02-105007 City of Federal Way Electrical Permit #:02 - 105007 - 00 - EL
Community Development Services
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: SILVERWOOD,LOT#50
Project Address: 839 SW 364TH Par r '9645 0500
Project Description: ELE-Wiring for new single family residence
Owner Applicant Contractor
QUADRANT CORPORATION,THE MERIDIAN CENTER ELECTRIC DIAN C R ELE INC
PO BOX 130 11109 66TH AVE E 11 T E
BELLEVUE WA 98009 PUYALLUP WA 98373 PUY A 98373
(253)84 5
Electri s ixtures
ii seri i Oen' ,. 77, r %.., 'E aim ,'t :t :; Description ;m 4.` CYjantitY
Service: -Residential I ',
PE' XPIRES M• 1,2003,IF NO WORK SARTED.
Pe ' . ed on Novem' ,20
SS
I hereby certi t the above information corr- and that the co to .n - above scribed property and
the occupancy use will be in accor nce with the I s, s a s of to of Washington and
the City of Federa plicat'
Owner or agent: Date:
( 2 - ?— cZ tie c..e , L t�'1
1 n RECEIVED CONSTRUCTION PERMIT APPLICATION
uV �y APPLICATION NUMBER: OZ - 1 6500
NOV 1 2 2002 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
**The aIJd tllifbsDEs1 iFi:ed 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: 8-39' L)GO 2 (-l�
..:� .. c 7C 1�-1 pU ASSESSOR'S TAX/PARCEL#: —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
�.. -.. _._. :...-
.1 PROJECT INFORMATION•
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
•
yr ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): h./h) 5/o //j/ K(S/ de n
PROJECT NAME: ) l V C(t 0 C7 d I Ot
•
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
QuathecvV1+- (77z5) L SS -2cC
MAIUNG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
PU. ox /30 (iii& 117-11' Mee- NE #3oo ) P-ellevv-e qSS009
CONTRACTOR: NAME: DAYTIME PHONE:
11(1E12IDI) -rJ L'.t"7JTER- EL c► -iC (Z53)s-48 - SinS
MAIUNG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
1/log 1pfo T 14 Pu9alivp 9 373 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2 00010Zlt,ez00 (1s3 ) s l - l��q
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card sired) M � 1e 1 L. E L3 l �4 5(4_ Z /z- / 03
APPLICANT: NAME: DAYTIME PHONE:
IGQY� (am) <C3148 -5SqS
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 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
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 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:
�.._ _ -.sn.^e:...�. .� �a., �.•rteFI)CTURES.},..� s�>_. _w.. , k_ >_.I .l.a<��.a:�> .rvr.rY.. �a�V .�.-•
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 0 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 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
�ofthis
�application.
NAME/TITLE: -W.i.7�1� 4LC-�GQ ,/ DATE: I ) C}
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
r
•
FORfOl=FICE USEtNLY:M
E;NEW= = ® _D_Qmo 1 ❑�1L'fERATION tEP.J1 it-RA( T IMP,tOVENIENT °
�, j�CEIYSUStCObE: - _ - - ��akiT3SIZE: stwtbs �swo�-=-�"-�==
. 5, _ -�-, "� _ ><LDI G,�NELL-ONLI(�,�❑fiYES=��=NOS-==�=_�".
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E N--k : OWNSHIP R 1N6Ma ,`N V1 , ►DDR • E m*Tm _ --c o
3 �� - _� �� ��a z�*sem�">"_- r� ;�,,,._-;,_ *��' _�� t=•s�'2'_'>u. _
TTEDLO ? _�DES' !10 =': -=_=_- =CFiAGE=O_,iSE7,.��—�; :�,1fES€_s� NO__.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.citvo4rederalway.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$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 515.50 for each additional S1.000.00or fraction thereof,to and
induding$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$1,00000 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$500 for each addtional51.00000or 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$4.00 for each additional$1.000000r 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 S1.000.00 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$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
,Ttalidred,underlined number Is the fee per additional weciTed 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,commerdal 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)
■ 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 Numbs of Fe:tu es
$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): Une(s)(1)+(2)+(3)+(4)+(5)+(6)i-(7)+(8)+(9)+(10)_ (11)
a ..
- IIIELECTRICAL •" -4.
TABLE B
IN RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
rngle Family = • _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-S 11.50ea)
• (First 1300 fi'- 75.0Q0�-Each add'n 500 ft2-S24.00) _Service and feeder $81.00 -y' #of Low voltage fire or burglar alarms
gSquare Feet: 3 ICD 1S First 2500 fie-543.50;Each add'n 2500 fiZ-S 11.50
4 Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 1
(Inspected with service) _#of service or feeders I-- *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 '
r (Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops S50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL 1
(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 S 81.00 S 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 S 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,S5 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 S 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
_#of circuits _over 600 109.00
(1-4 circuits-550.00;Add'n circuits S5 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 TABLES(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)
• 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 .