03-101843 1
City of Federal Way
Community Development Services Electrical Permit #:03 - 101843 - 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: PACKARD
Project Address: 30020 2ND f Cl 5 Parcel Num. : 891420 0140
Project Description: Install low and high voltage wiring for addition of air cond i er unit.
Owner Applicant Contra. ,r
John M Packard &Lorna J Packard ADVANCED FILTER&ME' C s ANCED Fl R AND MECHANICAL
30020 2ND CT S 418 VALLEY AVE NW . B115 41. :LL 'VE NW UNIT B115
FEDERAL WAY WA PUYALL 98371 PUYALLUP WA 98371
98003-4302 253)770-2440
ID
Over the Counter Permit Y
"s5
Electrical Fixtures
c 'on Quantity ® Descri•tion `mg Description Quantity
Circuit. esidential _�
11
'E'4 I T . ovember 15,2003.
Pe 't i - on ay 19,2003
I hereby certi •- .ve info ion is - and •. e construction on the above described property and
the occupancy and e use ' .e '. a orda i. e laws,rules,,and regulations of the State of Washington and
the City of Federal Wa / `
Owner or agent: _ `/ U Date: -- / ti '—0
CtsVI — /, ifil
' -.7, C>
City of Federal Way
Community Development Services Electrical Permit #:03 - 101843 - 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: PACKARD
Project Address: 30020 2ND S Parcel Number: 891420 0140
Project Description: L/V wiring for A/C replacement
Owner Applicant Contractor
John M Packard &Loma J Packard ADVANCED FILTER SERVICE INC ADVANCED FILTER AND MECHANICAL
30020 2ND CT S 418 VALLEY AVE NW UNIT B115 418 VALLEY AVE NW UNIT B115
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98003-4302 (253)770-2440
Over the Counter Permit Yes
Electrical Fixtures
Thermostat 1
PERMIT EXPIRES November 15,2003.
Permit issued on May 19,2003
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 a irdance 'th the laws,rules and regulations of the State of Washington and
the City of Federal Way. / /
Owner or agent: `�,!/ Date: • '/
o-C —o3 Ftka / A r
Thursday, May 08, 2003 10:36 AM Melissa Croda 13609452158 p 02
RECEIVED
6eciff_r-T.f.rttAMg 2003 CONSTRUCTION PERMIT A_ PPLI CATION
Ry
APPLICATION NUMBER: 4 7 - (0 1 r?_ _ - EL
CITY OF FOE APPLICATION NUMBER: _ _ _ _ _
BUILDING DEPS•
APPLICATION 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.
PROPERTY INFORMATION
SITE ADDRESS: 30020 2ND COURT SOUTH, F EDERAL V ASSESSOR'S TAX/PARCEL#t: 8 9 1 4 2 0 _ 0 1 a 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROSECT INFORMATION
•
TYPE OF PROJECT(This application): o 21VG------; PLUMBING IECHANICAL r.• DEMOLITION
ELECTRICAL .✓?ENGINEERIN FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descripti•)n):.¢{FP1--Al-F- /C & R, I OVV Vol TAGF Fl FCTRII A;
TO A/C
N 3 - 32AW-e 1,u�ucee ft/v cN ✓/`&c cflY AC rt Ij"4-4,,tocs
af'
PROJECT NAME: Pa-CIA-176(`
i • PEOPLE INFORMATION
PROPERTY OWNER: P'AME JOHN PACKARD )Ar11rs, PHONE
i_---_--- ; ( 253 ) 946 5953
nt
..il_!rah ADDRESS(STREET ADDRESS;SCITY,ri r,ST ATE,i@,Z!P):
30020 2ND COURT SOUTH, FEDERAL WAY WA 98003
CONTRACTOR:. I r,mi,
IArrlrle vr;vrdl..
ADVANCED FILTER &MECHANICAL (253 ) 770 - 2440
— —
NAILING ADDRESS(STREET ADDRESS,:;!'v STATE,ZIP): t EVENING
—— 418 VALLEY AVE NW, PUYALLUP WA 98371
_— -- — ,
.:IT'i:)�!-1iD[RAl oil,rilitil'�,ES i t.ilr.P SIN'.tilB-0FER: � FAX P,til•1CtP,
( )
_orJ 1 R 'TONS REia$'r:2ATl ON NUMBER. EXPIRATION DATE.
A D V A N F M 0 4 4 R D 02 / 16 /05
APPLICANT: riAI•iE: DAYTf:•1E Piipi:E:
ADVANCED FILTER.g MECHANICAL (253 ) 770 -2440
r•+nnlnc ADDRESS(STREET ADDRESS;CI'.Y,STATE,ZIP): EVENING i'hiritE:
— ._
418 VALLEY AVE NW• PUYALLUP WA 98371 •
( ) -
r,Et.,.nrysist';p FRolEcr. i r.AX NUMBER,
ARCHITECT :.:i TENANT L.:OTHER(DESCRIBE): ( ) —
I E MAIL.ADDRts S:
CONTACT PERSON FOR THIS PROJECT: EI PROPERTY OWNER ;! APPLICANT J CONTRACTOR
■ D:-! AILED : r • . ) . . . •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS: S
SPRINKLERED BUILDING? C:)YES LJ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: YES :.; NO
WATER SERVICE PROVIDER: LAKEHAVEN D HIGHLINE u TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: u LAKEHAVEN HIGHLINE p PRIVATE(SEPTIC)
Thursday, May 08, 2003 10:36 AM Melissa Croda 13609452158 7,'p.03
'NEW RESIDENTIAL CONSTRUCTION ONLY-"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS '
FLOOR EXISTING SQ FT PROPOSED SQ_. FT. TOTAL
BASEMENT
FIRST
SECOND....,._._..._. . ._... -- _.._-
THIRD
FOURTH — — —
OTHER FLOORS(DESCRIBE) i
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)
BOILER(S) FIRE'LACE INSERT(S) RANGE(S) MISC.( )
1 COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS I'IPE OUTLET(S) HEAT SOURCE: , ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) — RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC GAS
DRINKING FOUNTAINS) SHOWER(S) __. __ WASH MACHINE OUTLET
_ _ GAS PIPE OUTLET(S) SINK(5) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUN:P(S)
• • 3 ISCLAIMER/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 f_pis application.
/�
..---/ 05109103
NAME/TITLE: .�'/` 1„i/_.a' - _ C ie51 %' — — DATE: - —
PROPERTY OWNER :_; APPLICANT .: CONTRACTOR
FOR OFFICE USE ONLY:
NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
CENSUS CODE: ; LOT SIZE:
ZONING DESIGNATION : j BUILDING SHELL ONLY? f:.:YES NO _
COMP PLAN DESIGNATION .
BASIC PLAN? :_ YES . NO
,
SECTION TOWNSHIP RANGE i NEW ADDRESS REQUIRED? _ YES .. NO
PLATTED LOT?
.:; YES :___ NO CHANGE OF USE? YES NO
._ur I IJ",I1` DE'.LLOPML -1 i:ViCLS• 3 s53O f 1161 ,':i•Y SOLI'ii•PO BOX 0713••Li LkA_ AY,' .. SLOG 97:, 253 s6: 4551•Six _.;3 cc;: ,'Ju
Ttiursday, May 08, 2003 10:36 AM Melissa Croda 13609452158 p 04
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 f re prevention system fees are based on the following schedule.
TABLE A
TOTAL VALLIAL!C!`: FEE FACTOR
tio to 5OC 0(1 1 (1)526.00
5:501.00 13 12,000 00 11 12.!$26.00 for the first$500.00 plus 53.50.:tveod? thelec-f,to aed iec.pd
t'D S 3i2o,!;.f;D
$78502.or the first$2,000.00 plus;415.50 011rl;ie1k1!!/oiai$1.,a!,42e:0,,,II
. ii.,1„g ,.
c11 125 !,_001 CJO f3 S50.00CLO0
1 (1)$435:0f:for the first$25,000.00 plc W.00 fcr each odditiono/..1,012,7 CO, to 301
irkriod.ng s55,01/0
ct,i)1S0.0111 00 10 1,100,00:0.00
(5)$710.0C for the first$50,000.00 Pius c8.00 for each add,q/onal 51.000,00 or fraction(hereof,Lo arot
includ;ag$100,000.00.
11 150,o'10 CO to 0500,10000
(6)51,110.00 for the first 5100,000.00 p:us Iror .10dit10,;cii,S4 or 51 ./ (hereof,
I
rckjdnc$500.000.00
1)1$F:01.(001.00 to S1,000,500.01
(7)53,510.00 for the fist 5500,000.00 plus 55.50 a0; Odor 11F,::,Cir ar:d
o,duchn,:j.1,000,005 00
(1.1111 000,0(11 00 and up
;!1)$6,260.00 for the first 51,000,000.00 04,s hoct,,Dr:(hciee!
Bold number is the base fee for the specified increment
Italicized,onderlined number IS Me fen_per additional spccified increment
PLUS: ACC:65 percent the base building permit fee for pion revise.fee.
Aric 25 percent of the base mechanical permit fee 101 mechanical plan tevie‘e fee.
Adcr 15 percent cd(he base bidding 0111 01 fee for F';1 District rr:39 sui charge,eommerc:a!
Ade 51.50(or\VA',tate St,!:01110 Code Coo3Ci!,p:115 57.00 per unit joy dupie,00.00000.
And ryierhaniCei 15C11 are rcactilated '
• 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)
(•*:01:11A1111:171AL ONLY
• •"' "1 • R MECHANICAL • • •
PROPOSED VALUATION: R-420 00
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
Fla.3e Fee Number re Fixt!,,es
522.50 m X 58.00/fixture) = (8)Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total Line.(s)(1)±(2)1-(3)-1-(4)1(5)i(6) 7) = I)
Thursday, May 08, 2003 10:36 AM Melissa Croda 13609452158 p.05
i • ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES ItISC EQUIPMENT/TEMP SERVICES
Single Family. Service or Iccdar only 550.00 -orThcrnaostats(First-537 50:add ii-SII 'Oct)
(First 1340 1)"-S75(I(i.Each.ttid'n 5051;I .5_4.0(11Service and feeder Sti I (10 P or I.,,,..<(ltage fire or burglar alarms
Square Feet ._ - f test 2500 11 S13.5(1:I.)iclt add'n 2500 fr-Si L.1u
Each outbuilding or garage ...11.00 MOBILE HOME/RV PARK Square Feu
I Ins\ected with service) __ of service or Feeders .Per\SAC 296-465-9I(((51(b!((&Ill
rich o thincr11ng or garage S'0.((0 :First service feeder-550.00:Add'n service/ _.,g of Signs(First sign-S37.50:adcrt sign
(Inspected separately) feeder-532 each) 51750 each)
_Swimming pool,hot tub.Spit S'`.00
1 arc!Pole.meter loops__............ ..._550.14
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service. Feeder Atop. Scr•it:c or Add'n _0 to 21)0 5 5I 00
lip to 2(10 amp S 51.00................5 24.01) Feeder 201-611(1 1X9.00
r._..21)1 -400 atop 101.00 50.00 - ;l to 10(1 S 51.00 S 50.00 _601- 1000 ""5.-1.50
401 -600 amp 135.00 65.5(1 _101 -2(10 101.00 63.50 _over 10(10 117 0(t
601 -500 snip 176.50 04.50 201-4011 18.0.00 75.0(1 _5 of circuits
Over 300 amp 252.5(1 159.00 _ 401 -600 220.50 85.5(1 (I-5 circuits-56:.5(1:Add--t CS Culls.55 cal
ALTERED SINGLE/MULTI FAMILY _501 -500 254.5(1 120.50
(\1'hcn inspected separately from the services-) —501-10(10 345.00 145.50 TEMPORARY SERVICE
Scrviee or Feadcr _ C)vrr 1000 1779.(-1(1 2202.50 Residential'SIulti-Fam.II!,.(.'onntiercta taly:::a
0 to 200 amp 1 68.50 Oser 600 volts surcharge 6;i0 r!-100 5 Vii U
2111 -61111:ultp 101.(10 _-- Mast or meter repair . 65.5(1 101 2(1(1 6:50
.
c•vet 6(1(1151
amp 50 201 -400 7501(
t:._
Masi or meter repair 17..5) 401 -60(1 101 On
0 °renew's . over 600 500(I(1
t 1-4 eircutt,550.00;Add))circuits 55 ca)
It new or altered commercial service is 200 amps or greater.or a new or altered residential service is greater than 400 amps•it plan review is required Fee is 35',n!
permit Ice r563.50.Add-i plan reviewfor onto submissions is S75.00/11r.
FIXTURE DESCRIPTION(A) . FIXTURE FEE FROM TABLE B(BO- NUMBER OF UNITS CC) I TOTAL(D)
A/C F p
1
— _ -- ..
---,....._ TOTAL COLUMN(D) .:
TUai column(0)
Estimated Permit Fee: (12)
Esrtmatea Pernut Fee from Itr+e 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)_....._...
SBCC Surcharge:(19)—......_.._ • —— (21) (23)
Total ((rages One&T•.'a'): Line(s)(11)+(12)'1-(13)+(14)I-(11)t(16)1(17)4-08)+09)4(20)+(21)+(22)x-(23)= (24) .—___
Bulletin#100-February 19,2002