08-103902City of Federal Way
Community Development Services
P.O. box 9718FIL'E
Federal Way, WA 98063 -9718
JOHNS ELECTRIC
Ph: (253) 835-2607 Fax: (253) 835 -2609
2605 NE FERN GLEN RD
Project Name: ACE HARDWARE NORTHSHORE VILLAGE
Project Address: 35419 21ST AVE SW
0 ' Electrical
Permit #: 08- 103902 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 252103 9002
Project Description: Alt up to (20) circuits for TI. Add /alter outlets, switches and changing out fluorescent
lighting to T -8 lights.
Owner
Applicant
Contractor
DAVID HOEK
JOHNS ELECTRIC
JOHNS ELECTRIC
DAVID'S FEDERAL WAY LLC
2605 NE FERN GLEN RD
JOHNSE *271139 (11- 30 -08)
PO BOX 8164
PAULSBO WA 98370
2605 NE FERN GLEN RD
TACOMA WA 98418
PAULSBO WA 98370
r bra ��
WN"'! ..a
Service greater than 1000 Amps ? ...........................No
I hereby certify that the above information is correct and that the construction on the above described property av
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. ' II q /C&"
Owner or agent: vtowmjr L., Date.
4 THIS CARD IS TO MAIN ON -SITE
CITY OF tommunify Develo m t Ins ection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103902 -00 -EL
Owner: DAVID HOEK.
Address: 35419 21ST AVE SW FILE
FEDERAL WAY, WA 98023 -3058
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab /Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding (4195) ❑ Temporary Power (4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders /Sub - panels (4045)
Approved
By Date
❑ Final - Electrical (4055)
—.� Approved G
By Date `/` / _e�f>
❑ Rough Electrical (4225)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
For rector reference only
Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
AREA DESCRIPTION EXISTING, POSED TOTAL
8 . FT. 0. FT. $ . FT.
BASEMENT
FIRST
SECOND`
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS spa liOrOtsD TOTAL `Toni rorALrsorossaer TOTAL Mir
"NEW HOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING CE $
Indicate number of each type of fixture to be installed or relocated as part of this proje not include existing fixbu es to remain.
MECHANICAL
Value of Mechanical Work $ / `'
(A COPY OF BID OR ESTIMATE MUST A INCLUDED WITH APPLICATION)
o REPAIR a, TENANT IMl'ROVEMEIYT
13 Single Family Square Feet
Service or Feeder Each Addh
AIR HANDLING UNITS
EVAPORAT:,INSERTS COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS'
FIREPLACE
HOODS -CIA
COMPRESSORS
FURNACES
RANGES
DUCTS.
GAS LOG S
REFRIG. SYSTEMS
PLUdMNIi
UP /SEPA /SU?
BATHTUBS J.'rub /She.er comma
-" LAV3 (Bathroom sialu4
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
EAKERS
DRINKING FOUNTAINS
SHOWERS
ETS rroiieq
NWASIH
ELECTRIC WATER HEATERS
SINKS
CHINES .
HOSE BIBBS
SUMPS
Bulletin #100 -January 1, 2008
❑ over 1000 amp 489.00
Page 2 of 4
MHandoutNermit Application
I oaf under penalty of perjury that I am the property owner or authorised agent of the property owner. I cwWb that to the best of mg
knowledge, the Wormation submitted to support of this permit application is true and correct. I eert(jy that I will oomph/ with all applicable
City of !federal Way regulations pertaining to the *Dort authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, seats, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Wag -as to any claim (including costs, expenses, and attorneys' fees incurred in the
Investigation and defense of such c , which be made by any person, including the undersigned, and filed against the city, but only
whore such claim out of the of the ty, including its offleers and employees, upon the accuracy of the information supplied to
the city as a part o this plicatio `
.
SIGNATURE: �r.� DATE rJ
Property Owner /or Authorized Agent
Adkk
RESIDENTIAL "
o NEW o ADDITION
a ALTERATION
o REPAIR a, TENANT IMl'ROVEMEIYT
13 Single Family Square Feet
Service or Feeder Each Addh
BUILDING SHELL ONLY?
a YES o NO "
❑ Detached outbuilding or garage
BASIC PLAN?
o.YES
o SO
❑ Detached outbuilding or garage
ZONiiRG DESIGNATION
(Inspected separately) $76.50
❑ 601- 800 amp 439.00 186.00
CHANGE OF USE?
a YES
o NO
❑ Over 1000 amp 584.50 311.50
NEW ADDRESS REQUIRED?
o YES o NO
❑ Up to 200 amp $125.50 $ 37.00
UP /SEPA /SU?
a YES
o NO
❑ 401 - 600 amp 212.50 106.00
PLATTED LOT?,
o YES a NO
DEMO PERMIT REQUIRM?
o YES
o NO
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Bulletin #100 -January 1, 2008
❑ over 1000 amp 489.00
Page 2 of 4
MHandoutNermit Application
Adkk
RESIDENTIAL "
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
13 Single Family Square Feet
Service or Feeder Each Addh
(First 1300 ft2- $115.50; Each add'n 500 fP- $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201- 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601- 800 amp 439.00 186.00
13 801 - 1000 amp 536.50 224.50
NEW MULTI - FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
ALTERED COMMERCIAL /nIDUSTRiAL
13 601 - 800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
Ca&# of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00, "Add'a circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1-4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/MuIN- Family $67.50
❑ # of service or feeders
(First service/ feeder - $76.50; each addh - $50.00)
CommerciaWndustriai Service or Reeder Arrtpaetty
❑ 0 -100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First - $57.50; add'n- $17.50 /ea)
(First sign- $57.50; add'n sign $27.00 /ea)
❑ Loa Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
0 Fire Alarm "system
❑ Yard Pole meter loops ..................... $76.50
17 security Alarm system
O Voice Cabling
❑ Additional Plan Review hour
(for modified submittals) %
0 Data Cabling
Automation Fee on all Permits .. 7$55*.
In 2500 tY+-$67.50;
Each -add'n 2500 ft2 - $17.50) • Per WAC 2964&910(5Xb)9 & 6/
Bulletin #100 - January 1, 2008 Page 3 of 4 WandoutsWermit Application
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
BUILDING, MECHANICAL ds FIRE PREVENTION PERMIT FEES
-► Building, mechanical, and fire prevention system fees are calculated based on the following schedule.
-� Project valuation for new construction or additions is based on a set cost per square foot as determined by the
Building Official.
-> Valuation for remodels, tenant improvements, alterations, etc. shall be provided by the applicant based on a
legitimate bid or cost estimate which reflects the fair market value of all elements of the project.
TOTAL PROJECT VALUATION
INCREMENTAL FEE FACTOR
PRIMARY PHONE
(1) $1.00 to $500.00
(1) $34.00
STAIIE, ZIP
/a q8/ ye,
(2) $501.00 to $2,000.00
(2) $34.00 for the first $500.00 plus $4.50 for each additional $100.00
or fraction thaw4 to and
n
including $2,000.00
FAX NUMBER
(3) $2,001.00 to $25,000.00
(3) $101.50 for the first $9,000.00 phis $20.50 for each additional $1.000.00
or fraction thereof, to
CONTRACTOR'S RX01frRATION
and including $25,000.00
E-MAIL ADDRESS
(4) $25,001.00 to $50,000.00
(4) $573.00 for the first $25,000.00 plus $14.50 for each additional $1.000.00
or fraction thereof, to
and including $50,000.00
(5) $50,001.00 to $100,000.00
(5) $935.50 for the scat $50,000.00 plus $10.00 for each. additional $1.000.00
or fraction thereof, to
and including $100,000.00
(6) $100,001.06 to $500,000.00
(6) $1,435.50 for the first $100,000.00 plus $8.00 for each additional
$1.000.00 or fraction thereof,
to and including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $4,635.50 for the fist $500,000.00 plus $7,00 for each additional $1.000.00
or fraction thereof, to
and including $1,000,000.00
(8) $1,000,001.00 and up
(8) $8,135.50 for the first $1,000,000.00 plus $5.50 for each additional
$1,000.00 or fraction thereof.
i aoae A
PLAN REVIEW FEES
Plan review fees are collected in addition to permit fees, based on a percentage of the associated permit fee
• Building Permit
• Mechanical Permit
• Plumbing Permit
• Fire Prevention Permit
• Fire review fees
• Additional Building Division Review
65% of Building Permit Fees
25% of Mechanical Permit Fees
65% of Plumbing Permit Fees
65% of Fire Permit Fees
15% of building permit fees
(Commercial building permits only)
$70.00 /hour
PLUMBING PERMIT FEES
• $29.50 Permit Fee plus $10.00 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBCC) Surcharge .......... .............$4.50 /issued permit
• Public Works review fees ................... ............................ .... ........ $130.00 for new single family
................ $782.00 for new commercial
6 Zoning review fees ................. ............................... .........................$52.00 (residential only)
• School District impact fees (new residential only) ............... . ........$4,077.00 /single - family residence
........ ........$1.820.50 /multi - family unit
• Automation fee on all permits ................ ..$5.50
If you need assistance completing the permit application form, or have
questions concerning the application process, please contact:
Community Development Customer Service Counter at (253) 835-2607
Bulletin #100 - January 1, 2008 Page 4 of 4 Mandouts:\Pemuit Application
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PERMIT SF MF CO ME6)PL DE EN FP
COYY(JM7Y DBVBGOPYBI YT SERVICES
933��FSIVUBF98 2oa$ APPLICATION _
I +SDERAL WAY, WA 98
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- -� ____..-- .._._f
The wQF: F DE
requ h ormation - an incomplete application will not be accepted. please print legibly (in ink) or type.
SITE ADDRESS — Ci �� 5 r d¢ d S l.t/ SUITE/UNIT #
ASSESSOR'S TAX /PARCEL # — — — — — — — — LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Aare Estates, Lot 1 )
f+ftech•qmwaw ~lbrka•wAwd
PROJECT • • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUIIMING ❑ MECHANICAL
PROJECT
❑ DEMOLITION) ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
(Provide detailed description of work included on this ggMtt only()
(PROJECT NAME (Name of Busine s or Owner Last Name)
'PROPERTY
OWNER
NAME
a &fix ` fj �C �
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS
STAIIE, ZIP
/a q8/ ye,
E -MAIL ADDRESS
CE 1396 !( A�� -
CITY OF FEDERAL WAY BUSaiE34_UCENSE NUMBER
n
(CONTRACTOR
1.APPLICANT
�(PROJECT
/`�CO]IITACT
LENDER
COMPANY 11AM5—
APPLiCAI$f f�ME
oFF<c6 PHONE
OFFICE PHONE
MAILNG ADDRESS
��/
CITY, STATE, ZIP r �
��,
CE 1396 !( A�� -
CITY OF FEDERAL WAY BUSaiE34_UCENSE NUMBER
TION DATE
FAX NUMBER
CONTRACTOR'S RX01frRATION
DATE
E-MAIL ADDRESS
=
//-.3,6
'081
comPANY xAlfs C ��� �,�� G tr`
AP��4E �
oFF<c6 PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
I NAME � { )
�%�' V 14 ! u4- t PRIMARY PHONE - r , E
NA
Per RCW 19.27.
ir{/o n pro value $5.000
ADDRESS
1XpHONV
EXISTING USE POSED USE
ERISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINRLERED BUILDING? ❑ YES ❑ NO „S SION SYSTEM PROPOSED /REQUIRED? o YES d NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ GHLDM TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o ATE ((SEPTIC)