03-105099 City of Federal Way
Community Development Services Electrical Permit #:03 - 105099 - 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: PERRYMAN
Project Address: 235 S 329TH Ln Parcel Number: 926870 0180
Project Description: Low voltage secuirty system
Owner Applicant Contractor
JAMES PERRYMAN PROTECTION ONE ALARM PROTECTION ONE ALARM
235 S 329TH LN 3900 S 220TH ST 3900 S 220TH ST
FEDERAL WAY WA 98003 KENT WA 98032 KENT WA 98032
(253)395-7140
Electrical Fixtures
Description Quantity Description Quantity C Description 1Quantity
Low Voltage Burgler Alarm-Residen 1800
PERMIT EXPIRES May 12,2004.
Permit issued on November 14,2003
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: 7 � �
— -- _L\ki (
1\�' RAI
CA
eL1-
• ` / CONSTRUCTION PERMIT APPLICATION
CITY OF �..�� RF-_'.�`I.,_.I`�. F:. APPLICATION NUMBER: 3- -_0
Federal Way APPLICATION NUMBER: -NM; 14 2003 (APPLICATION NUMBER: - -
**The fol8:144ng?IS rfotrpclkintAltpration—Please print(in ink)or type**
litlrn1f.4(t DEM
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
_ ■ •PROPERTY INFORMATION
SITE ADDRESS: a : v 3 . 33 7 /-Ct/14. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION.
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
XtLECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
I- o i.0 V 3 1 F 4 +- C. \I S s i k.
PROJECT NAME: TEOW
t4.141d
• PEOPLE INFORMATION
PROPERTY OWNER: NAM •• ; DA E PHONE:
"Ja m e-. Pt rr moLvN 1 ' 3 ) S-`/ - bl-)-S-
MAILING ADDRESS(STREET ADDRESS;arY,STATE,ZIP):
23S &)9 LI kr-1 cierAl tJc. ton 4tO63
CONTRACTOR: NA ' DA ME PHONE:
ro+t CI-CO.' Qn L. ! (gap 6J - V3.
M//AILING AD/DRESS(STREET ADDRESS;CITY,STATE.ZIP): �,, 1 i f EVENING PHONE:
tjj
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: . - � , � � � � - � � FAX pl��4 SZ -7-1 (13�1 �3
CONTRACTOR'S REGISTRATION NUMBER: �/J� gore ()
/�� Q /� I EXPIRATIONI '� DATE:
(copy of card required) L L\ o r e Q g a 3 3 P I V 1 / / 7- / v
APPLICANT: NAME: I DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE*
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT o TENANT o OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANTXCONTRACTOR
'.: ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWEI'SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(S'EPTIC)
i **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 ;,AS .,
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,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this
/application.
�}' /
NAME/TITLE: Cly r/ /—
s , 4 (1 c 4 IL I L, DATE: 11 ` 34 3
o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE:USE.ONLY ,rr}
q„NEWma .I3 ADDITION o [3 ALTERATION 3 . o;REPAIR a .>",0 TENANT Il ROVEMENT t ,,,
CENSUS'CODE xn a Goy ..,ott'. rLOT'SIZE ` it 'f` .romu
ZONING DESIGNATION k:-,.i-,, BUILDING SHELL.ONLY?v.o YE1 Fif NO _
COMP PLAN I (GNATION ' „A r ,'_ BASIC PLAN? -;13 YES =:o N0 #
SECTION °TOWNSHIP , RANGE; O*w._ NEW ADDRESS REQUIRED? ."o YES ❑ NO
'�3, ,., ._,, � . a CHANGE OF USE? „� - 'a'-YES -fl NO
PLATTED LOT? , .❑YES .,�❑ 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
Permit Fee Estimate Worksheet
Section 1
o Building Permit o Mechanical Permit ❑ Fire Prevention System Permit
PROPOSED VALUATION:
•
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
(Valuation from permit application-base fee increment)/1000 Round up to nearest whole number
(c){ }/1000 = (d)
OR
For valuations between$501.00 and$2,000 only:
{Valuation from permit application-base fee increment)/100 Round up to nearest whole number
(cl){ }/100 = (d)
Value from(d) value from(b)
(e) X = (f)
Base Fee from(a) Value from(f) Permit Fee
- Permit Fee: + _ (g)
Permit Fee from(g) Plan Review Fee
Plan Review Fee: X .65 = (h)
Permit Fee from(g) Surcharge Fee
FW Fire Department Surcharge: X .15 = (i)
(COMMERCIAL ONLY)
Section 2
o Building Permit o Mechanical Permit o Fire Prevention System Permit
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
(Valuation from permit application-base fee increment)/1000 Round up to nearest whole number
(c){ } /1000 = (d)
OR
For valuations between$501.00 and$2,000 only:
{Valuation from permit application-base fee increment)/100 Round up to nearest whole number
(cl){ } /100 = (d)
Value from(d) value from(b)
(e) X = (f)
Base Fee from(a) Value from(0 Permit Fee
Permit Fee: + _ = (g)
Permit Fee from(g) Plan Review Fee
Plan Review Fee: X .65 = (h)
•
Permit Fee from(g) Surcharge Fee
FW Fire Department Surcharge: X .15 = (i)
(COMMERCIAL ONLY)
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
Section 3
o Plumbing o Electrical
FIXTURE DESCRIPTION(A) FIXTUREFEE(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN((D):
Plumbing
$26.00 + { X$9.00/fixture)= Estimated Permit Fee
Estimated Permit Fee
X .65 = Estimated Plan Review Fee
Miscellaneous Fixture Charge:
OR
Electrical
Total Column(D)
Estimated Permit Fee:
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ X.35 =
a . Se �:.
coon 4
o Plumbing o Electrical
FIXTURE DESCRIPTION(A) FIXTURE°FEE°(B) NUMBER"OF:UNITS(CI' TOTAL(D)`
TOTAL COLUMN"(D):'t
Plumbing
$26.00 +{ X$9.00/fixture}= Estimated Permit Fee
Estimated Permit Fee
X .65= Estimated Plan Review Fee
Miscellaneous Fixture Charge:
OR
Electrical
Total Column(D)
Estimated Permit Fee:
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( _X.35) =
Section 5
❑ Demolition o Engineering o Other Fees
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount:
Estimated Permit Fee:
Bond Amount: Bulletin #101 -December 23, 2002
• ■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 - #of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft'
-$27.50) _Service and feeder $93.00 1#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft'-$50.00;Each add'n 2500 ft'-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: /ro 0 _
(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-557.00;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
Service Feeder Amps Service or Add'n _0 to 200 3 93.00
_Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50
_201 -400 amp 1 15.50 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 _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/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
_Mast or meter repair 43.00 _401 -600 115.50
-#of circuits _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+572.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE,FEE FROM TABLE B(B) .' NUMBER OF UNITS(C) TOTAL(D)
i ( I
"TOTAL-COLUMN(D): I i
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from fine 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) `ASO• 0 0 _ .
Bulletin #100-December 23, 2002