02-105386 City of Federal Way
Community Development Services Electrical Permit #:02 - 105386 - 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: KIMMERLY
Project Address: 31404 7TH SW Parcel Number: 555920 0120
Project Description: ELE-Complete re-wiring of house and garage. New 200 amp service.
Owner Applicant Contractor
Eldred A Pilant CAROLYN KIMMERLY B R&ASSOCIATES INC
31404 7TH PL SW 3 62ND AVE NE 12313 40TH AVE NE
FEDERAL WAY WA TACOMA WA 98422 SEATTLE WA 98125
98023-4623 (253)820-8213
Electrical Fixtures
_ ity ��es�ript4o ° C4C ua taffiggaWiftWn7777. Quantit
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES May 31,2003,IF NO WORK IS STARTED.
Permit issued on December 2,2002
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. /
ker2Owner or agent: Date: / 6 / ( ` 0
Rough-in inspection:
Date
Service inspection: Al PQ-6 1/ -ea f2r/�/9 'Z
Dat
FINAL inspection: f Q�2p(J — (2 (6l
o Da e
CLOS-0 V hT ('-/(F70 1 —c
�� RECEIVED CONSTRUCTION PERMIT APPLICATION
uV FEY 1.._ DEC 0 2 2002 APPLICATION NUMBER: q,.......- -(Q s(Q -E
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
•
**The following is required information-Please print(in ink)-or type**
Please note: Electrical,Fire Preventio S tems and Engineering permits may require a separate application.
• ,
• " • IV PROPERTY INFORMATION
SITE ADDRESS: og/ 'T /itZ " S'�/^ ASSESSOR'S TAX/PARCEL#: - `
Ce.Ja 8-D .
LEGAL DESCRIPTION OF SUBJECT OROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
011 PRO]ECT INFORMATION . - . . -- , -,
TYPE OF PROJECT(This application): ) LECTRICAL
❑ UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Cao ip/e )
7 1-e_ -e f/ '/ 77 90 a 7 ,4 LSC c,i- a.r2
7' e....
71 e.1.0 SP_rviCe- J,200Q.7// V
PROJECT NAME: IL --( VO4/14/I'
I PEOPLE INFORMATION
PROPERTY OWNER: y E: E/Q/i,_� �',4„ 'DAYTIME PHONE:
S
" PO/1 1i ��r/ 1er4 / /,EF es-74:2-71-e- 64.5 W-5"dOZ
MAILING ADDRT S( EET ADDRESS;CITY, ATE,My):
- �� , Ue-. ?.E: 7:a7d o m .- ,j 9fs414-7 ,
CONTRACTOR: NAME: DAYTIME PHONE:
G ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) I /
APPLICANT: N9 DAYTIME PHONE:
Camra ETi erl iZSQ92
4-Y6
MAILI G ADDRESS AD ;CITY,SLATE,ZIP): ��. EVENING PHONE:
- CO 7 a , U e. 27,� 07714,, M7
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: IPPROPERTY OWNER IId"APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APP• . -. • • UATION $
PROPOSED USE: PROPOSED V: . • ON FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO • - -• ION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAK • EN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE "
SEWER SERVICE PROVIDER: / LAKEHAVEN ❑ 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:
.... _•..+-...•.n e,.+...,� ....y•.�.�......n.._ .. . s.eic2}cwvrr...+r„s cuwiiJuiws•yr s IX URES'Xrt•:xr•,..i-:�'t.♦..�.w. r+.:.rn+.s:i»irv.wr+-rr-il::aei-r..rr+>....w�,Y.�v w.r.a+f+
Indicate n•mber of each type of fixtur•
MECHANICAL
AIR HANDLING UNIT(S) EVAP• • •TIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN -) HOOD(S) WOODSTOVE(S)
BOILERS) Fl• PLACE INSERTS) RANGE(S) MISC.( )
COMPRESSOR(S) F •NACE(S)
DUCT(S) eAS 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) S MP(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,induding the undersigned,and filed against the City of
Federal Way,but only where such daim 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 •-f this application.
NAME TITLE• DATE: 472 — 6)/2- D
E PROPERTY OWNER APPLICANT ❑ CONTRACTO
FOR:OFFICE
USEONLY: J
O Evv -= ;❑ADDITION;taILI=:ALTERATION=- =-( REPAIR} °:-❑ TENANT IMPROVEMENT s'
CENSUScODE:
OTNG704I04701 _=V=��;jib
.._LDNGHEIONYO� ES= fl -
COMP <LA LDESIGNAT,i I i i'` ) BASXC L:AN-410*.
ON ''TUVVNSt1IP_:f" RANGE _-Gam.�. 1 s'f
❑YES .��,�=(�10,�,,.,,
LOT?f'711❑ (ES. t -IVOCIiAN6EKOF USE? i=_- -;❑,YES.`: ❑=NO.'x Y=, ;.;,;.-
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
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 13.50 for each additional$107.00 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$1.000.00 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$1,000.00or fraction thereof,to and
including$100,000.00.
(6)$100,001.00 to$500,,i0.00
(6)$1,110.00 for the first$100,000.00 plus$6.00 for each addition/$1,000...or fraction thereof,to and
induding$500,000.00
(7)$500,001.00 to$1,000,000.t
(7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$.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 19.00 for each. $1.000.00 or fraction thereof.
Bold number Is the base fee for the specified increment
jtalidzed underlined number Is the feeper additional.peeified increment
PLUS: Add 65 percent of the base building perms fee for plan review fee.
Add 25 percent of the base mechanical .- it fee for mechanical plan review fee.
Add 15 percent of the base building permit f-;for Fire District#39 surcharge,commerdal• ly.
Add$4.50 for WA State Building Code Council, 'us$2.00 per unit for duplex&above.
**El-• ' .1,plumbing,and mechanical -,are calculated separately**
- -- ■ BUILDING . .. -
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a :.se •-
(b) Iditio'al 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: Nu -.:.. (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review F:•: (7)
• ' . . -■ PLUMBING .
Base Fee Number
$22.50+{ - W 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)
TABLE B
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-SI I.50ea)
(First 1300 ft2-575.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Lo*voltage fire or burglar alarms •
• Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft-$11.50
_Eachoutbuildingorgarage $31.00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) _#of service or feeders •Per WAC 296-46-9I0(5)(b)(i&ii)
Earth outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _N of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-S32 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 S 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 S 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 _I O I-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
grvice 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 S 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 ca)
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 S75.00/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)
SBCC 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