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01-104229 City of Federal Way Electrical Permit #:01 - 104229 - 00 - EL Cotrnnunity Development Services 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: CITY OF FED WAY-23rd AVE SO and SO 320th Project Address: Parcel Number: CITY WIDE Project Description: ELE-Install 100-amp service for new traffic signal located at the Southwest corner of 23rd AVE SO and SO 320th Owner Applicant Contractor CITY OF FEDERAL WAY-PUB WKS TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC. 33530 FIRST WAY SOUTH TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC. FEDERAL WAY WA 98003 2332 S JEFFERSON 2332 S JEFFERSON TACOMA WA 98402 (253)383-5022 Electrical Fixtures Descri ti©ra. 1111111111104000501111111,0** 11111111100.110011111111111111006* Service/Feeder: 0-100 amps-Comm. 1 PERMIT EXPIRES May 1,2002,IF NO WORK IS STARTED. Permit issued on November 2,2001 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 nt: �� % �G Date: //72/0/ i 1 I — • aT.ar G CONSTRUCTION PERMIT APPLICATION EDEMFII-• APPU,N !ON00MBER 4. t , --�-- uV AY APPt CATt1 N NUM8ER _ **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 SITE ADDRESS: 2 2 q 8 50• 3 2 0 Tw SI. ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Soccr.i.oVJEST CORNER OF So• 320T" s-r k 23R' 4rVE So. ■ PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ' ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): TR..-F F t C. S t(s 1�1 kL 5"f S TEM • PROJECT NAME: 2 3RO Ave. SO. ROAD Imp ROVJi.ME1.LT S S0. 314,114 ST. To 5o. 324 Tg 5T ■ PEOPLt INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: Ct ty or FEDERArL klA-Y (253) Get - 4000 MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): 3 3 530 LST WAY 5o. FEDER.aL_ 4.b-( WA, 1€oo3 CONTRACTOR: NAME: DAYTIME PHONE: TO?EMELECTmut oc Trirc.ONcA INe. (253) 383 - 5022 MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: . 23 32 So. SEFFE.Rsou Ave.., likcor44,,Wk 9 6401 ( ) - QTY OF L WAY BUSINESS LICENSE NUMBER: FAX NUMBER: Iq —qq 1Q - !4l3. aaQ - (253) 272 - 5214 CONTRACTOR'S REGISTRATION NUMBER: �1(' ae I/�.� M EXPIRATION DATE: 2 (copy of card required) I E ■J ` 5 S D'9 / 30 12 00 3 APPLICANT: NAME: DAYTIME PHONE: 5AtitE A-5 -rDove. ( ) - MAILING ADDRESS(STREET ADDRESS;QTY,STATE,IIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT a OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT XCONTRACTOR U DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: a YES O NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: a LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) v • **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: • FIXTURES 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: �� J V DATE: �O JEMBE . 2, 2oo I o PROPERTY OWNER ❑APPLICANT CONTRACTOR FOR OFFICE USE ONLY: o NEW ❑ADDITION ❑ALTERATION ❑ REPAIR o TENANT IMPROVEMENT CENSUS CODE: LOT.SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES o NO COMP PLAN DESIGNATION BASIC PLAN? o YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 4 ❑YES ❑NO PLATTED LOT? ❑YES 0 NO. CHANGE OF USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 , IN ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 #of Thermostats(First-$36.00;add'n-$11.00ea) (First 1300 ft2-$72.00;Each add'n 500 112-$23.00) _Service and feeder $78.00 -#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00 _Each outbuilding or garage $30.00 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 -$48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-$31 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 _Yard Pole meter loops 48.00 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 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-l00 48.00 _201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600 97.00 _#of circuits _over 600 105.00 (1-4 circuits-$48.00;Add'n circuits$5 ea) - If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr. at°a' 1 to £ 11.3 , r ' rttF -01 2;, a! Estimated Permit Fee: (12)4. 76 60 Total Column(D) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ X.35=(13) IN DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) IN ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) II 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) 4 78`00 Bulletin#100-August 20,2001