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02-104158 City of Federal Way Electrical Permit #:02 - 104158 - 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: LEONARD Project Address: 30620 1ST S Parcel Number: 339210 0100 Project Description: ELE-New 200amp service Owner Applicant Contractor JOHN LEONARD JOHN LEONARD NONE 1402 AUBURN WAY N APT 394 1402 AUBURN WAY N APT 394 AUBURN WA 98002 AUBURN WA 98002 Electrical Fixtures Description: C11)4fiti ' p 01,1 : '? uantitjr' pes rfp iori 5;: , Qu tit Service: -Residential 907 PERMIT EXPIRES March 24,2003,IF NO WORK IS STARTED. Permit issued on September 25,2002 I hereby certify t ,t - abov- formation is correct and that the construction on the above described property and the occupancy .t the u - w 1 be in ace,''ance with the laws,rules and regulations of the State i f Was gton and the City of Fe 4 eral ay. Owner or ag nt: Date: / Z a C-- ��' `e o CONSTRUCTION PERMIT APPLICATION �jV � L APPLICATION NUMBER: 0�- 4 0 I � 5 - , APPLICATION NUMBER: - APPLICATIONNUMBER:.• - - **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: �,4j�C ' Q' , -C:3-wr* ASSESSOR'S TAX/PARCEL#: - L AL DESCRIPT ON OF SUBJECT ROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): /O ('L1I� f}y ff7e 0 L ON -...__ .^-::..•':.-...:::::--_-- - _ ___ - ■ PROJECT INFORMATION . TYPE OF PROJECT(This application): Cl 9,UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): e A11GE._ 5 C,� 'T 20-0`t'v ve PROJECT NAME: 1.69v OL V/ ■ PEOPLE INFORMATION PROPERTY OWNER: NAME- DAYTIME PHONE: �J 6,44,,,,,,,A.6 (zo, ) 60P -s--rMAIv 2_ (Sn i ADD`�;CAle,11 ZIP): /_ , / 002— /� A( Why ,� 5� �(Bualll � �'� CONTRACTOR: NAME: DAYTIME PHONE: AiL I ( ) - MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAM€ DAYTIME PHONE: ,.J oh Al XklcOL ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 57)0A4 E.....- ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ClARCHITECT ElTENANT ❑ OTHER(DESCRIBE): °NNE-p ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: IQ"PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR , tp ■ DETAILED BUILDING INFORMATION EXISTING USE: igs/pc:ina2_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: kRS(. A/77kL. PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES I,Q NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES Ei/NO WATER SERVICE PROVIDER: 'LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: kd LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • • ■ PROTECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST • • SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: *yam .w. --.....-.n..n�,e+.....,. .,.>.�r--n.... .. .xMc�:rwe ifr.lt•+sCw:wswMsa'shiIs FIArURES-Xri.i+iavai-:7e...�w...w.+.�i,."--'Mrizie*rz-s+:a.�v�r+rr+viv,....-.�aNti-*.,..r'a.cr 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(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 authorize• -• .wner of the above premises to perform the work for which the permit application is made. I further agree to hold ha .- •the of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the investigati. . . •of• se of such d•'`m),which may be made by any person,induding the undersigned,and filed against the City of Federal -y,b• o where such • •,m arises out of the reliance of the city,including its officers and employee ,upon the accuracy of the in •rmati• • s •. ••d to the . as a part of this application. 917)(6 NAME DATE: ld PROPER • •• 'ER ❑ APPLICANT ❑ CONTRACTOR =FOROFFICEUSE"ONLY: "Ew ; ❑ADDITION;g . ;❑,ALTERATION" E1.REPAIit-= - ❑ITENANTIMPROVEMENTz: . iCENSUS CODE:'n' '= =W='z -•Y .- 3LOTSIZE:.& -l_:t:.. -+.-, ..•, .,. ��r�n.-;,.��_.�.�_-=.--F- ��s-�-.,rx.-" fir:. _�. a�. Oi�f NG; *ESIGNA•`fXQN= _ = -;�,z_: =z; ;gUIL:DING_SHELL.ONLY?DC7 YES;';n MM UU�DESK' �_�-- -- � .;3. -� �.. •� -- - y raineaei�Y jXrA.2 L2f€> rigftgi'S �i �yg F - �t:0 P GNATION �'= st�: �BASJ<C PL'Q�? ©�1(t:S'�'=_�t�0_,'� SECTION Y'=TOWNSHIPyx r"`xRANGE" "'_, =: iN ADDRESS"REQUIRED?�_; ` ;❑'YES iJ NO` 3- LOT?: OYES_ ❑ iVU =_ :CHANGE OF USE?- :` -;❑,YEStCj NO,.x=:.„. . COMMUNITY DEVELOPMENT SERVICE$.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253661-4000•FAX:253-661-4129 www.dtvoifederalway.com 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$250 for each aaddima/SIOV20r1 or fraction thereof,to and including . $2,000.00 (3)$2001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus 115.50 for each add�tional11,000;00or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 4 (4)$435.00 for the first$25,000.00 plus 111.00 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$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$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$5.50 for each additional$1,000.00 or 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$4.00 for each additional$1.000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,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 X39 surcharge,commerdal 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) - . - •. . . •■ PLUMBING . - .• . . . .. . • . • Base Fee Number of Fbchhms $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)1-(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 _!F of Thermostats(First-$37.50;add'n-$11.50ea) 2 (First 1300g475.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: 1 'o First 2500 ft2-$43.50;Each add'n 2500 ft2-S 11.50 _Each outbuildingorgarage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) • _N of service or feeders •Pcr WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-S50.00;Add'n service/ _if of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) L . _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 S 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _60!-800 amp 176.50 94.50 _201-400 189.00 75.00 _If of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-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 $ 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+$63.50.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) SBOC 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