04-103480 d
• 1 . . .1
City of'Federal Way Electrical Permit #:04 - 103480 - 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: CITY OF FEDRAL WAY
Project Address: Parcel Number: CITY WIDE
Project Description: Installing a new 100 amp service to provide power for a school flasing beacon. Location of pole is 200
feet south of intersection of SW 329th Street and Hoyt Road SW,on east side of Hoyt Rd SW.
Owner Applicant Contractor
CITY OF FEDERAL WAY-PW*RICK PERE CITY OF FEDERAL WAY-PW*RICK PERE; CITY OF FEDERAL WAY-PW*RICK PERE;
33325 8TH AVE S 33325 8TH AVE S 33325 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)835-2740
Electrical Fixtures
Description lQuantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps-=' 1 j
PERMIT EXPIRES February 27,2005.
Permit issued on August 31,2004
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 W.
Owner or agent: /i '1d44 Date:
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THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103480-00-EL
Owner: RICK PEREZ
Address:
FEDERAL WAY, WA
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
O Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) e❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By L r Date r- e' oy
❑ Under-slab groundwork(4295)
Approved
By Date
- i o a
Federal Way ` `'�—
PERMI/•�
E
coMMUN17YDEVELOPMENT SERVICES AG 3 1 2004 SF MF CO ME L PL DE EN FP
33325 8"AVENUE SOUTH•PO BOX 9718 A P P L I
FEDERAL WAY,WA 98063-9718 ( A =T`I� -[FD /
253-835-2607•FAX 253-835-2609 j•/lit .�[ AL WAY /
wurur.o.t olederarwau.corn BU1LL'lydG DEPT,
The ollowing is required information-an incomplete ap•lication will not be acce•ted. Please print legibly(in ink)or type.
+. `. 1 . • PROPER ' l\ • -i it r• • 1
SITE ADDRESS S.L `c4C 3 \-\9\) ) Q . f SCAYIA 0 0 "C167 S TE UNIT#
1 SAE OC. o>a
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
.,h '-; ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION )2 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
K)(-) P1t P R:ick. lo P( o\) P Ec2. V4>R A S ---)-)00L.
c-L'A 1)1-4C. 20-PC-n )
PROJECT NAME(Name of Business or Owner Last Name)
' • PEOPLE INFORMATION
PROPERTY NAME -----4 PRIMARY PHONE
1 OWNER CA-7- ) C -5� �.... P1 ( CL ( )
MAILING tiDDRESS ITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
\(,\%' C.63.k 7)) U.7 .T' Z »GD v (WO ) DOS -SG81
MAILING ADDRESS CITY,STATE ZIP CELL PHONE
aS ") A-_ \A- ., Qi5)(0 ( (r) ) Lv'3 -03(1�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAN APPLICANT NAME OFFICE PHONE -
MAILIN ADDRESS • CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per,'RCW 19:27 0951 Lender information iso: NAME
required ij project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
, . ■ DETAILED BUILDING INFORMATION • .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS .
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES ;_ , _ --
Indicate number'of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
{
MECHANICAL
Value of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
BBQS FANS HOODS(commercial)
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES
BOILERSGAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSt IS(roue) MISC(Describe)
BATHTUBS(or Tub/Shower Combo) SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS I
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE BIBBS
WASHING MACHINES URINALS
VACUUM BREAKERS ELECTRIC WATER HEATERS
LAYS(Ba hroom Sulks) 1
DISCLAIMER/SIGNATURE BLOCK - `
ofr' that the information furnished by me is true and correct to the best of my knowledge, and further,that I II
I certify underypenalty perjury
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 relia e 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
O. ,i / n�l/ 't 4_50' 62 v(6 01( DATE V-'c/—O7
(S ,ature) (Title)
i RELATIONSHIP TO PRO 0 Owner 0 Agent ❑i Contractor ❑ Architect 0 Other
i
1 FOR OFFICE USE ONLY
-
( o NEW o ADDITION o ALTERATION a REPAIR 6 TENANT IMPROVEMENT
i- BUILDING SHELL ONLY? o YES a NO BASIC PLAN?
o YES ❑NO
i ZONING DESIGNATIONCHANGE OF USE? o YES a NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? E YES o NO
t
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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ELECTRICAL PERMIT INFORMATION • i
RESIDENTIAL _COMMERCIAL
•
NEW COMMERCIAL/INDUSTRIAL.SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) 101 -200 amp 117.50 74.00
❑ Detached outbuilding or garage
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 600 volts surcharge $74.00
117.50 58.00
❑ 201 -400 amp
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $
72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ #of circuits to be added/altered
❑ over 600 amp 177.00 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ # of Thermostats (First sigof$43.50;add'n sign$20.50/ea)
( $43.50;add'n-$13.50/ea) Swimming pool/hot tub $87.00
U Loowwt Voltage EllSwimming
additional circuit,if required)
Square aserved by system(s) ❑ Yard Pole meter loops $58.00
❑ Fire Allarm m System
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per❑ System(s) 1.2500 ft2-$51.00;
Each add'n 2500 112-13.50) •Per WAC 296-46-910(50)(i&ii)
k\I{andoLts-Rcvised\Pemnit Application
Bulletin#100-March 30,2004 Page 3 of 4
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