02-103932 City of Federal Way
Community Development Services Electrical Permit #:02 - 103932 - 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: GRIFFIN
Project Address: 3550 SW 342ND Parcel Number: 308900 0041
Project Description: ELE-Install main panel,wire garage and install 200-amp feeder to manufactured home.
Owner Applicant Contractor
Gary L Griffin Gary L Griffin Gary L Griffin
30030 20TH PL SW 30030 20TH PL SW 30030 20TH PL SW
FEDERAL WAY WA 98023-3404 FEDERAL WAY WA 98023-3404 FEDERAL WAY WA 98023-3404
(253)838-9900
Electrical Fixtures
:""' scriptitiri1 ,vim: :._ 'ri•ti.a ,177. 41:‘a J ` Description' :T QUaritityi
Service and Feeder-Manu./Mobile H 1
PERMIT EXPIRES March 12,2003,IF NO WORK IS STARTED.
Permit issued on September 13,2002
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.
i
Owner or agent: L gr~ Date: j—
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•
•
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:°� . RECEIVED CONSTRUCTION PERMIT APPLICATION
EIZIEuV f� L SEP 1 1 2002 APPLICATION NUMBER: e:>.4- D 3� Z -a?) a-
APPLICATION NUMBER: - • -
CITY OF FEDERAL WAY APPLICATION NUMBER: -BUILDING DEPT.
• **The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
2 L✓'O. ■ PROPERTY INFORMATION
•
SITE ADDRESS: ,J5 5IAJ 342'2- 5 ASSESSOR'S TAX/PARCEL #: 3 6. 3 i a - - 664-
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
L OT 6.4-A 6 2 f p 2 a .q54.)[U 5 v
.■ PROTECT INFORMATION. . -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
piLECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /p STAG. MAN u4 j1-C"t'U 2C,O
(1:ZE O e=c.-4.,P/tVic.0 ,tif: — deo ts1 -1 Cr ,0--c
ver 144J 2 y /nr s Tsi t C p j,�i�r CTI',hat J rT 4-/4 t—�
PROJECT NAME: -
- ■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME PHONE:
MM ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
3721 "- S- 2qz& / uwAi c)A cctao/
CONTRACTOR: NAME: DAYTIME PHONE:
� ) q9
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
(2c?) - lQ <iy
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
P57) gig- qq72
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
5:41iL ( )MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT YJ OTHER(DESCRIBE): 01,t/
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ 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: ❑ 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:
�.. ._....., s...... ,_ �,�7,_y. .. •FIXTURES
��,: «.tet:. .,
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) ❑ 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(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.
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
"FOR OFFICE USE ONLY: ]
EW' « ❑ADDITION;=sn;❑=ALTERATION :s_L_REPAIR - "s4❑JENANT°IMPROVEMENT =_.
,, MP .LAN.UESI '"5' ;;_, ;�* BASXGPIAN?{=' fl (ES'_ Y` F_
ENATION � �� l30_,�• ,����,_•"
;
=>=❑'YES'_= ❑'NO`:,.=
:PLY TTEU LOT?. _ - _- •} ;,1=1,
• ❑�fES._ -❑=iVO - _ ;CHANGE OF USE?..�-�- ��.•-
COMMUNITY DEVELOPMENT SERVICES_•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
•
• Construction Permit Fee Calculation Sheet
1".4'*****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 13.50 for each additional S100.00 or fraction thereof,to and inducting
$2,000.00
(3)$2001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus 515.50 for each add�tional1I,O00.00or 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$8.00 for each additional$1,000.00or 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 16.00 for each additional SL000.00or fraction thereof,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 1550 for each additional$1,00000 or fraction thereof,to and
including$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Jta/idzed underlined number Is the Peeper 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,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:
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 Pernik Fee
X .65= (9)Estimated Plan Review Fee •
Miscellaneous Fixture Charge:(10)
Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
•
•
■-ELECTRICAL
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Sin
_Single Family Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-$I I.SOea)
(First 1300 ft2-$75.00;Each add'n 500 ft=-$24.00) Service and feeder $81.00 . #of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 fie-$11.50
Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) -N of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ -#of Signs(First sign-$37.50;add'n sign
(Inspected separately) fcedcr-$32 each) $17.50 each)
•
-Swimming pool,hot tub,spa $75.00
lk -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 $ 81.00
-Up to 200 amp $ 81.00..............$ 24 00 Feeder _201-600 189.00
-201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 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 (l-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 S 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 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
_#of circuits over 600
(1-4 circuits-$50.00;Add'n circuits$5 ea) - 109.00
If a 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+$63.50.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(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 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)
i . ■ 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)
Bulletin #100-February 19,2002