04-100857 ! a .
City of Federal Way
Community Development Services Electrical Permit #:04 - 100857 - 00 - EL
33530 Ist Way S
Federal Way,WA 98003-6210
Ph 253 661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: MRZ HOMES
Project Address: 4220 SW 331ST P' Parcel Number: 327905 0030
Project Description: Install servicefor new single-family residence.
Owner Applicant Contractor
MRZ HOMES ADVANCED ELEC&SECURITY INC ADVANCED ELEC&SECURITY INC
5507 36TH AVE NE 10218 32ND ST E 10218 32ND ST E
TACOMA WA 98422 EDGEWOOD WA 98372 EDGEWOOD WA 98372
(253)848-8706
Electrical Fixtures
l scnptir�n, - li ritltji ``:` ,#y l escrtption: . ; ;z Quandt t `; ' > DescriptioiriV `'-:Quantity
Service: -Residential 3226
PERMIT EXPIRES September 7,2004.
Permit issued on March 11,2004 _
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi .e in accor.•- = the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: � , f Date: 5 /v77
11
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ill 0`4 c�4.TV1�.Q. Ntkr 1tekre___„
."' RECEIVED CONSTRUCI ION PERMIT APPLICATION "
�� � — APPLICATION NUMBER: 0):1- L.(20- 5 7 - CO
MAR 1 0 2004 APPLICATION NUMBER: - -
CITY OFFEDERALWAY APPLICATION NUMBER: - -
**The followNlisRi uiPDeMnformation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
n -: . -••/� " - t • - " •-■ PROPERTY INFORMATION - ,
SITE ADDRESS: g220 �5/.J 33)('f- Plii _' ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. .. '';_= - - ■- PRO]ECT INFORMATION - - " - - .- - , . - - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICA�L/ ❑ ENGINEERI/N�G❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): A P� 5II1 k1 -�Z j�j Kt-c51 dc_r �P,
e kc-t-rices pori ,f �.J
PROJECT NAME:
- - - - • - -" " . ■ PEOPLE INFORMATION "- -• : .
PROPERTY OWNER: NAME DAYTIME PHONE:
/'I,Z 71710-1/26 Orit/1 ( -3 n?7 - z2I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
5507 ,N/1-i- . c _AJC 7-acorn 6 i 1-09- ' (7/a-
CONTRACTOR: NAME: DAYTIME PHONE•
71d1/C&ncep( gear;c. tt 5e-e4/ ;'i--y) ._fin c - ( 'z 5-3)8 9:8 -87O c,
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
i02-)g 32Y'd S>-. /j-ewood,LJ- %.3-Q ( Pi) C)1 . .
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER- FAX NUMBER.
9 8 - J D 6' 39_ 71 - DQ (5.3)Sd(8 - 1 %D
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) A , k `hE $ 09 WL 08 /c971, v,5---
APPLICANT:
V�
APPLICANT: NAAME:: DAYTIME PHONE:
�/d / /Ndrieviyi SCtAiJom _n/ . ( �3) $�V( -B 7aj
/MAILING ADDRESS CITY,STATE, PHONE:
/C»-/8 3Zn d 5}-- E. (- P-i,(3t7 /0A- q g37r� -
RELATIONSHIP TO PROJECT- � FAX NUMBER:
q
CI ARCHITECT ❑ TENANT OTHER( DESCRIBE):FIkGtyiC..i&A'-h (25-3(�`T'8 !'�O
E-MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANTCONTRACTOR mcLYia, abicuyice•
.,a ..e - A '
. - -. -' " ' - - ..._ 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: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• ■ PROJECT 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: ❑ ELECTRIC ❑ 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) 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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information sup lied to the ci ,s a part of this application.
NAME/TITLE: i DATE: 3 / O (/
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW '' - 0 ADDITION ❑ ALTERATION 0 REPAIR . ❑TENANT IMPROVEMENT
CENSUS CODE: - LOT SIZE:
ZONING=DESIGNATION:: - -BUILDING_SHELL ONLY?- [1 YES: ❑ NO
-COMP=P_._LAN DESIGNATION _ -BASIC PLAN? - 0 YES 0 NO
"SECTION_. . TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES ❑ 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.cityoffederalway.com
Permit Fee Estimate Worksheet
Section 1
❑ Building Permit ❑ Mechanical Permit 0 Fire Prevention System Permit
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
{Valuation from permit application-base fee increment}/1000 Round up to nearest whole number
(c){ }/1000 = (d)
OR
For valuations between$501.00 and$2,000 only:
{Valuation from permit application-base fee increment)/100 Round up to nearest whole number
(a){ }/100 = (d)
Value from(d) value from(b)
(e) X = (f)
Base Fee from(a) Value from(f) Permit Fee
Permit Fee: + = (g)
Permit Fee from(g) Plan Review Fee
Plan Review Fee: X .65 = (h)
Permit Fee from(g) Surcharge Fee
FW Fire Department Surcharge: X .15 = (i)
(COMMERCIAL ONLY)
Section 2
0 Building Permit 0 Mechanical Permit ❑ Fire Prevention System Permit
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
{Valuation from permit application-base fee increment}/1000 Round up to nearest whole number
(c){ }/1000 = (d)
OR
For valuations between$501.00 and$2,000 only:
(Valuation from permit application-base fee increment)/100 Round up to nearest whole number
(c1){ }/100 = (d)
Value from(d) value from(b)
(e) X = (t)
Base Fee from(a) Value from(f) Permit Fee
Permit Fee: + = (g)
Permit Fee from(g) Plan Review Fee
Plan Review Fee: X .65 = (h)
Permit Fee from(g) Surcharge Fee
FW Fire Department Surcharge: X .15 = (I)
(COMMERCIAL ONLY)
/'hMMI IV,ITTV r1'1/FI rloMFisIT CD\/T('FC.77C7/1 FIOCT WAV Ch1 TN.On'any 071A•FFIIFRAI WAV WA QA11f,7-071 n.,c-t-Ani-anon.FAY•75.1-F61-4179
Mir
Section 3
0 Plumbing 0 Electrical
FIXTURE DESCRIPTION (A) FIXTURE FEE(B) NUMBER OF-UNITS(C) - TOTAL(D)
t
TOTAL COLUMN(D):
Plumbing
$22.50 +{ X$8.00/fixture)= Estimated Permit Fee
Estimated Permit Fee
X .65 = Estimated Plan Review Fee
Miscellaneous Fixture Charge:
OR
Electrical
Total Column(D)
Estimated Permit Fee:
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+ X.35 =
Section 4
0 Plumbing 0 Electrical
FIXTURE DESCRIPTION(A) FIXTURE FEE(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Plumbing
$22.50+( X$8.00/fixture)= Estimated Permit Fee
Estimated Permit Fee
X .65 = Estimated Plan Review Fee
Miscellaneous Fixture Charge:
OR
Electrical
Total Column(D)
Estimated Permit Fee:
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+ X.35 =
Section 5
0 Demolition 0 Engineering ❑ Other Fees
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount: Bulletin #101—January 4,2002
r Pte` � - 0 �
0 56 U� � =b " 6'
TABLE B
4
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Ingle Family _Service or feeder only 557.00 _4 of Thermostats(First-543.00;add'n-S I3.00ea)
First 1300 ft'-S85 50,Ea h add'n 500 112-$27.50) _Service and feeder............. $93.00 4 of Low voltage fire or burglar alarms
Square Feet 322_ _P First 2500 ft2-S50 00;Each add'n 2500 fe-S 13 00
_Each outbuilding or gara c........... ...... . $35.50 MOBILE HOME/RV PARK Square Feet-
(Inspected with service) _4 of service or feeders ' Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage 557.00 (First service/feeder-S57.00;Add'n service/ -4 of Signs(First sign-S43.00;add'n sign
(Inspected separately) ,j'� feeder-S37 each) - $20.00 each)
vv Swimming pool,hot tub,spa $85.50
I� ' Yard Pole meter loops......... .. . $57 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 -........ 1 93.00
_Up to 200 amp. ... $ 93 00. $ 27.50 Feeder _201 -600 ...... ........... 216.50
_201 -400 amp . .. 115.50. . 57.00 _0 to 100 $ 93 00.... $ 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 _4 of circuits
_Over 800 amp. .. 289.50...... ..... 216.50 _401 -600.... 252.50 101.00 (1-5 circuits-572.50,Add'n circuits,56 eal
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/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 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 .115.50
#of circuits _over 600...... ........ .... 125.00
(1-4 circuits-557.00;Add'n circuits$6 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greatcrihan 400 amps,a plan review is required.Fee is 35%of
r,cmtit fee+572 50 Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) , . NUMBER OF UNITS(C) TOTAL(0)
1
"TOTAL COLUMN(D):
Total Column(D)
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)
is 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)
a
Bulletin#100-December 23, 2002