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03-104045y R "• -� T ity Of Federal Way • ommnity Ucee'.opment Services I Building - Commercial Permit #: 03 - 104045 - 00 - CO 3530 1st Way S ederal Way, WA 98003 -6210 P11: 253.661'.4000 Fu.c;253.66i.,!29 Inspection request line: 253.835.3050 Project Name: _ WQL41� ENS DRUG STORE Project Address: HOY I' RD SW Parcel Number: 308900.0315 Project Description: NEW - Construction of new 14478 sqft masonry retail building with attached 486 sqft drive -thru canopy. Project includes mechanical & plumbing fixtures. Owner Applicant Contractor Lender TOO HOYTIL? TOYTIE, LLC *DAN - MULVANNYG2 ARCHITECTURE * POE CONSTRUCTION, INC BANK OF AMERICA #75200 2333 CARILLON POINT 222 SW COLUMBIA ST POECOI *247QZ 511105 NW OP ADM WA1- 501 -10 -10 KIRKLAND INA 98033 PORTLAND OR 97201 PO BOY 899 800 5th AVE Floor 24 Permit fen Foundation Onl y ... .............................No Plumbing................. ...,........................... 4. Special Inspection : tcgeircd . ............................... Yes AUBURN WA 980710899 s SEATTLE, WA 98104 -3185 Includes: Census category: 3 Occupancy Group: Consi•u tics ?'vl Occup u;y 1, aad. -_ o.n• A a (*,q Ft.), - - 1st Sq. Feet ....... . .................. .. 14478 Building Pre -con, Meeting Required. ............ Yes CCnSUS 011"Or. ...... I.- ...... . ...................... >, 327 -. New store and customer '- Fire Sprinklers..... ................ .................... Yes Meehan cai ................................................. .. Yes Number 'of Stories ......................... ...I Other.' . ,,x� ell Sd. Feet ... ........................ 486 Permit for Building Shell On;y ............................ No Permit fen Foundation Onl y ... .............................No Plumbing................. ...,........................... Yes Special Inspection : tcgeircd . ............................... Yes Tota! Propo3ed Sq. Feet ....................................... 14964 W :II Cert:3l,uto of Occupancy be Issued? . ... ,..... .Yes Sensitive Areas? .................. ............................... No Zoning Design . 1„ n .............. ............................... BN Plumbing Fixtures Descr pth.lsl 62uantityJ �_ Description ` JQuanttyJ Description I'y'; — _ Dthn:ulg Fountains J — Lavatories P 3� O th Plumbing Fixtures I s J ,,inks ! 4 � '`Urinals JI 1 Water Closets !�� 3 Water fleatel s j 1 Mechanical Fixtures Descn tion �Quantit_ I escri tio_n__ _ Quantity j Description _ J[uanitty Air Handling Unitsp - �p p - �!_ _`y g � Com ressors 1 Fans 3 j — - —_ L CONDITIONS: 1. Required downspout footing drains, & run -off from impervious surfaces shall be tightlined to an approved storm drain system as required per the approved drawings /plans. Call for inspection of system prior to backfilling trenches. Final building inspection will not be conducted until storm system is approved. 2. Prior to any clearing or grading on a lot, the owner/builder shall install temporary erosion/sedimentation control facilities approved by the City. These facilities must ensure that dirt or sediment -laden water does not enter the public drainage system, adjacent lots or public streets. The owner /builder bears the responsibility to maintain the facilities in proper working order, replacing as necessary. The facilities may be removed only after such time as construction is complete and landscaping is installed. See erosion control plan for location of silt fencing. 3. Final inspection will not be conducted until all street improvements, including pavement, sidewalk, utilities, striping, street trees and street lights, have been installed. 4. Statutory warranty deeds for right -of -way dedication must be recorded at King County prior to certificate of occupancy. 5. All unoccupied building pads on the site must be stabilized with hydroseed prior to Certificate of Occupancy. Site stabilization measures shall be maintained until approved construction begins to ensure that no soils are exposed, no \1PISP�'9iil1T �C r1P0lll OY1111 \)Ph 1l..1r9Y 7(.f tV lilt lC tIYP \ /Pn tP�l rt.r,t.ta ttvu t� ut.au a— VtAzmuta■ .us r rtt.r t,u wu. 6. Curb stops shall be required in par f , 9 stalls along fronts of building to reduce re ction of required walkway widih. 7. Landscape inspection shall be required before occupancy of any building is granted. Contact Deb Barker at 253 - 661 -4103 to schedule the inspection at least one week prior to final inspection. 8. Additional evergreen trees, lows shrubs and ground covers shall be added to the perimeter landscape beds as depicted on the redlined landscape plans. 9. Prior to certificate of occupancy, a BLA relocating the southerly property line shall be submitted, reviewed and upon approval by the CIty, recorded at King County at the expense of the applicant. 10. Street trees shall be measured at 6 inches above the rootball, while deciduous on -site trees in perimeter planting areas shall be measured at 4.5 feet above the rootball at the time of planting, evergreen trees shall be a minimum of 6 feet in height at the time of planting. 11. Perimeter shrubs shall be maintained no less than 30 inches during the life of the project to meet FWCC. 12. Ground cover shall be planted in all planting beds to achieve full coverage within three years per FWCC. 13. Based on future study, the City reserves the right to restrict the northern most driveway onto SW 340th Street to right - in/right -out only at the expense of the applicant. 14. Streetlighting is required to be installed prior to certiifcate of occupancy. Plans will be issued separately. 15. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES August 11, 2004. Permit issued on February 13, 2004 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. 11 � Owner or agent: Ci eye'` -���� Date: 2- Z/, City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by Cily staff. Tenant Name: WALGREENS DRUG STORE Address: 34020 HOYT SW Permit number: 03 - 104045 - 00 Owner TOO HOYTIE TOYTIE, LLC *DAN TAYLOR Name: 2333 CARILLON POINT Address: KIRKT •AND WA 98033 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner /occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. #1 r #2 #3 � #4 Occu yp cna cna Group: Construction Type: Type V - N Occupancy Load: 374 Floor Area (Sq. Ft.): 14964 Owner TOO HOYTIE TOYTIE, LLC *DAN TAYLOR Name: 2333 CARILLON POINT Address: KIRKT •AND WA 98033 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner /occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. INSPECTION LOG DATE INSPECTOR OK CORRIREJ ! AREA AND TYPE OF INSPECTION Al Aa M • 4 • ►.i. , r► o e--'44' ce '41Z 5 12ot,0if G I' aI ✓J oof ',j © tI �. o 1 64 • • tip SeW,*4 .J 19kr:- Az -/.q - Al u D Y- _74r, Lave Ile. cirr of ' POS HIS CARD OS THE FI ONT OF BUILDI •� Federal Way B ING DIVISION �''`• INSPECTION RECORD INSPECTION REQUEST PHONE #: 253- 835 -3050 PERMIT #: 03- 104045 -00 -CO OWNER'S NAME: TOO HOYTIE TOYTIE, LLC *DAN TAYLOR :. SITE ADDRESS: 3 020 HOYT SW (7i Tum,p ewo�;t u 1 cowl w - O FOOTINGS /SETBACKS FOUNDATION WALL 3 " L DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED O DRAINAGE: Line _ O Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED O UNDERFL . OOR _ G b 3 41C () ROUGH PLUMBrJG: DNN'V d Water piping(—=-- C �— ( ) ROUGH NIECH.� �NICAL (� . ( ) SKEA : ti', ALLS IcCc . Gets p,pimy _ Eitch Over ALL THE ABOVE MUST i ::aPPROVED :'RIO O FRA2- 7NG /FIRESTOPPiNG �O — Z 5'-c1 +00' G..c_ .'.00. O 7RAIVING %VIS''ECTivr+ THE ABOVE 'MUST BE APPROVED PRIOR TO INSULATING R SI-W7;ETROCKING DTSULATT —' ?ic a Walls — - �"ttic THE ABOVE MUST };E APPROVED PRI (R)::0 APPLYING SHEETROCK:' O WAi,LBOARD NAILING &-z � O SJSPEiTD,.D CLEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILIN TILE O ELECT.:'jCAL FINAL O PLANNING FINAL ( ) PUBLIC WORKS FINAL FIB ^.E FINAL THE ABOVE MUST BE APPROVED PP OR TO BUILDING DEPARTMENT FINAL O BUILDING FINAL 10' - Z 7 - d 5%G- DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED - f % RE C#OVEC) _C0MTI"t`tJCT PERMIT APPLICATION clrv�Tr PPLICA ION NUMB R: � - � � & co FederalWaY AUG 2 9 2003 . PPLICATION NUMBER: PPLICATION NUMBER: - i CITY OF FEDERAL WAYn T4ired information — Please print (in ink) or type* Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): Tracts 61 through 70, all in Hannon's Half Acres, according to the Flat thereof recorded in volume 15 of plats, paae 28, records of Kina Countv, Washinaton. Situate in the County of Kina, State of Washinaton. TYPE OF PROJECT (This application): XCBUILDING xxPLUMBING XVMECHANICAL O DEMOLITION ELECTRICAL }&ENGINEERING ^FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Constr—u—cf1l6n of an approximately 14,500 SF masory buildin4 with tentant imorovments fora Walgreens Drugstore Associated work by Civil and _. rl on site and off site. 1.mpr_nymen .G, PROIECTNAME: HOvt Road Reta • • • • vROPERTYOWNER: — — - - -- - — i wemr -� - � DAY7iME SHONE Tog Hoyt t i e tie, _ .To LLC / Nicholson D Prop. - Development,, Prop (425 ) 827 -7499_ - - -- _ , MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 2.3 T�� 33 Carillon Point: Kirklan(?. WA ARO'Rl � l2WC�4r �1 CONTRACTOR: APPLICANT: \Iavo NAME:C I- .,2- t�3a�- i DAYTIME PHONE: to be selected 0' MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: / f (copy of card required) j NAME' DAYTIME PHONE: Dan Foeller / MulvannyG2 Architectures i __503 )223___Q311; �MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE 222 SW Columbia Portland, OR 97_201 X503 %223 _8030 _ RELATIONSHIP TO PROJECT' , FAX NUMBER: IN ARCHITECT O TENANT o OTHER ( DESCRIBE): 503 1223 8, 3 8 1 i - - E-MAIL ADDRESS: CONTACT PERSON FOR TES PROJECT: o PROPERTY OWNER o APPLICANT o V)anfftu1yannyq2.com _ rnm • BUILDING • • EXISTING USE: Vacant EXISTING BUILDING ASSESSED /APPRAISED VALUATION - - - -- '20 S3U/IS Retail Center PROPOSED VALUATION FOR IMPROVEMENTS: $ 1,500,000 aPRINKLERE'D BUILDING? -N YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED- iXYES a NO WATER SERVICE PROVIDER: CI LAKEHAVEN a HIGHLINE 4 TACOMA r) PRIVATE (WELL) SEWER SERVICE PROVIDER: x LAKEHAVEN o HIGHLINE n PRIVATE (SEPTIC) * *NEW RESIDENTIAL CONSTRUCTIOAWLY* * NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE, - ■ PR03ECT FLOOR AREAS _ FLOOR _ EXISTING S4. FT. PROPOSED SQ. FT. TOTAL BASEMENT RAIN WATER SYS. — SHOWER(S) VACUUM BREAKER(S) o ELECTRIC ERGAS GAS PIPE OUTLET(S) 4 SINKS) — WASH MACHINE OUTLET — — WATER CLOSET(S) �YqE MISC. ( 3 SECOND SUMP(S) ) THIRD FOURTH OTHER FLOORS (DESCRIBE) L DECK GARAGE HOW MANY FLOORS? TOTAL: 14,964 Indicate number of each type of fixture MECHANICAL 5_ AIR HANDLING UNIT(S) — EVAPORATIVE COOLER(S) — GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) 3 FAN(S) — HOOD(S) — w000srovE(s) BOILERS) — FIREPLACE INSERT(S) — RANGE(S) I — MISC- (air curtain COMPRESSOR(S) — FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC 10 GAS PLUMBING BATHTUB(S) ' 3 LAVATORY(S) 1 URINAL(S) 1 WATER HEATER(S) DISHWASHER(S) 1(2) no ..1 DRINKING FOUNTAIN(S) RAIN WATER SYS. — SHOWER(S) VACUUM BREAKER(S) o ELECTRIC ERGAS GAS PIPE OUTLET(S) 4 SINKS) — WASH MACHINE OUTLET — — WATER CLOSET(S) �YqE MISC. ( 3 INTERCEPTORS) SUMP(S) ) 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 attomeys' fees incurred in the Investigation and def se of such claim), ich may be made by any person, including the undersigned, and filed against the City of Federal Way, but o ere su daim out of the reliance of the qty, including its officers and employees, upon the accuracy of the Information p ied to city a part of this application. NAME/TITLE: DATE: _ TT 07 O PROPERTY OWNER IK APPLICANT o CONTRACTOR COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 253-661 -0000 - FAX: 2S3 -661 -4129 mvw.cityoTfe4er Iway.com Co ruction Permit Fee 'Calculatio n 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) $L00 to $500.00 (2) $501.00 to $2,000.00 (2) $30.00 for the first $500.00 plus frLiV for each additional $100 00 or fraction thereof, to and including (3) $2,001.00 to $25,000.00 ¢2,000.00 (3) $90.00 for the first $2,000.00 plus $16, 00 for each addition/ $1,0W, db or fraction thereof, to and (4) ¢25,001.00 to 550,000.00 including $25,000.00 (4) $504.00 for the first $25,000.00 plus f1300foreach additional 1000 or fraction thereof, to and (5) $50,001.00 to ¢100,000.00 including $50,000.00 (5) $829.00 for the first $50,000.00 plus ro 0YJ for each addition/ 1000 00 or fraction thereof, to and (6) ¢100,001.00 to ¢500,000.00 Including $100,000.00 (6) $1,279.00 forthe first $100,000.00 plus $7.00 for each addition /SI000, or fraction thereof, to and (7) ¢500,001.00 to $1,000,000.00 including ¢50,000.00 (7) $4,079.00 for the fist $500,000.00 plus A122 foreach adddirnu /SI 00000or fraction thereof, to and (8) $1,000,001.00 and up Including $1,000,00100 (8) $7,079.00 for the first $1,000,000.00 plus 1L.S2foreach additions /$1.000. or fraction thereof. Bold number Is the base fee for the spedfled Increment tt�/ /died undedlned nam /e d... e..P .,p. Arlene na /S�jg,y /naemenf 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 IS 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_ PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: * Electrical, plumbing, and mechanical fees are calculated separately (a) Base Fee: (b) Additional Increment Fee: Estimated Plan Review Fee: (2) $ 3401 . 6 Estimated FW Fire Department Surcharge: (3) $ 6 8 9.0 0 (COMMERCIAL ONLY) ■ MECHANICAL *—PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (7) (a) Base Fee: (b) Additional Increment Fee: ■ FIRE PREVENTION SYSTEM (a) Base Fee: (b) Additional Increment Fee: Base Fee Number of Fixtures $26.00+( X $9.00 /fixture) _ Estimated Permit Fee (8) Estimated Permit Fee X .65 = Miscellaneous Fixture charge: (10) (9) Estimated Plan Review Fee Sub Total (Page One): Line(s) ( 1)+( 2)+( 3) +(4) +(5) +(6) +(7) +(8) +(9) +(10) = (11) low r. lb TABLE E3 It a new or ailerea cornmerciai SCrV iCC 15 tVV amps or greater, or a nc%v or ancreu res,uctu,a, suvn,c a gtca,�, wm, -.vv au y, >. a inm, ,�.,�., ,> ,cyuu cu. , ci p ,.�,u m permit fee +57250. 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) i i t Estimated Permit Fee: ( Total Column t0) Estimated Permit Fee from Gme 72 TOTAL COLUMN Estimated Plan Review Fee: $72.50 + ( X.35) _ (13) DEMOLITION Estimated Permit Fee: (14) Bond Amount: (15) 0 ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) OTHERFEES Mitigation Fee: (18) _ SBCC Surcharge: (19) (21) (22) �. TOtal (PageSOne&T -o): Line(s) (11) +(12) +(13) +(14)+(15) +(16) +(17)+ (18)+(19)(20) +(21) +(22) +(23) Bulletin ;r 100 - December 23, 2002 NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Fancily Scrviec or feeder only 557.00 N ofThcnnostats (First - 5- 13_G0, addn -513 Orica� - (Fast 1 300 fl'-SSS 50, F.acl, add ", Soli fi -S27 5U) Scrviec and feeder _. _ Sr) i 00 t of Loi+ voltage fire or burglar alarm, i )uarc 1 cct -_ -- 1 list 25(1(1 fl'- SSQOU. [acli add'n 2500 fl'-51; ut; I -ach tutbulldingor gatagc _ 535511 MOBILE HOME /RV PARK Syuerc I cct (Inspected %kith sci- ic) -- # of service or feeder: ' 1'cr WAC 296- 46- 9100)(b)(i R ii) I Each outbuilding or garage ____ ____ _ b57.00 (First service feeder- 157.00; Add'n st rvice/ t of Signs (First sign - 543.00; add'n sign _ (Inspected separately) feeder -$37 each) $20.00 each) Swimming pool, hot tub, spa __._ $85.50 Yard Pole meter loops . S� 7 (1{ i NEW MULTI- FAMILY COMMERCIAL /INDUSTRIAL COMMERCIAL /INDUSTRIAL f i ar nwrcl (locladcs three uun5 Ahercd Service or Fcedcrs i , ' SCry ICC Fecdct .1mpS Xfv.C;: of Add 1, _ 0 IU 200 L:)li i Up «, 200 amp -. $ 93.00­ $ 27.5(1 feeder ` _ 201 -600 _ _ 1u.i(; f 201 - 4(X1 amp _ 1 15 50.. SZOC _ O w 100 _ _. 3 93.00__ -- 5 57.00 I — 601 - 1000 . _.. _ 126.50 _ i_ -101 - 600 amp ... ..._ 158.50..... _ ... 78.50 _ 101 -200 ..._.... ........ 115.50 ......... 72.50 � —over 1000 ...... ._.... 363.06 j l_ 601 - 800 amp ............... 202.50 ................ 108.50 _ 201 -400 .. ...... . 216.50........... 85.50 _ # of circuits ` Ovcr 800 ante. ........_... 289.50- ..... 216.50 401 - 60(1`_ .. _. ...... 252.50......... 101.00 (1 -5 circuits - $72.50: Add'n circuits, 16 eai _ ALTERED SINGLE /MULTI FAMILY _ X601 dQO: .:............_....... 326.50......... 138.00 (When inspected separately from the services.) _$01 ',1 ..................... 399.00......... 166.50 TEMPORARY SERVICE Service or Feeder _Over= 1000 ...................... 434.50... - -... 232.00 Res IdenlialRvlUhi- Family /Commercial /lndusIriat 0 to 200 amp ............ $ 71.50 —Over 600 volts surcharge ................ 72.50 —0- 100- ......... .... .. _S 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 ..._ _ ___ i 1 i SO - Circuity --Pot (i -4 circuits -SS 1.00, Add'n circuits S6 ea) i - I J It a new or ailerea cornmerciai SCrV iCC 15 tVV amps or greater, or a nc%v or ancreu res,uctu,a, suvn,c a gtca,�, wm, -.vv au y, >. a inm, ,�.,�., ,> ,cyuu cu. , ci p ,.�,u m permit fee +57250. 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) i i t Estimated Permit Fee: ( Total Column t0) Estimated Permit Fee from Gme 72 TOTAL COLUMN Estimated Plan Review Fee: $72.50 + ( X.35) _ (13) DEMOLITION Estimated Permit Fee: (14) Bond Amount: (15) 0 ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) OTHERFEES Mitigation Fee: (18) _ SBCC Surcharge: (19) (21) (22) �. TOtal (PageSOne&T -o): Line(s) (11) +(12) +(13) +(14)+(15) +(16) +(17)+ (18)+(19)(20) +(21) +(22) +(23) Bulletin ;r 100 - December 23, 2002