03-103014 lir
City of Federal Way
Community Development Services Electrical Permit #:03 - 103014 - 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: CARMACK
Project Address: 29920 1ST$ 9t 5 Parcel Number: 891420 0340
Project Description: 1 branch circuit for A/C
Owner Applicant Contractor
Lori A Carmack Lori A Carmack NONE
29920 1ST PLS 29920 1ST PL S
FEDERAL WAY WA FEDERAL WAY WA
98003-4306 98003-4306
Electrical Fixtures
FrOr•`„+ a' Q 4 t. . ;',A :s#"ad „ +i t, t : ....n .a t61.1e7.1
Circuits-Residential 1
PERMIT EXPIRES January 18,2004.
Permit issued on July 22,2003
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, les and regulations of the State of Washington and
the City of Federal /Wavy.
/ G j ,
Owner or agent: 6i141,------1';X-V . Date: 7 /--?/ 1_.`
72o3
r/Ablt- 7VI111-0 , e '`—
J
FIN At (E.3 ' 2,.-- 2 3 --4 3____Iw
RECE -V E - C-6-
CONSTRUCTION PERMIT APPLICATION
CITY OF �/
JUL2 u3 r APPLICATION NUMBER: 03 - 1 O30_11'.- crl
Federal Way
APPLICATION NUMBER:
CITY OF f=EDERAI_WAY kPPLICATION NUMBER: - -
BUIL.DING 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.
Ill
INFORMATION -
SITE ADDRESS: A /91'2D /5/- /�,gGY L ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): J I� TI' E$e/ai.a.
. • ■PROJECT INFORMATION _
TYPE OF PROJECT(This application): o BUILDING o PLUMBING a MECHANICAL a DEMOLITION
ittLECTRICAL a ENGINEERING a FIRE PREVENNTION SYSTEM
SS
PROJECT DERRIPPTION(Provide detailed description): dataed _l1/°Z I-el
/ / "a-4%,1" ,47f`'
e'e*,- 272/270 , ,,/z/ Z /,'74"
PROJECT NAME:
• PEOPLE INFORMATION ` - .
PROPERTY OWNER: NAME: ; DAYTIME PHONEti, :
MAILING ADDRESSa ' (-4,,,,,,,i1, 61
(STREETADDRESS;CITY,STATE,ZIP). I ( )
2 99' D is t X 61' 30/1;//
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:
I EXPIRATION DATE:
(copy of card required) / / I -
APPLICANT: NAME: DAYTIME RHONE
•
MAILING AD RESS(STREET ADDRESS;CITY,STATE,Z P): I EVENING PHONE-
j ( )
RELATIONSHIP TO PROJECT: I FAX NUMBER:
0 ARCHITECT o TENANT 0 OTHER(DESCRIBE): /d /f V ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: VPROPERTY OWNER 0 APPLICANT o CONTRACTOR
--■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES o NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO]ECT 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 o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 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,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the rel. .• of the dty,induding its officers and employees,upo the accuracy
of the Information supplied to , e city,.art of this ap. on.
,NAME/TITLE: /// . / , /_.././/;/yrank DATE: 1
❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
.FOR.OFFICE.USE ONLY: I
. NEW �[7'ADDTTION ax.€ a ALTERATION- isny❑.REPAIR 40 TENANT.IMPROVEMENT ,v
rCENSUS`CODE ?t000,aM 0M .'LOT.SIZE- VO ,�, t - ;`t :.2.
`ZONING:DESIGNATION; {, 4 -. BUILDING SHELL ONLY6D YES ❑ NO, ,
COMP PLAN DESIGNATION f :M , iii kiWa BASIC PLAN? _❑YES ' ,f.❑"NO- ,
;`SECTION V .;TOWNSHIP W !RANGE, . * NEIN ADDRESS REQUIRED? , . ❑'YES ,.'L7 NO
'PLATTED LOT?5. ,:a,YES' ,' 0140 f ,. S,i.„,.,'CHANGE OF USE?, -in 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
Construc coq ermit 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$1.00 for each additional$100.00 or fraction thereof,to and induding
$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
Including$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$7.00 for each additional$1000:00 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$6,00 for each additional S1,000.00 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$9.50 for each additonal11.000.00or fraction thereof.
Bold number Is the base fee for the specified Increment
Italldzed,underflned number Is the fee ver additional svedfied 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): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11)
111111111111111111
_, ■ ELECTRICAL
-
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft2-585.50,Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
iquarc Feet. First 2500 ft2-$50.00;Each add'n 2500 ft2-513 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/ _#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 S57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units ur more) Altered Service or Feeders
- Service Se
Feeder Amps rvice or Add'n -0 to 200 5 93.00
Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 216.50
201 -400 amp 115.50 57.00 =
nip 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00 0 to 100 5: 93,00 $ 57.00 60 F -I000 326.50
401 -600 a
601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _#of circuits
-
I-
_Over 800 amp 289.50 216.50 401-600 252.50 101.00 f 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 Residential/Multi-Family/Commerciai/lndustrial
=0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 -U- 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
I_a of circuits I _over 600 125.00
(1-4 circuits-557.00;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)
If I
II
j
a
1
TOTAL COLUMN(D):
Total Coiumn(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)
Bond Amount: (17)
I 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