (Pages One a,T„, _ine(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100- ,ecember 23, 2002