05-103370A,,
-- a
' iFederal y
Community Developi-nett Services'Buil g- Single Family
Perm#: 05-1,03370-62-'s'.1-
P.O.
Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 inspection Request Line: (253) 835-3050
Project Name: SERR/FERGUSON
Project Address: 920 S 315TH ST
Parcel Number: 787540 0255
Project Description: ADD - Remodel exisitng main floor to combine garage and living space into living space;
add patio and storage space.** revision to plans to show removal & change of windows and
some structural changes** REVISION 2: Enclose proposed carport area for relocation of
bath and utility rooms; total additional square footage of bath, utility and storage is 360 sq
ft.
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1 #2 #3 #4
Occupancy Class:
R-3
Owner
Applicant
Contractor
Lender
DIANE FERGUSON
ARMSTRONG CONST CO INC
ARMSTRONG CONST CO INC
DIANE FERGUSON
920 S 315TH ST
2715 AUBURN WAY N
ARMSTC*373NO 5/7/2008
920 S 315TH ST
FEDERAL WAY WA 98003-5354
AUBURN WA 98002
2715 AUBURN WAY N
FEDERAL WAY WA 98003-5354
New / Additional Sq. Feet - Garage ........ ...............
AUBURN WA 98002
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B _
s
Occupancy Load:
Floor Areas . ft.
_
880 0 0 0
Additional Permit Information
New/ Additional Sq. Feet - 1 st Floor....................880
New / Additional Sq. Feet - 2nd Floot..................
0
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy # 1 - Area (Sq. Feet) .............................
880
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck ..........................
252
Fire Dept. Access/Hydrant Loc. Needed?..............No
New / Additional Sq. Feet - Garage ........ ...............
0
Height of Structure.................................................17
Mechanical to be Included? ...................................
Yes
Occupancy # t -Class .............................................R-3
New / Additional Sq. Feet - Other ..........................
168
Q
Plumbing to be Included?......................................Yes
New / Additional Sq. Feet - Total.............
Occupancy # 1 -Use ...............................................Residence
(1 or 2
Zonin signation.. ............ ......
family)
Mechanical Fixtures W7��r
Ducts..............................................
1
Fans................................................
3 Furnace ... ...... ............................
1
Gas Logs ........................................
1
Ranges............................................
1 Gas Pipe Outlets.............................
3
Hot Water Tank .............................
1
Plumbing Fixtures
Bathtubs .........................................
1
Dishwashers...................................
1 Laundry Washer Outlets................
1
Lavatories......................................
2
Showers..........................................
1 Sinks..............................................
2
Water Closets .................................
1
Hose Bibbs.....................................
2
CONDITIONS:
This parcel is located wifin a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article X ri ' al Areas" and fill out a Hazardous Materials Inventory Statement, if
PG MIT EXPIRES Friday, August 7, 9
mit Issued on Tuesday, August 7, 20W
I hereby certify that the above information is correct and that the construction on the above described property and r
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
th City of Federal Way.
Owner or agent: ) "'1 Date: Cti Z-2
GU
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: SERR/FERGUSON
Address: 920 S 315TH ST
Permit #: 05 -103370 -02 -SF
Includes:
41 42 #3 44
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
880 0 0 0
Owner Name: DIANE FERGUSON
DIANE FERGUSON
Owner Name:
Owner Address: 920 S 315TH ST
FEDERAL WAY WA 98003-5354
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
w1 t -Iritis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
�'
THIS CARD IS TO MAIN ON-SITE
CI" OF ' ' ommunity Develop;*t
t Inspection Reicord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -103370 -02 -SF
Owner: DIANE FERGUSON
Address: 920 S 315TH ST
FEDERAL WAY, WA 98003-5354
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.
❑
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
❑
Footings/Setback (4110)
Approved to install siding
Approved
Approved to install roofing
To be done prior to breaking ground
Interim Erosion Control (43 0) 11
Approved to place concrete
By
Date
By
Date
By
Date
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
❑ Mechanical Rough -in (4165)
Approved to place concrete
Gas Piping (4125)
Approved to backfill
Approved
Approved to cover
By
Date O-.a,o
By
Date
By
Date
❑
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Approved to place concrete
❑
Approved to sheath floor
❑
Approved to install flooring
By
Date
By
C:::-- L_j Date -
By
Date
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Final - Building (4050)
Interim Erosion Control (43 0) 11
Approved
By Date
By
Date
Approved
By
Date
Approved
By
Date
❑
Date
❑ Mechanical Rough -in (4165)
❑
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By Date
By
Date
By
Date
NOTE: Prior to scheduling a Framing (4120)
❑
❑
Framing (4120)
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be .
signed -off and approved. IBC 109.3.41UBC 108.5.4'
By
Date
By
Date
❑
❑ Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
Final - Mechanical (4065)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
Date
]
Final - Plumbing (4075)
❑
❑
Final - Building (4050)
Interim Erosion Control (43 0) 11
Approved
Approved
Approved
By
Date
By
Date
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal Way
Development Services Bull ri — Single Family Perm#: 05 -103370 -01 -SF
P.O. Box 9718
Federal Way, WA 98063-9718 p , a i �,. r'�Z o
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection � �eg.,est ' ne: ;2531) OU35-3050
Project Name: SERR/FERGUSON
Project Address: 920 S 315TH ST
Parcel Number: 787540 0255
Project Description: ADD - Remodel exisitng main floor to combine garage and living space into living space;
add patio and storage space.** revision to plans to show removal & change of windows and
some structural changes**
Owner
Applicant
Contractor
Lender
DIANE FERGUSON
ARMSTRONG CONST CO INC
ARMSTRONG CONST CO INC
DIANE FERGUSON
920 S 315TH ST
2715 AUBURN WAY N
ARMSTC*373NO 5/7/2006
920 S 315TH ST
FEDERAL WAY WA 98003-5354
AUBURN WA 98002
2715 AUBURN WAY N
FEDERAL WAY WA 98003-5354
New / Additional Sq. Feet - 3rd Floor ...................
AUBURN WA 98002
New / Additional Sq. Feet - Basement...................0
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
New / Additional Sq. Feet - Other .........................168
Floor Areas . ft.
0 1 0 1 0 0
Mechanical Fixtures
Ducts..............................................
Additional Permit Information
Fans................................................
New / Additional Sq. Feet - Ist Floor ......... ........880
Furnaces.........................................
Occupancy # I - Class................... ....................
R-3
New / Additional Sq. Feet - Other .........................168
Ranges............................................
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
1300
Zoning Designation...............................................
RS 7.2
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - 3rd Floor ...................
0
New / Additional Sq. Feet - Basement...................0
Dishwashers...................................
New / Additional Sq. Feet - Deck ..........................
252
Fire Dept. Access/Hydrant Loc. Needed?..............No
Laundry Washer Outlets ................
New / Additional Sq. Feet - Garage .......................
0
Height of Structure.................................................17
Other Plumbing Fixtures................
Mechanical to be Included? ........................ ...........
Yes
Mechanical Fixtures
Ducts..............................................
1.00
Fans................................................
3.00
Furnaces.........................................
1.00
GasLogs ........................................
1.00
Ranges............................................
1.00
Plumbing Fixtures
Bathtubs .........................................
1.00
Dishwashers...................................
1.00
Gas Pipe Outlets.............................
2.00
Laundry Washer Outlets ................
1.00
Lavatories......................................
1.00
Other Plumbing Fixtures................
2.00
Showers ..........................................
1.00
Sinks..............................................
1.00
Water Heaters................................
1.00
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if
applicable.
PIT EXPIRES Sunday, July 20, 8 'r `
Omit Issued on Thursday, July 20, 20
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: 6Date.--
City
ate:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: SERR/FERGUSON
Address: 920 S 315TH ST
Permit #: 05 -103370 -01 -SF
Includes:
41 42 93 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
0 0 0 0
Owner Name: DIANE FERGUSON
DIANE FERGUSON
Owner Name:
Owner Address: 920 S 315TH ST
FEDERAL WAY WA 98003-5354
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
. ' "' ►► .�► t ..
City of Federal Way Building - Single Family Permit #: 05 - 103370 - 00 - SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
Project Name: SERR/FERGUSON
Project Address: 920 S 315TH ST Parcel Number: 787540 0255
Project Description: ADD - Remodel exisitng main floor to combine garage and living space into living space; add patio and
storage space.
Owner
Applicant
Contractor
Lender
Diane Ferguson
ARMSTRONG CONST CO INC
ARMSTRONG CONST CO INC
Diane Ferguson
920 S 315TH ST
2715 AUBURN WAY N
ARMSTC*373NO 5/7/2006
920 S 315TH ST
FEDERAL WAY WA 98003-5354
AUBURN WA 98002
2715 AUBURN WAY N
FEDERAL WAY WA 98003-5354
F -Occupancy Load:
I
AUBURN WA 98002
Includes:
Census category: 434 - Reside
Occupancy Group:
#1
#2
#3
#4
Height of Structure .............................................. 17
R-3
Occupancy # I - Class .......................................... R-3
Other Proposed Sq. Feet...................................... 168
Construction Type:
Type V - B
Total Proposed Sq. Feet ....................................... 1300
Zoning Designation ............................................. RS 7.2
F -Occupancy Load:
I
Flo ea (Sq. Ft.):
1 st Floor Proposed Sq. Feet ................................. 880
Census Category ................................................. 434 - Residential alt/add - no
Deck Proposed Sq. Feet.......................................252
Fire Sprinklers Required ...................................... No
Height of Structure .............................................. 17
Mechanical................................................. Yes
Occupancy # I - Class .......................................... R-3
Other Proposed Sq. Feet...................................... 168
Plumbing ................................................. Yes
Total Proposed Sq. Feet ....................................... 1300
Zoning Designation ............................................. RS 7.2
Plumbing Fixtures
F_ Description
—=Qu�
Ptpe Description
QuF
�Quatity
Ba
�nDescnption
[Dishwashers
Gas
2ityll
2
Laundry Washer Outlets
I Lavatories
1 Other Plumbing Fixtures
Showers
� Sinks
Water Heaters
Mechanical Fixtures
Description Quantity _ Description
Quantity Description
Quantity;
Ducts Fans
�� Furnaces
Gas Logs � Ranges
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22,
Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable.
PERMIT EXPIRES February 26, 2006.
Permit issued on August 30, 2005
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: Date:
`DATE
71Z 1104.
.'INSPECTOR
AREA AND TYPE OF'----INSPECT7-ON'
LAIL
1j,9 -7LO'
- A ` THIS CARD IS TO ':MAIN 01 IS
CITY OF tommunityDevelo m nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # 253 835-3050
e y Q c�
PERMIT #: 05 -103370 -00 -SF
Owner: DIANE FERGUSON
Address: 920 S 315TH ST
FEDERAL WAY, WA 98003-5354
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.
II Temp. Erosion Control (4365)
To be done prior to breaking ground
By OM2Date I�'%(%�
Drainage/Downspout (4040)
n Approved to backfill r
Underfloor Framint (4285)
Approved to sheath floor
By C L..j Date fj -7e5.
Roof Sheathing (4220)
Approved to install roofing
By Date
❑ Footings/Setback (4110) ❑ Foundation Wall (4115)
�Appfroved to place connccreteApproved to place concrete
��/
By /G'UJ� DateBy Date
�IZ106
Plumbing Groundwork (4190) l ❑ Slab/Concrete Floor (4255)
Approved to cover I Approved to place concrete
l By
Date
Un
❑ Floor Sheathing (4105)
❑
Approved to install flooring
By
Date
LBy
❑
Rough Plumbing (4230)
LRough-in
d Fire/oraft Stop inspections must besy
❑
Approved
By
Date
Date
By
Date
Shear Walls (4245)
Approved to install siding
C. -j Date/2_ t7-_
Mechanical Rough -in (4165)
Approved
Date
❑
Gas Piping 4125
p ( )
❑
Fire/Draft Stops 4095
p ( )
rM
_._ i 2 �`
rior to scheduling a Framing (41_0)
Approved to release test
Approved
Electrical, Plumbing & Mechanical
LRough-in
d Fire/oraft Stop inspections must besy
approved. IBC 109.3.4/UBC 108.5.4 .
Date
By
Dated
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
❑
Final - SWM (4375)
Approved
Approved
Approved
By
Date
By
Date
By Date
❑
Final - Building (4050)
[]Temp. Erosion Maintenance (4370)
Approved
Approved
By
Date
By
Date
RE
EO
• Cory OF
Federal way .JUL 1 2 2005 PERMIT
COMMUMIY DEVELOPMENT SERVICES ,
3332E ETH AVENUE ,WASOUTH • 63 sox 9, OF FEC?'" L�� L I C AT I O N
FEDERAL WAY07-FAX 93063-260 BUILD.IN" .4F p
-9718
253-835-2607• FAX 253-335-2609
www.dtyorfederalway.com
SF F CO ME EL PL DE EN FP
D / /
The following is required information -an incomplete application wilt not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS CUD ':1% ) `J'�--�� /`V� �— SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 7 � 7 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROMT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAME y, PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
�% C1 ' �: � I„ '--9` � 1.� �� _. �'y' x1i'•'-;�.. li� �� '� i/�_ I ��G� E4.Iis
J
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP —
CITY, STATE, ZIP
MAILING ADE �\} ,I
ITY, STATE, ZIP
141
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
C) Architect ❑ Tenant +d Agent ❑ Other (Describe)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE --
FAX NUMBERr
— — B
L-
CONTRACTOWS REGISTRATION NUMBER (copy of cud required with each application)
EXPIRATION DATE
COMPANY �NAME
,�
5
PPPLICANT NAME
/OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP —
CITY, STATE, ZIP
(CELLL'`P]H'ONE
RELATIONSHIP TO PROJECT
FAX NUMBER
C) Architect ❑ Tenant +d Agent ❑ Other (Describe)
( -
NAME __j_PRIMARY PHONE E-MAIL ADDRESS
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
PROPOSED USE !"'� '�- e
VALUE OF PROPOSED WORK 0 f ,+
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES e! NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
NAME
e l e C e q00
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
PROPOSED USE !"'� '�- e
VALUE OF PROPOSED WORK 0 f ,+
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES e! NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
BASEMENT
S . FT.
S . FT.
SQ. FT.
FIRST
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
= HOSE BIBBS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑ ^ ,•, \� ;1�; ,.t'� f � 1�t j �/�=� _
� �� —
i
�� �—
NUMBER OF FLOORS C7°rnsO rxorosco Toru r v draw
�,�,. 3 AL PRO ED BF;:'
n ;
ALe
"NEWHOMES ONLY*" NUMBER OF BEDROOMS WQTTA9A1PV� ocr T MT— r
�?.N 5
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existina fixtures to ramnin
IMECHAMCAL
Value of Mechanical Work $ !)�-�' 1f:�
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
- DUCTS
BATHTUBS (or Tub/Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS teamroomSr„k-ai
EVAPORATIVE COOLERS
t FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS (commerdaQ
W OODSTO V ES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS mosey
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
= HOSE BIBBS
ELECTRIC WATER HEATERS
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. "—I _ ��i,
NAME/TITLE 'A""(L'.
Ingnature) — 11
RELATIONSHIP TO PROJECT ❑ Owner 13 Agent
(Title)
❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 -January 7, 2005 Page 2 of 4 k\Handouts\Peanit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(Fir 1300 ft2- $104.50; Each add'n 500 ft2 - $33.50)
❑ 0 to 100 amp $113.50 $ 69.50
La -Detached outbuilding or garage
❑ 101 - 200 amp 141.00 89.00
(Inspected with service) $44.00
❑ 201 - 400 amp 264.50 104.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 308.00 123.50
(Inspected separately) $69.50
❑ 601 - 800 amp 398.50 168.50
0 801 - 1000 amp 486.50 203.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 530.50 283.00
Service Feeder
-
❑ Up to 200 amp $113.50 $ 33.50
❑ Over 600 volts surcharge $89.00
❑ 201 - 400 amp 141.00 69.50
❑ Mast or meter repair $96.00
❑ 401 - 600 amp 193:00 96.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50
Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
Cl 0 to 200 amp $ 87.00
❑ 201 - 600 amp 141.00
❑ # of circuits to be added/altered
❑ over 600 amp 212.50
(1-5 circuits - $89.00; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$69.50; Add'n circuits $7.00/ea)
$89.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $52.00
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $61.00
❑ # of service or feeders
(First service/feeder-$69.50; each add'n -$45.00)
CornmerciaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps _ $ 69.50
❑ 101 - 200 amps 89.00
❑ 201 - 400 amps 104.50
❑ 401 - 600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$52.00; add'n-$16.00/ea)
(First sign -$52.00; add'n sign $24.50/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $104.50
❑ Security Alarm System
Cl Additional Plan Review $104.50/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
(Per System(s) Pt 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) *Per WAC 296-46-910(5)(bff & ii)
Bulletin # 100 - January 7, 2005 Page 3 of 4 k\Handouts\Permit Application
E07-0-11 ••-
AREA DFSC N EXISTIN
_ SQ,. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
BATHTUBS (or Tub/Shower combo)
C�-
LAVS (Bathroom S -k.)
FIRST
I
(
3 0
RAINWATER SYST
SECOND
DRINKING FOUNTAINS
ZONING DESIGNATION
SHOWERS
THIRD
ELECTRIC WATER HEATERS
❑ NO
SINKS
ADDITIONAL FLOORS (DESCRIBE) _ O
HOOSE BIBBS
❑ NO
SUMPS
DECK (❑ COVERED OR ❑ UNCOVERED?)
+( S dL L "� k
f
1 Z --of
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EE-Nr
PROPOSED
TOTAL
---Sr
---Sr
-SF
*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
0 COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE GOOry 3 GAS PIPE OUTLETS WOODSTOVES
FANS C GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERT HOODS (commercial)
? FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
BATHTUBS (or Tub/Shower combo)
C�-
LAVS (Bathroom S -k.)
URINALS
DISHWASHERS
BUILDING SHELL ONLY? ❑ YES ❑ NO
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
ZONING DESIGNATION
SHOWERS
_� WATER CLOSETS (Toilet)
ELECTRIC WATER HEATERS
❑ NO
SINKS
�_ WASHING MACHINES
HOOSE BIBBS
❑ NO
SUMPS
DEMO PERMIT REQUIRED?
+( S dL L "� k
f
1 Z --of
MISC (Describe)
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 undersigled, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its office;7 employees, upon the accuracy of the information supplied to the city as apart of
this application. l/
NAME/TITLE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
- -- — -- --For inspector reference only - _..--------------_-__- ---_ __--
❑ Rough Electrical ❑ FINAL -Electrical
Approved Approved
— A1261 2. 2007 1 Page 2 of 4 1 `' """ k\Handouts\Pefmit Application
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