02-100594 City of Federal Way
Community Development Services Electrical Permit #:02 - 100594 - 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: HENRY
Project Address: 30007 13TH S Parcel Number: 025300 0330
Project Description: ELE-200 amp service change
Owner ' Applicant Contractor
Patrick D Henry NORTH CREEK ELECTRIC NORTH CREEK ELECTRIC
30007 13TH AVE S NORTH CREEK ELECTRIC NORTH CREEK ELECTRIC
FEDERAL WAY WA 4908 N 13 4908 N 13
98003-4130 TACOMA WA 98406 (253)226-8461
Electrical Fixtures
Description Quantity Description. _Quantity Description . Quantityl
Service: -Residential I
PERMIT EXPIRES August 5,2002,IF NO WORK IS STARTED.
Permit issued on February 6,2002
• I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi,�.e in acc.rdance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa . / nn
Owner or agent: •470-€---- Date: o�-- / 1-
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Ca•°f G CONSTRUCTION PERMIT APPLICATION
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— ED� APPLICATION NUMBER: Oa. - L Q b,s Q !. - DV
APPLICATION NUMBER: -
APPLICATION NUMBER: - -
**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.
- ■ PROPERTY INFORMATION •
RV
SITE ADDRESS: ge-v✓` 1316. S • ASSESSOR'S TAX/PARCEL#: - `
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): j
• ,;.;t -.-_..; _. '- • '/A. PRO3ECTINFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
/� r
PROJECT DESCRIPTION(Provide detailed description): en!, /►0 �--
PROJECT NAME: 5 h I IY ,, JPO yl,
,1 PEOPLE INFORMATION
! PROPERTY OWNER: NAME: I _ DAYTIME PHONE:
5 N 1;1C. E M`- ( )
MAILI�ODDRE�(STj�(EETADDR�ADDRESS; [STA T��: i `moi/'/
CONTRACTOR: N 11 v DAYTIME PHONE: l
1 Lei. -8y4 J
! MAILING ADDRESS(STREET DDRESS•CITY,STATE,ZIP): EVENING PHONE: I
gag iv i. 1' 4l. 9844 (.?c3)3o5--(ae .71
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:`
51
CONTRACTOR'S REGISTRATION NUMBER: A� ///� /'y//' Q Q' / EXPIRATIOND�� -��
(copy of card required) /1L SG 4 1// C' 6 16/L ]2 I/l. '3 I / / , . S
APPLICANT: NA 9/ /rte' I I#ths .-- ... DAYTIME P`HOO,NE: Cyt// /
ge.....
MAILING ADDRESSSTREET A� SS.C�. E,ZIPAI-- 40//1
� 24,5D EVENING (06
7
0 2S
REA SHIP TOPPROJETL/` I)30 s -
FAX NUMBER:
❑ ARCHITECT Cl TENANT ❑ OTHER(DESCRIBE)• ctcj)7y -roe> 4%—
E-MAIL ADD SS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER 1:1 APPLICANT CONTRACTOR bit t& ►mac QGG
- 1 DETAILED BUILDING INFORMATION '
EXISTING USE:
/ / EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• • • - ■ PROTECT FLOOR AREAS -
FLOOR EXISTING SQ.FT.' PROPOSED SQ.FT. TO :I
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL.:
■ FIXTURES
-
Indicate •mber of each type of re -
MECHANICAL
AIR HANDLING UNIT(S) EV• • •RATIVE COOLER(S) GAS Lc • S) REFRIG.SYSTEM(S)
BBQ(S) F•N(S) HOOD(S) WOODSTOVE(S)
BOILER(S) REPLACE INSERT(S) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: \ LECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATE• EATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOU AIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE 0 (S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPT•.' •) S MP(S)
DISCLAIMER/SIGNATURE BLOCK -
I certify under penalty of perjury • - 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 defen �•f such dai •.• may be made by any person,induding the undersigned,and filed against the City of
;,r•Federal Way,but only -ere s •aim a •• out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informa.• lied t J*e .art of this application.
NAME/ E. %� /" __ DATE: 4� 4
/,
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
=0 NEWx===z`_-❑ ADDITION 0 ALTERATION ❑ REPAIR _- L0-TENANT.IMPROVEMENT -- '
;CENSUS CODE: _ - - LOT SIZE:- -
ZONING DESIGNATION: BUILDING St1ELLONLY? 0 YES 0 NO
_COMP;PIAN DESIGNATION _ BASIC PLAN? - 0 YES 0 NO = '
_ TOWNSHIP RANGE_ NEW ADDRESS,REQUIRED? - 0 YES ❑ NO
-PLATTED LOT? ❑ YES Ll 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.citvofederalway.com
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50 00 _#of Thermostats(First-$37.50,add'n-$I t.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft'-$24.00) _Service and feeder 581.00 #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 112-511.50
_Each outbuilding or garage... $31.00 MOBILE HOME/RV PARK Square Feet
(Inspected with service) #of service or feeders ' Per\1'AC 296-46-910(5)(b)(i&ii)
_Each outbuildingor garage. . . . ...$50.00 (First service/feeder-$50.00,Add.n service/ _#of Signs(First sign-537.50,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
JO to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_201-600 amp r .0r _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-550.00;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(DJ:
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 - .
9 Mitigation Fee: (18) (20) (22)
SBCC Surcharge:(19) (21) (23) l
i
Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
i
Bulletin 11100-January 18, 2002
Construction Permit Fee Calculation S
*******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$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$2,000.00 plus$15.50 for each additional SLOO200or 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.0.000.00 or fraction thereof,to and
induding$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$4.00 for each additional$1.000.00 or fraction theref,to and
induding$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$4.00 for each additional$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
It lidzed undefined numberls the fee nerfldditfonal steed 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.
**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)
• I 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) C~
■ 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 (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)