03-102557 City of Federal Way Electrical Permit #:03 - 102557 - 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: MARTIN
Project Address: 1001 SW DASH POINT Pia Parcel Number: 515320 0563
Project Description: Fire damage mast and meter base repair/replacement to existing residence.
Owner Applicant Contractor
Sheri A Martin &Michael A Martin EASY DOES IT ELECTRIC INC EASY DOES IT ELECTRIC INC
1001 SW DASH POINT RD 17712 2ND ST E 17712 2ND ST E
FEDERAL WAY WA SUMNER WA 98390 SUMNER WA 98390
98023-8261 (253)939-5065
Electrical Fixtures
L Description Quantity] Description Quantity Description Quantity
Mast or Meter Repair-Residential/M 1
PERMIT EXPIRES December 20,2003.
Permit issued on June 23,2003
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. c
Owner or agent: — S7,2 Date: c?-3 / 3
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® RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF P--1/
APPLICATION NUMBER: 03 - 1O Z -_7- c. EZ..
Federal Way .JUN 2 3 2003 APPLICATION NUMBER: - -
CITYAPPLICATION NUMBER: - -
s OF FEDERAL wd
**The rd4trUuucj L r�u'itei information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
Ili .PROPERTY INFORMATION :
IOC ISC 1)4-T4 Pi- R� 5 15"320 - 0563
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
K PROJECT INFORMATION _
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
KELECTRICAL 0 ENGINEERINGR/�� ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): e/2-J.. 064-/U14 bad LM,44SS I S1 V14-0-1-AC. 64T e
C-US2 12.c) P( 4fl--e.Q d A,�-(d 4� F-,24- . 'rap_ ? CO^dAi.e c f- [[
PROJECT NAME: /A/1 14RZ7' C
PEOPLE INFORMATION . .'.
PROPERTY OWNER: NAME: : DAYTIME PHONE:
/14 t ck 4�.C_ Mal—t ek4 CQZL 441a6 )0/-3-6- at-. (-1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 1
r 00C -0#4314 Pt- 13 -/2&► C l , , 0 ar-
CONTRACTOR: NAME: i DAYTIME PHONE:
04 sc Ooes 't?`CL�::az. , --3) F,39--Sv 6�
MAILING AD j SS(STREET ADDRESS;CITY,STAT ZIP): !. (EVEENNIING PHONE'
/ ��(��
_ I -7 -7 ` — -" o Yr' E- A4 Ac `! •/ ,/ i `V'J' ) ir6 ---P ;J
( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
_ (tt��/ /� /� I EXPIRATION�ff/+� DATE: {/./�
(ropy of card required) S Sy (14-7 (4 EY L- �f,J - - I `-'v / is- / Q 1
APPLICANT: NAME: / ( DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): E EVENING PHONE:
RELATIONSHIP TO PROJECT: / j FAX NUMBER:
o ARCHITECT o TENANT o OTHER ( DESCRIBE): i ( ) - i
i
E-MAIL ADDRESS: I
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 o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o 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:
■ 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: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
►L 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 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,including its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this application./ /� r�
NAME/TITLE: J11 1 I In &k A4(C.4 E�it.�/(/ COU1L�/2-c DATE: 6 1 3
o PROPERTY OWNER ❑APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
D;;NEW , „ "O ADDIiIUN ,.,-•.;O ALTERATION ❑;TENANTIMPRONEMtiff
CENSUS`CODE:-• . - � � -LOT SIZE:= -,4., 17 ,",., z.
:ZONING,DESIGNATION y A , ,Y `BUILDINGSHELLONLY?,T=0 YES .:❑ NO .
COMP PLAN DESIGNATION . ................................ ..BASIC PLANT.-:_o YES ❑NO
SECTION x ,._TOWNSHIP `r RANGE NEW ADDRESS REQUIRED? ;-o YES o NO
PLATTED LOT?,'`❑YES o'NO `_ CHANGE OF USE? o YES' "'fl NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,cftvoffederalw3v.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 54.00 for each additional 1100,0Q 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.f1.000,00 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 51100 for each additional$1.000.00 or fraction thereof,to and
including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus 59.00 for each additional$1.000.00 or fraction thereof,to and
induding$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus 57.00 for each additional$1.000?Op or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus 5600 for each additional 51.000.00 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 54.50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
f[alldzed,underflned numberls the'teller eddltionafsnecifred 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 FIN 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-$13.00ca)
(First 1300 ft'-$85.50.Each add'n 500 ft2-$27.50) _Service and(ceder $93.00 #of Low voltage fire or burglar alarms
Square Feet: _ First 2500 111-$50.00:Each add'n 2500 ft`-$13.0(;
_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 R ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $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
if Service Feeder Amps Service or Add'n _0 to 200 5 9;du
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp.............. 115.50 57.00 oto 100 $ 93.00 5, 57.00 601 - 1000 12650
--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 (I-5 circuits-$72.50:Add'n circuits,$6 ear
...). 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 ResidentialfMulti-Family/Commerciai/industrial
_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
1 Mast or meter repair 43.00 _401 -600 1 15.50
P of circuits I _over 600 125.00
(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'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B)- ; NUMBER OF UNITS(C) TOTAL(D)
1 1I
I t 1 �`I
r I I
�
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 ,--. ..
Estimated Permit Fee: (16)
r
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-December 23, 2002