01-102288 City of Federal Way Electrical Permit #:01 - 102288 - 00 - EL
Community 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: WOODBURN
Project Address: 1220 S 313TH S,r Parcel Number: 787540 0050
Project Description: ELE-Replace 200-amp service.
Owner Applicant Contractor
Donald D&Beverly G Woodburn ELECTRO SERVE ELECTRO SERVE
1220 S 313TH ST 13456 SE.27TH PL#240 13456 SE.27TH PL#240
FEDERAL WAY WA BELLEVUE WA 98005 BELLEVUE WA 98005
98003-5317 (425)451-3358
Electrical Fixtures
,I05710i,`Description IQuantity) .. ADescription '"Quantity' Description _1;:.-,, ;IQuantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES December 4,2001,IF NO WORK IS STARTED.
Permit issued on June 7,2001
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: Date: ,- (D
CfloY Of = -. -• • ' CONSTRUCTION PERMIT APPLICATIONpp
�� s�;: ,' D APPLICATION NUMBER: O l - I 0 Z zIIQ -E L.
APPLICATION NUMBER: - -
JON 0 7 7('13' APPLICATION NUMBER: - -
**.The9l)p ging is required information—Please print(in ink)or type**
PT
Please noteworev� .`aT,'Fire Prevention Systems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION
�-r AS-C"
SITE ADDRESS: -2.--z-CDe ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Tc.DAv-
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ TILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ikit LECTRICAL ❑ ENGINEERING ID FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4 A F, 1P' i_;
PROJECT NAME:
41616.
• PEOPLE IL =ORM1. 'TON
PROPERTY 0 R: NAME: DAYTIME PHONE:
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MAILING ADDRESS(STREET A. 'ESS;C •T I
3k -r �T ' • , -ri-JA- q%0°3
CONTRACTO' NAME: DAYTIME PHONE:
e - cA - (ref) 4,V4 - t5GS'"cs—
MAILING AD r SS(STREET ADDRESS;C ATE,ZIP?: EVENING PHONE:
7 g•e- `rte- ► S•.ara.e___ 3 ) -
ITY OF .ERAL WAY BUSINESS LICENSE NU UMBER:
- - ( ) -
C' •CTOR'S REGISTRATION NUMBER. . EXPIRA • DATE:
. e_ L
CL ' S :1M , /
(copy• d required) —
APPLICANT: NAr - • " ME PHONE:
MAILING ADDRESS ET ADDRESS;CITY,STATE,ZIP): _ •PHONE:
( )
RELATIONSHIP TO PROJECT: - AX NUMBER:
CI ARCHITECT CI TENANT I *THE' • 'I•;. • ) -
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY 0 • \ • ' ICAN Cl CONTRACTOR
• DETAILED BU1.."...INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. ■ PRO]ECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 claim 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: _ _% DATE: ( �'
❑ PROPERTY OWNER i'i APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
cnnMMi mirry nFVFI nPMFNT SFRVICFS•33530 FIRST WAY SnI ITH•P 0 ROY 4718•FFOFRAI-WAY.WA 98063-9718•253-661-4000•FAY• Jc -AA1-41 J4
•
• ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$I0.50ea)
(First 1300 ft2-567.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 #of Low voltage fire or burglar alarms
Square Feet: First 2500 It2-$38.75;Each add'n 2500 ft2-$10.50
_Each outbuildingor garage $28.00 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 $44.25 (First service/fccdcr-$44.25;Add'n service/ _14 of Signs(First sign-$33.50;add'n sign
(Inspected separately) fccdcr-$28 each) $16.00 each)
_Progress inspection per 1/2 hr $33.50
_Swimming pool.hot tub,spa 67.00
Yard Pole meter loops 44.25 ;
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL 1
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801- 1000 310.75 129.75 Temporary Service
- • a Feeder _Over 1000 339.00 181.00 0 to 60 $38.75
0 to 200 am, $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25
_ t -600 amp :•. _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meter repair 33.50 _401-600 89.75
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
II-service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D) 1
Estimated Permit Fee: (12) ` ',
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35 =(13)
IN 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-January 3,2001