03-103944 City Development Services eveWay
CommunityElectrical Permit #:03 - 103944 - 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: HAONG YJW
Project Address: 32749 6TH SW Parcel Number: 926491 0770
Project Description: Add second service panel to serve light and outlet.
Owner Applicant Contractor
Chhay C Haong &Staci D Haong Chhay C&Staci D Haong Chhay C&Staci D Haong
32749 6TH AVE SW 32749 6TH AVE SW 32749 6TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-5624 98023-5624 (253)838-5059
Electrical Fixtures
Description Quantity] €s description Quantity Description Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES February 21,2004.
Permit issued on August 25,2003
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: L ,+/j j Date: — 2 5 - Q 3
- 4 —v3 /Th /
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C045
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CEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF �......" APPLICATION NUMBER: 03 - L03-4/ ikL - QO
Federal Way AUG 2 5 2003 APPLICATION NUMBER: -kPPLICATION NUMBER: - -
"The foil F FEQERAL WAY
jLrBrmation—Please print(in ink)or type"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- III'PROPERTY INFORMATION ::
SITE ADDRESS: 3271/9 - 6 4 VE S(1) (- Qlt\ J 1ASSESSOR'S TAX/PARCEL #: -
9$02`)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
ELECTRICAL�1 ❑I ENGINEERING ❑ FIRE PREVENTION SYSTEM 1
PROJECT DESCRIPTION(Provide detailed de cription): Leke 9 fl �'il �2*Y I\Co. Q /)f-1 f'�
1.4 f' p ( 4 4 00f1,4,.
PROJECT NAME:
I PEOPLE INFORMATION
PROPERTY OWNER NAME:C // / �y �' i DAYTIME PHONE'
rt��/�/v//
14-A-on (-2_53 )S 3 8 5-0S-Q1
MAIUNG A�DDDRREESS(STREET lIDDRESS;CITY,STATE,ZIP): ej
CONTRACTOR: NAME: l . DAYTIME PHONE:
%
` --a ( ) -
MAID G ADDRESS(STIOET
ADDRESS;CITY,STATE : i' I. EVENING PHONE:
32-7Q ? f/p' �V e 5 '`- f/ r'e ie4 �'�C/// i ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
COI I OR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) I / /
APPLICANT: I NAME: DAYTIME PHONE:
aF'rvN.-F,_ ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
I
RELATIONSHIP TO PROJECT: j FAX NUMBER:
O ARCHITECT ❑ TENANT o OTHER( DESCRIBE):
( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT o CONTRACTOR
: ■ 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:o YES o NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE ❑ 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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑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(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,induding its officers and employees,upon the accuracy
ot►the information sup�f to the city as a part of this application.
( i '7/NAME TITLE: DATE: )c ? O
❑ PROPERTY OWNER ❑ALICONTRACTOR
.;FOR.OFFICE.USE:ONLY:<
�ry _._:: .£. �6 3f ..wuu: t a�"n �Ny Y,.
ONEW �O ADDmON t7 ALTERATION NIEInf REPAIR, . 0„TENANT IMPROVEMENTS �_. . .'
CENSUS:CODE s-� - . , ; i
� �,,,��.�.., .�:, �.��; , ae� *: :LOT SIZE �� ��� P�:,;��.�,a.,,.�''t;,m.�•_. , .y';�� •
-
ZONINGTDESIGNATION ;} gy BUILDING SHELL ONLY? " :o NO
=COMP PLAN DESIGNATION BASIC PLAN? ❑YES 6'446)*
SECTION
SECTION. ...,'fTOWNSHIP RANGE _ NEW ADDRESS REQUIRED?,-,4--..7.17-••-•;..13 YES -o NO •
..PLATTED LOT?:.,13 YES:. .o NO '` . ,4,' 'CHANGE OF USE? o YES>;'13 NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF P IOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOTaBCACCEPTED!*******
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 14.00 for each additional S100,0 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$1.000.OQor fraction thereof,to and
induding$25,000.00
(4)$25,001.00 to$50,000.00
(4);504.00 for the first$25,000.00 plus 513.00 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.Cc20Qor 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 addition/51.01:0.00 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 14.50 for each additional$1.000.0Q or fraction thereof.
Bold number Is the base fee for the specified inaement
Jltalldzed undedlned number Is the fee veraddff/onafspeckled 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 839 surcharge,commercial only.
Add$4.50 for WA State Building Code Coundl,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 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 of FI hues
$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)
. IN ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES IF.CBIL-SIOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft2-$85.50;Each add'n 500 112-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet. _ First 2500 112-$50.00:Each add'n 2500 ft`-$13.00
_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/ _if 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 557.00
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 5 93.00 i
_up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amn 115.50., 57.00 0 to 100 5 93.00 5 57.00 _601 -1000 326.50
_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 (1-5 circuits-$72.50:Add'n circuits,$6 ea)
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 _
X0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 1
Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial J
_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
_Mast or meter repair 43.00 _401 -600 115.50
_#of circuits _over 600 125.00
(i-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)
f i
I1
I
!
; TOTAL COLUMN(D): ! r
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)
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) f
Bulletin #100-December 23, 2002