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01-103529
• City of Federal Way Caminunity Development Services Electrical Permit #:01 - 103529 - 00 — EL ' f 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: CREITZ Project Address: 29826 20TH it AVG S Parcel Number: 550760 0020 Project Description: ELE-Alter(2)circuits for floor outlets; also adding 200amp service. Owner Applicant Contractor Frederick L Creitz Frederick L Creitz Frederick L Creitz 29826 20111 AVE S 29826 20TH AVE S 29826 20TH AVE S FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-4204 98003-4204 (253)946-8668 Electrical Fixtures Description , �; ;, ti 04,. n,Description ;HI'`Quantity t..©escrrption °Quantity Alt.Serv./Feeder:0 to 200 amps-Res. 1 Circuits-Residential 2 • PERMIT EXPIRES March 9,2002,IF NO WORK IS STARTED. Permit issued on September 10,2001 •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 Wa / Owner or agent: ' Date: `j 7 to— at.. a r, d-u(1yS 2 aZ Gor-a-e f (D — 6 o vir L tebo, p r Go ee75) ,� w" 1�'fVii✓ (Sec _ 2 vv Oc1b e�, City of Federal Way Community Development Services Electrical Permit #:01 - 103529 - 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 411 Project Name: CREITZ Project Address: 29826 20TH S Parcel Number: 550760 0020 Project Description: ELE-Alter(2)circuits for floor outlets. Owner Applicant Contractor Frederick L Creitz Frederick L Creitz Frederick L Creitz 29826 20TH AVE S 29826 20TH AVE S 29826 20TH AVE S FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98003-4204 98003-4204 (253)946-8668 Electrical Fixtures Description "Quantity ;Description (Quantity g;." Description Quantity Circuits-Residential 2 PERMIT EXPIRES March 9,2002,IF NO WORK IS STARTED. Permit issued on September 10,2001 • 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 W4iaip Owner or agents / Date: Q G / /G -- /2- — G( Cc /lGc�l O — / /9 —G1 ©/(, • G RECEIVE®. CONSTRUCTION PERMIT APPLICATION EC!ErZFIL_ APPLICATION NUMBER: Q J - I 0 35;19 - APPLICATION NUMBER: - t y Or FL Di.-L WAY APPLICATION NUMBER: BUILDING 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. ■ PROPERTY INFORMATION SITE ADDRESS: 01 q 9 . (At^ o`�O V . S cJu." ASSESSOR'S TAX/PARCEL#: 2d o PRO LJJ Q�It-oo5 LEGAL DESC PTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION ID-ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT' DESCRIPTION(Provide detailed description): � (�` p1„,,.. S � Lk- d ,6, PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: Fy C e 47- (a.S3 )(4W - 1 G r MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): 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: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: "`/ MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING NING PHONE: ( ) ( 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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** ROOMS: • NUMBER OF BEDESTIMATED 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: •• 1 •FIXTURES . Indicate number of each type of fixture • MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS) BBQ(S) FAN(S) HOODS) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGES) MISC.( ) COMPRESSORS) FURNACE(S) DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLETS) SINKS) 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 daim),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 reliance of the city,induding its officers and employees,upon the accuracy of the information su to the dty as a part of this application. NAME/TITL DATE: 6 T---(4- PROPERTY OWNER El APPLICANT El CONTRACTOR i 1 F.OR OFFICE USE:ONLY: . NEW X .:l ADDITION ❑'ALTERATION ❑;REPAIR= D-TENANT IMPROVEMENT CENSUS;CODE LOT SIZE: : . : .... _ 4'...1"X.....,,,,-7:',..—.,!±:-::,!':"- -:,..--:- ONING ESIGNATION BUILDING SHELL ONLY? ❑.YES ❑ NO COMP LEAN DESIGNATION BASIC°PLAN? �.. ❑YES ❑ NO SECTION TOWNSHIP , . ''.RANGE NEW ADDRESS REQUIRED? ❑=YES -- ;1❑ NO • PLATTED LOT? . ❑YES.; CI'NO CHANGE'OF USE? ( ❑•%YES ❑ NO COMMt1NITY DEVELOPMENT SERVICES••33530 FIRST WAY SOUTH•PO BOX 9718••FEDERAL WAY,WA 98063 9718•253 661 4000••FAX:253-661-4129 a 0 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)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus 53.27 for each additional$100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 for each additional$1,000.00 or fraction thereof,to and induding $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus 510.82 for each additional$1,000.00 or fraction thereof,to and induding $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus 5750 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus 56.00 for each additional$1.000.00 or fraction thereof,to and induding $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus 55.09 for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized undefined number is the fee per additional specified 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 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 Fixtures $21.00+{ X$7.00/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)4-(8)+(9)+(10)= (11) - 4 I. i 44 • LECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-$1 I.00ea) (First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 #of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00 _Each outbuilding or garage $30.00 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 $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-53I each) $17.00 each) _Swimming pool,hot tub,spa 72.00 Yard Pole meter loops 48.00 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 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/lndustiral _0 to 200 amp $66.00 Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600 97.00 - 9j of circuits _over 600 105.00 (1-4 circuits-548.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr. FIX URE DESCRIPTION(A) , IXTURE FEE FROM:TABUS t13)V ratiAtIUMI3ERTOFIJNITS(C) ;a J v-*`1-1,-*-4-"TOTAL 4D)::.' ` , ,,. .,';