03-100939 City of Federal Way
Community Development Services Electrical Permit#:03 - 100939 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 • n request line: 253.835.3Q504:.
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- Project Name: WOIDA - =� -.
W Project Address: 30614 28TH A 1W€ S Parcel N ber: 092104 9096 =- -
Project Description: Alter 200amp service and(4)circuits- _tchen _ -
Owner Applicant-- - Contractor --
Allan Woida MAL INC
30614 28TH AVE S MAL INC MAL INC
FEDERAL WAY WA 225 P IC AVE SE 7225 PACIFIC AVE SE
98003-5105 LACEY WA 9 (360)491-2900
4111()
Electrical Fixtures
i 114
„ E a a i
lii &a . :_, ,,�' ‘ a w . 30 771 Wit»-
Serv./Feed I to 200 amps- Al 1 j Circuits-Residenti. 4
IV NPE IT EXPIRES September 6,2003.) iii
Pe it issued on March 10,2003
I hereby certify . . •ove ' rm s correct and that the construction on the above described property and
the occupancy . !!�� us- ,ill b a rdance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 12 - Date: f-7O — 6 3
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4_116... CONS7 [JCTIONI RMIT A >ELI
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APPLICATION NUMBER: 03 - [_ 00 73 et - 0-0
Federal Way APPLICATION NUMBER: __ ___ - _ - _
APPLICATION 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.
-•-!-";:-- IC PROPERTY INFORMATION
,g,
,IL ADDRESS: _—_ ASSESSOR'S TAX/PARCEL
EGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
b 1(\)67L- - cYY►11 L.-( 4ES (12i—
. - IV PRO3ECT INFORMATION _ .
YPE OF PROJECT (This application): 4, BUILDING u PLUMBING o MECHANICAL o DEMOLITION
d/ELECTRICAL o ENGINEERING n FIRE PREVENTION SYSTEM
SRO'ECT DESCRIPTION (Provide detailed description): PO AWAA ,# �aW7
4 IT CA 1:7 CAA t-rr
'ROJECT NAME:
-•` F-PEOPLE INFORMATION-
'ROPERTY OWNER: NAME: DAYTIME PHONE
ALL- 0.) U2 O.t i .P1- L(Z3) 9 / - 9iz67
MAI NG ADDRESS EET ADDRESS;CITY,STATE,ZIP): .. . � ,(��� /1� .
2.
ONTRACTOR: I NAME' 2 JI^�`U\ I'Vlvl DAYTIME PHONE.
TY) Pr 1.- =r3e_, A,ba �fi� � � LVYa ( ? ) y9I -25C
'
I MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP) ` EVENING PHONE
ICITY Z 2 -FEDEWAY BUSINESS LICENSENUMBER: a 1 (AX NUMBER'
`-,
N OA) �- ri, ° - — - (360) 49/ 14 g v
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of caro required)
ECs4: 9_ 9 N J D / 00 / 03
APPLICANT: TAME: DAYTIME PHONE
IN\P L - 1 er— ( '`t -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
`� ( c AHC'/1t C
RELATION'HiP IU PROJECT -- - - FAX NUMBER
-1 1
ARCHITECT I' TENANT OTHER ( DESCRIBE): MAL_ e_
,3 _ (s��'1,/w„71) 09D
t,A,,.ADDRESS
CONTACT PERSON FOR THIS PROJECT: i PROPERTY OWNER APPLICANT XCONTRACTOR lif\i oQo�LUselu►mbtni.ca,1
.■ DETAILED BUILDING INFORMATION ,
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
• r:1 i it 1) UUIL DING:' YES NO FIRE SUPPRESSION SYSTEM PROPOSED,REQUIRED: YEs NO
. '.f R..+- E 146,\.Ii,E k: I AkLHAVi N HUH INf IAL Or-IA PRIVA I L (WE t I !
,- '.1 PVI( I l' OVIDIR: IAREHAVI N MGM INE PRIVATE (SE 0110)
**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:
N.
■ FIXTURES
Indicate number of each type of fixtt1reN
MECHANICAL
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.(_____________J
COMPRESSOR(S), FURNACE(S)
DUCT(S) " GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BA TUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
`OISHWASHER(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) UMP(S)
IA 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,including Its officers and employees,upon the accuracy
of the information supplied to the dty as a art of this application.
NAME/TTTL 0.,/b6-191---- DATE: co -07-6 3.____
❑ PROPERTY 0 ER o APPLICANT rONTRACTOR
_FOR OFFICE USE.ONLY:
'O-NEr;14, pADDITION:t , ❑ALTERATION r r-OREPAIR��= �ijTEANT-IMPROVEMENT.
,,
CENSUS CODE:A" p-..-. ," --."=1 E-).. 5 A . , est:`-'>_ -LOT SIZE w� z .7 .- „, 4
;ZONING DESIGNATION .-;�`� --7,-;---,:-;e :--,:- .?'BUILDING SHELL ONLY?-3 Li YES 1°_-1] NO
COMP PLAN DESIGNATION: '74":-.'-.-- SBASIC PLANT ;OYES ❑NO .,
SECTION.4t4-.-' - TOWNSHIP RANGE-..-j , NEW ADDRESS REQUIRED?=-;.,'_::-..41.-_":3 YES �' ❑ NO
-PLATTED LOT? ❑YES O'NO F"-11* "' `CHANGE OF`USE? z '-- ❑YES y-n NO-=.-
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffedera Iway.com
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single family Service or feeder rrni} S57 00 r 5 ofThermostnts(first-543.00;add'n-S13.11(Ica)
(First 1300 It'-585 50;Gach add'n 50(1 11'-52750) Service and feeder - - 503.0(1 ti of Low voltage Ore or burglar alarms
Square Feet. First 2500 f12-550.00:Each add'n 2500 ft'-513 110
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) ti of service or feeders • Per WAC 296-46-910(5)(h)(i& ii)
_Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ %i 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 557-00
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 2 93.00
IJp to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 t 93.00 5 57.00 601 - 1000 526.50
-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 5 of circuits
Over 800 amp. 289.50 216.50 401 -600... . _. ..__ __ 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,56 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
X_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
-s of circuits - I over 600 125.00
(1-4 circuits-557.00;Add'n circuits$6 ea) 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'I plan review for other submissions is$85.50/hr.
L FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i i f
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TOTAL COLUMN(D): _
Total Column(0) .�Estimated Permit Fee: (12)
Estimat-. •ermit Fee from See 12
Estimated Plan Review Fee: $72.50+ ( .-'X.35) = (13)
■ DEMOLETION •-
•Estimated Permit Fee: (14)
Bond Amount:(15)
- - - ... • ■ ENGINEERING
Estimated Permit Fee: (16) ..�
Bond Amount: (17)
-- ■ OTHER FEES .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge (-1 9) (21) (23)
Total (Pagesone&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17),-(18)+(19)+(20)+(21)+(22)+(23) = (24) - -_
Bulletin #100- December 23, 2002