03-101452 • t • r r .
•
City of Federal Way
Community Development Services Electrical Permit #:03 - 101452 - 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 1
Project Name: STANFORD INSURANCE
Project Address: 32015 1ST S AJe5 Parcel Number: 926502 0010
Project Description: Adding 100amp sub-panel
Owner Applicant Contractor
CAMPUS CORNER PROPERTIES TCM ELECTRIC TCM ELECTRIC
32015 1ST AVE S TCM ELECTRIC TCM ELECTRIC
FEDERAL WAY WA 31034 55TH AVE S 31034 55TH AVE S
98003-5701 AUBURN WA 98001 (253)333-1190
Electrical Fixtures
m S Jam, ,, ,, 1 'g P _.._... trOtie "_:ii ..e
AIt.Serv./Feeder up to 200 amps-Cor 1
PERMIT EXPIRES October 11,2003.
Permit issued on April 14,2003
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: Afr//#14i Date: % I7 03.
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` `r` CONSTRUC1 ION PERMIT APPLICATION
VV L EIKFT
APPLICATION NUMBER: — 0
Oe
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.
■ PROPERTY INFORMATION •
s
SITE ADDRESS: Sao/ ' / tewe 5, ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
CO Pi r+r C C is l ®idalee 60,70//;x1 •
.■ `PROJECT INFORMATION-.`" -:.
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION
Jr ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
/d0 #1«'p SO4- P4. ef
•
PROJECT NAME: et rcrr Ivisu/t" ce-
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:, DAYTIME PHONE:
:," CA de../Yee (V'3 ) 838 -07/0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
32o!S / sr /Iva . S. fecle -1 Weal , 47.31. 980.73
CONTRACTOR: NAME: DAYTIME PHONE:
72!m u/ee Z'/e. (A.(3 ) 33 3 -/190
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3/o 31 X( i?veitue S. Aiuti, ceM. 9foe ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: p s
CONTRACTOR'S REGISTRATION NUMBER: 18 , O S 9 t a - O O (24i) 333 - /o®0
EXPIRATION DATE:
(copy of card required) T O Pt O L 316 0 3 3 ) F 03 /e 6 /o?oos'
APPLICANT: NAME: DAYTIME PHONE:
R.`4 /ndt4;l (4203) 833 -1/90
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
310 3 at .1.1171` ,4re S. i4v601.t, WO.. 9Soel ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): Cex All el;V'. ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER oir APPLICANT IX CONTRACTOR ZeisteMaoist Pisort +l.east
■ DETAILED BUILDING INFORMATION ••
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHUNE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE 0 PRIVATE(SEPTIC)
L
.
• ' ' IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 #of Thermostats(First-$37.50;add'n-SI I.50ca)
(First 1300 ft2-575.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft'-$1 1.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa 575.00
_Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n L 0 to 200 S 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_Oto 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 5 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _10 I-200 63.50
_over 600 amp 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
_#of circuits _over 600 109.00
(1-4 circuits-550.00;Add'n circuits$5 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
permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE iDESCRIPTION'(A) FIXTURE:FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) 1
8/. 0 0 / 8/. 00
I
TOTAL`;COLUMN',(D): 131.00
Total Column(D)
Estimated Permit Fee: (12) 81.0o
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( 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-February 19,2002
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PRO3ECT FLOOR AREAS .` •
FLOOR EXISTING SQ.FT. PROPOSED SQ,FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
'1A.y..N .. .i..w:w..r. r'a..s...`•
dPsMeSAL.M/.Y•X��GVITMM'P"!M�s:FiA�VRES•)WrVi+•viteS+ifi+'r.•w+.rriK:i..s�.i»iM7&tie'Tsr %r•iv7rra�;iie+► znlp .w!tiNpi.
Indicate number of each type of fixture
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.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ 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 claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: /�M�eu tiroK,cfv/Go t 4.4.16....0. DATE: 1
❑ PROPERTY OWNER GAEPPLICANT 'CONTRACTOR V
=FOR OFFICE USE ONLY:
� . yam -k,:. � � << -_ �
.#NEW11" , ; D ADDITION, .,❑ALTERATION, 4. C] REPAIR`•: , _F :TENANT IMPkOft MENT
NSUS CODE: _X.nk,.#., ,3f
ZONING,p[SIGNA1ION ,", ; k "1 UILDING SHELL ONLY? .❑xYES cU NO =
�A :,.I •ti:.s � ren x �r:. .� 1 c� a
tCOMP ?LID,ESGNA7IONN, 4„'! ?"X f;s;r BASIC lAN?, � 1fES '❑ NO s ��:. =r
ECTION'� } `f TOWNSHIPri'� ,yRANGE `,NEW IDDRESS REQUIRED? .., - YES NO
PL'ATTED'LOT? ❑ YES , . i N0 CHANGE;'01 USE? __ . .;' [,YES �Q NO ,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffedera I wam.Com