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02-102702 City Federal Way Community Development Services Electrical Permit #:02 - 102702 - 00 - EL un 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: UYENO Project Address: 2008 S 301ST Parcel Number: 798300 0150 Project Description: ELE-Install(1)125 amp main breaker panel,grounding,and bonding. Owner Applicant Contractor Lily Uyeno CERTIFIED ELECTRICAL SVC INC CERTIFIED ELECTRICAL SVC INC 28520 23RD AVE S 29622 41ST PL SW 29622 41ST PL SW FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001 98003-3341 (253)945-0055 Electrical Fixtures ,w;Kpescription >? ;'TQaantity ©escritioh�7 : ~.Quantity Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES December 24,2002,IF NO WORK IS STARTED. Permit issued on June 27,2002 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 W:shington and the City of Federal Way. - Owner or agent: / Date: i ©Z r ' - - 8Re2v 7- 2 — ;°f . CONSTRUCTION PERMIT APPLICATION �jvFrY — RECEIVED APPLICATION NUMBER: ��- I Qf,-Q9 - � APPLICATION NUMBER: -JUN 2 7 ,n3l,2 APPLICATION NUMBER: - - * lrrfe,Io�ar,ingEjs RAL WAY information-Please print(in ink)or type** Please note: Electrical,hrt 1J if ystems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION �Gc SITE ADDRESS: pCOS.- 3 349/57.- ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • ■ PROJECT INFORMATION , . - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJE SCRIPTION(Provide detailed description): //U 74j ? / J i 1 //,/ ' j ,OdyLair PROJECT NAME: V V V Q ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: ) MAILING ADDRESS(STEET ADDRESS,QTY STATE,ZIP): ©DSS 5 ' /5r- - 7 CONTRACTOR: NAME: DAYTIME PHONE: Gl/a>' /f6) �c -a•u�G S,c.>L�c4. 123-'3) 9'!S=-!v,60"5" MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: .29��Z 9/cam �c S. i3v�.r✓ u,+1- rte' lzs3 ) r-e).053- CITY OF FEDERAL WAY BUSINESS LICENS MBER: FAX NUMBER: - - ) CONTRACTOR'S REGISTRATION NUMBER: r,+ EXPIRATION DATE: /��L (copy of card required) � e-5 APPLICANT: NAME: VV DAYTIME PHONE: �j'�� "`/ MAILING ADDRESS( EET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): ( ) E-MAIL ADDRFSS: 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? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** 1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PRO]ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT - FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: __ ..,_ s,<e...- ..-�. - =-t FIXTURES- :: - ...: .�-• , �_ u. _ .�,_,-.<. x.__ �:.,.�..-,� 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 INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC I,7 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER elEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 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 daim(induding 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 such daim arises out of the reliance of the city,including its officers and employe:-,u•.n the accuracy of the information s •. '.d to the d as a part •f thi • . .on. NAME I. , / ��i / / i DATE: '50r ❑ PROPER a NER APPU • ❑ CONTRACTOR ` r =FOR OFFICE USEONLY: �' ❑ADDITION, ALTERATION S= -REPAIR= ::',❑"nTENANT IMPROVEMENTy =;. ENSUSrCODE: '- ___'=; :� . i .> ti SLOT SIZE: zaFr s:•:' ts_ :' x =r.,: OIYfVG 'SIGN '_..�.,k,,: .-,..._ ,..,,H.-=. ..�b f , cox 6UxlAINGSH�LI`OfVLY?; 1fFSIfl iVO,�=LL•== .` -_ = =1g ZG�`pj ?; Q TES--Li• SE_C�I1ON =TO ONSHIP''l 'nRANGE" ;; ANEW ADDRESS REQUIRED?_ x,ant ES DVolk TES • :;� FCH%1NGE OF USE?.":. _ ❑YES.=F I3 zN-O so COMMUNITY DEVELOPMENT SERVICES.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 www.citvoffederalway.corn 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)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional S100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1,00000 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$8.00 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$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)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1,000.00 or fraction thereof,to and induding$1,000,000.00. (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 jtafidzed,underlined number Is the fee per additional specified Increment 1 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 Council,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 FIN 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 l . • Base Fee Number of Fa:hi es $22.50+-( X$8.00/fixture}= (8)Estimated Permit Fee • Estimated Permit Fee y 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)+(10)= (11) ' ■ ELECTRICAL • TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50,add'n-$11.50ea) (First 1300 ft'-$75.00;Each add'n 500 ft?-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft'-$11.50 _Each outbuilding or garage .$31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00,Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 Yard Pole meter loops $50.00 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 $ 81.00 Up to 200 amp. $ 81.00... .......$ 24 00 Feeder _201-600 .... ....189 00 _201-400 amp 101.00 50 00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284 50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial 0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 , _Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 _#of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/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: $63.50+( 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) f Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) • Bulletin#100-February 19,2002