02-105323 City of Federal Way
Community Development Services Electrical Permit#:02 - 105323 - 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: EDGELL
Project Address: 1660 S 333RD Space215 Parcel Number: 797880 0384
Project Description: ELE-Connect existing 200 A feeder for new mobile home in park
Owner Applicant Contractor
JACK EDGELL WASHINGTON HOME CENTER WASHINGTON HOME CENTER
1660 S 333RD ST UNIT 215 PO BOX 176 PO BOX 176
FEDERAL WAY WA 98003 CHEHALIS WA 98532 CHEHALIS WA 98532
(360)748-6049
Electrical Fixtures
Description f*A Q,jaatitY 4#4,,Vizt:Description' Quantity 7r Descri{itioW::.e f `•, Quantity
Seryice or Feeder-Manu./M.H.Park 1
PERMIT EXPIRES May 25,2003,IF NO WORK IS STARTED.
Permit issued on November 26,2002
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 Wa77,7, 71 -12/-1,./: /1
y. /
Owner or agent: Date: /
I Z — g , 02_ 5- a2V11(6
;°' G RECEIVED CONSTRUCTION PERMIT APPLICATION
uVFlY
— APPLICATION NUMBER: L – 1j_j Z?j – L
NOV 2 6 2002 APPLICATION NUMBER: – –
CITY OF FEDERAL WAY
APPLICATION NUMBER: – –
**The following is I4iliA 14laf9fRirion-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- - ■ PROPERTY INFORMATION
SITE ADDRESS: /6-6(7 5,7 , 1 L1 ) ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,_,_ __.,.;..:- _ ' _ • PROJECT INFORMATION`_. . -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
rgf ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PFCOJECT DESCRIPTION/(Provide detailed descriptio/n): Co�.�/ i' -7)1 X 4, et s' 2 0 9 A r ,l�•(,' f U
PROJECT NAME: 0t, k__ ,L_
•
. ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: f j DAYTIME PHONE: -
MAILING ADDRESS(STREET ADDRE�S CITY,STATE,ZIP):
/6(27.2 L.1 Fes, / :AR'
CONTRACTOR: NAME: r DAYTIME PHONE:
W0's [ f �,i,^, y:),,e 0 r •(',-- /LI f ( 361 ) i T- (l'�� 1
MAILING ADDRESS(SJ EET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
ii fs dA"BU� CI,�1" t �✓A F-c 3 2 (;6) ) z7) - o(/ ft°
OF FEDERAL WAY IN LICENSE NUMBER: - FAX NUMBER:
-
- ( 5c)) 7`1`r-iO.y Z
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(�ofcard��) USA .z 1 / t4 (2 2 L k_ (- S" / T / aCL
APPLICANT: NAME: / i J DAYTIME PHONE
/17 1 L �:-t' l /'J-?vs ••1 ! / ,/ 1,, I,r, 1iy 16pr-Le ((i 60) -4'0- C)%n1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): , f EVENING PHONE:
RELATIONSh1IP TO PROJECT:+ 2 ( (- �/ �:`'}) (/ ,f 7 3 _ ( ) )1
FAX NUMBER:
❑ ARCHITECT ❑ TENANT IA OTHER(DESCRIBE): F/1 C 5,. '-j - 1 (>, ) )ie f-F- — 1 U> Z E-MAIL
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR ;41,il:--e_r, i j C (0 tNdS l'.)1:'17''.4-
s (4);r
■ DETAILED BUILDING INFORMATION
EXISTING USE: %%-(r 167,/ ,-, ( EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
`
PROPOSED USE: `r'S ,�'' �'4- { PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES -ONO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) -
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**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:
•_...c-...�R.�...•.«.. .�.>.�....,.....:,... . s.tca:.c I s�'\ATURE$•x,re4+.r�,.+i.i.nF.....+.,...r:,:.r.ria::.»..ai.;.is*rz'+:=%c rr..rn.i:v,.��.a.r`!a,.n.r�S+e•
Indi e number of e. type of fixture
MECHANI •
AIR HANDLING UNITS) APORATIVE 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: D ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Cl ELECTRIC ❑ GAS
DRINKING FOU AIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTL (S) SINK(S) WATER CLOSETS) MISC.( )
INTERCEPTORS) S MP(S)
- .. - -- ' •/A1 -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,including its officers and employees,upon the accuracy
of the information supplied tot the dty as a part of this application.
NAME/TITLE:/ ' ' : �/' ti r/i - !/ DATE: //'!6 "r"2-
El
❑ PROPERTY OWNER \]'APPLICANT Al CONTRACTOR
.FOROFFICE USE'ON LY:
:_
EW i❑ADDITION; :;❑=ALTERATION si i .REPAIR= CI�TENANT_IMPROVEMENT" -,:
LOTtSIZE: _ :
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OMA�AN DESIGIYATION?,��N. � ~sBASXC i?1A'�N?�_ @ WESfIC-ISO -MatM��= 4:-
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COMMUNITY
DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvof i edera lway.00m
• 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$100.00 or fraction thereof,to and induding
$2,000.00
(3)$2,001.00 to$25,000.11
(3)$78.50 for the first$2,000.00 plus 115.50 for each additional$1,000 00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.1,
(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$100,000.11
(5)$710.00 for the first$50,000.00 plus s8.00 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$5.00 for each additional$1.000.00 or f.. thereof,to and
inducting$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$1,1 v.i s 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 ad, lona!$1,000.00 or fraction thereof.
Bold number is the base fee for the specified Increment
jbrdzed,underlined number Is the fee_per additiona pecified Increment
PLUS: Add 65 percent of the base building pe 't 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 --for Fire District*39 surcharge,commend- only.
Add$4.50 for WA State Building Code Coun.,plus$2.00 per unit for duplex&above
* ectrical,plumbing,and mechan'•,1 fees are calculated separately**
■ BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Ba • Fee: •
(b) ••,ditional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge'
(COMMERCIAL ONLY)
• MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number (a)Base Fee:
(b)Additional Incr:meet Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: 5)
• • FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE • Number. (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
• ■ PLUMBING •
Base Fee Number of Pocbx,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)+(7)+(8)+(9)+(10)_ (11)
TABLE B
NEW RESIDENTIAL SERVICES M9.BILE HO S MISC EQUIPMENT/TEMP SERVICES*
_Single Family /Service or feeder• $50.00 _#of Thermostats(First-$37.50;add'n-S 1 I.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service a . -e•Cr $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-S11.50
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 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 $ 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 _ (1-
201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 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 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
_ovcr 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+S63.50.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 Yne 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)
SEM 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