02-105436 AL
City of Federal Way
Community Development Services Electrical Permit #:02 - 105436 - 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: FOREST VILLAAGE APARTMENTS
Project Address: 31500 33RD SW Parcel Number: 122103 9029
Project Description: ELE-Extending wiring to sign and adding lights.
Owner Applicant Contractor
PAC NW PROP&FOREST VILL GRIFFIN ELECTIC INC GRIFFIN ELECTIC INC
111 QUEEN ANNE AVE N#20 1427 SW 306TH ST 1427 SW 306TH ST
SEATTLE WA FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
98109-4955 (253)529-2923
Electrical Fixtures
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Circuits-Multi Family 2
PERMIT EXPIRES June 2,2003,IF NO WORK IS STARTED.
Permit issued on December 4,2002
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 Wa .
Owner or agent: Date: /oZ" 4
�Z- / — D 2- c LSV ! C C P ;/i) 4PAa
Y l•,.
RECEIVED
a"°F• G CONSTRUCTION PERMIT APPLICATION
IFiv U• 4 2002 APPLICATION NUMBER: 0_2,- _t os
DEC r APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
R11''ILDING DEPT
**The rotfowing 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: 316(x) 33rd p). w ASSESSOR'S TAX/PARCEL#: ( z.-0 - 9'421
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-.__:.t;;;: -. . _ _ _- -7 : .11 PROJECT INFORMATION`. " .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ARI ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION j��(Providenndetailed description): � ( yLQ '� SLl/y{"
J- QGL1 l. l�- , d
PROJECT NAME: Fdre +- Vauf,`J`I . 4i3I,Q
� .-•■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Fo4eesf VIIIa t, s ( ) -
MAILING ADDRESS(STREET ADDRESS; STATE,ZI • -
i6ao a4-e-1 p- Slp( kWa q&)-2_
CONTRACTOR: /NAAMME:Lo�-r�- J/_�t/_� DAYTIME PHONE:
hIAILING ADDRESS(STREET A� -STATE,jP): (ZSEVENI )PHONE: - Zq
i 4a- Gil 3 W� WIC aZ (S3) 62-q - 2q23
CITY OF FEDERAL WAY BUSINESS LI NSE NUMBER: FAX NUMBER:
:41:12-V i q 9 ee - L G S Q 6 5 - Zi,--_ (253 ) Szcc - 4o
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 61e1 / S 1 o44 (/V i 1 / 1 S / a
APPLICANT: NAME: DAYTIME PHONE:
_61/214C/n41 c. 1 1C-
(2S3) S -2-q2-3
MAILING ADDRESS(STREET AD RESS;CITY,STATE,ZI,12). EVENING PHONE:
I ifs"-7 Sti/ 2 1. f' dLrafL V143 11(' Q 7 3 (2S3 )5z / -Z�I Z.3
RE TIONSHIP TO PROJECT: r,�_ FAX NUMBER: �y
❑ ARCHITECT CI TENANT OTHER(DESCRIBE):LJJ/rR'CLC.. (2c3)S2q -26°/
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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** •44 -I
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:
:_.,.a-......a.�..�..«,t �...>i...y.,,.w.._ swcie e.,.rr.44r+scno-uirs-swesaswU FIXTURE.S•Xrr:sw..'ani.j:.r::.n.......t.:,—vaa.:s.»s.+ea.;:wersan%+:c�, " '- a:..i�,.�nAvc+.....•re,;,f+
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 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 o•ly where such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information-upplied to the city as a part of this application. /�
NAME/TITLE: :���S - I r �[�" iZ-04 _' • DATE: � 1-1-62
❑ PROPERTY OWNER 0 APPLICANT A4ONTRACTOR
f_OR:OFFICE USE ONLY:11
O !NEW i❑ADDITIUN;,`=s=;1;❑:•ALTERATION - .'= .REPAIR= ,.:.;❑JTENANT4MPROVEMENT.€ _.
,�'`s
.-�•�`x - .,_
i!- OI YfV�G r SIGNAT104 AMi T`' ;x f_B 11 I(:DING SHELl•lski t .Lfl NO;art=-- *, :� -
-ir".: i.; - i.+.,yKys..v'cw.ea�• - y:t:-- ,aF-,,.y- c
C, tla- j DESIGIVATiON a:,,:W,W,-t -``: �
a�,•w..�<, tee.-......-_..�-�� •a. - - ,•,,;,titer •cue..
S ECTION, =':TUVVIVStIIP�""'�'RANGE :NEW:ADDRESS REQUIRED? �`. ❑(ES ;❑* f O f
-ro YES 0,-YESx
COMMUNITY DEVELOPMENT SERVICES.33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffedera lwav_oom
- 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 adddional1'100.09or 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 515.50 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 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
induding$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 add,tional3'1.000.00or fraction thereof,to and
induding$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 Fre-District*39 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 Are 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 Pictures
$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)
• • •-ELECTRICAL
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-$11.50ea)
T (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-S43.50;Each add'n 2500 fe-S 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-S37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50_Swimm ng each)
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
_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
2.#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ea)
IC 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''plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) - NUMBER OF UNITS(C) TOTAL(D)
i
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 '