05-106573 •
City of Federal Way Electrical Permit #: 05-106573-00-EL
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Adding 1 circuit for new gas fireplace -
Owner Applicant - Contra, •r
PAUL W BERNARDIS ADRIENNE BERNARDIS ' 'THWEST ELECT'S &SERVICE
ADRIENNE BERNARDIS 2204 SW 309TH ST ES015CK 2/07
2204 SW 309TH ST FEDERAL WAY WA 98023-7823 10228 29TH '
FEDERAL WAY WA 98023-7823 EDGEWOOD WA :
Additional Permit Informati,
Electrical Fixture (111
•
Circuits-Residential1\11)
1
0 •
1\1111411,11241:06 •
Pe it Issued oi n •ay, nuary 25, 2006
i hereby at the abs - information is correct - the construction on the above described property and
the o ncy and the us- :II be i -ccordance the laws, rules and regulations of the State of Washington . .
AO and the Ci of Federal Way.
•
ner or agent: 4 /ice /,,,, Date: L9776/06
City of Federal Way Electrical Permit #: 05-106573-00-EL -
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718 •
ti Ptr(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BERNARDIS
Project Address: 2204 SW 309TH ST Parcel Number: 416790 0250
Project Description: Adding 1 circuit for new gas fireplace
Owner Applicant Contractor
PAUL W BERNARDIS ADRIENNE BERNARDIS FULLER ELECTRIC
2204 SW 309TH ST 2204 SW 309TH ST FULLEEI027BK 1/12/08
FEDERAL WAY WA FEDERAL WAY WA 98023-7823 37107 12TH AVE S
98023-7823 FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Circuits-Residential I
CONDITIONS:
•
PERMIT EXPIRES Monday, July 24, 2006
Permit Issued on Wednesday, January 25, 2006
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: ,/14ele.2 ,gu Date: % —�
THIS CARD IS TO REMAIN ON-SITE
. CITY OF Community Development Inspection Record_
Federal Way IVR INSPEC'I'KO,N REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106573-00-EL
Owner: PAUL W BERNARDIS
Address: 2204 SW 309TH ST
FEDERAL WAY, WA 98023-7823
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.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
'
❑ Temporary-Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
, By Date By . Date By Date ,
i❑
'Rough Electrical(4225) 0 Ceiling Cover(4020) G t 0' Final.-Electrical(4055
} Approved Approved 4 Approved i
A
By Date By ; . Date - - . By '00 ' .... Date a, VO 0\0•
❑ Under-slab groundwork(4295) . _ }
Approved ., ,
By Datet z.,
111
_Ade
A . .
Federal W �n P .l X471 }3
PERMID • T 1 PL DE EN FP
coA(ifulViIYDSVELOPilENTSERVICES
SF MF CO M��
3253435-2607.F A 98 3 C' 0 2005 APPLICATION
FEDERAL WAY,WA 9dtM1E r• TD n
w.cityol)ederalway,corn — / V1—C /-� "�
tawTYO :AI WAY -
The oliowiF • `on-an inco •tete • •'libation will not be acce•ted. Please •rint le• •1 n or
■ PROPERTY INFORMATION
SITEADDRESS ,'1.?,g 5t SO9'2t,szeeor JEpo�AL e44.1Y,4r f 403- SUI SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sJ7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach eeparare pe ajar length!,leg.I desoipticn/
MI PROJECT INFORMATION
TYPE OP PERIM 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONWELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
DucLO-i /// .4915( -6A.5 f/PePG4te
PROJECT NAME(Name of Business or Owner Last Name) 8 iQ/llff" Lc-
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER AP,e ye 13',4 .8 ",eitee pis (2 31 831 - f-/e
MAILING ADDRESS CITY,STATE,ZIP
;2,e /".. 3e 9r-esrxoor ,0,0,�1e-i-z- id/Ay, l�� 980.23`1Y53
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
seE PeePER?'Y eVA/Oe ( ) -
! MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(, )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
/ / ( 1
BL
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(,//11/�i/gg ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( )
CONTACT
CONTACT NAME PRIMARY PHONE - E-MAIL ADDRESS
Dl•YIR ( 1 •
LENDER a. ;d r, _.., i• r• .,„ :;;, x; NAME
MAILING ADDRESS CITY,STATE,ZIP
' IN DETAILED BUILDING INFORMATION
IEXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER ❑LAICEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
RusTsra PROPOS/a TOTAL $t* a 'sr• f, ' 'S',u, `i
NUMBER OF FLOORS
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type e o re to be installed or relocated as
of part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(coons/do) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING )
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rose) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(eathroomsinla) VACUUM BREAKERS ELECTRIC WATER HEATERS
I
DISCLAIMER/SIGNATURE BLOCK
1
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 claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. 1
NAME/TITLE ‘ ��/�/L/ DATE /2 ' /9 O5 1
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑ Architect ❑ Other i
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67;'( ,'a Clo)05 +,:4 a]5!o t 1]64Or,, -. - - ,1' ,,w,. , .,.
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
1011.1 .
4 ELECTRICAL PERMIT INFORMATION if
R RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
❑ 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
CI Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ . 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
i COMMERCIAL/INDUSTRIAL PLAN REVIEW
',.,ie,. #of cir tas to be added/altered
'-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Muiti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
-•-.1,--_.-%-_,=-°•• of Thermostats ❑ #of Signs
st-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review ' .our
I 0 Voice Cabling (for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1a 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)'Per WAC 296-46-910(5)(6J(t&ii)
Bulletin#100-January 7,2005 Page 3 of 4 NHandouts\Permit Application
NIP
r •
FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
PERMIT FEES •
Building,mechanical,and fire prevention system fees are based on the following schedule.
**Electrical and plumbing fees are calculated separately**
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$31.00
(2)$501.00 to$2,000.00 (2)$31.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$91.00 for the first$2,000.00 plus$18.50 for each additional$1.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$516.50 for the first$25,000.00 plus$13.50 for each additional$1,000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$854.00 for the first$50,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,304.00 for the first$100,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,304.00 for the fist$500,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$7,304.00 for the first$1,000,000.00 plus$5.00 for each additional$1,000.00 or fraction thereof.
S>V
Table A
PLAN REVIEW FEES
• Building Permit 65%of Building Permit Fees
• Mechanical Permit • 25% of Mechanical Permit Fees
• Plumbing 65/o Permit o of Plumbing
Permit Fees
• Additional Building Division Review $63.50/hour
( PLUMBING PERMIT FEES
• $26.50 Permit Fee plus $9.00 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council(SBCC) Surcharge $4.50/issued permit
• Fire District#39 review fees (commercial only) 15% of building permit fees
•C Public Works review fees Hourly/varies by project
• School District impact Fees (new residential only) $3,011.50/single-family residence
• $950.50/multi-family unit
• Automation fee on all permits $5.00
• Demolition permit fees
• Required bond(s)/deposits
If you need assistance completing the permit application form, or have questions
concerning the application process, please contact:
Community Development Customer Service Counter at (253) 835-2607
8:00 am to 5:00 pm, Monday through Friday
Bulletin#100—January 7,2005 Page 4 of 4 k\Handouts\Pefmit Application
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