02-103900 City of Federal
Community Development Services Electrical Permit#:02 - 103900 - 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: TOLLE
Project Address: 30424 21ST SW Parcel Number: 122103 9038
Project Description: ELE-New 200amp service change
Owner Applicant Contractor -
STEVE TOLLE CHIN'S ELECTRIC CHINS ELECTRIC
30424 21ST AVE SW 33530 13TH PL SW 33530 13TH PL SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)405-3348
Electrical Fixtures
_r:x'1a 1;'D, criptiort :',,, ,,::1:zs : G e;„t��"",� =,`,=r,,'. 4 ttr.n.,,.t. * ( 'Otlflty' '".'7',4: rtDBSCrip iOr .,'?c 'is -]1!;1661).114
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES March 9,2003,IF NO WORK IS STARTED.
Permit issued on September 10,2002
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. 7
�7
Owner or agent: .-'--.-7.....
I Li- -1 Date: ?//6/0 [/q- ._
t6 9 v LB!� e-?->6 !a ti r L, ) g! ems, -r-
19,9
'We
7 --2.c-a-, c-iithq L p-p f 12 0 ✓ vy4 - -&v
%
GGaS- e- 04Lr 't' Zt- °''
V
c^••O G_ CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: Q 2 - f O 3 7 o-a -
uV FEY
APPLICATION
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.
,�•
l QQ ■ PROPERTY INFORMATION
SITE ADDRESS: 3 0 I [/ 2/ , I�4.4 SeJ ASSESSOR'S TAX/PARCEL #: - h
I LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 ■ PROJECT INFORMATION • -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descr' tion):
2 0O P ,'4ja
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER:_ NAME: ; / ).4
Tx., DAYTIME PHONE:
MAILLIING ADDRESS. ((STREET ADDRESS;CITY,STATE,ZIP):
I 6-� `L, C/i4
1 - //JJ
CONTRACTOR: NAM JL ' DAYTIME�V)PHONE:
$72 _ /2L1-2
MAILING ADDRESS(STREET ADDRESS; ,S4ATE ZIP): EVENING PHONE:
3.5-33-6 SS LI �., ScJ W/' 2e023 ( ) - 1
CITY OF FEDERAL WAY BUSINE CENSE NU BER: / FAX NUMBER:
-."--- - - (9-S"-3)572 -GS 2c7
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: 011.4:0:9 Ocik
DAYTIME PHONE:
( )pov-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
I
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR I
•
• 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 0 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
R
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) ❑ 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 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.
NAME/TITLE: ""2--` Z/ti/ 4) DATE: 7/6/6 Z
❑ PROPERTY OWNER ❑ APPLICANT r-CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
•
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 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)$24.25 .
(2)$501 00 to$2,000.00 (2)$24.25 for the first$500.00 plus S327for each additional S10000or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$1500 for each additional$1,000.00 or fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$1082 for each additional$1,000 00 or fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000 00 (5)$664.35 for the first$50,000.00 plus$750 for each additional S1,000.00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus S6 00 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)$3,337.23 for the fist$500,000.00 plus S5.09 for each additional$1,000.00 or fraction thereof,to and including
$1,000,000 00.
P
(8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus S3 91 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,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#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:
-- a
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
$21.00+{ _X$7.00/fixture}= (8)Estimated Permit Fee
Estimated Permit 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
1
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50,add'n-S I0.S0ea)
(First 1300 ft2-$67.00;Each add'n 500 ftl-$21.50) _Service and feeder................... $72.25 #of Low voltage fire or burglar alarms
Square Feet: First 2500 tt2-$38.75;Each add'n 2500 ft2-$10 50
_Each outbuilding or garage......... .. ..... $28 00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i R ii)
l _Each(Inspected separately)
r garage $44.25 (First service/feedcr-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
I separately) feeder-528 each) $16.00 each)
111 _Progress inspection per 1/2 hr $33 50
_Swimming pool.hot tub,spa 67.00
Yard Pole meter loops. 44.25
NEW MULTI-fAMIIY COMMERDU-STRIAL CIAL/1NCOMMERCIAL/INDUSTRIAL I
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600. 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 1 58.00 84.25 _201-400 169.00 67.00 _#of circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (l-5 circuits-$56 25;Add'n circuits.$5 ca)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service '
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200. 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meter repair 33.50 _401-600 89.75
_#of circuits -over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is$67.00/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: $56.25+ X.35= (13)
• DEMOLITION
Estimated Permit 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&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 3,2001