01-101924 City on DeWay
Community
Development Services Electrical Permit #:01 - 101924 - 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: ADAMS
Project Address: 34114 35TH gDi Prue 5 W Parcel Number: 536020 0031
Project Description: EL-Install service and feeder to manufactured home.
Owner Applicant Contractor
J C&Rosanne L Adams SOUTH HILL ELECTRIC INC SOUTH HILL ELECTRIC INC
2426 SW 347TH ST PMB 317 PMB 317
FEDERAL WAY WA 6824 19TH ST W 6824 19TH ST W
98023-3035 TACOMA WA 98466 (253)905-0639
Electrical Fixtures
b _ sDescription ,, , -„Quantity `. Descnpttoriy . Quantity „p :Description: -. G246ntity
Service and Feeder-Manu./Mobile Hi 1
PERMIT EXPIRES November 11,2001,IF NO WORK IS STARTED.
Permit issued on May 15,2001
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 gay.
/ (-
Owner or agent: '' Date: S /3-- O
GEIVED
c"f G CONSTRUCTION PERMIT APPLICATION
�
vv zFn_ MAY 1 5 200C
/
APPLICATION NUMBER: L 1 - Q ���-- I 'y - L�-
tri i Y OF F DO AL WAY APPLICATION NUMBER: -BUILDING DEPT. 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
SITE ADDRESS: 3 7G, /// 'I .3.5t/tv. S ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PRO]( 'T II ".•RMATIO.'
TYPE OF PROJECT(This application): ❑ BUILDING i•110° ..'t,G ❑ CHANICAL ❑ DEMOLITION
E LECTR L ❑ " E G❑ F •E PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed desc • : /n d // AOv7?e ,__-e_./zi.i1C.
I�-�G GC-e-n— `'`J - ate(
40
Allit .
PROJECT NAME: ��
l PEOPLE IN. 'IRMA' ON
PROPE' OWNER: NAME: '' -11� DAYTIME PHONE:
n—:;‘,. it - 14-,-,rk..L /4 ' r1—r-LS•\ ( ) - I
MAILING ADDRE ', •EET A. •ESS;CITY,STATE,ZIP Ti
CONTRACT a '•' NAME: / V. DAYTIME PHONE:
,gym., L,4,,t( 2( ' _ (o/S3) /`d S- z 6)9,
6ggcrMAILING s((STREET C ,ZIP>: /"3 3 l 7 /��d / V ? PHONE:
saa - ( 375
CITY OF FEDERAL WAY• i. SS LICENSE NUMBER:bits ' FAX NUMBER:
_ - - ( )
• TRACTOR'S REGI •110' . BER: EXPIRATION DATE:
(copy of card required) S O Lt T k ) c D 'Y y c 4 / /
APPLICANT: NAME: DAYTIME PHONE:
( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
OPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
'IKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
'ERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
RVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 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 ❑ 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 o the city as a part of this application.
NAME/TITLE: <, / DATE: �S'
❑ PROPERTY NER ❑ 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
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:2'
■ ELECTRICAL .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Splice or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ca)
(First 1300 ft2-$67.00;Each add'n 500 ftZ-$21.50) _'Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Net: First 2500 It--$38. 75;Each add'n 2500 ft2-$10.50
_Each outbuilding or 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
' outbuilding garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) fccder-$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
(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 1
_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
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61 -100 44.25
_201-600 amp 89.75 _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)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Addi 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)
Estimated Permit Fee: (12) •
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)
Bulletin#100-January 3,2001