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02-100286 City Federal Way Community Development ServicesElectrical Permit #:02 - 100286 - 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: MORTENSON Project Address: 1518 SW DASH POINT Parcel Number: 515320 0674 Project Description: ELE-Install 200 amp service for existing house; hock up septic pump and controls. Owner Applicant Contractor Joel G Mortenson ALL STAR ELECTRIC ALL STAR ELECTRIC 1066 S 156TH WAY 11103 50TH AVE E 11103 50TH AVE E SEATAC WA TACOMA WA 98446 TACOMA WA 98446 98148-1311 (253)531-8992 Electrical Fixtures Description Quantity Description Quantity Description Quantity Alt.Serv./Feeder:0 to 200 amps-Res.O 1 PERMIT EXPIRES July 21,2002,IF NO WORK IS STARTED. Permit issued on January 22,2002 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 Washington and the City of Federal Way. Owner or agent: lvy 9 / Date: / 2-2- d Z Cff•" CONSTRUCTION PERMIT APPLICATION .\)\> FAY E ZFIL_ `'E I V E D APPLICATION NUMBER: 0.2,- L CO 2-5th -E , APPLICATION NUMBER: - - JA 2 2 ( APPLICATION NUMBER: - - . **The followingg i r��.- " �ibfl6i�i i tion—Please print(in ink)or type** • BUILDI G DEPT. • Please note: Electrical,Fire Prevention Systems andlEngineering permits may require a separate application. - - ' " -■ PROPERTY INFORMATION - • C/ SITE ADDRESS: JS/ a S ' L i ,,.S/�. /'// ,, Rd, ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • • ':_a -• :--1" _ • - ■ PRO]ECTINFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): LL 2...0 0 At S 5 20(GO 1.1C P 0A 14, .Seip A/c /Dump C �S PROJECT NAME: A6144, 0011, ` ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: 02 f .s©. ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): S/8' -c w, 04s)/ PT, 4 CONTRACTOR: NAME: DAYTIME PHONE: i 4 4, L s 7s4/4 !rQ jedli - (2s7 )S3 5,z MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: i /// a 3-- .5-7,a' 4tu !f - -- ) 444 9rYy6 (23-3 ) ?a3-,Zs,c CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - (2-C3)S3 2-Fos- CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME' DAYTIME PHONE: /r. "'lc 0 0„,-11 ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 110 3 f7)-S: Ai, 0. -c_ w,f 9 8'y 5,4 ( ) R LATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS' CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR . • - • 1 DETAILED BUILDING INFORMATION - ' . EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ ' SPRINKLERED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • ■ PROSECT 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: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(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) SINKS) WATER CLOSET(S) MISC.( ) INTERCEPTORS) 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,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the dtytyas a�part of this application. NAME/TITLE:.i��� 66E„� '/ �:1e (ofDATE: / 2 Z G 2-- 0 ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR -FOR OFFICE USE ONLY: ❑:NEW=== n?_,❑ ADDITION 0 ALTERATION -. • I]REPAIR - ❑=TENANTIMPROVEMENT • -CENSUS_CODE: _ _ _- - LOT SIZE: - XONING=DESIGNATION: -BUILDING SHELL ONLY? ❑YES 0 NO -COMPP_P<LAN DDESIGNATIONBASIC PLAN?= ❑ YES 0 NO SESCTIOIV,_ i- TOWNSHIP RANGE - NEW ADDRESS REQUIRED? - 0 YES 0 NO -PLATTED LOT? 0 YES Cl NO - CHANGE OF USE? 0 YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalwaV.Com • ELECTRICAL TABLE B • • NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or feeder only 550.00 _#of Thermostats(First-$37.50;add'n-$l 1.50ca) (First 1300 ft'-$75.00;Each add'n 500 ftl-$24.00) _Service and feeder $81.00 • _N of Low voltage fire or burglar alarms Square Feet: First 2500 ft=-$43.50;Each add'n 2500 ft=-S 11.50 _Each outbuilding or garage. ..... .. . ..$31 00 MOBILE HOME/RV PARK Square Feet- (Inspected with service) _#of service or feeders *Pcr HVAC 296-46-910(5)(h)(i K ii) _Each outbuilding or garage. . . . .......$50.00 (First service/feeder-550.00;Add-iiservice/ _#of Signs(I ust sign-537.50,add'n sign (Inspected separately) feeder-$32 each) $17 50 each) _Swimming pool,hot tub,spa.... ..... 575 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. 5 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 X 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 I _over 600 amp _201-400 - - 75.00 _Mast or meter repair....... ... ...................37.50 _401-600 101.00 _b 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(D): Total Column(0) 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 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$100.A0 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$1,000.00 cc fraction thereof,to. . 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, .,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$1.00a00or ..'• 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$1,000.1•or fraction therepf,to and including$500,000.00 r (7)$500,001.00 to$1,000,000.00 (7)$3,510.00 for the fist$500,000.00 plus .0 i• ti or fraction thereof,to and including$1,000,000.00. i (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus 4 1.0 ._.. .nal IA, t o or fraction thereof. Bold number is the base fee for the specified increment jfarared,underlined number Is the fee aeraddit%onal • .Tied Ina-emetic 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 X39 surcharge,commercial on . Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical f- are calculated separately** IN BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: • (b)Addition. 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 : Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit =•: (6) Estimated Plan R: iew Fee: (7) ■ PLUMBING • Base Fee Number of $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): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11)