02-103563City of Federal Way ity Development Services
Conmiun Building - Single Family P, 2 - 103563 - 00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 pectlon requ line: 253.835.3050
Project Name: MOSS
Project Address: 5122 SW 327TH PL Parcel N r: 189832 0170
Project Description: RES DAMAGE REP - Replaci r 11, st �vent/hoo repa age. No plumbing on this
permit.
Owner
A cant k
Contract
Lender
James D Moss
J s D
James ss
FARMERS COMMERCIAL
5122 SW 327TH PL
51 SW 3 1H `
PO BOX 1933
FEDERAL WAY WA
FE L Y
327TH PL
TUALITIN OR 97062
,,;
98023 -1942
9802 -19
ML
FEDERAL WAY WA
4ft .
P MS ruary NO
03, IF NO WO 4kd
ermit i ed on August 20, 2002
I hereby c y that the abo 0 on rrect`and that the construct' n on the above d property and
the occupan nd the use wi in rd with the laws les an lations of the State of Washington and
the City of Fe 1 Way.
Owner or agent: '> Date: 6o /o2
aryo G
uv FiY
PERMIT #: 02- 103563 -00 -SF
POSAkHIS CARD ON THE FRONT OF BUILD
BUIL ING DIVISION
INSPECTION RECORD
OWNER'S NAME: James D Moss
SITE ADDRESS: 5122 SW 327TH
( ) FOOTINGS /SETBACKS
( ) DRAINAGE: Line
INSPECTION REQUEST PHONE #: 253- 835 -3050
( ) FOUNDATION WALL
( ) Connection
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV.
( ) ROUGH MECHANICAL.
( ) SHEATHING,
( ) SHEAR WALLS
Water piping
Gas piping
Roof Floor
( ) INSULATION: Floors Walls
( ) WALLBOARD NAILING Y/2 71��
Attic
( ) SUSPENDED CEILING
( ) FIRE FINAL
( ) BUILDING FINAL.
RECE1
c'rr or z__
uv � AUG 2 0 2002
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER:
V�, PPLICATION NUMBER:
CITY.OF FEDER
AL WAY PPLICATION NUMBER:.
D� 1 BU&DING DEPT. N
The following is required information —Please print (ih ink) or type **
6Lf Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 5122-560 3,,2771V 8054c ASSESSOR'S TAX /PARCEL #: p 7_ -j _Z
LEGAL DESCRIPTION F� ECT- PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' $ ��32� �r
LIELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
c
PROJECT DESCRIPTION (Provide detailed description):
OII II Jl�yE✓O ,
PR03ECT NAME:
■ "PEOPLE INFORMATION
PROPERTY OWNER: NAME:
CONTRACTOR- I
APPLICANT:
(2S3 ) 9fYS• - 9110
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): - I
, 5122 SW 32.7 pL , jjbe . bt4V WA `J eAL3 1
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: I
FAX
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: ,_,/ FAX NUMBER:
El ARCHITECT ❑ TENANT LIQ OTHER ( DESCRIBE): DUJ/V6
E -MAIL ADDRESS: ,
CONTACT PERSON FOR THIS PROJECT: VPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: lO EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: OPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES C(NO FIRE SUPPRESSION SYSTEM PROPOSED / REQUIRED: ❑ YES 931NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE R TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW/ RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT' .:
.
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate nuinber of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOO(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
'ITCCI ATMFRMMMATIIRE FRLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
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. �f
NAME/TITLE: t DATE: Yr US Ii
(R /PROPERTY OW ER APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 253661 -4000 - FAX: 253661 -4129
www.0tvoffederalway.com
CoAction Permit '�� Calculation `,beet
* * * * ** *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * * **
Building, mechanical, and fire prevention system fees are based on the following schedule.
PLUS:
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $26.00
(2) $501.00 to $2,000.00
(2) $26.00 for the first $500.00 plus 53.50 for eaoh aoMonal S100.00or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $78.50 for the first $2,000.00 plus J75,50 for each add
tonal S1,000.00or fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $435.00 for the first $25,000.00 plus .01.00 for each adfftml
SL000.00 or fraction thereof, to and
including $50,000.00.
(5) $50,001.00 to $1001000.00
(5) $710.00 for the first $50,000.00 plus S8..00 for eaoh additional
$1,000.00 or fraction thereof, to and
including $100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,110.00 for the first $100,000.00 plus 56.00 for each
additional S1.000.00 or fraction therV, t0 and
including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,510.00 for the fist $500,000.00 plus 55,50 for each
additional S1,000. or fraction thereof, to and
including $1,000,000.00.
r
(8) $1,000,001.00 and up
(8) $6,260.00 for the first $1,000,000.00 plus 59.00 for each
additional SI.Af 00 or fraction thereof.
Bold number is the base fee for the specified increment
Ttalidzed, underfined number Is the fee per additional soedfied
lacternent
Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
PROPOSED VALUATION:
** Electrical, plumbing, and mechanical fees are calculated separately **
?2.—
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: 2%
(b) Additional Increment Fee:
Estimated Permit Fee: (1
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(OOMMERQAL ONLY)
PROPOSED VALUATION: �oZY.
FEE FACTOR FROM TABLE A: Number: j (a) Base Fee:i,
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
■ FIRE PREVENTION SYSTEM '
(a) Base Fee:
(b) Additional Increment Fee:
N PLUMBING
Base Fee Number of Fbdu es
$22.50+f X $8.00 /fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
.65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Pageone): Line(s) ( 1)+( 2)+( 3) +(4) +(5) +(6) +(7)+(8) +(9) +(10) = (11)
(9) Estimated Plan Review Fee
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES _
MISC EQUIPMENT/TEMP SERVICES
Sinale Family
-Service or feeder only ........... :.............
S50.00 .
_ k of Thermostats (First - $37.50; add'n- $11.50ca)
(First 1300 fie S75.W. Each add'n 500 ft'
- $24.00)
Service•and feeder ............................... S81.00
k of Low voltage fire or burglar alarms
Square Feet:__.
_
First 2500 fe- S43.50; 'Each add'n 2500 11"-$ 11.50
Each outbuilding or garage .....
$31.00
MOBILE-HOME/RV PARK
Square Feet:
(Inspected with service)
k of service or feeders
' Per WAC 296-46- 91%5)(b)(i
[ =ach ou(buildingor garage ............... ........
S50.00
(First service /1eeder - $50.00; Add'n service/
4 of Signs (First sign - 537.50; add'n sign
_
(Inspected separately)
feeder -S32 each)
517.50 each)
_ S%vinuningpool, hot tub, spa ...............$75.00
Yard Pole meter loops ......................... S50.00
NEW MULTI- FAMILY
COMMERCIAL /INDUSTRIAL
COMMERCIAL /INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0to200._ ...... ..................................... S 81.00
Up to 200 amp ..... ...... _. $ 81.00 ................
$ 24.00
Feeder
_ 201 - 600... ......... .......... . ... .... . ......... .... 189.00
_
201 - 400 amp ................ 101.00....................
50.00
_ 0 to 100 ......................... $ 81.00.......
S 50.00
_ 601 - 1000 ............. .... ........... .. "............ 284.50
_
401 - 600 amp ................ 138.00....................
68.50
_ 101 -200 ... .................... 101.00...........
63.50
_ over 1000.................... .........................317.00
_
601 - 800 amp ................ 176.50....................
94.50
_ 201 -400 .................... ... 189.00...........
75.00
_ 4 of circuits
_
Over 800 amp ................. 252.50..................
189.00
_ 401 -600 .......... ............. 220.50...........
88.50
(1-5 circuits - 563.50; Add'n circuits, $5 ea)
_
ALTERED SINGLE /MULTI FAMILY
_ 601 -900 ........................ 284.50 .........
120.50
(When inspected separately from the services.)
_ 801 -1000 ...................... 348.00.........
145.50
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 379.00.........
202.50
ResidcntiaUMulti- Family /Commercial /industrial
0 to 200 amp ................ ...............................
S 68.50
_ Over 600 volts surcharge ......................
63.50
-0- 100.................. ..............................$ 50.00
_ 201 -600 amp,.. ........ ... ...............................
101.00
_ Mast or meter repair ..............................
68.50
_ 101 -200_ ............ _ ............................... 63.50
-over 600 amp ................. ...............................
151.50
_ 201-400 ............. :.: ..... ..... .................... 75.00
Mast or meter repair .......................................
37.50
_ 401-600 .................................. .......... ..101.00
_
k of circuits
_ over 600 ..... .............................. ............ 109.00
(1-4 circuits - 550.00; Add'n circuits $5 ca)
11 service is greater titan [uu amp, a plan review is req -a. ice is SD -/o of permit lee +jbs.w. Aaa't plan review for otner suonusswns is D /J.00 /hr.
Estimated Permit Fee: (12)
Total Column (D)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) = (13)
Estimated Permit Fee: (1
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
- N DEMOLITION
:.., ■ OTHER FEES
(20)
SBCC Surcharge: (19) (21)
(22
(23
TOtal (Pages one & T-o): Line(s) ( 11)+( 12)+( 13)+( 14)+( 15)+( 16)+( 17 )+(18) +(19) +(20) +(21) +(22) +(23) = (29
Bulletin x 100 - January 18, 2002