02-101168 e
City of Federal Way
Community Development Services Electrical Permit #:02 - 101168 - 00 - EL
13530 1st b\*"y S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax.253.661.4129 Inspection request line: 253.835.3050
•
Project Name: ANDERTON
Project Address: 37221 1ST SW Parcel Number: 218820 3490
Project Description: ELE-
Owner Applicant Contractor
Raymond&Amy Crouch AT HOME REPAIR AND REWIRE AT HOME REPAIR AND REWIRE
37221 1ST AVE SW 12813 SE 202ND PL 12813 SE 202ND PL
FEDERAL WAY WA KENT WA 98031 KENT WA 98031
98023-7313 (253)332-6161
Electrical Fixtures
--• Description' . ' :. C,uanttty V HF Description .jQuaritq •Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Rest 1 Circuits-Residential 4
PERMIT EXPIRES September 15,2002,IF NO WORK IS STARTED.
Permit issued on March 19,2002
IIII hereby ce '' that the ab,ve information' +rrect and that the construction on the above described property and
the occup• cy and the use '11 be 'rn - ` I,danc, with the laws,rules and regulations of the State of Washington and
the City o Federal
Owner or •tent: ��- �s Date: (CI [/ 7/
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VED CONSTRUC ��
WY RECEI I ION PERMIT APPLICATION
• APPLICATION NUMBER: D2 -
�` Fry MAR 192002 - - Ql � l� $ - �L
APPLICATION NUMBER: -
CITY OF FEDERApLreAY APPLICATION NUMBER: - -
** I� rirFS quired information—Please print(1h ink)or type**
.8t6Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• -:.._ •.-.-. ■ RTY-N
. ,...-...-.. __ - :.. . • :. • . ,.: FORMATION � ,. _ . .
. -77.2-C
rr ���'"�' ,PGRO-P'E � _
SITE ADDRESS: -7 Z —C l � Ski ASSESSOR'S TAX/PARCEL #: 2 t i g' �_0 - uu 6
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
S:'!!:Y=t -'.'2•.',-;" . .':,• . -. = . '.:'_--i ■, PROJECTINFORMATION :- . ' . . ••••-'. '. .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 4/(41U( ` e:M IT —6.6' SE
1M\ -r" \ 2xz -t- (,3 I&-c -4 t-r--) o A)
PROJECT NAME: '161/41Q- 2)-Z71 )k.) I
- . . -- - - - - .. -. ■-PEOPLE INFORMATION • = .• :.• .. -: . . : - - .• . --
PROPERTY OWNER: NAME: Al‘iDAYTIME PHONE:
MAILING ADR (STREET ADDRESS;CITASreE,ZIP):CONTRACTOR: - DAYTIME PHONE:
N E. R
ciuvA-E_ 1z'2 2 t( 4 (-K-3) Z - 4 ( 1
MAIUNG ADDRESS(STREET GG-- /l eL ADS ~Jr-;CITY,STATE,ZIP EVENING PHONE:
J)- (-z5;) ga. -q-3 4_3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER.
( )
CONTRACTORS REGISTRATIOTIO N� EXPIRATION DATE:
(copy of card required) C)Z.-2 / / 0 Y
APPLICANT: NAME DAYTIME PHONE:
(64E ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP) EVENING PHONE:
( )
RELATIONSHIP TO PROJECT. SS�������� FAX NUMBER:
CI ARCHITECT CI TENANT CI OTHER( DESCRIBE):git.. rCD ( )
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
_- • - : - -` 1 "DETAILED BUILDING INFORMATION.'- ''- :_:' ....: _ 2' -__.-.'-
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• . . - ■ PRO3ECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. • PROPOSED SQ.FT.•
TOTAL
• BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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.( )
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 daim),which may be made by any person,including 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 ❑ CONTRACTOR
-FOR OFFICE USE ONLY:
=❑.NEW•- _y,: ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT -
'CENSUS CODE: LOT SIZE:
,ZONING_bESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
-COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 0 NO -
TOWNSHIP RANGE NEW ADDRESS,REQUIRED? • - El YES El NO
-PLATTED- OT? ❑ YES El NO CHANGE OF USE? - ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffecleralway.com
Constru it Fee Calculation Sheet
***.****P,LEASE 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$350 for each additional$100.00 or fraction thereof,to and induding
$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$1,000.00 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$8.00 roeach 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$6.00 for each additional$L000.00 or fraction there2f,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 55.50 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$4.00 for each additional$1,000.00 or fraction thereof.
bold number is the base fee for the specified increment
Itaffdzed,underlined number is the fee per additional spedtied 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 Fire District#39 surcharge,commercial only.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above.
ss Electrical,plumbing,and mechanical fees are calculated separately**
IN 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 (Pageonc): Line(S)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
IIMINIMIMIMIMIIIMIIMMIIIIIIIZI=ETr,iodliiill
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family -Service or fecdcr only • $50.00 _#of Thermostats(First-$37.50;add'n-$I I.50ca)
(First 1300 ft2-$75.00-Eac t add'n 500 ft=-$24.00) -Service and feeder $81.00 k of Low voltage lire or burglar alarms
S arc Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-S1(.50
Each outbuil ingot-garage.... .. . . $31 00 MOBILE HOME/RV PARK Square Feet-
• (Inspected with service) _k of service or feeders • Per\VAC 296-46-9I0(5)(b)(i&ii)
-Lach outbuilding or garage 550 00 (First service/feeder-550 00,Add'n service/ - _k of Signs( First sign-$37.50,add)]sign
(Inspected separately) feeder-532 tach) $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
_Upto200amp .$ 81.00 .$ 2400 Feeder 201 -600- . . . ..... .18900
201-400 amp.. . . 101 00 .. . 50 00 _0 to 100.. .. .. . -_-S 81.00... $ 50 00 _601 - 1000 . • 284 i0
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 _k of circuits
Over 800 amp 252.50.............. 189.00 -40(-600 220.50 88.50 (1-5 circuits-$63.50,Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800.--... - 284 50120.50
(When inspected separately from the services) _801 -1000.... ........348.00...... 145.50 TEMPORARY SERVICE
Oyvice or Feeder -Over 1000.- .......... 379 00.. . .202.50 Residential/Multi-Family/Commercial/Industrial
-0 to 200 amp . --....$ 68.50 _Over 600 volts surcharge.................63.50 0- 100 S 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
_ ast or meter repair.- ...- -. -37 50 _401 -600 ........ . 101.00
k of circuits over 600.- ..- .. 109 00
(1-4 circuits-$50.00,Add'n circuits$5 ea) -
If service is greater than 200 amp.a plan review is req'd 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(0):
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)
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-January 18, 2002