02-101176Lr "ity of Fgderal Way
Conm,unity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -101176 - 00 - EL
Inspection request line: 253.835.3050
Project Name: LA
Project Address: 31710 12TH SW Parcel Number: 416796 0130
Project Description.: ELE - Install low voltage security alarm for existing residence approx. 2500 sq ft.
Owner
Applicant
Contractor
ANH & TAMMY N LA
PROTECTION ONE ALARM
PROTECTION ONE ALARM
31710 12TH PL SW
3900 S 220TH ST
3900 S 220TH ST
FEDERAL WAY WA 98023
KENT WA 98032
KENT WA 98032
(253)395-7140
Electrical Fixtures
`; ,,ecription sort, ti. ,JW,',Quant D --
WO -6 tiori�
Low Voltage Burgler Alarm - Residen 2500
PERMIT EXPIRES September 16, 2002, IF NO WORK IS STARTED.
Permit issued on March 20, 2002
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:Aa Date:
• �M�F�EIz1=iL_
Please note:
RECEIVED
MAR 2 0 2002
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER:
APPLICATION NUMBER: - -
APPLICATION NUMBER:
** i�c� DERAL d information — Please rent in ink) or type**
T���IJTf�a ��• P (
Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
n PROPERTY• •
SITE ADDRESS: I I — I/ I -� �' ASSESSOR'S TAX/PARCEL #: 41(o 7 R 40-42-13o
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
'ELECTRICAL ElENGINEERING[]FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
L_ 0, C,3 6 I T, _S E C -_S
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
EXISTING USE:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NArj_
MAILI,(1� �ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
/ ^
� ,1� �
EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
F%jk,Ny, T
/VJyCC11X `J
-
OV -N
EXPIRATION DATE:
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT:
FAX NUMBER:
-
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
E-MAIL ADDRESS:
FOR THIS PROJECT: PROPERTY OWNER
❑ APPLICANT
❑ CONTRACTOR
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
11LIIul3[►[0
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
7TSC1 ATMFR/6TPNATIIRF RI C
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.
NAME/TITLE: C�/� / j(� C �i �GF�?�✓ ��1L'�- DATE:
❑ PROPERTY OWNER ❑ APPLICANT � CONTRACTOR
I
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
• 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.
PLUS:
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 L127 for eadr additOrul
$100 00 or fraction thereof to and indudi ng $2.000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $1500 foread� addititonal
11,000,00 or (Taction thereof to and induding
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.Oo plus $10 B2 for each additional
$1,000, 00 or fraction thereof, to and inducting
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus $7.50 fcr each additialel
$1000 00 or (Taction thereof, to and Induding
$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
a bona/ $1.000 00 or fraction thereof to and inducting
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7)$3,3 37.23 for the fist $500,000.00 plus S5.09 for eadl addioixol
sl 000 OOor fraction thereof, to and inducting
$1,000,000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $1,000,000.00 plus $3 9I for eadl
addlbixnal $1 000 00 or fraction thereof.
Bold number is the base fee for the specified increment
Ttarcfzed, rhnderAned number Is the fee per additonal specified
increment
AAA CC
w F/CI \ cI fit VI U 1C Uux vullum ly perl1111. Tee wr plan review tee.
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 **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee:
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of Fixtures
$21.00+( X $7.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Pageone): Line(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee
• 1
.
TABLE B
NEW RESIDENT L SER CES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
- Service or feeder only .........................
$48.00
_ # of Thermostats (First -$36.00; add'n-$11.00ea)
_
(First 1300 ft' -$7 Each add'n 500 ft'
-$23.00)
- Service and feeder ...............................
$78.00
- # of Low voltage fire or burglar alarms
First 2500 ft' -$42.00; Each add'n 2500 ft2-$11.00
Square Feet:
9
Square Feet 29U
.............
_ Each outbuild' g or garage.... .......
$30.00
MOBILE HOME/RV PARK
# of service or feeders
6-
`Per WAC 296 6-910(5)(b)(i & ii)
(inspected i service)
$48.00
_
(First service/feeder-$48.00; Add'n service/
- # of Signs (First sign -$36.00; add'n sign
_ Each outbUildingor garage ..............::...........
(Inspected separately)
feeder -$31 each)
$17.00 each)
_ Swimming pool, hot tub, spa .................72.00
Yard Pole meter loops ...........................48.00
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
e units or more)
Altered Service or Feeders
rMULTI-FAMILYAMILY
Service
Feeder
Amps Service or
Add'n
- 0 to 200 ..............................................$ 78.00
mp.............. $ 78.00..----..........
$ 23.00
Feeder
201-600..........--..................................182.00
mp .................. 97.00....................
48.00
- 0 to 100.........................$ 78.00.......
$ 48.00
601-1000............................................274.00
mp ................ 133.00 ....................
66.00
_ 101-200 .......................... 97.00...........
61.00
_ over (000---..........................................305.00
601 - 800 amp ................ 170.00....................
91.00
- 201 - 400........................ 182.00...........
72.00
_ # of circuits
_
800 amp ................. 243.00..................
182.00
_ 401 - 600........................ 212.00...........
85.00
(1-5 circuits -$61.00; Add'n circuits, $5 ea)
-Over
ALTERED SINGLE/MULTI FAMILY
_ 601 - 800 ........................ 274.00.........
116.00
(When inspected separately from the services.)
_ 801-1000 ...................... 335.00.........
140.00
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 365.00.........
195.00
Residential/Multi-Family/Commercial/Industiral
0 to 200 amp ................................................
$ 66.00
- Over 600 volts surcharge ......................
61.00
_ 0-100 .................................................... 48.00
_
201 - 600 amp ................................................ 97.00
- Mast or meter repair..............................
66.00
-101 - 200................................................61.00
_
over 600 am p.. ....... ..............................
146.00
-201-400 ................................................72.00
Mast or meter repair .......................................
36.00
_ 401 - 60 -97.00
_
# of circuits
.......------..............----................
_over 600 ...............................................105:00
_
(14 circuits -$48.00; Add'n circuits $5 ea)
it service is greater man LUU aLLIV, it PIQLL IOYtO - I -i Y. 1 ..b - /v vIF' .....a I-------- -- --- _
Total Column (D)
Estimated Permit Fee:
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + X .35 = (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
0 ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
OTHER
Mitigation Fee: (18) _
SBCC Surcharge: (19)
(20)
(21)
(22)
(23)
Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24)
CA,
Bulletin # 100 - August 20, 2001