04-102755 City of ityFederalDevelopment n
71
nity
CommuElectrical Permit #:04 - 102755 - 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: GORSCH
Project Address: 32119 27TIILSW Parcel Number: 873180 0730
rivki
Project Description: Low-voltage T-stat wiring
Owner Applicant Contractor
Karl H Grosch &Helga H Grosch PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
7649 S 180TH ST 7649 S 180TH ST
KENT WA 98032 KENT WA 98032
(425)251-0356
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES January 8,2005.
Permit issued on July 12,2004
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: /�2�i" C/t- Date: 7- 1 Z
THIS CARD IS TO REMAIN ON-SITE
i r
CITY OF • Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102755-00-EL
Owner: KARL H GROSCH
Address: 32119 27TH AVE SW
FEDERAL WAY, WA 98023-2279
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) [ate Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date
❑ Under-slab groundwork(4295)
Approved
By Date
�. CONSTRUC I ION PERMIT
/'�APPLICATION
�/
CITY OF RECEIV• A - �. 51�..1 .L Y�
V APPLICATION NUMBER:
Federal Way APPLICATION NUMBER: - -
JUL 12 2004 kPPLICATION NUMBER: - -
** 1ey,v ov EmBFitp L hnformation-Please print(in ink)or type**
Please note: Electrical, FBreli5Dvent2on STstems and Engineering y g g permits may require a separate application.
.:-.::::.:%;:::-1::c, -. • -- •-• ..i..--'::::1;-:::-....-':';:.::'„;:;...::::':::.111,!.PROPERTY INFORMATION :, - '. : - : - :r
SITE ADDRESS:3 // { aNur J. 3 ;Li) . ASSESSOR'S TAX/PARCEL St: + 1- 3 j _48,0 - 0-1 O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1-Wi N ( g)-5 1,In . 01
p(a--' 131-1-fi
-I N_: -. - .:. . -,:-.-f-s, 1 PROJECT INFORMATION •-•..::: ..•
TYPE OF PROJECT(This application): LDING o PLUMBING _IIIIMh 0 DEMOLITION
LECTRICAL a ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Prccjr /-OICie T-sfa./-
PROJECT NAME: Q(5e -geSiC e_7)CP_
. _. -- - _ - .. ,.-;,I•-PEOPLE INFORMATION:.;._,-" _: . . .'- :r.,-__- -. - .-.-
PROPERTY OWNER: NAME: ; DAYTIME PHONE
ctj21 IjU( (as-3) 83g - 0049
MAILING AD RESS(STREET ADDRESS;CITY, ATE,ZIP):
3a i!a E due O . 6 'IA/ . reder? Wal ,/,k.),4- 980g 3 ;
CONTRACTOR: i NAME: . DA ME PHONE:
rrr l CZ 4 i k1 . 4/c ` (J55fSL
MAILING ADDR (STREET ADDDDREJSS,CITY,STATE.ZIP): ,per- / ' l (nJ_ �/y�(x� e� EEVVEENIIN�G�PHONE' � j /y�'
iCTTY�OF (FEDERAL-1 WAY BUSTY V ' L U D 1 /V D 1 i,W!` L V b a i ( 2a )NESS LICENSE NUMBER: FAX R. 7-`� L Q L
CONTRACiOR5 REG/ST A EON NUMBER: 4 5 T -0 4 Q 4 2 EXPIRATIONDc-i -O a o
d /� /� r -p , DATE: G,
(copy of card required) Z t Lp-- L A- -t- Q .g.-r. I O I / Z.� / 05-
APPLICANT:
0 5
APPLICANT: ( NAME: DAYTIME PHONE
144116 ( )
MAILING ADDRESS(SWEET ADDRESS;CITY,STATE,ZIP)- EVENING PHONE-
(
)
RELATIONSHIP TO PROJECT: j FAX NUMBER
0 ARCHITECT a TENANT q� /�0T1ER(DESCRIBE): ✓T7-rac._ice ( )
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
- . - - - - -- -I■ DETAILED'BUILDING INFORMATION -- -- - ..- - -
EXISTING USE: 1-10it'G EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: I4OyYj PROPOSED VALUATION FOR IMPROVEMENTS: $ ,. _`::-)1(19(4.4n
SPRINKLERED BUILDING? O YES e-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES a-14-6"-
WATER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PROTECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
—GARAGE AIL
HOW MANY FLOORS? t"a't
TOTAL:
•
•
W 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 o 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,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 dty as a part of this application.
NAME/TITLE: N�"" ,(7�L DATE: 3 (L /04
o PROPERTY OWNER ❑APPbANT -o..GGNTRACTOR
..FOR,OFFICE.USE ONLY:;.
'O t&Vkiif;-;�,,,[�'`ADUIiION TION'_ O REPAIR =a TENANT IMPROVEMENT i<"f~.">
CENSUS CODE -
:� '�_';,; �� �-_ �:�;� ��:.=LOT-SIZE.�,....��r=,��•<,�.-:-��_.. �.,�Y. - i:'.-
ZONING�DESIGNATIONI
_ _ _ _ _ _rte��-� _�� �` >' � BUILDING SNELL�ONLY? ❑YES�'==a NO
:COMP PLAN DESIGNATION
_ _
SECTIONy s -TOWNSHIP n `RANGE* ? yNEW I10DftESS REQUIRED? ,• a YES .-a'NO
~PLATTEUlO,T7== a YES '=io NO °'' `:" ; � _Ct1ANGE
CIF USE?: a;10:a YES' "a NO
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
Construction PermiWee 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)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$1.00 for each additional$100.0Q or fraction thereof,to and including
$2,000.00
(3)$2.001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional$1.000.00or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus$13.00(or each additional$1,000.00 or fraction thereof,to and
Including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00(or each additional$1,007,07 or fraction thereof,to and
Including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$T.07 for each additional$1,000.07 or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus 16.00 for each additional S1.000.00 or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus 1450 for each additional$1.000.00 or fraction thereof.
Bold number Is the base fee for the spedfled Increment
:talk/zed,underlined number ls_the f Qer Pdd(Ugnal svedfed 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: SS(Q(Q 40
FEE FACTOR FROM TABLE A:Number: (a)Base Fee: _ • q0.06
(b)Additional Increment Fee: ] •
Estimated Permit Fee: (4) /Loa . DO
Estimated Plan Review Fee: (5) Y3'
• . - - - . . ■ 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
$26.00+{ X$9.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fi:e
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
•
. ■ ELECTRICAL
STAE4k B
NEW RESIDENTIAL SERVICES MOBILE HOMES • r MISC QUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only - . .. $57 00 1#o Thermostats(First-$43 00,add'n-$13 OOea)
(First 1300 ft'-$85 50,Each add'n 500 ft`-$27 SO) Service and feeder /593 00 _# f Low voltage fire or burglar alarms
iquare feet _ / 2500 ft'-$50 00.Each add'n 2500 ft'-513 n(,
_Each outbuilding or garage 535 50 MOBILE HOME/RV PARK Square Feet.
(Inspected with service) #of service or feeders * Per WAC 296-46-910(5)(b)(1 R ii)
Each outbuilding or garage . - . . 557 00 (First service/feeder-557 00,Add'n service/ _#of Signs(First sign-543 00,add'n sign
(Inspected separately) feeder-537 each) $20 00 each)
Swimming pool,hot tub,spa - $85 50
1I _Yard Pole meter loops 557 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units,ir nwrc) Altered Sen ice or feeders
Service Feeder Amps Service or Add n 0 to 200 3 '9,:)U
_IJp to 200 amp 5 93 00 $ 27 50 feeder 201 -600 216 50
_201 -400 amp 115 50 57 00 0 to 100. . 5 93 00. 5 57 00 601 - 1000 326 50
_401 -600 amp .. . ... 158.50.... .... 78 50 _101 -200 ... . .. 115 50 . . 72.50 _over 1000 . 363 00
_601-800 amp ... . ... 202.50.. . .... . 108.50 201 -400... . . . . . 216.50. .. 85 50 _#of circuits
_Over 800 amp . . 289.50 216.50 401 -600 -- - 252.50 . . 101.00 (1-5 circuits-$72 50,Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800.... . . .. 326 50.... ... 138.00
(When inspected separately from the services) _801 -1000 399 00.......166 50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50.......232.00 Residential/Multi-Family/Commerciai/Industrial
_0 to 200 amp........ .. .......... . .......$ 71.50 _Over 600 volts surcharge 72.50 0- 100... .... . .. . .. .... 5 57 00
_201-600 amp..--....-.. 115.50 _Mast or meter repair 78.50 _101 -200.-... 72 50
_over 600 amp.-.. .. ........... 174 00 201 -400- . . ... 85 50
—Mast or meter repair . - 43.00 _401 -600.... II i 5(i
a of circuits 1 over 600... 125 00
(1-4 circuits-$5700,Add'n circuits$6 ea)
Ifa 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+S72-50 Add'I plan review for other submissions is$85.50/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM FABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
i
I
;
t I
I l
I ' . TOTAL COLUMN(D): I ,
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50 +( X.35) = (13)
- -. ■ DEMOLITION .-' - - -
Estimated Permit Fee: (14)
Bond Amount:(15)
,- •••.- '._.■ ENGINEERING -
Estimated Permit Fee:(16)
Bond Amount: (17) -',
--- • - - . - . - .- -- II OTHER FEES - - -..
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&rwo): Line(5')(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
•
Bulletin #100—December 23, 2002