00-105799f
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
KOLLER
Building - Single Family Permit #: 00 - 105799 - 00 - SF
32609 16TH CT SW
Inspection request line: 253.661.4140
(3:30pm cut -off for next day inspections)
Parcel Number: 010453 0560
Project Description: RES REPAIR - Fire damage repair work to original configuration in existing single family residence,
subject to field inspection (includes plumbing & mechanical).
Owner
Applicant
Contractor
Lender
Albert L Koller
SIMCO CONSTRUCTION
SIMCO CONSTRUCTION
NONE
32609 16TH CT SW
SIMCO CONSTRUCTION
SIMCOC *05207 (9/15/01)
Type V - N
FEDERAL WAY WA
P.O. BOX 99566
SIMCO CONSTRUCTION
Occupancy Load:
98023 -5438
TACOMA WA
P.O. BOX 99566
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
Water Closets
2
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category .................. ............................... 434 - Residential alt /add - no Mechanical.................. ............................... Yes
Occupancy Group # 1 ............... ............................R -3 Plumbing.................. ............................... Yes
Zoning Designation .............. ............................... RS 5.0
Plumbing Fixtures
,.a _ Desctiptioi t,
Quantity
a °'_ DescriptiQn: "'
Quantity
Dishwashers
Bathtubs
Water Closets
2
Sinks
3
Mechanical Fixtures
Description Quantity
Showers �J
Description Quantit Description Quantit Description Quantity
Fans Ranges 1 Woodstoves
PERMIT EXPIRES May 27, 2001, IF NO WORK IS STARTED.
Permit issued on November 28, 2000
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 a cord with the laws, rules and regulations of the State of Washington and
the City of Federal W ;
Owner or agent: Date: ,& '2O _dw
e 4
POOHIS CARD ON THE FRONT OF BUILD
EIZAL
Fjw BUILDING DIVISION
v INSPECTION RECORD
PERMIT #: 00- 105799 -00 -SF
OWNER'S NAME: Albert L Koller
SITE ADDRESS: 3260916TH SW
( ) FOOTINGS /SETBACKS
INSPECTION REQUEST PHONE #: 253- 661 -4140
Request must be received by 3:30 PM for next day inspection
( ) FOUNDATION WALL
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) Connection
w
()ROUGH PLUMBING: DWV 1 (� Water pipingTTo/ g s
O ROUGH MECHANICAL_ /w�,S 4&14, SS Gas piping k /k
r
O SHEATHING Roof / i'� %/ 5 S Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
2, R
Cover
( ) INSULATION: Floors Walls Z / ,Gjr�J_ C20 Attic
( ) WALLBOARD NAILING
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
NEW RESIDENTIAL SERVICES
Single Family
_ (Fast 1300 R2- S67.00; Each add'n 500 f -521.50)
Squalm.Feet:
Cacti outbuildingor garage ........................... $28.00
_ (inspected with service)
F,ach outbuildingor garage .._ _.... -.•• 54425
(Inspected separately)
NEW MULTI - FAMILY
Service or
(Includes three units or move)
EVENING PHONE:
Service
Feeder
Up to 200 amp--- .-.-.. S 72.25 ................. $ 21.50
_
400 amp .....:.........- 89.75.:.................. 44.25
_201-
401 - 600 amp .......... ......12325.................... 61.50
601- 800 amp ........... .....158.00....................
84.25
_
Over 800 amp ................. 225.25..................
169.00
_
ALTERED SINGLE /MULTI FAMILY
78.75
(When inspected separately from the services.)
Service or Feeder
10725
to 200 amp ................ ...............................
$ 61.50
_0
201- 600 amp ................................................
89.75
_
over 600 amp ................ ...............................
13525
_
Mast or meter repair ........ ...............................
33.50
# of circuits
(1-4 circuits- $4425; Add'n circuits $5 ea)
If service is greater than 200 amp, a plan review is re
TABLE B °
MOBILE HOMES
_ Service or feeder only ......................... S4425
—Service and feeder ....................... - ...... $7225
MOBILE HOME/RV PARK
_ # of service or feeders
(First servkdfeeder- $4425; Add'n service/
feeder -$28 each)
COMMERCIAL /1 N DUSTR(At
Amps
Service or
Aden
EVENING PHONE:
Feeder
FAX NUMBER
to too ........................
5 72.25........ $ 4425
—o
101-200 ..........................
89.75........... $625
_
201-400 ........................
169.00........... 67.00
_
401-600 ........................
197.00...........
78.75
_
601-800 ........................
254.50.........
10725
801-1000 ...................... 310.75.........
129.75
_
Over 1000 ......................
339.00.........181.00
Over 600 volts surcharge ......................
5625
_
Mast or meter repair
..............................
61.50
Fee
MISC EQU(PMENT/TEMP SERVICES
_ # of Thermostats (First 533.50; add'n -S I0.50ea)
# of Low voltage fire or burglar alarms
First 2500 W- $38.75; Each add'n 2500 W -S 10.50
Square Feet:
• Per WAC 29646- 910(5)(b)C & ii)
_ # of Signs (First sign-S33-50; add'n sign
$16.00 each)
Progress inspection per 1/2 hr ...............$33.50
_ Swimming pool, hot tub, spa .................67.00
Yard Pole meter loops . ..........................44.25
COMMERCIAL/IN DUSTRIAL
Altered Service or Feeders
_ 0 to 200 ................. ..............................$ 7225
_
201-600 ..................... .........................169.00
_ 601 - 1000 .... ...... ............................... 254.50
—over 1000 .................... .........................282.75
_ # of 'circuits
(1 -5 circuits- S5615; Add'n circuits, $5 ea)
Temporary Service
0 to 60..........- ....... ..... ........:................$38.75
61-100 .............. ................................ ...44.25
_
lot-200 ...................... ..........................56.25
_
201-400 ...................... ..........................67.00
_
401-600 ...................... ..........................89.75
over 600 ....................... ..........................97.75
Taal Cauma (D)
Estimated Permit Fee: (12)
Estimated PwM Fee from Me 12
Estimated Plan Review Fee: $56.25 + X.35 = (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18) _
SBOC Surcharge: (19)
■ OTHER FEES
(20) (22)
(21) (23)
. TOtal pages oneaTvio): Lines) (11)+(12) +(13) +(14)+(15) +(16) +(17)+(18) +(19) +(20)+(21) +(22) +(23) = (24)
Bulletin # 1o0 -August 29, 2000
C"Of — 0 CON STR ON PERMIT APPLICATIC
On NO- CATION NUMBER: _d_a = 7.
CATION NUMBER-. t -
LICATION 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: //�!O y I lf/ �' ' J� ASSESSOR'S TAX /PARCEL #: 0 qS-3 _ -COS-6d
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
N.TRO3ECT INFORMATION
TYPE OF PROJECT (This app(ication): 9BUILDING PLUMBING �MECHANI ON
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:O
PEOPLE •- •
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
NAME. � In D r
YA��Pr 1 VA(.?53) 6o6 -5%z_
�/, t :_ j
NAME:
S' .,tt cn
DAYTIME PHONE:
MAiIIN ADORESS (Sn )DRESS; QiY STATE, IIP)=
EVENING PHONE:
QTY OF FEDERAL WAY BUSYNESS LICENSE NUMBER
— — — — — — —
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER
D�Zn%
EXPIRATION OA7E:
NAME: DAYTIME PHONE:
F N1, C. v co �5 � l'l (
MAILING ADDRESS (STREET ADDRESS: CITY. STATE, ZIP): EVENING PHONE:
MATiONSHIP TO PROJECT: FAX _
❑ ARCHITECT ❑ TENANT 06THER ( DESCRIBE): ( J
CONTACT PERSON FOR THIS PROJECT. ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED.SUILDING INFORMATION
EXISTING USE: S /�� EXISTING BUILDING ASSESSED /APPRAISED VALUATION
�!C VOL �� SS D Vow
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENIN: $ t
SPRINKLERED BUILDING? ❑ YES ENO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑
WATER SERVICE PROVIDER- ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER- ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
L * *NEW RESIDENTIAL CONSTRUCTION ONLY **
NUMBER OF B MS: ESTIMATE4BLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. Ff.
PROPOSED SQ. FT.
TOTAL
BASEMENT
(2) $501.00 to $2,000.00
(2) $23.50 far the first $500.00 phis $3.05kareadr
FIRST
(3) $2A01.00 to $25,000.00
(3) $69.25 for the first $2, 000.00 pkn $14,07 krea
5 aofdZibW eLA;h aYl or fracdW diemof, to and kKk# V
SECOND
$25,000.00
(4) $2sA01m to $50,000.00
THIRD
for tads wbWO ial t1.000.Obor fraction thereof, to and kxdudhV
$50,000.00.
FOURTH
(5) $50A03A0 to $100,000.00
(5) $643.75 for the first $50,000.00 plus $7.00 kxta6
alifitrbW SLO100.00or fraction thereof, to add kKk,* g
OTHER FLOORS (DESCRIBE)
$100,000.00.
(6) $1001001.00 to MAM-00
DECK
forearh addbbml t1.0a7.00or fraction t we9, to and krdu&V
M'000.00
GARAGE
HOW MANY FLOORS?
CO $500,001.00 to $1AW.000m
(7) $3,233.75 for the fist $S00, 000.00 pku $4.7Skxtadi
aafdlUa -W it DOW or fraction drerea, to and kxkp*V
TOTAL:
$1,0001000.00.
(8) $1,000,001.00 and up
PLUMBING
BATHTUB(S). LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) / SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 3 SINK(S) 2 WATER CLOSET(S) MISC. (
INTERCEPTORS) SUMP(S)
I certify under penalty of petjury 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 sucFLY ), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where s�c arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the infotmatio up lielt s a part of this application.
NAME /TITLE:
❑ PROPERTY
❑ APPLICANT
X—ONTRACTOR
DATE: l tl Z-9--on
QOMMUWff DEVELOM T SERVIO`S - 33530 FIRST WAY SOUM • P.O. BOX 9718 • FEDERAL. WAY, WA 98063-9718.253-661 -4000 • FAX: 20- 6614i'.29
Construction Permit Fee Calculation Sheet
* * * * ** *PLEASE N EES MUST BE VERIFIED BY CITY STOPRIORTO ACCEPTANCE OF PAYMI
FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * * **
Btn'tding, mechanical, and fire prevention system fees are based on the following sdiedule.
PLUS:
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1)$23-50
(2) $501.00 to $2,000.00
(2) $23.50 far the first $500.00 phis $3.05kareadr
odAbW t1A7.07or fraction thereof, to and kdudkg $2,000.00
(3) $2A01.00 to $25,000.00
(3) $69.25 for the first $2, 000.00 pkn $14,07 krea
5 aofdZibW eLA;h aYl or fracdW diemof, to and kKk# V
$25,000.00
(4) $2sA01m to $50,000.00
(4) $39L25 for the rust $2S, 000.00 pkn $10.10
for tads wbWO ial t1.000.Obor fraction thereof, to and kxdudhV
$50,000.00.
(5) $50A03A0 to $100,000.00
(5) $643.75 for the first $50,000.00 plus $7.00 kxta6
alifitrbW SLO100.00or fraction thereof, to add kKk,* g
$100,000.00.
(6) $1001001.00 to MAM-00
(6) $993.75 forthe first $ 100, 000.00 plus $5.60
forearh addbbml t1.0a7.00or fraction t we9, to and krdu&V
M'000.00
CO $500,001.00 to $1AW.000m
(7) $3,233.75 for the fist $S00, 000.00 pku $4.7Skxtadi
aafdlUa -W it DOW or fraction drerea, to and kxkp*V
~
$1,0001000.00.
(8) $1,000,001.00 and up
(8) $5,608.75 for the fast $1,000,000.00 phis $3.6Sk
r earn addAonal t1.000.00 or fraction thereof.
~ ~
Gold number is the base fee for the specified iaarec:recrt
it, Adzed. um�namber1 ,the/eeaeraddW,1soedrR dlnarmerrt
Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for medhanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surdtarge, commerdal 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 **
'q�p
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(00MMERCi4,L ONLY)
PROPOSED VALUATION'_
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
-1-e 'W /, 54_,)0 '_'_
(a) Base Fee:
(b) Additional Increment Fee:
A FIRE PREVENTION SYSTEM
FEE FACTOR FROM TABLE A: Number (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
ease Fete Number of t wjm
$21.00+( X $7.00 /fixture} _ (8) Estimated Permit Fee
Esdrna6ad Permit fee
X .65 =
Miscellaneous Fixture Charge: (10)
uub, Total e,.r one): Une(s) ( 1)+( 2)+( 3)4{4)+(S)+(6)+(7)+(8)4{9)4{10) = (11)
(9) Estimated Plan Review Fee