02-104531 City of Federal Way
Community Development Services Electrical Permit #:02 - 104531 - 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: WILSON
Project Address: 2115 S 304TH Parcel Number: 053700 0090
Project Description: ELE-Replacing existing panel with new 200 amp panel
Owner Applicant Contractor
David L&Doris L Wilson '&21
L, - David L&Doris L Wilson David L&Doris L Wilson
2115 S 304TH ST \ %y,,f„ 2115 S 304TH ST 2115 S 304TH ST
FEDERAL WAY WA(.1i. 41, FEDERAL WAY WA FEDERAL WAY WA
98003-4848 98003-4848
Electrical Fixtures
["ICre` c'r%t£i0, , �a`,ti n "lQescription ' ;;=J. >[Qciantitt
Alt.Serv./Feeder:0 to 200 amps-Res. I
PERMIT EXPIRES April 12,2003,IF NO WORK IS STARTED.
Permit issued on October 14,2002
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. / C�
Owner or agent: /0(e�.C?e/4 Date: /9 / T " O Z
Rough-in inspection:
Date
Service inspection:
j Date
FINAL inspection: ()if? T" ' 1/(� i D(l6 (O •
Date
�� G RECEIVED
CONSTRUCTION PER•�MIT APPLICATION
uV FIY OCT 1 4 2002 APPLICATION NUMBER: QoC- ( ort 53 r _ a a
APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
-
BUILDING DEPT.
**The following is required information—Please print(in ink)or type** •
Please note: Electrical,Fire Prevent n S ems and Engineering permits may require a separate application.
. V N PROPERTY INFORMATION
•
SITE ADDRESS: /A /,S S, 3 O)' $ ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
: .�'4 PROJECT INFORMATION'._. ' =
TYPE OF PROJECT(This application): UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /N S Til // iU e (.t.J $ e.e V/I C k-
PROJECT NAME: YID / 1
(rA PEOPLE INFORMATION V •
V
p r
PROPERTY OWNER: NAME: DAYTIME PHONE:
,�/1 U/6' ,D o,e GO/L S o (2,53)332 -,2 3,5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2 i/5- S• 3o y 7) tc.l fe+0,Gj.5-y 41/9 9 'oO
CONTRACTOR: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
cP /,0 Gv/ so ti (25' )332
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2//3- s. �3o r7- ..s-7, ,rep,w &y 4(../-9 9Foa3 (?s3) 839 Q.Z3y
RELATIONSHIP TO PROJECT: FAX NUMBER:
El ARCHITECT 7 TENANT El OTHER(DESCRIBE):
'\ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: .10 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATI•
PROPOSED USE: PROPOSED VALUATION FOR • - •VEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ N• FIR - ' '•ESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ N9
WATER SERVICE PROVIDER: ❑ LAKEHAVEN IGHLI - ■ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: U •• EHAVEN ❑ HIGHLINE ❑ PRIVA - u C) •
[
**NEW RESIDENTIAL CONSTRUCTION ONLY** ,
NUMBER OF BEDROOMS: ESTIMATED.-SEL.IZNG PRICE: $
•
■ PRO3ECT FLOOR AREAS -
FLOOR I • EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DES • BE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: *yam
u. -Me-...w;ica........ ..,.>,...-.M++.•'w-...,-.2Cc2.0 I.�+l}Ft{C4:9h"t,wes.illi•FIA.URES•tcrrc.'rvsi•.yer.,..ww.i-:,;+nas=sa+n,.w.;+ir*rr•++%cn..5-a.rr+di......—,.aT.�...rent,•
In.' .to nu • .er of each type of fixture
M , ANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER - 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: Cl ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHE• ) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKINGF•UNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE 0 ET(S) SINKS) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
-11 -DISCLAIMER/SIGNATURE BLOCK : -.
I certify under penalty of perjury tha 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,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: 0i91//,0 1)02 /S (,v/G S O N DATE: /0 .117-0 2
N(PROPERTY OWNER El APPLICANT ❑ CONTRACTOR
.FOR:OFFICE USE ONLY::
EW `=❑:ADDITION; ;❑=ALTERATION' `;:;, ❑..REPAR-':_ ,-❑
IiTENL°IMP
ANiROVEMENTY(=;_
3'�-7'•
�CENSUS: :;�=n� �-CODE - -- , !;-:::4•5,•,;s11-4-,',4-1S;;- :4�=-=-_s-�`••- -� -_,�, , .- -:-�-����-. ,s_� -=
DIMING kSIGNA O a� , _ i .-.-> _.b =-.- 3
r - � -- Tx-N'�� �-�� '� �-=sx�=�Bl1IL.UING:S ELLO L �'� "`'�fl-NU�`'_- -
n,Ilk 1O DESIG(YA O _" �€ i=-F=y= 1 s s '
.� �...�...� _ 7i. N.L��•;-__��.-� _;-:� _ '�BASXC QLA�„'`' ❑�(�S�-. =1V0=� -;,.. Y
SECTIONM£ -'_TOWNSHIP;ziv GRANGE--_ :-'= l- RES-r�-QU _„ ._<, - 1 -
__ __. ,� .z ;NEW:AUDRESS REQUIRED?�.:;.�r.-�-:❑31(ES°;� O'1�f0,�.=-
PL TTED.LOT?. ❑.YES_ ,'❑it O -----", -- ---1.::t,=CHANGCOF USE?. :,.',.'5:..-7,❑-YES_ =x❑.NO.' x ..:=`-,
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
4
• 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 1100.000c 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$1.00.00or fraction thereof,to and
including$25,000.00
(1)$25,001.00 to$50,000.00
(1)$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$500 for each additional$1,000.00 or fraction thereof,to and
inducting$100,000.00.
(6)$100,001.00 to$500,000.00
(6)$1,110.00 for the first$100,000.00 plus ..** or each additional II.000.00 or fraction thereof,to and
including$500,000.00
(7)$56t,001.00 to$1,000,000.00
(7)$3,510.00 for the fist$500,000.00 plus -.50 for each additional 51.000.00 or fraction thereof,to and
induding$1,000,000.00.
(8)$1,000,*•1.00 and up
(8)$6,260.00 for the first$1,000,000 'i plus$4.00 for each additional 51.000.00 or fraction thereof.
Bold number Is the base fee for th-specified Increment
Italicized,underlined number ls,, a fee per additional specified increment
PLUS: Add 65 percent of the -building permit fee for plan review fee.
Add 25 percent of the ba -mechanical permit fee for mechanical plan eview fee.
Add 15 percent of the base ..'*ding permit fee for Fire District#39 s S.rcharge,commercial only. — -
Add$4.50 for WA State Buildin. ..e Council,plus$2.00 per unit • duplex&above.
**Electrical,plum.ng,and mechanical fees are calculated separately**
- in BUILDING . . .. _._ ..:..,.. _ - _
PROPOSED VALUATION: NPV
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
,)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surc-arge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Nu -ter: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review :•: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TAB A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit F• •: (6)
Estimated Plan Re iew 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): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
r
• 1
• -ELECTRICAL- -•
A. TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
A Single Family _Service or feeder only $50.00 _Si of Thermostats(First-$37.50;add'n-$11.50ea)
(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 Ftet: g 0 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) _N 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 $ 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
Vice or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
�F 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 ca)
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)
k ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) - (21) (23)
' Iota! (Pages one&Two): line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
1
Bulletin #100-February 19,2002