03-100355 City of Federal Way
Community Development Services Electrical Permit #:03 - 100355 - 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: FEDERAL WAY WINDERMERE
Project Address: 33405 6TH$ Ave 5 Parcel Number: 926500 0330
Project Description: Install 100-amp service for(2)street lights.
Owner Applicant Contractor
Barbara L Billings BOONE ELECTRIC NONE
16609 110TH AVE E
PUYALLUP,WA
98374
Electrical Fixtures
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES July 23,2003,IF NO WORK IS STARTED.
Permit issued on January 24,2003
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: Date: (•-d1
2 —a� ss-e- `-ti/e C e 1 /114 L Zite"AP v
CLS 91-0-
91r1r?ZFCEIVED CONSTRUCTION PERMIT�jAPPLICATION
FLYAPPLICATION NUMBER: C.! -CP el
AN
2 4 200?, APPLICATION NUMBER:
APPLICATION NUMBER:
WAY
CI BU CIFIRAW3RAL is required information—Please print(ih ink)or type** - •
• Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
:.:, • _ PROPERTY INFORMATION -
SITE ADDRESS: 3%L-+'OS" (.Q`-t'' ✓ 4 V f ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■. PROIECTINFORMATION • .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
yi ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
lre4 s-evrvi ( 'o r %rah (a)
I�
r
PROJECT NAME: L'(.i_-c r a, Ir'l./r Lj IL d `e(()1st' I . .1„4 i1 a1;29
-PEOPLE INFORMATION . -_;; - - .
PROPERTY OWNER: NAM � + C� / �/� � DAYTIME PHONE:
Vccr�rxx Ptll/n 5 /o Ji/ Mils/090p
MAIUNG ADDRESS( EET ADDRESS;CITY, ATE,ZIP)• 'n
, � ( ' / le Bc 6 , _ �/ ,1 lib, -
isir
CONTRACTOR: NAME �� �/ DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE, EVENINGZIP): PHONE:
/04000 Orb/ /due E - Pi aou -, uo+- g35--i ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Q - 0 d' - 0 ( '- ) 5`4v9 -L.'`.,'
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) a. to U N C'1,. ( Q J3—__ / /l / e)41
APPLICANT: NAME: DAYTIME PHONE:
6a1Y) e r'45 rt erlir�x r/O r ( )
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): EVENING PHONE
( ) - I
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( )
E-MAIL ADDRESS:
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 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE (I TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: I I LAKEHAVEN n HIGHLINE (TI PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** ✓ f
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
• 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) WOOOSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTORS) 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(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such •:im),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but o /'er su• •aim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information's••.$ to .'/
city:s a part of this application.
NAME/TITLE:/ v r . o DATE: / / 3/a.3
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEWS_=10 ADDITION 0 ALTERATION '° 0-REPAIR ❑ TENANT IMPROVEMENT -<
'CENSUS CODE: _ -'`- LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO -
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? 0 YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33S30 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-2S3-GG1-4000•FAX 253661-4129
www.CityofledCralw.1V Com
■ ELECTRICAL ; ..r,
TABLE B
NEW RESIDENTIAL SERVICES • MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only 550.00 _#of Thermostats(First-$37.50;add'n-S 11.50ca)
(First 1300 fi'-575.00;Each add'n 500 W-524.00) _Service and feeder 581.00 _#of Low voltage fire or burglar alarms •
• Square Feet:---. First 2500 ft2-543.50;Each add'n 2500 ft'-511.50
• . _Each outbuildingor garage . • $31.00 MOBILE HOME/RV PARK Square Fect:
f• (Inspected with scrvicc) _#of service or feeders - • Per\\'AC 296-46-910(5)(h)(i&ii)
_Each outbuildingor garage 550.00 (First service/feeder-550.00;Add'ii service/ . -#of Signs(First sign-S37.50;add'n sign
(Inspected separately) feeder-532 tach) S17.S0 each)
_Swimming pool,hot tub,spa 575.00
-Yard Pole meter loops 550.00
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 S 81.00 S 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 Z0 to 100 S 81.00 S 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 _201 -400 189.00 75.00 #of circuits
_Over 800 amp 252.50 189.00 _401 -600 220.50 88.50 (I-5 circuits-563.50;Add'n circuits,55 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 5 50.00
-201-600 amp 101.00 -Mast or meter repair 68.50 _101 -200 63.50
_over 600 amp 151.50 _201-400 . 75.00
_Mast or meter repair 37.50 _401-600 101.00
_#of circuits over 600
(1-4 circuits-550.00;Add'n circuits S5 ca) - 109.00
If scrvicc is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+563.50.Add'I plan review for other submissions is 575.00/hr.
•
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
iccH 6 fi /r 5'l• t?O 1 /. eo
TOTAL COLUMN(D);_ St• CO
Total Column(0)
Estimated Permit Fee: (12) 0/r i et)
Estimated Permit Fee from line 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)
■ OTNER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (P.agson,sT..o): Line(s)(11)+(12)+(13)+(14)+(15)+(1G)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ (24) CJr , 00
Bulletin C 100 - 1.uul,lry 18, 200)
. 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$3.50 for each additional$107.00 or fraction thereof,to and including •
$2.000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus 515.50 for each additional$1.000.07 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 511.07 foreadi 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 56.00 for each additional 51.000.00 or fraction therepf,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 15.50 for each additional 51,000.00 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 51.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized underfined number is the fee per additional'saecified 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 Fre 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 s•
■ 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 or 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)
Sul) Tot.il It.,.r.i .•l: iiiw(s) (1)r(i)r(3)r(•1)r(5)i(6)r(7)r(8)r-(9)4(10) __ (i1)