05-102036 pity of Federal Way Electrical Permit #: 05 - 102036 - 00- EL
� Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
•
Project Name: REYNOLDS
Project Address: 2020 S 280TH P I Parcel Number: 422231 0440
Project Description: ADD/ALT of(1)circuit for new gas furnace
Owner Applicant Contractor
Nancy A Reynolds GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC
2020 S 280TH PL PO BOX 18206 PO BOX 18206
FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118
98003-3202 (206)722-1545
Electrical Fixtures
1 Description Quantity Description FQuantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES November 1,2005.
Permit issued on May 5,2005
I hereby certify that the above information is corre •and that the construction on the above described property and
the occupancy and the use will be in accordance wi i the laws,rules and regulations of the State of Washington and
the City of Federal Way:--•.
Owner or agent: i Date: /`f� !/
v
)111
Cl°
FINALEDI Ci 41/
THIS CARD IS TO REMAIN ON-SITE
CITY OF •._ Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102036-00-EL
Owner: NANCY A REYNOLDS
Address: 2020 S 280TH PL
FEDERAL WAY, WA 98003-3202
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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date DateC9.—.7—c(
❑ Under-slab groundwork(4295)
Approved
By Date
05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 02
-01407
CONSTRUCTION PERMIT APPLICATION
-4§) IEC1 SAL APPLICATION NUMBER: QS+- I 0 a,,0 2 f� —0c
APPLICATION NUMBER: -
APPLICATION NUMBER: _ - _
**The following Is required Information Pba..print On Ink)or tYP."`
Pleas.nob.: Electrical,Firs Prsvaation Systems and Engineering Permits may rmgulra•saparste application.
■ PROPERTY INFORMAI ION
SITE ADDRESS: 2020 South 280th Place ASSESSOR'S TAX/PARCEL IR:4222310440 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INA(>RMA I ION
TYPE OF PROJECT(This appikfrelon): a BUILDING ❑PLUMBING .7 . :- ' ❑DEMOLITION
J(ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed deacriptlon):dTlfn n t i 0aa f I rrnnrAs ALOHA . /L r
(t 1 c„�s�.
PROJECT NAME: {40(15 -
• NfOPI I- INFORMATION •
PROPERTY OWNER: NAMe:Nancy Reynolds 1 %vamp PHONE-
(253 ) 941 1961
MAILING AOORESS(STREET ADORES*CITY,STATE,tIP):
2020 South 280th Place
CONTRACTOR: : DAYTIME PHONE:
GENESEE (208 ) 722 - 1545
MA1L#IG AOORESS(STINT ADDRESS:CITY,STATE,ZIP): EVENING PHONE:
3616 S GENESEE ST,SEATTLE WA 98188 ( ) -
CITY OP PRIMAL WAY SISINESS LICENSE NUMBER: FAX NUMMI:
( )
CONTRACTORS IGIOSTRATION MISER: EVIRATION OATS:
o, or required) G E N E S F H 3 7 0 0 8 02 / 16 /06
APPLICANT: NAME:Na Reynolds DAYTIME PHONE;
Y (253 )941 1961
MAILING ADDRESS(STREET AOOREES:CITY,STATE,ZIP): EVENING PHONE:
2020 South 280th Place ( )RELATIONSHIP TO PROJECT PAX Waft
0 ARCHITECT a TENANT a OTHER(DESCRIBE): ( ) -
E-MAIL/DORMS:
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT a CONTRACTOR
1)I I All hl) 1 I1LO1NG INFORM LION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ _
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3245.00
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES a NO
WATER SERVICE PROVIDER: Cl LAIIXHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEIIAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 03
f
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE' 5
Bl PROM CI HOUR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL-
BASEMENT
FIRST
SECOND
THIRD
FOURTH -
OTHER FLOORS(DESCRIBE) -
DECK -
GARAGE
HOW MANY FLOORS?
TOTAL:
■ IlxruR-S
Indicate number of emit type of fb:twe
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS) REFRIG.SYSTEM(S)
_M T( �(S)
BOILER(S) FFIREPPLACE INSERT(S)SRANGE(S)
COMPRESSORS) T- FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:p ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) _ URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. , VACUUM BREAIER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET MISC.(
GAS PIPE OUTLET(S) SINK(S) - WATER CLOSET(S)
INTERCEPTORS) SUMPS)
U rJrSCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished W fire is true and correct to the beet of nth/knowledge,and
further,that I am authorized by the owner of the above prwnlsas to perform the work for whirl:the permit appilatIon Is made. I
further agree to hold harmless the City of - Way as to any claim(including coot,expemes,and attorneys'fees Incurred in the
Imrestlgation and defense of such - ;Which ba made by any person,including the undersigned,and Aced against the City of
Federal Way,but only where - arises ' of the patience of the dry,including its officers and a uphoyaas,upon the accuracy
of the information supplied as a • application. b
NAME/TITLE: / ��:
O PROPERTY OWNER 0 0NTRACTOR
FOR OFFICE use ONLY: I
❑NEW a ADDITION a ALTERATION o REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SITE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES i]NO
PLATTED LOT? Cl YES 0 NO _ CHANGE OF USE? D TES d NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9710•FEDERAL WAY,WA 98063-9718.253.661-1000•FAX:253-6614129
www.tllvoffederalwy4001
05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 04
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 DE ACCEPTEDI*******
Building,mechanical,and fireprevention system fees are based on the following schedule.
TABLE A
1OTAL VALUATION RE FACTOR
(1)$1.00 to$500.00 (1)$26.00
(2)$501.00 to$2,000.00 (2)$20.00 for fa.fine.m00 pita Wgfixiasgisiggonalaaligor trochee Owed,to.'d Inek.dnp
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$711.50 for ad gefe$3,000.00 Cl.elaieltzmalidillisaittliallSor fraction thereof,to end
Inducting$25,000.00
(4)625.001.00 bo$50,000.00
(4)$435.00 Nr to One$25,000.00 plus a frallon thew',to and
including$50,000.00.
(S)$50,001.00 to$100,000.00
(5)$710.00 for the left$55,000.00 Plus u.00liaraaBJ adldlio nl1I.00a012or fraction dialect,to and
W,dudlrq
000,000.00.
(6)$100,001.00 to$500,000.00
(6)$3,110.00 ter the first$100,000.00 pica$12,22 Thr oath a :MondiLQINQ7or freaky%theaof,to end
Inducing$500,000.00
(7)6500,001.00 to$1,000,000.00
m$3.510.00 for the Sot$500,000.00 Alia 55,22fsgagagglairmilUDZWor fraction tharaot,to and
Including$1,000,000.00.
(8)$1,000,001.00 and uv
(5)$8,2$0.00 Nr era Nit$1,000,000.00 t or trochee thereof.
Pow*weer kilo be..N.Nr Mt wedged Nia■..t
Pus: Ade 65 percent nt of the base budding permit tee for plan review fee. -
Add 25 percent of the base mechanical permit fee for!AWNINGS'Plan review fee.
Add 15 percent of the base building permit fee for Fire District*39 surcharge,commercial orgy.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex tic above.
• EJe 1c ,plumbing ,and medlanlcel feet we calculated separately 0"
• Bull I)IN(.
PROPOSE)VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fere
(b)Additional Inc*ement Fee:
E stimated Permit Fie: (1) _
E Mimetud Plan Review Fee: (2)
Estimated PW fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL
PROPOSED VALUATION: 3245.00
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additi0nai Increment Fee:
Estimated Permit Feel (4)
Emainated Pian Review Fee: (5)
■ t-110- PItFVI-NI ION SYSTEM
PROpC15E3 VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estreeted P$Ilnk Fee: (6)�
E.Nmated Man Review Fee: (7)
■ PLUMBING
eau Fa Number or Rae=
$22.50+( X$8-00/fbcture)— (8)E.tlmabed Peony*Fee
laansied Perna rte
X .65 (9)estimated Man Review Fee
Mlacallaeeoue Fbdaire chime:(10)
$ub Tote(0..9.one): Line(s)(1)+-(2)+(3)+(4)+(5)+(6)+(7)-r(S)+(9)+(10):(11)
05/02/2005 09:28 2063653182 JESSICA DORRIS PAGE 05
■ ELL( I1t1CA1
TABLE B
NEW RESIDENTIAL SERVICES MOBIL!HOMES MSC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _N of Thermostats(First 437.50;dd'o-Sl 1.50ea)
(First 1300f12475.00;Each add'n 500 ft-$24.00) -Service and feeder 581.00 it of FartSOow tl'voltage rue a.50 Poor hburglar alarms
a00 ft-511.50
Square Feet: $31.00 MOBILE HOME/RV PARK square Feet:
Eachn(Inspected
outbuilding or garagee) N of service or feud= •Per WAC 296416,910(5xbxi A ii)
(lnapactad with service) -
_
Each outbuilding or garage 550.00 (Find scrviceKaeder-$50.00;Add'n service/ -M of Silos(First signs-537.50;add'n sign
(Inspected i ar.tely) feeder-$32 each) 517.50 each)
_Swimming pool,hot tub,spa...............$75.00
Yard Pole ureter loops $50.00
-
NEW MULTI-UAMIIY 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 S 81.00 S 24.00 Feeder -201-600 189.00
-201-400 amp.................101.00 50.00 -0 to 100 S 81.00. S 50.00 _601-1000 284.50
_01,4=1401-600 ..138.00 68.50 101-200 101.00 63 50 -aver 1000 317.00
amp 1 94.50 _201-400 189.00 75-00 _N of circuits
("...Aer_w____
_Over 800 amp 252.50 84.00 401-600....... 220.50.--........88.50 (1-5 circuits S63.50;Add'n circuits.SS es)
ALTERED SINGLE/MULTI FAMILY _ -800 254.50..........120.50
ins separately
, ,� ,) 801 000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 379.00 20230 Residential/Multi-Family/Commercial/Industrial
10 to 200 amp S 6830 -Over volts surcharge 63.50 0-100 S 50.00
201-600 amp 101.00 _Mast miler 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 . .ts-550.00;Add'n circuits S5 a)
If a new or altered co amps or greater,ore new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+563.50.Add=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FE!PROM TAIL!N(B) RUINER OF UNITS TOTAL
TOTAL COI.IMINSD): _
Total Column(D)
estimated Permit Fes: (12)
!inn d Pam*Fos from Ye',$2
Estimated Plan Review Fes: $63.50+( _ X.35)_(13)
• DEMOI.I(ION
Estimated PetnnR F. (14)
load Amount:(15)
• 1 N(,1N1-FK1NG
Eathnited Ronnie Fee:(16)
Rend Amount: (17)
• OTHER 1E1-, .
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Page.One a Iwo): Llne(s)(11)+(12)t(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_(24)
Bulletin;100-February 19,2002