02-105072 City on Federal Way
Community Development Services Electrical Permit #:02 - 105072 - 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: SECOMA TERRACE,LOT#13
Project Address: 750 SW 357TH Parcel Number: 768390 0130
Project Description: ELE-install service for new single family residence approx 3,440 sq ft.
Owner Applicant Contractor
CARY LANG CONSTRUCTION INC MERIDIAN CENTER ELECTRIC INC MERIDIAN CENTER ELECTRIC INC
34618 11TH PL S UNIT 200 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA 98003 PUYALLUP WA 98373 PUYALLUP WA 98373
(253)848-5595
Electrical Fixtures
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Description* 41. `tiaritity
Service: -Residential 3440
PERMIT EXPIRES May 13,2003,IF NO WORK IS STARTED.
Permit issued on November 14,2002
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.
See Application Date: tl ,��6z
Owner or agent:
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- -- NOV 1 4 2002 CONSTRUC 1 ION PERMIT APPLICATION
APPLICATION NUMBER: 22--- 6
uV � 1--EITY OF FEDERAL WAY - - � -
BUILDING DEPT. APPLICATION NUMBER: -
APP-ICATION NUMBER: --- -=`==_ __=_- ::_-
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
-//--�� `_ --1- - - ■ PROPERTY INFORMATION - J / v- -
SITE ADDRESS: -1S;-) \\ 5 ITh Si'
ASSESSOR'S TAX/PARCEL#: UJ ' '3 ct o'- U (3 C>
1Eng11 ir-r....
- — — -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:',1`,:::-.::',.-. ' -,r . ''t-.. - -_--■;PROTECT INFORMATION - - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
CLECTRICAL `❑' ENGINEERING❑ FIRE PREVENTION SYSTEM
\
PROJECT DESCRIPTION(Provide detailed description): 1�'Q,W Sly()U ci.m‘\ Y�s 1 r
PROJECT NAME: \AT
- . _ -- ■ PEOPLE INFORMATION - - - : -- -.
PROPERTY OWNER: NAME: Qicx. DAYTIME PHONE:
�( n (255) Lou 1 -LD$F9J
MAILING ADDRESS( ADDRESS;CITY, ATE,ZIP):
?�( Q \v P c, s ` 2u o Fc cd w q F6003 j
CONTRACTOR: NAME: DAYTIME PHONE:
MtviaiOX‘ Cn Y ��cAr1 (�s3)St-I8 -Sct.S 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
tt\0CA ULow'` Pry C \ u 618 -13 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I ` /1 FAX NUMBER:
-
CONTRACTOR'S REGISTRATION NUMBER: 1 L l/ `J
EXPIRATION DATE:
(may of card required) _ \A-e-`(2- \ D c (5 3 c 8 s ca_ Q 2- / 2& /03
APPLICANT: NAME: DAYTIME PHONE:
k(, ( ) -
i I. MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
,I RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT 0 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:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
**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:
_._.<. ...,_ . .. , ._ _-..s-R,c. ..,..�,:-..Y .,�•.t.FIXTURES.::.�. ,..>.. _. .., �_ >_. :,� z ;.... ��_,.�..>
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: 0 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) 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: W../2.4_,<-••••
64tl 02,L) DATE: ( 1 1 `�)'-6'-z.-'
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
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IFOR OFFICE USE:ONLY 41
L ' 7 AD 0,/1LTERATION `_ 0j EPAIR f�ANT Nuri,/ EMENT ":
a NSUS3 •DE:-0-i--.- -_ ___r _ _ __ -- 4 -4....-;14#.:''--,. - __ 1 --
'O GPIu __ s �ILDI GSiEL1 ONL1C?11'YES _� '
_ -� '_ __ .LINO �-
f: :c• 4• E • =i= "; s.. CrQYESrY 13r0 ` y a '
LSECTiON =-O_NSHIP - RANG : NElff ►DDRE.SS EQUIRED? _ x�S"" leaI O
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-6661-4000•FAX:253-661-4129
www_dtvoffederaiway.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 1100.00°r 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(or each additional$1,000.00 or fraction thereof,to and
induding$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
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 SL 000.00 or 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
i 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
Italicized,underlined number is the fee Der additional specified increment
I 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 Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
- _ -7- - - ■ 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)
I
Estimated Plan Review Fee: (5)
• FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number. (a)Base Fee:
t (b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
- -■ PLUMBING
Base Fee Number of Fbahees
$22.50+{ • X$8.00/fixture)_ (8)Estimated Permit Fee •
Estimated Perrot Fee
X .65= (9)Estimated Plan Review Fee 4
Miscellaneous Fixture Charge:(10) -
ub Total(Page ono: Une(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 $48.00 _#of Thermostats(First-$36.00;add'n-Sl 1.00ca)
(First 1300 ft2-572.00;Each add'n 500 ft2-$23.00) -Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Square Feet: 3� .Q 0 First 2500 ft-$42.00;Each add'n 2500 ft-$11.00
_Each outbuilding or garage $30.00 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 $48.00 (First service/fceder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Incudes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
601-800 amp 170.00 91.00 _201-400 182.00 72.00 .i.--5#of circuits
_Over 800 amp 243.00 182.00 _401-600 212.00 85.00 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
_0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 '
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600 97.00
#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ca)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
SINFIXTURE DESCRIPTION"(A) IFIXTURE:TEE:EROM TABLE BAB) -"4'r: NUMBER`OF.UNITS:(C) R.VVf#*TOTAL'(D) tt3 x ',
I
-- `:TOTAL"COLUMN(0):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from fine 12
Estimated Plan Review Fee: $56.2,0`t- X.35=(13)
• • DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
- - ■ ENGINEERING . -
Estimated Permit Fee:(16)
Bond Amount: (17)
- ._ :- - - ■ OTHER FEES • .
. t
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)
,
4 i
• Bulletin#100-August 20,2001