02-104791 City of Federal Way
Community Development Services Electrical Permit #:02 — 104791 — 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: L ORIGAN MANOR LOT "G"
Project Address: 35715 8TH SW Parcel Number: 440561 0010
Project Description: ELE-Installing 200-AMP service for new single family residence approx.4000 sq ft.
Owner Applicant Contractor
CARY LANG CONSTRUCTION INC MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
3461811TH PLS UNIT 200 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
DeScci•wal t*c f:;i'l it'- ::.aS.E:SCr1ation QUi'lril d),4 ,WQescr'iptiori fik, Quantity
Service: -Residential N 4000
PERMIT EXPIRES April 27,2003,IF NO WORK IS STARTED.
Permit issued on October 29,2002
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 Way4
Owner or agent: 4�� %�?�C' Date: / ""d
-- l2- D 2 Se r pip ru,—, 3 --
•
�1,. Cp3Y ctie e ccl/V t
a(
3-- -03 , (
O`.)
I*V
)00o„ 41
i9
kn
L b CONSTRUCTION PERMIT APPLICATION
\)\> Ry APPLICATION NUMBER: - _Dig - �Z
C' BUILDING DEPT. AY 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: 46 3111 Ave.- cJu.) ASSESSOR'S TAX/PARCEL#: (O J , ( - U
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): oV(D
:.• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
)t'" ELECTRICAL ❑ ENGINEERING❑] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): -2-60 a-✓3i Uva / /( ?fcib
t� /1
PROJECT NAME: L 0 Y y n Maw,r Lo T ' I;
•
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAY TIME PHONE:
ti Y Lang '112(0
MAILING ADDRESS(STRrif.
ADDRESS; STATE, P /CJ HQ Y6,C1 'LSI 'j0.43. - - -
CONTRACTOR: NAME: DAYTIME PHONE:
(V1 e 2-1D Pt-rV (a)%l T E—L&Cy i L (ts3)az18 - 5555
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1/IUGI Lou' Th 14 f u(J. Gt//up T 373 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
ZU G a1 o Z LpZ 0 O ( s3 ) - O qi .
CONTRACTORS REGISTRATION NUMBER: 14.4
�t !! C� EXPIRATION DATE:p
(copy of card required) 1�A.4 D L E 3 1 S1 S(7L Z /�ip / U 3
APPLICANT: NAME: DAYTIME PHONE:
1L�r (263) az-I8 -SSSS
MAILING ADDRESS(STREET ADDRESS;cm',STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER 'APPLICANT CONTRACTOR
•
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 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: $
■ 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: �y
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.C )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 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(including 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 claim 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 this application.
Liv applliica ion.)
NAME/TITLE: ___rte%¢ iL�� ���. �I � DATE: I G�" 2 / --z.,
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
+: r
•
.F.ORbFF;ICE:USE•ONLY: j
1 "C -.7:'-7:;4-1---®; DDI)Ill If lE ALTERATION S . -0 StfUlteCi7,7 ,~0 E(dNTtIMirg%tijtifft -
E; XCEPSUSODE:==P> :'_- _� .:...;�Li' -: 41.OT5IZE`;:_- _4,_'-m.._W _.- '''` fi-_.-I-1---tit_7=
_ W-77-1-77 .4-4-- ----.t -;4 TILDI -G$ ELIOLY? ❑rEgtittEl NO tin
'.
Ye• _.� M•UO-�. lr-_-_ - --;a... 0=_ -s , ' "yx"•-fe- S:-- ieisiji.,A-il NQ177
-',y'Tt -_=2- 't2'r
ON--,.€7,:-.7;!-_-_-..- _,$) N$10.. ,,:; RAGE_`-----..-i' ;NEVfi 1DDRESS,- EQUIRE.Ci 's 1 kS.. :- 00I=_
Cl _= ; _ ttiaco 'st Y :.C1xEsavoARW
OOMMUNTTY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.cltvoffederalway.00m
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 induding
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus 115.501 or 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$11.00 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 for each additional 11.000.00 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 15.50 for each additional$1.000.00 or fraction thereof,to and
induding$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 S1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
jbrtized,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 Fire 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) i
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): Une(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 550.00 _#of Thermostats(First-$37.50;add'n-S 11.50ea)
(First 1300 ft2-575.00;Each add'n 500 ft2-$24.00) _Service and feeder S81.00 '+ #of Low voltage fire or burglar alarms
Square Feet: 4-C , First 2500 ft2-$43.50;Each add'n 2500 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-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 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 5 81.00 5 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 .
_ (1
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 -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 1
0 to 200 amp S 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 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 575.00/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
l
Mitijation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total(Pages one&Tyro): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24) I
Bulletin#100-February 19,2002