01-104695 , a
City of Federal Way Electrical Permit #:01 - 104695 - 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: OWENS
Project Address: 30736 12TH SW P1 S W Parcel Number: 178830 0085
Project Description: ELE-Upgrading 200 amp service
Owner Applicant Contractor
R Owens A-PHASE ELECTRICAL A-PHASE ELECTRICAL
30736 12TH PL SW 1933 SW 166TH 1933 SW 166TH
FEDERAL WAY WA SEATTLE WA 98166 SEATTLE WA 98166
98023-8231 (206)242-4950
Electrical Fixtures
c 4Des,CriPti n ` 1 Quantity Description Quant Descri "ton �ti, f „h „
ty p �� Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES June 8,2002,IF NO WORK IS STARTED.
Permit issued on December 10,2001
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 Ce in accordanc e laws,rules and regulations of the State of Washington and
the City of Federal Way. '
Owner or agent: /! � _ � Date:
C dos-6 , VL T t-/20/o / - 672L]
/ - l/'''�11 �(r rr
AEVE tl E
a CONSTRUCTION PERMIT APPLICATION '
uV E DEC 1 ® 2001 APPLICATION NUMBER:
APPLICATION NUMBER — -
VCIY OF FEDERAL WAY —
BUILDIN(3 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: L/ 30 I Z , L, S co ASSESSOR'S TAX/PARCEL#: -
I LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1
'i' I•PR07ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
` PROJECT DESCRIPTION(Provide detailed description): 200 (49 Vcc) Q--
1
1
PROJECT NAME: W5
I - ■ "PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
c, ,c.�,,S (263) V/ -2-c16:7
MAILING ADDRESS ADDRESS;CITY,STATE,IIP):
` 07SG, C2-t-6' Qt— 5
CONTRACTOR: NAM
....4) ze tQ,�-tv DAYTIME PHONE:(200 LIZ - i',50.
MAILING MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
WC.G EVENING PHONE:
12-CO Se /41 c 1 0e —3 SO ig,L)YL,'6.l. W,, ( ) - _
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: (� c EXPIRATION DATE
(may acard reqs 4 i' 4 / C c 3 �- D / /
APPLICANT: NAME: DAYTIME P"`/HONE:
tMAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING
NING PHONE:
( )
I RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
I :DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
f �
, r
**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) S/ MP(S)
- - -PA DISCLAIMER/SIGNATURE BLOCK -
V
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding 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 s • •lied to the d .. a part of this application.
NAME/TITLE: - • _ I DATE:
❑ PROPERTY •WNER ❑ APPLICANT ❑ CONTRACTOR
'FOR OFFICE 11.0.SEXML174M
� � .�ADDITION : ❑:ALTERATION ,: ;;REPAIR ... fl TENANT3MPROVEMENT;-i. "'
CENSUS CODE. LOTSIZE ,,.s;'
ZONINGpESIGNATION
BUILDING SHELL_ONLY? r❑ YES NO
COMP PLAN DESIGNATION = .BASIC:PLAN? ❑YES =Q 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•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
-. a
1
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family -Service or feeder only 548.00 _#of Thermostats(First-$36.00;add'n-$I1.00ea)
(First 1300 ft2-$72.00;Each add'n 500 ft2-$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-$1 1.00
Each outbuilding or garage 530.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(bxi&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 _
Over 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
rvice or FeederOver 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
L 0 to 200 amp 6 _00 _Over 600 volts surcharge 61.00 _0-100
648.00
-201-600 amp _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.
'. FDcructe ;ESCRIPyIONxi FIXTURE tefROM,TABLEB'(B)15 1.40 UMBER`OF.UNITSZC)" a TOTAL40)' =:
4iT... ; TOTALxCOLUMN;(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from fine 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-August 20,2001