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02-103935 : - City on Federal Way Community Electrical Permit #:02 - 103935 -y00 - l�L Development Services 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: KIRCHBERG Project Address: 306 S 373RD Parcel Number: 322104 9090 Project Description: ELE-200 amp service change. Includes alteration of dishwasher and hot water heater circuits,outlet changeouts. Key will be on meter. Owner Applicant Contractor Matthew W&Shannon L Kirchberg TAHOMA ELECTRIC,INC. TAHOMA ELECTRIC,INC. 306 S 373RD ST TAHOMA ELECTRIC,INC. TAHOMA ELECTRIC,INC. FEDERAL WAY WA PO BOX 42267 PO BOX 42267 98003-7418 TACOMA WA 98442 (253)606-9144 Electrical Fixtures mj ;Deeoriotiowpoiyoj, Alt.Serv./Feeder:0 to 200 amps-Res. 1 PERMIT EXPIRES March 11,2003,IF NO WORK IS STARTED. Permit issued on September 12,2002 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 ' a ordance with the laws,rules and regulations of the State of Washington and the City of Federal Way Q Owner or agent: �D L. Date: / I3 O 2 ,t 6 -© 2- GOR /L g Auf ;oe G CONSTRUCTION PERMIT APPLICATION EJD \)\> 1-- APPLICATION NUMBER: 02,- L Q E g --.0-c; 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: 3( � 7 3 S • ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION-..- -: TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 'ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): 4- _^-- S-( (-La... ;sem v."`�� `` i €1 �10nnsL .)",o � rSL ` a . a K'T"PA� +,�^-r+ • PROJECT NAME: KIrCGi6i- ■ PEOPLE INFORMATION r- PROPERTY OWNER: NAME: DAYTIME PHONE: ktY.'_LN r ( ) MAIUNG ADDRESS(STREET ADDREs,QTY,STATg,IIP): <(� CONTRACTOR: NAME: DAYTIME PHONE: c ^N LL _cam( 1C� f !J C, (z ) G�:i i BILI MAILING ADDRESS(STREET ADDRESS;are,STATE,ZIP): ,•` EVENING PHONE: RC), 2 LC,- (io 0—, ZS �-�Z ( ) CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy oT card required)—1 t\AC NNE t t -' / / CA.;_S APPLICANT: NAME: DAYTIME PHONE: ,k .r {_ ( ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: PA.. . `t2 21,-7 ( ) REIATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): C`1' ". :; .-- ) 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:0 YES ❑ NO+ WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHUNE 0 PRIVATE(SEPTIC) • **NEW RESIDENTIAL CONSTRUCTION ONLY** x NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . • . ■ PR07ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND • • THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK - - GARAGE HOW MANY FLOORS? TOTAL: _ ._,...._:___,..:„.,..,-;...:..-----..•.r-..->'.�y:•••n.•. .. . :====.: erg'-a'r ,====m4":4Q4=4 = uRESJtr,W ww-4.;i,-,-.:•....---.4,�:,..,.:i.,..,,,,.;ir*ra•s::::, ns.,r"r+4.:.i•�.,.,,,wexi.a• 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(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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the informationjplied to ci s a part pf application. � _ �—�-- /z -Zoo Z NAME/TITLE: !/f 4 I L - DATE: ❑ PROPERTY OWNER ❑ APPLICANT -p CONTRACTOR OROFFICE USE-ONLY:: 'gRNEkVNA.❑=ADDITION _ =; '❑'ALTERATION:: _REPAIR:=4 :-[]JENANT IMPROVEMENT.'€ =__ =CENSUSfCODE: == .a j=2y z_=-_=-;.- ",-= ':LOTSSIZE:' >__=,= , -- .� ). €_`._ .4,t,n;= ��.���.�rs sem, x;�+; :.�;_:,��� s��:i,€�s'.'.��.s_. - �... _ :P __t?i__ 111-4 -��.�r=�= - ;t S BUILDINGStiELL;ONLY73E1WSVEi•NUTkf-74- UMPA NAT,IOfV: 4:Witi.:!Afo,:t cBASXGPL'AN?�` , ¥ '' ,*;_, ��`: 1SECTIOf '-TOVNNSHIP t yitANGE4.- =-- :NEW ADDRESS;REQUIRED? ?: =❑'YES'' ❑O'NOS PLATTED LOT?:- 1 .---' _ , ___, _ 14 :4;:1 :Q, -3. ._ __ `- ❑�YES.•s;�❑=iVU - - '�;'�CHANGEOF'USE?-�"` ,�,YES< ❑ , : � + COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.oan • • 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)$26.00 (2)$501.00 to$2000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.00 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 515.50 for each additional 51.000.00 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 511.00 for each additional$1,007.00 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$1,000.00 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 including$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 51.000.00 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 Fre 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 Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total(Page one): tine(s)(1)+(2)4-(3)+(4)+(5)+(6)1-(7)+(8)+(9)+(10)= (11) •-ELECTRICAL TABLE B ' • NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _H of Thermostats(First-$37.50;add'n-$1 I.50ca) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500112.$43.50;Each add'n 2500 ft2-$11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders •Pcr 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) feeder-$32 each) $17.50 each) • _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (I,rclades three units Of more) - Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 S 81.00 _Up to 200 amp S 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 S 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 (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 Sc ice or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial X 0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 S 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 g#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+563.50.Add''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) k is OTHER FEES Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) - (21) (23) sr Otal (Pages One&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) i Bulletin#100-February 19,2002