02-102658 1,,
City or Federal Way
Community Development Services Electrical Permit #:02 - 102658 - 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: GOERING
Project Address: 4511 SW 317TH Parcel Number: 211551 0070
Project Description: ELE-Adding 2 circuits.Also adding 8 canned lights in family room and 6 canned lights in kitchen.
Owner Applicant Contractor
KEVIN GOERING KEVIN GOERING KEVIN GOERING
4511 SW 317TH PL 4511 SW 317TH PL 4511 SW 317TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)835-9258
Electrical Fixtures
esc t nn: Qu rl tion ` , .: tia t` s.* . esc on". £; Quantityi
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Circuits-Residential 2
PERMIT EXPIRES December 22,2002,IF NO WORK IS STARTED.
Permit issued on June 25,2002
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 accordanc: with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: •//// /
Date: ��.W /1 Y
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;°c G_ CONSTRUCTION PERMIT APPLICATION
uV FlY APPLICATION NUMBER: - 0 :-(� S"g -ori
APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention ystems and Engineering permits may require a separate application.
. . RV PROPERTYlRT�INFORMATION
SITE ADDRESS: 4„344-7/..-5/P-2?7 Z '/ �,�Lfy`'v71SSESSdgAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE D SCRIIPTION IF LENGTHY):
;;;:i "l / Aii/ 1 / i. /r 7. ----- .l .
- • ►/ PRO3ECT INFORMATION • , - .
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 8 e v'- L/dA*"<” I.."A's-L/`7 Algt-s--,
✓� .-"C‘7—...(4/'Z"---, �
PROJECT NAME: 2/• 040—."-r.... ere..._ ,..
f•4 PEOPLE INFORMATION
PROPERTY OWNER: NAME.: ., /C/ i e � ME P���+- ffi
M LI G ADDRESS( EET ADDT CITY,STATE, P "' `J ��
L� i .5 � s/„WA/ 6,,,i,,,,,..7 /,
CONTRACTOR: NAME:
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N DDRESS(STREET ADDRESS;CITY yAST T ZIP): EVENING PHONE:
�L'. 3 / /'l� D , A4 �'/-0"- Zt3 )i 92-12
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
—
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
M�DRESS:RE�ET ADD? ZIP): EVENING ON :
Z-----144,- # __ (2 )JL5
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RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRI E): ( ) - -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
E ISTING USE: STING BUILDING ASSESSED/• • • ED VALUATION $ —
PROPO ED USE: PROPOSED VALU• ON FOR IMPR•VEMENTS: $
SPRINKL RED BUILDI ? ❑ YES 0 N i FIR UPPRESSION SYSTEM • •OPOSED/REQU •ED:❑ YES 0 N•
WATER SE VICE OVIDER: ❑ LAKEHAVEN ❑ HIGH •NE 0 TACOMA ❑ P• ATE(WELL
SEWER SER CE PROVIDER: ❑ LAKEHAVEN L\ HLINE 0 PRIVATE(SEPTIC)
• **NEW RESIDENTIAL CONSTRUCTION ONLY**
• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
B• MENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
„. _ : . > . �..�.... ..� :. r .�..R.FIXTUR5S.., -. ."'> _..... . ..,<,_ �� <, x. :., <.. • ,..,
Indicate number of ea type . fixture
MEP ANICAL
AIR HANDLING UNIT(S) EVAPORATIV COOLER(S) GAS • (S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD( WOODSTOVE(S)
BOILER(S) FIREP E INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FU• • •CE(S)
DUCT(S) • PIPE OUTLET(S) HEAT SOURC' 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) TER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING • • TAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE • ET(S) SINK(S) WATER CLOSET(S) MISC.
INTE• • PTOR(S) S MP(S)
•
- - - Pd '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
rther,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 daim),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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: DATE:
€ ❑ PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
[..,,
I
I _ OR F.,F,ICE.USE:ONLY:
- ala AD TION; ,;�'® ALTERATION s;m`4]iREP.AIiti. �,I1ENANTcIMPROVEMENT a=+� :
:�.. .,�"���= � �-��*ak =L.OTI.SIZE: ;`�,•,.� ',,,,c Z; ==�-"` � 'F- _ -'
:_ � _ .�e��--�` ---5031'_'';�:;. .�-,��I.DING?SHELI:ONI.Y?� 7 - n'.,c---= a��
� MP_-��ESIGNAIION� ��`�.� �;�c�1�' <fB%15IC`� �N?��_.__1=5:�-�t7 •x-ar'= y�=•�:.',�`�I���$
EC7IT 'R IED ONg/� =-TOWNSHIPrt `rRANGE__ :, `;N 11DDRESS tEQUIREU? :Y ^ YRS `"" *Wag:
'YES::::;;T:1416'----; 311 b1A1VGE•OF USE?-.-;`"1•-x `❑lES�':-`L3, O:.'tV-_=r ':
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
r
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 ft2-$75.00;Each add'n 500 ft2-$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 ft2-$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 S 81.00 S 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
nit 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
r
i' Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
i Mitigation Fee:(18) (20) (22)
tSBCC Surcharge:(19) (21) (23)
PTotal(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002
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$2000.00 (2)$26.00 for the first$500.00 plus 53.50 for each additional$100.00or 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 515.50 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 511.00 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$1,000.00or 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 56.00 for each additionalS1,0Y.0.00or 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
including$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus 54.010 for each additional SL000.00or fraction thereof.
Bold number Is the base fee for the specified Increment
jtardzed,underlined number Is the fee Der 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 Are District 839 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 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 l
Base Fee Number of Fixtures
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee •
Estimated Pen-nit 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)+(10)= (11)