02-103809 City of Federal Way
Coimnuniry Development Services Electrical Permit #:02 - 103809 - 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: SADRI
Project Address: 32233 11TH SW Parcel Number: 926493 0700
Project Description: ELE-Add electrical to basement for lighting and appliances.
Owner Applicant Contractor
Mehdi&Lisa J Sadri Mehdi&Lisa J Sadn Mehdi&Lisa J Sadri
32233 11TH PL SW 32233 11TH PL SW 32233 11TH PL SW
FEDERAL WAY WA 98023-5558 FEDERAL WAY WA 98023-5558 FEDERAL WAY WA 98023-5558
(253)661-1212
Electrical Fixtures
'Description' � D scrip is - ty ?'' cr• ;M;, .,. „ ' ,Q ityJ
Qtaanti es i tipn'• l� . want'
Circuits-Residential 4
PERMIT EXPIRES March 5,2003,IF NO WORK IS STARTED.
Permit issued on September 6,2002
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.
/
Owner or agent: L` a✓•� Date:
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fl�i lJ�9 y fiLi a PgliaV , e -] 'TS
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Cao"r G CONSTRUCTION PERMIT APPLICATION
� � L- APPLICATION NUMBER: , D"Z /23t4 _ a_
APPLICATION NUMBER: -
•
APPLICATION NUMBER: - -
**The following is required information—Please print(Vh ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- - ` - -- ■ -PROPERTY INFORMATION -
SITE ADDRESS: 322 33 I rftk P\ S W ASSESSOR'S TAX/PARCEL#: , z 69 et/13 - O 7OR)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. , ,:.a -> -;. _::: - ■ PROTECT INFORMATION •
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Providre detailed description): A �'2C k l e�, `�D L cs,,,_ -Q'll�
44.
()Y l c sLt , A fP),'c1-,.,c. J << a� S-
PROJECT NAME: 3A flf).\
■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME PHONE:
1'JE\kP\ -5NA>12\ ( ) -
MAILING ADDRESS(STREET ADORES$; STA9ZI s L--` , LJA 9���
CONTRACTOR: NAME: J DAYTIME PHONE: l
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: i
( )
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
- _ ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME- DAYTIME PHONE:
r- 57 ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
El ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
k C - ■ DETAILED BUILDING INFORMATION
EXISTING USE: J:' ..-,s1 e_ F;',....__:tc\EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
1
PROPOSED USE: /1/ PROPOSED VALUATION FOR IMPROVEMENTS: $ '
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES El NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN El HIGHLINE 111 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:
•
■ 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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 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.( )
INTERCEPTORS) 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,including the undersigned,and filed against the City of
Federal Way,but only where such daim a ' out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information sup I' to the city art f this ap n. � 3�
2-
NAME/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
:FOR OFFICE USE ONLY: j
❑ NEIN=_
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$2,000.00 (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$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 511.00 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 foceach 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 51,000.00or fraction thereof,to and
including$500,000.00 e
(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. r
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus 54.00 for each additional 51,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
jtalidred underlined number Is the fee aer additional soedfed 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**
IN 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 Factures
$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): 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
-Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-S 11.50ca)
(First 1300 ft2-575.00;Each add'n 500 ft2-$24.00) _Service.and feeder $81.00 II of Low voltage fire or burglar alarms
*i' Square Feet: - First 250011=-$43.50;Each add'n 2500 ft2-$11.50
• Each outbuilding or garage..... .. .. .. $31 00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) k of service or feeders *Per WAC 296-46-910(5)(b)0&ii)
_Each outbuildingor garage . ... . $50 00 (First service/feeder-550.00,Add.n service/ _k of Signs(First sign-537 50,add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa ... .. $75 00
Yard Pole meter loops............... ...$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 ..$ 81.00
Up to 200 anip $ 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 _ (1
201 -400 189.00 75.00 _k of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -5 circuits-$63.50;Add'n circuits,$5 ca)
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
to 200 amp . $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
01-600 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-550.00;Add'n circuits$5 ca)
If service is greater than 200 amp,a plan review is req'd Fee is 35%of permit fee+$63.50 Add'l plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(0)
•
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 Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING -
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES - - •
Mitigation Fee:(18) (20) (22)
SBCC.ISurcharge: (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 18, 2002