03-104153 City of Federal Way
Community Development Services Electrical Permit #:03 - 104153 - 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: KAZAK pye,
Project Address: 33343 12THISW Parcel Number: 926496 0070
Project Description: Installing electrical for new hot tub,and receptacle installation for future yard lighting,2 water features
&irrigation system.
Owner Applicant Contractor
Joseph L Kazak &Patricia K Kazak HOLMES ELECTRIC HOLMES ELECTRIC
33343 12TH AVE SW HOLMES ELECTRIC HOLMES ELECTRIC
FEDERAL WAY WA PO BOX 179 PO BOX 179
98023-5301 RENTON WA 98057 (425)235-8000
Electrical Fixtures
Description Quantity Description !Quantity Description lQuantity
1 Circuits-Residential 4 Hot Tub 1
i
PERMIT EXPIRES March 7,2004.
Permit issued on September 9,2003
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: �i r e Date: /f/c7
./r.
�^ C'4),). , c f: o - i - cl c.�
- ( 2 -c.) 3 pt/ 47)/PC-a/.°�S
•
RECEIVED
arT� G CONSTRUCTION PERMIT APPLICATION
EI'tAL SEP 0 ' 2003 APPLICATION NUMBER: Q - 1.0 U 5.3- C
APPLICATION NUMBER:
S3` _ _ _ _faT-VOF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. -- - - - - - - - -
**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.
■ PROPERTY INFORMATION
SITE ADDRESS: 'J'3-61A a44.-. P►0 E c7J,') ASSESSOR'S TAX/PARCEL#: q �JL, ,�CP/ ,� - =7 _
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): '`•' ` r Oe)
-1 lDm�i
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
`71 ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
IISVRLL ( � )2f)v U r►5 FOP— QOrn ,
1 KI'SOL�li I) ,50A 2QAKe� IrJ F'[?{L Hui 7•72 ,-t-cef-eset)k.re, NryTs - l sic",
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: ME: DAYTIME PHONE:
RT 1`11 14--- ( —�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
• 3 3 i' 12t" AVE 3L3 SEAL LLAL),-, LrA- 9f
CONTRACTOR: NAME: DAYTIME PHONE:
ACI LAC\�. / OVA e/ /j( (HZ)2a7- (e6gs—
NG ADDRESS(STREET A SS,Cl STATE,ZIP): u3 5 - (ENING PHONE:
OF FEDERALL,WWAA�BUSINESS/LIIICENSE NUMBER: FAX NUMBER:
ao - /D/ Oaf/ - N5) - ti4a-r
CONTRACTOR'S REGISTRATION NUMBER: y� y� g.1 Q EXPIRATION DATE:
/1
(copy of card required) /� 6 L/!) C e h� /) /[3! / P,,y
APPLICANT: NAME: DA ME PHONE:
�"�f1lSnE c� C 1 fJ C� ( (�&�5
LI�DD,RESS�ET55;CITY, TE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT o TENANT iiTHER(DESCRIBE):O-Ck i' C-6 O _-- (q S) . - 6, j
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT • •NTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o 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:
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)
BOILERS)
FIREPLACE INSERT(S) RANGE(S) MISC.( )
FURNACE(S)
COMPRESSOR(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o 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 daim(induding 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 ity as a part of this application.
NAME/TITLE: 43)1ADATE:
o PROPERTY OWNER o
APPLICANT C NT OR
FOR OFFICE USE ONLY:
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES a NO
COMP PLAN DESIGNATION BASIC PLAN? a YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES a NO
PLATTED LOT? ❑YES ❑NO CHANGE OF USE? ❑YES o 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)$26.00
(2)$501.00 to$2,000.00 (2)
$26.0 for the first$500.00 plus 33.50 for each additional S100,00 or fraction thereof,to and including
$2
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus$15.50 for each additional 51.0.00.00 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 for each additional 51.000.00 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 51.000.00 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 51.000.00 or 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$1.000.00 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
Italktrzed,underlined number Is the fee ver additional svedfed 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: (b) se Fee:
Additional al Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
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)
Base Fee Number of Fixtures
$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)
(First 1300 ft2-$75.00;Each add'n 500 112-$24.00) -Service and feeder $81.00 4 First 2500fLow ft2 olt4 .50fire
re orch burglar
alarms s$11.50
Square Feet: Square Feet:
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK +per WAC 296 46-910(5)(b)(i&ii)
(Inspected with service) _#of service or feeders
Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ #of Signs(First sign-$37.50;add'n sign
-
feeder-$32 each) /$17.50 each)
(Inspected separately) V Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
(Includes three units or more) Service or Add'n -0 to 200 $ 81.00
Service Feeder Amps _201-600 189.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder
_201-400 amp 101.00 50.00 -0 to 100 $ 81.00 $ 50.00 _601-1000 284.5024.50
_401-600 amp 138.00 68.50 _101 -200 101.00 63.50 -over 1000
_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
$ 68.50 Over 600 volts surcharge 63.50 -0-100 $ 50.00
_0 to 200 amp - 68.50 101-200 63.50
_201-600 amp 101.00 _Mast or meter repair
_201-400 75.00
_over 600 amp 151.50 401-600 101.00
1 Mast or meter repair 37.50 - 109.00
6 �,#of circuits _over 600
(•i%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+$63.50.Add=l plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION!(Ay '=FIXTURE FEE FROMTABLE B(II) UMBEROPUNITS(C) :` TO' AL:(D ' -, 1
TOTAL COLUMN(D):
,^^Total Column(D)
NV
Estimated Permit Fee: (12) t Q).
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
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