01-100612 City of Federal Way Electrical Permit #:01 - 100612 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: GRIFFEY
Project Address: 33057 35TH SW Ave SW Parcel Number: 109975 0100
Project Description: ELE-200 amp panel change
Owner Applicant Contractor
Janice Goldsmith NONE ELECTRO SERVE
33057 35TH AVE SW 13456 SE.27TH PL#240
FEDERAL WAY WA BELLEVUE WA 98005
98023-2674 NONE (425)451-3358
Electrical Fixtures
Description :gua ter -- ,Description Quantity ;Description' Quantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES August 12,2001,IF NO WORK IS STARTED.
Permit issued on February 13,2001
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 Way.
Owner or agent: ` ter J Date: "' � f
OfTYOf CONSTRUCTION PERMIT APPLICATION
EDEIZRL '1 APPLICATION NUMBER: 6 L - L Q D p 2 - EL
APPLICATION NUMBER: - -
FEB 1 3 2 - APPLICATION NUMBER: - -
**The follgvyingis required information-Please print(in ink)or type**
BUILCae�g
Please note: Electrical, Fire Prevention SisVand Engineering permits may require a separate application.-
• ■ PROPERTY INFORMATION •
St i
SITE ADDRESS: '2' CD S7 .3 ..'-T4.- Ai.A ASSESSOR'S TAX/PARCEL #: -
LEML DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S '- L _- v‘.....'. I`-•
�
,d��
■ PRWECT INFORMATION
TYPE OF PROJECT(This application): ❑ 1, ILDING CI PLUMBING CI MECHANICAL ❑ I -
,yLtLECTRICAL ❑ ENGINEERING❑ FIRE PREVE. ON \ STEM
PROJECT DESCRIPTION(Provide detai -. descr 'on). L4, 0 � IF \ c'v -
\L
tli
PROJECT NAME:
• 'SEG ,LE INFORMATION
PROPERTY OWNER: NAME DAYTIME PHONE:
Cl..----'.�.c,_ i", (2s3 ) to G SS'Y
( -7
MAILING I RESS(STREET ADDR ;CITY,STATE,ZIP):
3 ' • s7 3 S-rt.► ,.Q,.,.g S, vJ ,
CONTRACTOR: NAME: r., DAYTIME PHONE:
gssrs " 41st'-
MAILING ADDRESS(STREET ADDRESS;CITY, TE P): ` EVENING PHONE:
\3547 S �..
t:::. ►) k")°{ ( )
CITY OF FEDERAL WAY:- LICENSE NUM FAX NUMBER:
/ - _ — — - — — (5�s) ��.z - x/9 96
CONTRACTOR'S REGI .TION NUM. EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAM DAYTIME PHONE:
��c •eac- ( ) -
MAILING ADDRESS(STREET I• CITY,STATE,ZIP: EVENING 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? El YES Cl NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) y
SEWER SERVICE PROVIDER: 1:1Z7
LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 56 l
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROTECT 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: ❑ ELECTRIC ❑ 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 claim(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,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: DATE: 2 - `3_ CD
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ 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? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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
11 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$3.27 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$1500 for each additional$1,000.00 or fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00
(5)$50,001.00 to$100,000.00
(4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1.000.00 or fraction thereof,to and including
$50,000.00.
(5)$664.35 for the first$50,000.00 plus$7.50 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$6.00 for each additional$1,000.00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus$509 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,underlined 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,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**
• 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)+(8)+(9)+(10) = (11)
• ELECTRICAL .
TABLE B
RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $44.25 _if of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 ft2-567.00;Each add'n 500 ft!-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 112-$38.75;Each add'n 2500 ft1-$10.50
_
Each outbuilding or garage $28.00 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 $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per' hr $33.50
_Swimming pool_hot tub,spa 67.00
Yard Pole meter loops 44.25
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 $72.25
Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (I-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(WI . inspected separately from the services.) _801- 1000 310.75 129.75 Temporary Service
S..ice or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
`r o 200 am.a. $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25
_ t -.10 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meter repair 33.50 _401-600 89.75
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr. .
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + 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)
Bulletin #100-January 3,2001