01-103239 City of Federal Way • •
Community Development ServicesBuilding - Single Family Permit #:01 - 103;139 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request lode: 253.835.3050
Project Name: BOYKO
Project Address: 31029 12TH AVE SW Parcel Number: 072104 9227
Project Description: RES REM-Add nonstructural wall and door to convert dining room into bedroom. No plumbing or
mechanical on this permit.
Owner Applicant Contractor Lender
Sergey&Galina Boyko Sergey&Galina Boyko Sergey&Galina Boyko NONE
31029 12TH AVE SW 31029 12TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 31029 12TH AVE SW
98023-4531 98023-4531 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no. Mechanical No
Occupancy Group#1 R-3 Plumbing No
Total Building Sq.Feet 2050 Zoning Designation RS 7.2
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to
the subject proposal.
PERMIT EXPIRES February 19,2002,IF NO WORK IS STARTED.
Permit issued on August 23,2001
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 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 4 a,e,„vo_, 1 7'7/"L�� Date: 08 - 23 '01
POS"HIS CARD ON THE FRONT OF BUILD.
"r.or NI—Of-71 Fr) CONSTRUION PERMIT APPLICATION
N).\> TRY APPLICATION NUMBER: Q I - 0l� -5 r
AK 1 7 20011 APPLICATION NUMBER: O l - j ot-S2itZ -&L
ViIY CA= I-Li.):.pG'iEPVAY
APPLICATION NUMBER: - -
**The foS i'equlr7ed 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: 3/t -/ � lye s u pc V ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): TA-e' E'sT aoo Pee"-
Of ('odeeirrnrpivv- AOTG.2 ) Seri 7, 'TOS/✓.' P ,2/ NO/erw, /? 1v 5 4/E,- .-/c7-
/r) •rt Kiv. . . Ash" 4z I 64,c-e- 42 Woi& :(oFee.-t & , .- . ' i,i,„..:
L atk
. ■ PROJECT INFORMATION .. . . .
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING LI MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION( SYSTEM
PROJECT DESCRIPTION (Provide detailed description): COyt✓e1 T - €$t 4-k (,,,J di Vlv..r= roei VIA J 1/14.
cl- bYOQYu n44 v�V il Ct ) I ieLYI L CC'1-fe I to .V.
�.Sta k) \A) C1,\
PROJECT NAME: BO l+.0
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: . DAYTIME PHONE:
Sett- 4 qa 11rir‘.5'- O/f<J (.2S3)9Y4 -3/76
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3102'1 at& A7ie $r f) Pe€i'za/ Pial° K/4 9j2023
CONTRACTOR: NA DAYTIME PHONE:
b�v�� ( )
LING ADDRESS(STREET A RESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
6V)-1•P t` , ( ) ,2.1L/ - /3/I
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): EVENING PHONE:
31 D, 9 i2 14-ve$C,c) /e�e Gam. I (zc3) 9 iib - 3/ 7k
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT AfOTHER(DESCRIBE): DDv)IZvL (0Z 3)R 9913 - .3- e71
E-MAI
A
ESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION l �(�
EXISTING USE: 4 ,fi R0w�,Qn. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ►+a.Lf I C0 5I afp
PROPOSED USE: GJV1rfer7' d r. l Y► later_ PROPOSED VALUATION FOR IMPROVEMENTS: $ I4-1� �e4o . �'
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: • $1LAKEHAVEN CIHIGHLINE IiiTACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 4.LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• i
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST 15�°
r&j1/46%
SECOND
'
THIRD f1
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? CJC//, �J
TOTAL: 2 O S v a
U. FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) -- • 5) HOOD - WOODSTOVE(S)
BOILER(S) FIREP • SERT(S) 'f'NGE(S) MISC. ( * )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLE HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTR ❑ GAS
DRINKI► . OUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
_ G• PE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
TERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK .
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 ofthe 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. /�
NAME/TITLE: CIULiZ-'i DATE: OP • £/
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION /ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : Ts 2 BUILDING SHELL ONLY? ❑ YES AO
COMP PLAN DESIGNATION re9BASIC PLAN? ❑ YES / NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ONO
PLATTED LOT? ❑ YES NO CHANGE OF USE? ❑ YES /NO
CnMMi INT re nFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O-BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX 753-661-4129
• •
Construction Permit Fee Calculation Sheet
*******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.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$24.25
(2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100.00 or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 for each additional$1,000.00 or fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1,000.00 or fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 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)$3,337.23 for the fist$500,000.00 plus$5.09 for each additional$1,000.00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,underlined number is the fee per additional specified increment
PLUS: 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.
** Electrical,plumbing,and mechanical fees are calculated separately**
• ■•BUILDING -
PROPOSED VALUATION: Uv •
FEE FACTOR FROM TABLE A: Number: (a)Base Fee: 02L .2c
(b)Additional Increment Fee:
Estimated Permit Fee: (1) /
Estimated Plan Review Fee: (2) f C. 76.
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
- • PLUMBING
Base Fee Number of Fixtures
$21.00 + { X$7.00/fixture}= (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
;t lb Total (Pane one): Line(sl(11+(21+(31+(41+(51+(61+(71+(8)+(9)+(10) = (11)
• •
■ ELECTRICAL '
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 -#of Thermostats(First-$33.50;add'n-$10.50ca)
(First 1300 ft'--$67.00;Each add'n 500 ft?-$21.50) -Service and feeder $72.25 #of Low voltage fire or burglar alarms
First 2500 It---$38.75;Each add'n 2500 ft1-$10.50
Square Feet:
_Each outhuildingor garage $2800 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage $44.25 (First service/feeder-$44.25;Add'n service/ -#of 6 Signs
s(Feacirst sien-$33.50;add'n sign
(Inspected separately) feeder-$28 each)
_ )
Progress inspection per 1/2 hr $33.50
_Swimming pool,hot tub,spa 67.00
Yard Pole meter loops 44.25
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder -201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 #of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (I-5 circuits-$56.25;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) -801-1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 -0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
201-600 amp 89.75 -Mast or meter repair 61.50 _101-200 56.25
over 600 amp
135.25 201-400 67.00
_ -
_Mast or meter repair 33.50 _401-600 89.75
1#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea) _
- II-service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 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-January 3, 2001