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01-104399 City of Federal Way Electrical Permit #:01 - 104399 - 00 - EL' Community Development Services 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: MISHCHUK Project Address: 33301 47TH SW Parcel N •- . _ ' 1310 Project Description: ELE-Provide 200 amp service for new single family residence.1&g /j • $2.9(o z.--- (1) Low Uol4fr .E Y.tiwSte?—*(/ F7 Owner Applicant a "tractor Ruslan I&Dina Mishchuk Ruslan I&Dina Mishchuk Rus Dina ..hchuk 1332 SW 351ST ST 1332 SW 351ST ST W 351ST S FEDERAL WAY WA FEDERAL WAY WA \10/ E Y 98023-6942 98023-6942 -ctri Fixt - te .:!:,,,,.',']1Description Q - orrk., • 1,$,Description. ..,aQuantity Outbuilding/Garage-Residential' Ma gitin Ifr y, , 'PHE2rioSrp,t- 1 1 6 ,.M ` .ES Oc " i 2002,IF NO WORK IS STARTED. Permit issu-, on April 16,2002 I h cert' that the abo 'nformati.n is correct an. at the construction on the above described property and the up nd the use .- .'cordance with, e laws,rules and regulations of the State of Washington and the ederal Wa y Owner o _��_, �i/���A Date: �f /(� _vvcro4i3u (7- 177/ ,S , , LPA) 3a_Cro4.s ;Nc);to6f ©nJiy Ok_ E' ? —3 D.---fts Z GP k2e q-3_ , , 2 a 3 (9f� � A/Op, 1E- D O ?LeG 9 !l) 3 � 3 c ?� 4.4) /Z)fir✓, 3 - s-- ©) din'/ t Ar(a4)V w r liocce4 0 `^ ` 9-35 3 —W t-f vvoq yo30 • QT10f CONSTRUCTION PERMIT APPLICATION f�6 VV I ,: s F-t SF 2 Ni---)if f�x, ? APPLICATION NUMBER: L VI D 7 _SF • Y OFFEDERAL AL Pk'`w21C Vi i APPLICATION NUMBER: O L - 1 O y 3"n" - E PUILOING DEPT. t•� APPLICATION NUMBER: C) ( - 1 Q �f 3 2 1 - e-L- **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. a PROPERTY INFORMATION - SITE ADDR : 77w /7vEs{N LQ/ .J/ ASSESSOR'S TAX/PARCEL #: / s q 8 0 - d03 /'0 L GAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Z.Q7 L 'S P©,4/I /fcc0'.40,4 % if/E PZ4i it7E-2 49E .#6E4 in/ ✓oL1ffE (76 or P CS 4 it/I e/q/Y 4) ;Ai,(-,;y • co,t)7y/ k)RSN,>t/y i p,1/ :_�x --.---.:- .:---,7:.-t:-!-..- .. PRO3ECT INFORMATION - . . TYPE OF PROJECT(This application): \1JILDING PLUMBING MECHANICAL ❑ DEMOLITION - -.ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed ddescription): (/LbJ/1/9- Cr_DE /v' kt/ 0a_S-E -3(.:(--' 0 "--/. 7 V,Z ° (iL-/-'k c-kk,- c e _,J(.{ C / r PROJECT NAME: ( ( S i ( .1 c( + ` - ■ PEOPLE INFORMATION '"-` PROPERTY OWNER: to E. / DAYTIME PHONE: 7Sz.hAI /)'l/'sA/cHak (2c ) 729 -554/ MAILING ADDRESS(STREET ADDRESS;y�Y,STAGE,ZIP): /.33, sA) 25/5 i i`,E ,c9/9-/lN4r f ti 02_ CONTRACTOR: NAfin n� DAYTIME PHONE 1.5/f9Al Ali-5'141 1L_ (2 )2Z9 -SS-4/ MAILING ADDRESS(STREET ADDRESS,CITY,STATE,Zi��},, / / - I / EVENING PHONE: 3..30q Skil J? S f < 7 P�f9 (//i1),it y a/A 98cz_ ( 1zq -.sem/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - – - — - - - - (2S3)674 -S' / CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NA DAYTIME PHONE: l yrs / m/5 6C4 L (2c6)OE -ss4/ MAILING ADDRESS(,STREET ADDRESS;CITY, ATE,ZI I EVENING PHONE: &3 5�,' $.s ys F- --3 -�/ex4t1w,f_r Ri�'FA e23 9 -S -4/ RELATIONSHIP TO PROJECT: ������� �JFAX NUMBER: // Cl ARCHITECT CI TENANT LOTHER(DESCRIBE): �\ (a5-5 )67<—f --c --4/ E-MAIL ADDRESS. CONTACT PERSON FOR THIS PROJECT: t2 PROPERTY OWNER 111APPLICANT ❑ CONTRACTOR 4.5.5 hs#CHait&N51Y•C"'I - . .:■ :DETAILED BUILDING INFORMATION / EXISTING USE: y, �/1/� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ (�0/ 40 0 PROPOSED USE: j ! /L. PROPOSED VALUATION FOR IMPROVEMENTS: $ 7' SPRINKLERED BUILDING? ❑ YES `LT' NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: Cl YES IA NO WATER SERVICE PROVIDER: L'1 LAKEHAVEN ❑ HIGHLINE Cl TACOMA PRIVATE(WELL) SEWER SERVICE PROVIDER: IJ LAKEHAVEN ❑ HIGHLINE PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** * NUMBER OF BEDROOMS: 4 ESTIMATED SELLING PRICE: $ 26.,, ' 7 i i ;■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT 7 ' FIRST I-6 -/f Z Z9 hoe 9 SECOND ,0 /3 73 /_3 73 THIRD �j 740E�FOURTH ------7 ,25:75 OTHER FLOORS(DESCRIBE) „�fj 7-:,< DECK /� GARAGE / �7 � 7 9a2.HOW MANY FLOORS? / / � TOTAL: `3? 7 q4 !-7 94 . ... .. :i-rFIXTURES Indicate number of each type of fixture i (- l MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) / GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) <'' FAN(S) I HOOD(S) WOODSTOVE(S) BOILER(S) / FIREPLACE INSERT(S) / RANGE(S) MISC.( ) COMPRESSOR(S) 1 �/ FURNACE(S) � � / DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC LP'GAS PLUMBING qq 1 oL BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEAZER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) LI ELECTRICGAS DRINKING FOUNTAIN(S) SHOWER(S) / WASH MACHINE OUTLET GAS PIPE OUTLET(S) r SINK(S) 3 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 tothecity as a part of this application. NAME/TITLE: let-i5..5G.,:c--i-/C61J--- DATE: ,A A/ 12PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR i ,FOR OFFICE USE ONLY: 1 +r Q 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? El YES 0 NO CHANGE OF USE? ❑ YES ❑ NO 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 (I)$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 SI000 00 or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$l 000_00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (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 16.00 for each additional S1 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 add,tioncl_$10012,00 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 S3.o1 for each additional 51000.00 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 * ■ BUILDINQ :. PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (h)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) i ■ PWMBING = . 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) • - • a ELECTRICAL r TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or fecdcr only $44.25 _#of Thermostats(First-533.50;add'n-$I0.50ca) (First 1300 ft'-$67.00;Each add'n 500 ft'-$21.50) Service and feeder $72.25 _#of Low voltage fire or burglar alarms Square Feet: 3 U O First 2500 li''-538.75;Each add'n 2500 ft'-$10.50 I Each outhuildingor garage $28 00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _II of service or feeders • Per`.VAC 296-46-9I0(5)(b)(i R ii) Each outbuildingor garage $44.25 (First service/feeder-544.25;Add'n service/ _#of Signs(First sign-533.50;add'n sign (Inspected separately) feeder-$28 each) $16.00 each) _Progress inspection per'h hr $33.50 7 _Swimming pool.hot tub,spa 67.00 E, vs_I _ 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 8 of circuits __Over 800 amp 225.25 169.00 401 -600 197.00 78.75 (1-5 circuits-556.25;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY 601 -800 254.50 107.25 . (When inspected separately from the services.) 801- 1000 310.75 129.75 Temporary Service Service or Feeder Over 1000 339.00 181.00 0 to 60 $38.75 0 to 200 amp $61.50 Over 600 volts surcharge 56.25 61 - 100 44.25 _201 -600 amp 89.75 Mast or meter repair 61.50 101 -200 36.25 _over 600 amp 135.25 _201 -400 67.00 _Mast or meter repair 33.50 _401 -600 89.75 _II of circuits over 600 97.75 (1-4 circuits-544.25;Add'n circuits$5 ca) If service is greater than 200 anip,a plan review is req'd.Fee is 35%of permit lee+556 25.Add.'plan review for other submissions is$67.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B (I3 NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN (D): Total Column(0) 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) r 58CC 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 4 100-January 3, 2001