01-104230 r r
City of Federal Way
Community Development Services Electrical Permit #:01 - 104230 - 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: CITY OF FED WAY-23rd AVE SO and SO 322ND
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 322ND
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
Descriptor e ?,I C:uantity "' ,'Description W.'Quantity AC 'Descriptions! -:]Quantity
Service/Feeder: 0-100 amps-Comm.I 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 t: a Date: A/0/
I/- S" - /✓y vv�r� t` e•h 1, �--
City of Federal Way
Community Development Services Electrical Permit #:01 - 104230 - 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: CITY OF FED WAY-23rd AVE SO and SO 322ND
Project Address: I 0 4 It Parcel Number: CITY WIDE
Project Description: ELE-Install amp service for new traffic signal located at the Southwest corner of 23rd AVE SO and
SO 322ND
Owner Applicant Contractor
CITY OF FEDERAL WAY-PUBLIC WORKS TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC.
33530 1ST WAY S 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
Description r j „MI tit .." s;„ s°:-Description , ' . 'VT,`c ilantity `' = , ,D.escriptipn ~,N, Quantity
Service/Feeder: 101-200 amps-Comr 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 agent: an AAA-13,
Date: C///O;
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• - REVISION DA b. . • .
SEP 042002
City of Federal Way s
Community Development Services Electrical Permit #:01 - 104230 - 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: CITY OF FED WAY-23rd AVE SO and SO 322ND
Project Address: Parcel Number: CITY WIDE
Project Description: ELE-Install(2) 100-amp service for new traffic signal located at the Southwest corner of 23rd AVE SO
and SO 322ND
Owner Applicant Contractor
CITY OF FEDERAL WAY-PUBLIC WORKS TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TACOMA,INC.
33530 1ST WAY S TOTEM ELECTRIC OF TACOMA,INC. TOTEM ELECTRIC OF TAcMA,INC.
FEDERAL WAY WA 98003 2332 S JEFFERSON 2332 S JEFFERSON
TACOMA WA 98402 (253)383-5022
#$yq $$ Electrical.Fixtures 60
Service/Feeder: 0-100 amps-Comm. 2
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 agent: art a/A41. C Date: 4/41A
error CONSTRUCTION PERMIT APPLICATION
Nn PLY
APPLT ,'r. DUMBER _ _
**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.
I PROPERTY INFORMATION
SITE ADDRESS: 3 2 0.53 2 3RD E 50• ASSESSOR'S TAX/PARCEL#: "
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
t•IoR1+0wesT Cog.wEP. OF 23R° .A-vE.. so. so. 322 ,4D sT.
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING ❑ MECHANICAL • ❑ DEMOLITION
)ELECTRICAL o ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1.R..11.-F F L G S t(o ts.ArL. S (S- t"t
PROJECT NAME: 2 3RD Ma S0. Rt* D Ib ipRog4MEh3T s 50. 316114 ST. '(o So, 3 24 Tu ST.
i T,LOPLE INFORMATION
PROPERTY OWNER: NAME: i,DAYTIME PHONE:
CI-rY op
Dep-4‘. kJ ''Y (253) fob i - 4000
MAILING ADDR&(SNILT * ;CITY,STATE,IIP):
3 3 530 1. \Ji►Y So. FEDERhL. W.k-( 1 WA 180o3
CONTRACTOR: NAME: DAYTIME PHONE:
Toi-E.frt Lv.e.-rcuo OF TACOMA I14C• (23) 383 - 5022
MAILING ADDRESS(STREET ADDRESS;'QTY,STATE,ZIP): EVENING PHONE:
• 23 32 So. SEFFERSvo AXE-, ?+3c(.oN(41.-,i•!A 9 a4o t ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Iq -99 Q - 421 QQQ - I. (253) 272 " 5214
• CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
•
(copy of and required) 1 12 1 t "� 5 5 5 01 / 30 /2003
APPLICANT: NAME: DAYTIME PHONE:
SAME S Jr5oki E ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT ❑OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑APPLICANT XCONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ 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
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 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 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 suppliedlito the city as a part of this application. /
4:9
NAME/TITLE: C-z'!:Z V /� DATE: klDUEMBER 2, 200 i
❑ PROPERTY OWNER ❑APPLICANT )(CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ADDITION o.ALTERATION ci:REPAIR ❑TENANT LMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESTGNATION: BUILDING SHELL ONLY? ❑YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑NO
SECTION TOWNSHIP: RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑YES a 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-$36.00;add'n-$l1.00ea)
(First 1300 ft2-$72.00;Each add'n 500 ft-$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 0-100 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.
it� '? '"f� '
:9� -t1,x�`.
Total Column(D)
Estimated Permit Fee: (12) 7S\60
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ 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) 713 moo
Bulletin#100-August 20,2001