02-104586 ,
•
•
City of Federal Way Electrical Permit #:02 - 104586 - 00 - EL
Community 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: NELSON
Project Address: 207 SW 303RD Parcel Number: 233730 0240
Project Description: ELE-Alteration of up to(4)circuits for plugs and lights in existing residence.
Owner Applicant Contractor
G Marvin&Janice Nelson Jr. G Marvin&Janice Nelson Jr. G Marvin&Janice Nelson Jr.
8216 ORCAS DR 8216 ORCAS DR 8216 ORCAS DR
PASCO WA 99301 PASCO WA 99301 PASCO WA 99301
(253)945-7777
Electrical Fixtures
. � .pes'��t"p�ctN=. " ��,;����j���w . M `�13escripttcSrt`�a:`�'�' ;'�'a,Quant► esOIStlanl'x." .. Quantity
Circuits-Residential 4
PERMIT EXPIRES April 15,2003,IF NO WORK IS STARTED.
Permit issued on October 17,2002
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: ...4b41/4)-V14 /v L Date: /O^
IA- Cl (buy IA ti/ M.,40) 0,4 (1 /9-tr ,,v 9.23,
Pi NAL Tire A- f ci,
4
, r N
• ur•.Or ErECENED CONSTRUC I ION PERMIT APPLICATION
APPLICATION NUMBER: 152- _lvY (o- 0e)
VV F-IY
oCT 17 2002 APPLICATION NUMBER: - -
� FEDER
ALWAY
CITY APPLICATION NUMBER: - -
SUi l� (Wig is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
'11 - 1.' PROPERTY INFORMATION •
SITE ADDRESS: �cQ 7 5(-Lf .3G3 hd ST. ASSESSOR'S TAX/PARCEL#: ,23 73 - D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,b 0 U e i /dks5
:::-=:_ _:�•�,... _�:..-- :, _--- - ' :-1.1 PROJECT INFORMATION' . - -:= •. _. -
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
,PROJECT DESCRIPTION(Provide detailed description):rr ,! �7 c-
/ i 7--c. A V / /1-4.m.i / iC O crYv') :�� - !� ��5 t'- i�-
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PROJECT NAME: NeZ4feA,/
r PEOPLE INFORMATION ''
PROPERTY OWNER: N , DAYTIME PHONE:
&-• /YAP 1J/Ai %I/L:�Sa/t) — N.? G/53 ) `irgs- 7777
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
W6 cRc.Qs DR. PASco, LtJ . 77c (
CONTRACTOR: NAME: /�./�� DAYTIME P`/HONE:
MAILING ADDRE STREET ADDRESS;CITY,STATE,ZIP): E NING PHONE:
4 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEVENING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) -
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 .• : • - : • ' d S: $
SPRINKLERED BUILDING? ❑ YES ❑ . • - ••RESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDE'• ■ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA l •-' ;TE(WELL)
SEWER S : • PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ -
' • PROSECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. -7 TOTAL
BASEMENT
'V
FIR 7
SECOND
/
THIRD i
ri
FOURTH /
/
OTHER FLOORS(DESCRIBE) ,
/
DECK /
GARAGE
HOW MANY FLOORS?
TOTAL:
._....-,-.,....:c,e ..... ...r,.. w�._ -...0,-:.-4- .".**.srk:wsii.voia ti 111 s Fl)1�V�
URES'.crrte,--i, a«,......q.a.:. ...,44»s.' ,,..r+-iv,.:..-.aaf'•ay...te.i...
Indicate number of each type of fixtur-
MECHANICAL
AIR HANDLING U, (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.( )
COMPRESS••(S) FURNACE(S) --,,
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
B, HTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
9 ISHWASHER(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,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the information supplied to the city
,UC aas/a part of this application. )4 p`)
•
NAME/TITLE: cz,j/,,e,-r�yy ! DATE: k (
3 " ..•
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
=FOR;OFFICE USE ONLY:_1
z G] DDITION;.11 r a-' �' , �<. •-- -����•-g-
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US.CODE:==,w-`= -—,:l-
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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
r
• 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 VALUATIDU 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 a •including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2000.00 plus$15.50 for each additional$1,000.00 or fraction.•-- eof,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$1,000.000 radion 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 _:4r f.r-a h...it'.n./ I u.../.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 ../S f•r-.. .ddi i-,nal 1 01.10 or fraction thereof,to and
uding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$3 10.00 for the fist$500,000.00 plus . .r ...i'.nal 1 LGr.id or fraction thereof,to and
ind •ing$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,26. 00 for the first$1,000,000.00 plus S4. for each additional$1.000.00 or fraction thereof.
Bold num. Is the base fee for the specified I ment
jta/idzed un•er/ined number/s the fee per ditional specified increment
PLUS: Add 65 percent of the base building permit fee for plan re•;ew fee.
Add 25 percent of the base mechanical permit fee for meth nical plan review fee.
Add 15 percent of the base building permit fee for Fire Dim.' X39 surcharge,co• meroal only. -
Add$4.50 for WA State Building Code Council,plus$2.00 per•nit for duplex: -bove.
**Electrical,plumbi •,and m-u .nical fees are calculated separately**
■ B�JILDING - - - :
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) :.se Fee:
Additional crement Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcha •e: (3)
(COMMERCIAL ONLY)
■ MECHANICAL • -
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: N ber: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Revie Fee: (5)
• FIRE PREVENTION SYSTEM
PROPOSED VALU• ON:
FEE FACTOR •M TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimat:: Permit Fee: (6)
Esti ated Plan Review Fee: (7)
•. '• . . . • •■ PLUMBING •
Base Fee Number of Fixtures
$22.50+( • X$8.00/fixture)= (8)Estimated Permit Fee
Estimated Pends Fee •
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10) 1
Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES e
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ca)
(First 1300 ft=-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alamis
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-S 11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(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 80,10,1 - 252.50 189.00 _401-600 220.50 88.50 -5 circuits-$63.50;Add'n circuits,$5 ea)
ALTERE 11 (1
•
/ ULTI FAMILY _601-800 284.50 120.50
(When inspecte. 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 $ 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 i '\ _over 600 109.00
(1-4 circui - 50.00; d'n circuits$5 ea)
If a new or a mercial 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
TOTAL CO . N (D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated•- •it Fee from line 1
Estimated Plan Review Fee: $63.50+( X.35) _ (13)
OEMOLI:iON
A41.116M
I
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee: •
Bond Amount: (1
k . •■ OTHER FEES
• Mitigation Fee:(1: (20) (22)
SBCC Surcha :-:(19) - (21) (23)
r Total(• .-One&Two): Llne(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
t N.
• Bulletin#100-February 19,2002