02-104705 City of Federal Way
Community Development Services Electrical Permit #:02 - 104705 - 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: CASE
Project Address: 30225 10TH S Parcel Number: 515370 0080
Project Description: ELE-Changing 125amp panel
Owner Applicant Contractor
Colleen Lynette Case VAN KIRK ELECTRIC VAN KIRK ELECTRIC
30225 10TH AVE S VAN KIRK ELECTRIC VAN KIRK ELECTRIC
FEDERAL WAY WA 618 5TH ST SE 618 5TH ST SE
98003-4103 AUBURN WA 98002 (206)551-4173
Electrical Fixtures
. _ .R " ,,:_`xcripiirts :�tttt[tn s Cscn•titin • Quant
Alt.Serv./Feeder:0 to 200 amps-Res.I 1
PERMIT EXPIRES April 22,2003,IF NO WORK IS STARTED.
Permit issued on October 24,2002
I hereby certify that the above inf.rmation is correct and that the construction on the above described property and
the occupancy and the use will .- accordance w' the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Alh, Air Gh-1, Date: t 012+.1Q 2_---'
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ardor G RECEIVED CONSTRUC I ION PERMIT APPLICATION
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APPLICATION NUMBER: Oct - J Q T7e25--Ot)
OCT 2 4 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY . APPLICATION NUMBER: - -
**TheiNiQ IcsUA Aired information.-Please print(in ink)or type** .
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• P/.4 PROPERTY INFORMATION
SITE ADDRESS: TO -. L S Jb9/g Vi ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I
...-.. .-:-1-`.-:::-.--'.....-:-;1-•-7-:*":',: :"- -':.;----:-:-.Fn::-:‘. ' _ : .14 PROJECT INFORMATION-. - . , . ' . -.- . .
TYPE OF PROJECT(This application): ❑ B LDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
KELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
C I a-►JG, MC, P/+Ozr.2 a+ J L r 6 a,S 4-„,t% P) o IV
' )(. 1S7 ,iuG— ✓z<sl oE--JJC-t- -
PROJECT NAME:
. 14 PEOPLE INFORMATION
PROPERTY OWNER' NAME: DAYTIME PHONE:
CO L L-7--rJ C J t-5r - ( ) iv/At.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
V AN)1L l,21(_ --1.-.o ..-1/Z I C_ (3-°- ) SSI -4-11:73
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
G V q 5`6 -r. s> -, /1-v3'-w- J IA . 1 too)__ ( -S3) $33- 51e-2
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / FAX NUMBER:
( ) -
CONTRACTOR'S REGISTRATION NUMBER: c EXPIRATION DATE: jj
(copy of card required) 'V A ti ��j I E -q s / to I . .mom�I
APPLICANT: NAME: DAYTIME PHONE: 1
-D1�C�r1,,3 ')114-t ) 121 ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
S a- Ts >As v ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): 00 i (o25 3) ?-3- -S(g-1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: :••• I ALUATION FOR IMPROVEMENTS: $ .....-.
SPRINKLERED BUILDING? ❑ YES ❑ N• •E SUPPRESSION SYSTE • : •• D/REQUIRED•❑ YES ❑ NO
WATER SERVICE PROVIDE•• ■ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWE• -• - PROVIDER: ❑ LAKEHAVEN Cl HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NU, >ER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO3ECT FLOOR AREAS -
FLOG. EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
•
•
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.. s.�:... , >_r ,.... a .. .s ,....:.,r•:R FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIN NITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) OODSTOVE(S)
BOILER(S FIREPLACE INSERT(S) RANGE(S) M .( )
COMPR SOR(S) FURNACE(S)
DUCT ) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ■
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) S MP(S)
1'I '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 ha . -•. the City of Ft..eral Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defen • of.ud,daim),whi may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only er- such claim ari : out of the reliance of the city,including its officers and employees,upon the accuracy
of the informations p pli=. to the . .. a ,art of thi appli%tion.
NAME/TITLE t�,%L i/ �� DATE:
/d 7.y �Z
❑ PROPER OWNER ❑ APPLICANT ❑ CONTRACTOR
_FOR`OFFICE USE ONLY:
E&NEW f_?x❑=ADDITION ❑ALTERATION;.r ==_❑ REPAIR_-'= ❑TENANT-IMPROVEMENT:'
CENSUS:CODE: z- __ =;< .:. >- _ r =LOT SIZE _ z,„_
_.����33- '� '' _ Y�' :?i_x_._.-
ZOfiINGJESIGNATIOBUIL DING SHELL ONLY?;`❑
COMP$ ANDESIGNATIOfVss
_ _ '.BASIC P1AN,y_ �❑�1fES;-.=z _�:,.:-:-..
ISECTION _=` 'TOWNSHIP'S ":'_RANGE -, _4 =NEW ADDRESS REQUIRED? `.r.❑,'YES` ❑YNO_
PLATTED.LOT? ❑ YES.- .❑ NO '= -CHANGE OF USE?-= ❑YES =`=❑ NO. '
COMMUNITY DEVELOPMENT SERVICES_•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.clt-voffederalway.com
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAF,JPRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FORZNCDRRECT 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$350 for each additional S100.00 or fraction thereof,to and inducting
$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$1,000.00 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. i
(5)$50,001.00 to$100,000.00
(5)$710.00 for the first$50,000.00 plus S8 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
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$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#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)
IN 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 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 000: Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
■-ELECTRICAL
TABLE B
Lr
• NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-S I I.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 Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$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) S17.50 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
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
1 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
N 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'l 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 Co MN(D): 1
Total Column(D)
Estimated Permit Fee: (12)
Estimated•- i Fee from line
Estimated Plan Review Fee: $63.50+( X.35)_ (13)
i L DEMOLITION
{
t Estimated Permit Fee: (14) /
Bond Amount:(15) //
■ ENGINEERING
/
Estimated Permit Fee:(k6)
Bond Amount: (17)
k - ■ OTHER FEES
Mitigation Fee:(1,8) (20) (22)
SEtCC Sure:(19) - (21) (23)
IOtaLpagesone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
/ .
Bulletin #100-February 19,2002