The URL can be used to link to this page

02-102429 City of Federal Way Community Development Services Electrical Permit #:02 - 102429 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph.253 661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050 • Project Name: ROSEWOOD LANE#2 Project Address: 619 SW 361ST Parcel Number: 743680 0020 Project Description: ELE-Low voltage work for the installation of phone/cable and network for residence(approx.3,213 sq ft). Owner Applicant Contractor NORRIS HOMES INC ON SCREEN ENTERTAINMENT ON SCREEN ENTERTAINMENT • 10516 172ND CT SE ON SCREEN ENTERTAINMENT 2507 152ND AVE NE RENTON WA 98059 2877 152ND AVE NE REDMOND WA 98052 REDMOND WA 98052 (425)882-1226 Electrical Fixtures quant+ f?;';:kki.‘1,%;:ftesc`ption' = 4CWrit tj Imo.,"z " ' Description Quaritt" Low Voltage-Other Residential 3213 PERMIT EXPIRES December 8,2002,IF NO WORK IS STARTED. Permit issued on June 11,2002 110 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: Date: (7//,2Q t 3—OZ Orr v-,c. -einitS t- 11-0 2 q i„_.� 01) ( &5,(74 • 6(1/ � z RECEIVED CONSTRUCTION PERMIT APPLICATION $J )EJan JUN 1 1 2002 APPLICATION NUMBER: ©Z- / 02 tZ - O p APPLICATION NUMBER: - CI Y OF FEDERAL WAY APPLICATION NUMBER: - BUILDING DEPT. **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. •(;PROPERTTY INFORMATION Q SITE ADDRESS: (a SU) 305--1 -1 sao, ASSESSOR'S TAX/PARCEL#: 1 q 3 G V d - 0 0 Z c LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION ,LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM r( n PROJECT DESCRIPTION(PrL. \3(bC�roovide detailed description): 1 f,Lk -'Cc p� CCS {IQ (`17 O�C1 • 3 PROJECT NAME: Pi©Se .L=1� L,()k— 4(ca • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: kc c ,SC,\-\c\ c`{"'\s (c aS )7c 3 - /035 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I(0 CT fid ( SC (1,0_0-k-c 03X1. 9 BOf.VR CONTRACTOR: NAME: DAYTIME PHONE: 0(1 5ocee n Btfexlai norm f (1-05)Aa- MAILING ADDRESS(STREET ADD`RREES�SS CITY,STATE,ZIP): / ��c(j��, EVENING PHONE: WAY B ESS LjCE13&) NUMBESQ•+ , �� acflaYk j` +(1C1 f�9CITY OF FEDERAL FAX NUMBER: QA ORS GIS TION NUMBER:((1 - - `tiaEXPIRATI�ON -Q(/`jiaX (copy of card required) 5 C L Q Q Q (1 e / APPLICANT: NAME: DAYTIME PHONE: MAILING A RESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIP TOC PROJECT: ( ):-'�// / - • - FAX NUMBER: 0 ARCHITECT ❑TENANT MOTHER DESCRIBE . �/'�jy�/'.'�y `J E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION.ONLY** /�/� /�� NUMBER OF BEDROOMS: t ESTIMATED SELLING PRICE: $ 3l 01 � % ■ 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: 3 9.13F, ,ft . Indicate number of each type of fixture )J! f MECHANICAL lll! AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and coned 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,induding the undersigned,and filed against the City of Federal Way,but only where sudi 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: O 1 IA.L ✓uta/ Ca. n SS I )1 a ti DATE: h//1 f /Oa ❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR FOR OFFICE USE ONLY: ❑NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES o NO COMP PLAN DESIGNATION BASIC PLAN? o YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES o NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO 8OX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX:253-661-4129 I • • 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 (t)$26.00 • (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3 50 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2000.00 plus$15.50 for each additional$1,000.00 or 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$11.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus 56.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 for the first$100,000.00 plus 5600 for each additional 51,00000 or fraction therepf,to 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$5.50 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00. f (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Itatidred,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 Fre District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above. *•Electrical,plumbing,and mechanical fees are calculated separately** • ■ BUILDING PROPOSED VALUATION: 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) (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 $22.50 +{ X$8.00/fixture) = (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)4(10) = (11)