02-103905 City on FederalWay
CommunitytyDevelopment Services Electrical Permit #:02 - 103905 - 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: FREEBORN
Project Address: 29925 2ND SW Parcel Number: 513700 0190
Project Description: ELE-Adding outlets,light switches,and lights to new home addition.Also adding 3 circuits. .•
Owner Applicant Contractor
Stephen L&Sue Elle Freeborn NONE Stephen L&Sue Elle Freeborn
29925 2ND AVE SW 29925 2ND AVE SW
FEDERAL WAY WA FEDERAL WAY WA
98023-3508 NONE (253),941-6808
Electrical Fixtures
_ 3escriptiorr :Qua itity '- ,::l',-',','''.1.4, -:jiPtitiiii,,,i1::: ::V ClijntitA
r Circuits-Residential 3
L
PERMIT EXPIRES March 9,2003,IF NO WORK IS STARTED.
Permit issued on September 10,2002
I hereby certify that the ab / informati n is correct and that the construction on the above described property and
the occupancy and the us, , ill be ' ac ordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: //v �—„ Date: I / d "D
C1 - 1 \ — 0 Z.,_ Qio.ver. -,'N,‘ 4A,3 'S
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414.111111.0.= e( ...-C.-7.--
CONSTRUC I ION PERMIT APPLICATION
\:1----\)\> AY L APPLICATION NUMBER: 02 - 1 Q a f Q 5-=0-
APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**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.
: - • ■ PROPERTY INFORMATION
SITE ADDRESS: Z 4 Z-3--- 2 -`� r9- 2 S t3 ASSESSOR'S TAX/PARCEL#: -
PedwaQ 40 et......-D I � 2. 4.-
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
"`- - " •-■ PROJECT INFORMATION' = :
TYPE OF PROJECT(This application): El BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
' LECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM n
PROJECT DESCRIPTION(Provide detailed description): � C�,� ,;r-. '6`,-7 Q1C r S 4 i•- e PS I dej-,.....6 4 uy,.,�(,
PDP,7,OA) (rr.e$,3iS v C 1.9a4- ,.-, C) ,jP)� t, f- /4't4,l-t,- Lei),... .-.. ..,„ w/., JoL)
14
Nc 'mica,,"-. `'1GUiyil e Uek ti [i 1 JWLIIIcieS t /lJ k- ) illilf!((�- J C(�ra41+5 .
PROJECT NAME: Vr'e,17�!'� `J L/1S
. ..■ PEOPLE INFORMATION -
r-
PROPERTY OWNER: NAME: DAYTIME PHONE:
Sl-EP4rr, L. • F-ivec(''-. (z00 zti -S3E'3
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP):
'2 4 4 z r 24-52',4, c. S F., t?,. l_-_ ,-,r9 c5. ..?_a
CONTRACTOR: NAME:rsDAYTIME PHONE:
� /t,/I.-- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(ZSR ) 9toe c - 6 8n,
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME:1 DAYTIME PHONE:
JrQ(Z ( k.':-: ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT El TENANT ErOTHER(DESCRIBE): 1)w(i/F/L ( ) -
E-MAIL ADDRESS:
CONTACT PERSON IOR THIS PROJECT: KPROPERTY OWNER 0 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:0 YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) .
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCI„ M
NUMBER OF BEDROOMS: ESTIMATED SELLINrPRICE: $
■ PRO3ECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FiA�V�/.�.
_-..•c-.....n<,.. «,� .:-..s..7.,.�r....+..., ..•.e•.s+tcPir+.vrrs.4•+sru-xsi+y.Ya'iv�t RES•Hr'rcK.wr i•Swe•:n.v..rm+.:..is.rY s.i..,;+it'si«+'a:a%x i�s.rr+ a:�.-«�aNa n.kri.''
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 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 .erjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by *e owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harm!- City of Fede • W,y as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of ch daim),whi • m be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only whe such daim an :. • - of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppli-: to e city as . •. /o this application.
NAME/TITLE: .......„......6/111111.41P� DATE: ! 0 D Z
ROPE' OWNER ❑ APPLICANT 0 CONTRACTOR
- FOR OFFICE USE ONLY:d
2LLNEW f3:❑vADDr ION _ ; ;=❑`/1LTERATION _❑.REPAIR s s❑�TENANT_IMPROVEMENTis:€ _;_
-�'-"'-'} Y k ui<-i i�. :'4' -_ic:E-.__- - r.iy} _,--•'�sus•
OfTNG" ESIGNAfxON _ _ -
=BUILDING SHEL10 tiro N
lM❑'1(FS�r.❑ NO�"�-,�
COM'$ AN DESIGfVATIO ?' ti 1BASXC PLAN? (ES NO_:
SECTION ='-TOWNSHIP -" yRANGE =1 "`�`= =
_ u�:�-.- �r =NEW-AUDRESS REQUIRED?:.,_:,�-�.= ..❑YES_;;,❑''.NO -
iPLATTED_LOT?c
❑YES
., ❑--IVO _ _ __ ,3=�,;CHANGE OF USE7.r _ ;❑YESf:=CD-=NO.,.e ::��:�-t.
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 Caiculat.ltx: et
*******PLEASE NOTE: ALL FEES ST 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$10000 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
induding$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 thereof,to and
induding$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 additional$1.000.00 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
Jtalidzed,underlined 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 X39 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 Perrot 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)
11111111111.111.11111111' - •-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-$1 1.50ea)
(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 ft2-S 11.50
_Each outbuilding or garage. $31 00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ti of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Eac`outbuilding or garage $50.00 (First service/feeder-$50.00,Add'n service/ _II of Signs(First sign-$37.50;add'n sign
(inspected separately) feeder-$32 each) S17.50 each)
_Swimming pool,hot tub,spa $75.00
•
_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 $ Et.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 3N of circuits
Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 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 $ 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 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
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(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35) = (13)
• DEMOLITION -
Estimated Pet-mit Fee: (14)
Bond Amount:(15)
- • ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
- ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) - (21) (23)
Total(Pages one aTwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
•
Bulletin#100-February 19,2002