02-104369 City of Federal Way Community Development Services Electrical Permit #:02 - 104369 - 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: SILVERWOOD LOT#25
Project Address: 812 SW 363RD Parcel Number: 779645 0250
Project Description: ELE-New 200amp service plus addition of punchcan
Owner Applicant Contractor
QUADRANT CORP MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
PO BOX 130 11109 66TH AVE E 11109 66TH AVE E
BELLEVUE WA 98009-0130 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures }
.77t w« •t.' ":.110F, r r«; scrla,tOI?"'..ilrµi'sold «13"'SS' "� + @*S.'�°� 0l!a[Iti
Low Voltage-Other Residential I 3168 Service: -Residential 3168
CONDITIONS:
THE ALTERNATE ADDRESS FOR THIS LOT:36113 8TH AVE SW-(ONLY IF DRIVEWAY FACES 8TH AVE SW).
PERMIT EXPIRES April 2,2003,IF NO WORK IS STARTED.
Permit issued on October 4,2002
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: d64-/Cd4V/6-Z., Date:
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CONSTRUCTION PERMIT APPLICATION
\>\> F3Y APPLICATION NUMBER: Qr2 - j DY 3.6g- or)
APPLICATION
.6g-
APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**The following is required information–Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering g- g permits may require a separate application.
- - ■ PROPERTY INFORMATION
31Z 3t.,3f -
SITE ADDRESS: ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING FIRE PREVENTION� r� SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 2.--(...70 0-01.9 C', � Low
- S-I-C YCd
PROJECT NAME: S1(L'660064 f F 2.S—
■ PEOPLE INFORMATION r•
PROPERTY OWNER: NAME: DAYTIME PHONE:
Quadroon-i- (ii ) Liss -Trop
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
PO. e)oX 130 (MO I1zI1 Ave- No- #moo ) R-e / leuu-c 61g009
CONTRACTOR: NAME: DAYTIME PHONE:
Er�IDa/ -,-j cid TEP- E-L&C'ti -ct (Zs3)514 - 55.1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1Ilog LPI PP) 14 Poia/lvp 1073 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
0010Z (.192, 00o (153 ) - OFqZ
CONTRACTOR'S REGISTRATION NUMBER: —F-p 1;� ! EXPIRATION DATE:
(copy of card required) 1=` -I L E 3 _IS 2- /jig / 03
APPLICANT: NAME:
DAYTIME PHONE
112 Y I ( 3) 514 -Ssqs
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Xi 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 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ '
■ 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:
,__......._ . .." _ ._ _ .. tom. ,,,,.,.. ., . xr■.FIXTURES.::. �. _ _.. r �,��z-�.�,�.-.., _ ...r.r�
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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 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 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 information supplied to the city as/a part of tthis�appliica ion.
NAME/TITLE: ___c� �fiCi Gk_C/�iL J ci2A. )____ DATE: 10 ) t O
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
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4.•R;OFFICE.OSE"ONLY: _
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P�O�BOXB� 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
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www.dtvoffederalway.com
"'nederaIway.cocn
7
Conduction Permit Fee CaIcLtion 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.(2or fraction thereof,to and induding
$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 SL000.00or 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 SL000.00 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$6.00(or 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 37.000.000r 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$1.A0 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 veradditonal 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 Coundl,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)
•II PLUMBING
(8)Estimated Permit Fee
Base Fee Number Fixtures$22.50+{ X#8.00/fixhlre}_
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee •
Miscellaneous Fixture Charge:(10)
Sub Total(page ono: Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
■ ELECTRICAL
F TABLE B P' '
.,
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 I I.50ea)
(First I300,j7,=- 7_,5.00 jach add'n 500 112424.00) _Service and feeder $81.00 #of Low voltage fire or burglar alarms
Square Feet: �� tt.Y First 2500 ft2-S43.50;Eac add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 'e:›I LP 6
(Inspected with service) _#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) 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 amp $ 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
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 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
_#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'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 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-February 19,2002 ••