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03-105304 • City ofevel way Communityty Development Services Electrical Permit #:03 - 105304 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: MONK Project Address: 30438 1STS PI 5 Parcel Number: 339190 0300 Project Description: Remove and replace 125-amp panel&meter Owner Applicant Contractor Edward R Jr=cheryl S Monk LANDER ELECTRIC SERVICE LLC LANDER ELECTRIC SERVICE LLC 30438 1ST PL S 13359 NE 16TH ST 13359 NE 16TH ST FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005 98003-4038 (800)794-4321 Electrical Fixtures Description Quantity Description 'Quantity Description Quantity Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES May 31,2004. Permit issued on December 3,2003 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. Owner or agent: / Date: ,Z.! g 03)03 J- /Z — 4,--03 1-;2:A / 4,,r 014 9,C -'61 41 NA . 0,..., , 12/02/2003 13:31 4255622866 LANDER ELECTRIC PAGE 01/02 RECEIVED CITY C'e CONSTRUCTION PERMIT APPLICATION S•• k....K<;.... 3sa.: ��• YYf c3'� xs •na<: uv DEC 0 3 2003 '. '�: , - t ": .;�;� 441:1- CITY ,. CITY OF FEDERAL WAY BUILDING DEPT. 14010:1 t �y1«�.:< e a c61k. » >»<K P $ »..�>.I;,oY:. **The following is required information—Please print(in ink)or type** Please nate; Electrical,Fire Prevention System and Engineering permits may require a separate application. tt[[ �j /��j•- `PROPERTY INFORMATION SITE ADDRESS: T�? /cif ` Le i v ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING p PLUMBING 0 MECHANICAL p DEMOLITION ELECTRICALLa ENGINEERING o FIRE PREVENTION SYSTEM PROJECT.DESCRIPTION(Provide detailed description): /rag /1 Jr ?i r1 papa_ arh]Qr " -• PROJECT NAME: MOO OOyC • PEOPLE INFORMATION PROPERTY OWNER: NAME:O/ r GJ^ ` Mau DAYTIME PHONE: l� (�3)4N-I MAILING ADDRESS( EET=BM;Sn;CITY,STATE,Zip): CONTRACTOR: NAME: DAYTIME PHONE: Lt M 7r Elect-I-i< A91—vele, LLO . c� -LB).�4'2 -177 /33frqmAILING ADDRESS ' /EET TESfA CITY, (r' TIP(.:t2(/QUv(ei 1�✓G'I - `/0.0 \ ENING P) HONE: - CITY OF FEDERAL,WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER; EXPIRATION DATE: (copy of card redlred) LA rerg / e ^ 3 0,5 APPLICANT: NAME! DAYTIME PHONE: ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ) RELATIONSHIP To PROJECT: FAX NUMBER; a ARCHITECT ❑TENANT o OTHER(DESCRIBE); ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE; EXISTING BUILDING ASSESSED/APPRAISED VALUATION II PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO • WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ 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 _ I 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: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 claim(including 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 dty as a part of this application. NAME/TITLE: ©V c,. `+`✓� DATE: 2.(3 (0 3 o PROPERTY OWNER ❑APPLICANT /CONTRACTOR FOR.OFFICE.USE,ONLY :z ',&ri W. �p ADDITION: s�[iALTERATION❑xREPAIR t],.TENANTIMPROVEMENT s ,_,` CENSUS`CODE s x;" ,.... . ' '�. :- O ..� ZONING DESIGNATION "" "eks- „ �*-,,* BUILDING SHELL ONLY? O YES ❑NO COMP PLAN DESIGNATION ' k 744 KBASIC PLAN?.- ❑YES `SECTION - TOWNSHIP '. . RANGE _NEM/ADDRESS REQUIRED?;�.. b ;❑YES ,0 PLATTED LOT? ',a YES V o N0 •`e 't` Vr. 'CHANGE OFUSE? 7,,i DYES -❑ NO r ' COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com ■ ELECTRICAL . ' TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ca) (First 1300 ft2-585.50;Each add'n 500 112-$27.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms Square Feet: First 2500 f12-$50.00:Each add'n 25(10 W-513.0(; _Each outbuilding or garage $35.50 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-$57.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign (Inspected separately) feeder-S37 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 of more) Altered Service or Feeders Service Feeder Amps Service or Add'n 0 to 200 5 93.00 _Up to 200 amp $ 93.00 S 27.50 Feeder 201 -600 )16.50 i -201 -400 amn 115.50 57.00 -0 to 100 $ 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 _#of circuits _Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,$6 eat ALTERED SINGLE/MULTI FAMILY _60I -800 326.50 138.00 (W en inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE c i e or Feeder -_Over 1000 434.50 232.00 - Residential/Multi-Family/Commerciai/Industrial 1 0 200 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 I -a of circuits _over 600 125.00 t (1-4 circuits-$57.00;Add'n circuits$6 ea) { r 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'l plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLES(B) NUMBER OF UNITS(C) TOTAL(D) a i t ! i t I I i ! ; ! ; J TOTAL COLUMN(D): f Total Column(0) 1 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) E (21) (23) .. r Tota((paresOne&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) • Bulletin#100-December 23, 2002 I