02-103505 City of Federal Way
Community Development Services Electrical Permit #:02 - 103505 - 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: SPICCIATI
Project Address: 28004 24TH S Parcel Number: 326080 0070
Project Description: ELE-Electrical work for alteration of up to(4)circuit for residence.
Owner Applicant Contractor
Alan D&Shannon K Spicciati EASTSIDE ELECTRIC EASTSIDE ELECTRIC
28004 24TH PL S 1710 TALBOT RD S 1710 TALBOT RD S
FEDERAL WAY WA 98003-2961 RENTON WA 98055 RENTON WA 98055
(425)444-7315
Electrical Fixtures
:l escri do ua tii" 5k:; al e""scri tion" Quanti
Circuits-Residential 4
PERMIT EXPIRES February 11,2003,IF NO WORK IS STARTED.
Permit issued on August 15,2002
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 W .
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Owner or agent: �' Date: („
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�� G RECEIVED CONSTRUC I ION PERMIT APPLICATION
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AUG 1 5 2002 APPLICATION NUMBER: 02- - LO ...3 S) S-(17_(2z.
APPLICATION NUMBER: - -
` CRY OF FEDERAL WAY APPLICATION NUMBER: - -
I BUILDING DEP
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention • stems and Engineering permits may require a separate application.
' '- . . - - . ►4 PROPERTY INFORMATION
SITE ADDRESS: L` L�t T t-, J- ASSESSOR'S TAX/PARCEL#: 3.2 6 et() - elb ) e)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' 1 'ill PROTECT INFORMATION' - - . -
TYPE OF PROJECT(This application): • BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
►`\,ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): 1 N S �-t t t 7 ,T122 t "p-{�r
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PROJECT NAME: iff(( f''" SpI ( -r(
�� PEOPLE INFORMATION
T
PROPERTY
OWNER: - NAME: DAYTIME PHON
4 Oa 0 S/o= !A TTTT (2s3) S 2C( _ 2 s -c 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
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CONTRACTOR: NAME: DAYTIME PHONE:
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MAILING(ADDRESS(STREET ADDRESS;CITY,
1STATE,ZIP): EEEVENING PHONE:
CITY OF FEDERAL (Wc,BUSINESS LICENSE NUMBER:�� / t SOV--r-i-
FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUMBER: / �/ �j EXPIRATION DATE:
(copy of card required) g it S 'T
S C * / 1 I p I /
APPLICANT: NAME: r. ( DAYTIME PHONE:
1= asr-ST� F-� - i-t C., J« cS /C(c''..-C ( e '.('ti - 73(S
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( 7( o -f-t. ( 1 :r !)c S 0,, •-"f" ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 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 FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO ' 1
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS -- •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
..... _...-.-.•....a.o-e+..,� -".ru>r...:.:,,�w«_.+.. - sMci•=.cnvifexh*+irsrwsral.v sa3s.�i�•FIX URESJirri<crus'i� "e+:n.ww.i�.:rwa s+iw�.:Biu;.ie+:z+�a:c%aesytr.�-+-w•u.-�aaNr.-v.wkt i.n•
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) SU P(S)
"DISCLAIMER/SIGNATURE BLOCK _ -
I certify under penalty of perju 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,induding the undersigned,and filed against the City of
Federal Way,but onl ere such claim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the information p lied to the city a part of this application.
NAM E/TITLE:
DATE:
(J l
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
;FOR°OFFICE USE ONLY:Al
TN ;❑ ►DDIfION =3D 1LTERA110N : & REPAIR: � ai,tJiTENANT:IMPROVEMENT 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.cof Tl
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TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$1 1.50ea)
(First 1300 ft1-$75.00;Each add'n 500 ft1-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft1-$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-$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
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
_20I-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'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 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
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) c (21) (23)
Total(Pages one&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002
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 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$1,000.00 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$1.000O0 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$800 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 31.000.00 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 31.00000 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**
_ _ .. � al 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 •- . . . .. • .
rase Fee Number of Fbctures
$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)