03-104461 ..A. lir
City of Federal Way
Community Development Services Electrical Permit #:03 - 104461 - 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: HANCOCK
Project Address: 2220 S 284TH 5t Parcel Number: 422220 0360
Project Description: Replace main electrical panel with 200-amp service w/wiring for 903 square foot,second-story bedroom,
bathroom and family room.
Owner Applicant Contractor
Timothy Robert Hancock Timothy Robert Hancock Timothy Robert Hancock
2220 S 284TH ST 2220 S 284TH ST 2220 S 284TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-3261 98003-3261
Electrical Fixtures
,� ; g � +h gam: - 24 , y: 4 ' =s r �� r„ a,
Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits--Residential 6 Low Voltage Fire Alarm-Residential 1
PERMIT EXPIRES March 28,2004.
Permit issued on September 30,2003
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.
Owner or agent: `.a,; Date: q'30—9'
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RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF ^..oi APPLICATION NUMBER: 03, - 10 /' y 1 -(C
Federal Way SEP 3 0 2003 APPLICATION NUMBER: - -
CITY OF(�FEDERAL
TWAY APPLICATION NUMBER: - -
**The following Qsl rNe��Riit!l formation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 2220 South 284.th Street ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Lot 36 Laurelwood
North #3 SW 1/4 Section 33 T22N RO4E
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Replace main Electrical Panel with a 200 amp service (125
amp existing). Wiring for 900 sq ft addition. 6 New circuits . 1, GCFI 20 amp, 1, 20 amp Arc Fault, 2, 15
amp outlet circuits,and 2, 15 amp lighting circuits. *Meter Base is a 200 amp* Puget Sound Energy
has advised that the feed lines will handle a 200 ama service. The 2 Smoke Detectors will be hard
wired into the existing Monitored Alarm System
Building Permit # 03-102458-000-00-SM
PROJECT NAME: Hancock
• PROJECT INFORMATION
PROPERTY OWNER: NAME: 253-529-1391
Tim&Kelli Hancock
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2220 South 284th Street Federal Way WA 98003
CONTRACTOR: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: 206-242-2700
Tim Hancock
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2220 South 284th Street Fedreal Way WA 98003 ( 253-529-1391 )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT o TENANT X OTHER(DESCRIBE): Owner ( 206-242-1020 )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: X PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ 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:
• FIXTURES
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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o 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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. p�
NAME/TITLE: //i�"^ DATE: / --` 192
Xo PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.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)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional$1.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus$13.00 for each additional$1.000.00 or fraction thereof,to and
induding$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to and
including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$Z00 for each additional$1,000.00 or fraction thereof,to and
induding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to and
including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1.000.00 or fraction thereof.
Bold number Is the base fee for the specified increment
jtal/c/zed,underlined number is the fee ner additional snecitled 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,commercial 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 Number of Fixtures
$26.00+{ X$9.00/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 $57.00 #of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) -Service and feeder $93.00 i}_#of Low voltage fire or burglar alarms
Square Feet First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00
Each outbuilding or garage $35.50 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 $57.00 (First service/feeder-$57.00;Add'n service/
(Inspected separately) feeder-$37 each)
$2_# Signs(First sign-$43.00;add'n sign
$20.00 each)
_Swimming pool,hot tub,spa $85.50
-Yard Pole meter loops $57.00
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 $ 93.00
Up to 200 amp $ 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 -601-1000 326.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00
601-800 amp 202.50 108.50 _201-400 216.50 85.50 _#of circuits
_Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_X_0 to 200 amp $ 71.50 -Over 600 volts surcharge 72.50 -0-100 $ 57.00
-201-600 amp 115.50 -Mast or meter repair 78.50 -101-200 72.50
_over 600 amp 174.00 -201-400 85.50
-Mast or meter repair 43.00 -401-600 115.50
-over 600 125.00
_6_#of circuits
(1-4 circuits-$57.00;Add'n circuits$6 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+$72.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) 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: $72.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING