02-101611 a;iorFederal Way
Ilk
Community Development Services Electrical Permit #:02 - 101611 - 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: FOREST COVE
Project Address: 30917 16TH SW BldgA Parcel Number: 122103 9006
Project Description: ELE-Install dryer circuit&circuit for fan
Owner Applicant Contractor
Forest Cove-388 Lie AC ELECTRIC SERVICE AC ELECTRIC SERVICE
1703 SW 309TH ST AC ELECTRIC SERVICE AC ELECTRIC SERVICE
FEDERAL WAY WA 98023-4389 20012 35TH AVE S 20012 35TH AVE S
SEATAC WA 98198 (206)478-1657
Electrical Fixtures
Desc�`ipt�ufi." " . ,_ '~`:�Q. -M description c Quantity T" P Ion Quantity
Circuits-Multi Family 2
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
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: Date: ' 7'/0 2-
4/73A -v n ffiL, vtP )12- &o 4 ; N - wP7-Zi v� ep
y
Lis Vt ,f)
t/
City'of Federal Way
•
Electrical Permit #:02 - 101611 - 00 - EL
Community Development Services
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: FOREST COVE
Project Address: 30917 16TH SW B1dgA Parcel Number: 122103 9006
Project Description: ELE-Install dryer circuit
Owner Applicant Contractor
Forest Cove-388 Lk AC ELECTRIC SERVICE AC ELECTRIC SERVICE
1703 SW 309TH ST AC ELECTRIC SERVICE AC ELECTRIC SERVICE
FEDERAL WAY WA 98023-4389 20012 35T1-I AVE S 20012 35TH AVE S
SEATAC WA 98198 (206)478-1657
(� $ !try y- 7)4)0/e 304-- ,yv ,r g 4, 4- W x-47- 8 i- -L
6) f. /t-ti 4- 42 ifL Fe/V
Electrical Fixtures
Descriptions ,"(Qjtity qiii47,4qMescription - 'Quantity _Description , Quantity
Circuits-Multi Family 1
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
I hereby certify that e above informaf+n is correct and that the construction on the above described property and
the occupancy and t use wil be in . ordance with the laws,rules and regulations of the State of Washington and
the City of Federal 'ay.
I1,1c
Owner or agent: �. Date:
A f Tr° w if a 7-40 e-ed E2"
Ce rJ t &f`j Ai C n r
Pc 5---10 VaAir
GD CONSTRUC�I ION PERMIT
aG�,v� APPLICATION
\>\> Fly APPLICATION NUMBER: Q �- 01611 _
APR 1 6 2002 APPLICATION NUMBER: -APPLICATION NUMBER: -
**The follovi dation-Please print eh ink)or type** •
B 1
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
_-;-/ :PROPERTY INFORMATION - -
SITE ADDRESS: 3 0 9/S- 6 ( /7 W ASSESSOR'S TAX/PARCEL #: / Z. ZL0_3 - lov4„
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
R. PRO3ECTINFORMATION _ . . . .:
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL 1❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): IAS j, d - € - CI r c u c-- j fc(,r
PROJECT NAME: `
-• : ■',PEOPLE INFORMATION . . .
PROPERTY OWNER: NAME: DAYTIME PHONE:
ForCSi Cavi (253)1 '7400
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)'
3iovLt IR�� PL 5ti✓ Fe062,vii Wasp (r,4 72023
CONTRACTOR: NAME: DAYTIME PHONE:
E (244 )1171 - /GS 7
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
20012, 3S A-✓ s. S-eolTa� WA 7819g ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER- - FAX NUMBER:
(ZO( ) 27k -0(//‘.
CONTRACTOR'S REGISTRATION NUMBER:
(copy Of card required) A- G E C E S Z Z y * 2 EXPIRATION t DATE:3/ / 173 3
APPLICANT: NAME
DAYTIME PHONE:
MAILING ADDRESS(STRd
ADDRES ,CITY,STATE,ZIP) EVENING PHONE'
( )
RELATIONSHIP TO PROJECT FAX NUMBER-
IA ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
�,� E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
-- -- ---- --- - - -- - --- - ----- ----- -- - -------------------- -- ---------- ---- ---- - --- -----
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: ❑ LAKEfiAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• -• ■ PROTECT FLOOR AREAS • •
FLOOREXISTING 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) WOODSfOVE(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,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,u on the accuracy
of the information supplied t the ty asrt of thi "cation.
NAME/TITLE: DATE: 7--
❑ PROPERTY OWNER ❑ APPLICANT U CONTRACTOR
-FOR OFFICE USE ONLY:
D.NEW•__<-.-0 ADDITION ❑ ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT -
.CENSUS CODE: = LOT SIZE: -
ZONING,DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
-COMP-PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION:: TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ 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.atyo(federalway.corn
- -
• IR ELECTRICAL
. . • - •
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 112475.00;Each add'n 500 f2-S24.00) _Service.and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: -. - First 2500 112443.50;Each add'n 2500 ft2411.50
•
_Each outbuildingor garage - - ---$31-00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) g of service or feeders - * I'er WAC 296-46-910(5)(b)(i&ii)
Each outbuildingor garage.. . . . $50 00 (1.irst service/feeder-550 00,Add'ii service/ - _l of Signs(First sign-$37.50,add'n sign
(Inspected separately) feeder-532 each) $17 50 each)
Swimming pool,hot tub,spa . .. .575 00
I
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....... ..................... ....S 81.00
___Up to 200 amp ........S 81.00 . . $ 24 00 Feeder 201 -600. ........ ..... ........189 00
201 -400 amp 101 00. . ........50 00 _Oto 100.. ... ......... $ 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 j---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. 5 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
L#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+563.50 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 hoe 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)
SECC Surcharge: (19) (21) (23)
Total (pages 0,,e&Two): Line(s)(11)-4-(12)+(13)+(14)+(15)+(16)-1(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-January 18, 2002
Construction Permit Fee Calculation Sheet
****'0**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$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$500 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$6.00 for each additional$1,000.00 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$5.50 for each additionf$1,000.00 or fraction thereof,to and
induding$1,000,000.00. 1'
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$.1000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Itardred underfined number Is the fee per 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 Fire District#39 surcharge,commerdal 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
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)i-(10) = (11)