02-105411 ip 11 , . I ,i
1,—City of,ederal Way
1t mmnauuty Development Services Electrical Permit #:02 - 105411 - 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: TERRELL - -
Project Address: 31257 7TH S Parcel Number: 860340 0080
Project Description: ELE-Upgrade to 125-amp service for existing residence.
Owner Applicant Contractor
Doris Terrell Doris Terrell Doris Terrell
812 33RD AVE S 812 33RD AVE S 812 33RD AVE S
SEATTLE WA 98144 SEATTLE WA 98144 SEATTLE WA 98144
(206)324-7589
Electrical Fixtures
Description., ,Quantitjd :' k e" ,er', ` crtt�'` ","(Quantity f.,_,,-i',Description R` :s:�i:JQuantitjr
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES June 1,2003,IF NO WORK IS STARTED.
Permit issued on December 3,2002
I hereby certify that t•- .:we information is correct and that the construction on the above described property and
the occupancy and th. - -11 be in accordance with ,e laws,rules and regulations of the State of Washington and
the City of Federal W.
42
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Owner or agent: ,........4 Date: 1'' .\t/+0
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.City of+ederal Way
Community Development Services Electrical Permit #:02 - 105411 - 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: TERRELL
Project Address: 31257 7TH S r Parcel Number: 860340 0080
Project Description: ELE-Upgrade tq 0O amp service for existing residence.
Owner Applicant Contractor
Doris Terrell Doris Terrell Doris Terrell
812 33RD AVE S 812 33RD AVE S 812 33RD AVE S
SEATTLE WA 98144 SEATTLE WA 98144 SEATTLE WA 98144
(206)324-7589
Electrical Fixtures
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.< ,� j3�tt . .. �E_-.Cl�E" � �_:�.;� -- �¢_�, �
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES June 1,2003,IF NO WORK IS STARTED.
Permit issued on December 3,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and - .will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal �Q�
Owner or agent: Q �AI)11 ? Date: /
RECEIVED
VViG_�Z�L�, CONSTRUCTION PERMIT APPLICATION
FTY UE 3 2002 APPLICATION NUMBER: DZ - /o,S-y// - DD 6Z__
APPLICATION NUMBER: - -
CiTY OF FEDERAL WAY APPLICATIONNUMBER: -
-
BUILDING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Preventi,n S tems and Engineering permits may require a separate application.
/ WI PROPERTY INFORMATION p
SITE ADDRESS: _,/2.F 7 7 " /9-----. S ASSESSOR'S TAX/PARCEL#: _ ! o 4 v0_ - 0 0 ,' v
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.- ... _::,�,. :- ... -....: - . - ►:/ PROJECT INFORMATION' . -
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
XELECTRICAL /❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): e�lits.,f..52 f,bc 40 x 122 b di'154Vg-
PROJECT NAME: 141-
14 PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
/2°N-1 /tee/CAt C ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
c/e2 3 2 Ad /J-" S' Y gr7'C-e &),4 7 I/- ` -
CONTRACTOR: NAME:
DAYTIME PHONE:
,t/r /-e x f-e /( ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1/2 53A, -. I' -�e9fr-c.- 4/4 7/iry ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: N /- DAYTIME PHONE
N7
#z/tl /ie 44C/ ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
1/2 33,o /9viz S J'R crrr6—e 414 8/v 5` ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPRO ' S: $
SPRINKLERED BUILDING? 0 YES ■ NO FIRE SUPPR - I SYSTEM PROPOSED/REQUIRED:Cl YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIG - ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHA ■ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRI
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: 11.11111
Indicate numb-r of e• type of fixture
M • ANICAL
AIR HANDLING UNIT(S) EVAPORATIV OOLER GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLA ' INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNA (S)
DUCT(S) GAS P •E OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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 -DISCLAIMER/SIGNATURE BLOCK •
I certify under penalty of perjury th t the i formation furnished by me is true and correct to the best of my knowledge,and
further,that I a - thorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to old •rmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation an• defe •e of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,b only ere such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informati up. ied to the city asap•rt of • ' •pplicati.
-
NAME/TITLE: �i A� – � / •/ DATE: 1 —
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
•
FQR;OFEICE USE_ONLY:-z1
xI!IE1AI� ❑;ADDITION : ❑ LTERATION `f8„REPAIR : =,®i EiVANT-IMPR-O,VEMENi-
rCENSUS CODE: - SLOT SIZE3 .z
OI'INGp' ;S 6N TIO _ _ BUILUINpUELIONLY? O YES; E froa.
M�'DFSIGNAIIUN �`�£ EIT'AV PLA ?
_
ss _- __ �.•_ ;k- NEWADD E U` ,,: ;n_3 ❑x
= 0
-
=❑YrS. :EI AFIa OY, .SvEzi1s,x ❑2YES_t4:04Ny- ar
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvorfederalway.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)$501.01 to$2,000.00 (2)$26.00 for the first$500.00 plus 1350 for each additional$100.00 or fraction thereof,to and induding
$2,000.00
(3)$2,001.0•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 1. 50,000.00
(4)$435.00 for the first$25,000.00 plus$11.00 for each additional 51.000.00 or fraction thereof,to and
including$50,000.00.
(5)$50,001.00 to$100,x.0.00
(5)$710.00 for the first$50,000.00 plus$8.00 for each additional$1,00.00 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$6.010 for each additional$1.000.00 or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1.000.00 or fraction thereof,,tand
..• •ing$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,-•0.00 for the first$1,000,000.00 plus$4.00 for each additional$I.o00.00 or fraction thereof.
Bold nu •- is the base fee for the specified increment
jtarcized .derlined number Is the fee per additional specified increment /
PLUS: Add 65 percent of the base building permit fee for plan r= •ew fee.
Add 25 percent of the base mechanical permit fee for m-. •nical plan review fee.
Add 15 percent of the base building permit fee for Fire D''s #39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Council,plus$2.00 per .it for duplex&above.
**Electrical,plumbing, .nd mechanical fees are calculated separat- **
■ BUILDING .
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Incre -
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)Additiona ncrement -.-:
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 F -
. . .. •. . . . - -■ PLUMBING • . . . .. . •
Base Fee Number of _
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee
Esdmabed 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)
IA_ELECTRICAL
r• 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-S 11.50ca)
(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-550.00;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 S 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 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
1ervice 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+563.50.Add'l plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE BIB) 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)
I - ■ 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