03-102805 •
• _.
•
-
ederal Way
Cotrmmilnity oi rty Development Services Building - Single Family Permit #:03 - 102805 - 01 -SF
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: NEGASH FIRE DAMAGE
Project Address: 1925 S 291ST ST Parcel Number: 422300 0200
Project Description: ALT-Fire damage repair work of existing residence to original location and configuration. Work
involves the replacement of sheetrock and insulation throughout,replacement of entire roof truss
system,and replace(1)bathroom exhaust fan. All subject to field inspection. **10/17/03-Add gas
piping and plumbing waste and vent as needed.**
Owner Applicant Contractor Lender
Christine L Bishop PAUL DAVIS SYS OF GREATER TA PAUL DAVIS SYS OF GREATER TA BELETE NEGASH
1925 S 291ST ST 6405 VICKERY AVE E PAULDSG034OS(9/1/03) 1925 S 291ST ST
FEDERAL WAY WA " TACOMA WA 98443 6405 VICKERY AVE E FEDERAL WAY WA 98003
98003-3818 TACOMA WA 98443
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
YP
[Occupancy Load: —
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no. Mechanical Yes
Occupancy Group#1 R-3 Plumbing Yes
Zoning Designation RS 7.2
Plumbing Fixtures
Description Quantity Description Quantity Description _ ![Quantity]
_
Dishwashers 1 I Bathtubs 1 Gas Pipe Outlets 1 1
Water Heaters 1 Laundry Washer Outlets 1 Sinks 1
Mechanical Fixtures
Description Quantity Description -'Quantity Description Quantii
Fans 1
•
CONDITIONS:
1.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES April 14,2004. •
Permit issued on October 17,2003
I hereby certify that the abo - . . ion is correct and that the construction on the above described property and
the occupancy and the u will be in acc. 'lance with the laws,rules and regulations of the State of Washington and
the City of Fede . .�
Owner or IS% , �y� Date: /0 "l 7- (9 ).
..i
111 y '•
•
Community Developmeeof Federal n Services Building - Single Family Permit #:03 - 102805 - 00 - SF
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: NEGASH FIRE DAMAGE
Project Address: 1925 S 291ST ST Parcel Number: 422300 0200
Project Description: ALT-Fire damage repair work of existing residence to original location and configuration. Work
involves the replacement of sheetrock and insulation throughout,replacement of entire roof truss
system,and replace(1)bathroom exhaust fan. All subject to field inspection.
Owner Applicant Contractor Lender
BELETE NEGASH PAUL DAVIS SYS OF GREATER TA PAUL DAVIS SYS OF GREATER TA BELETE NEGASH
1925 S 291ST ST 6405 VICKERY AVE E PAULDSG034OS(9/1/03) 1925 S 291ST ST
FEDERAL WAY WA 98003 TACOMA WA 98443 6405 VICKERY AVE E FEDERAL WAY WA 98003
TACOMA WA 98443 - --
Includes:Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no c Mechanical Yes
Occupancy Group#1 R-3 Plumbing No
Zoning Designation .RS 7.2
Mechanical Fixtures
' ? SGCI ion: o am/Dews Quant i uarfi
Fans 1
CONDITIONS:
1.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES January 5,2004.
Permit issued on July 9,2003
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 Federa
Owner or agen. ,/ Date: 2—
• •
?��+•''.Lig
ENGINEERING
September 12,2003
Mr.Rich Clark
Paul Davis Restoration
6405 Vickery Ave.East
Tacoma,WA 98443
SUBJECT: Negash Residence—1925 S.291st St.,Federal Way,WA 98003
Garage Beam Evaluation/Replacement
Dear Mr.Clark:
We evaluated the built-up beam constructed from(6)2x12 and find that the beam is adequate to support the code
prescribed design loads. See attached calculations.
Please call if you have any questions.
Sincerely,
•
Norm P.Navarro,P.E.
President
P• NgL
-S- OVwAS ; 4 .
4-1),tr.
�
► ., G35682 4' '
tSTE*"
sIONAL$ly
{EXPIRES: 01/21/ d y
102 South 26th St., Tacoma, WA 98402*(253)284-3180 ph*(253)582-9576 fax
•
•
.Nil Engineering P.Sh Resida..�� f
102 South 26th St.,Tacoma,WA 98402 topy
1 9/12!2003
13303_mc
Sheet 1 of 1
1612x12 Sawn Beam
L:= 19-ft t:= 9in
h:= 11.25in
DL:= 10•psf LL:= 25•psf TL:= DL+ LL tw,:= 13ft
w:= TL•t
w w=455 plf
wix DL•tw,
w-L- w'DL= 130 plf
Mix:=
0531.87 ft 1b V �= w•(— -hMmax=2 L
8 max l
Allowable Stresses adOsted DF#1 2 J
Fb 1000-psi Fv:= 95-psi E':= 1700000-psi CD:= 1.15 CF
F'b:= Fb-CD•CM•Ct•CF = 1.2
Fib= 1380 psi CM 1 Ct:= 1
F':= Fv•CD•Cm-Ct.CH FCg:= 1
'v= 109 psi 0 =--
_ L
_ 240
M max
Sreq•_ Fib Sreq= 178.54 in3 < S= 190 in3 ais
Vm x.1.5
Afeq:= F,v Areq=53.49 in2 < A= 101 int OK
S w L 4 —.
Ire9:_ 384 1mq=826.11 in4 < I= 1068 in4 OK
Page 1
PO " IS CARD ON THE FRONT OF BUILD* ,
CITY OF
Federal WayBUILDING DIVISION •
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
03-- LO1SOS-0I
PERMIT #: e3-192$ -OO-SF
OWNER'S NAME: BELETE NEGASH
SITE ADDRESS: 1925 S 291ST ST
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
a r x 'PON Qtt0UR (} T,.M AL1 0' +;I rAPPliO
( ) DRAINAGE: Line ( ) Connection
3" � 'F;1r`J�?l�,J i:N'�.. "6#,Asp R S'ra _
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV /0 • Z. c•3c. Water piping /v .• 2.C9 • 03, Gc..J
( ) ROUGH MECHANICAL // zivG a3 Gas piping. ft, ' a d • 0 3 G..c......J
( ) SHEATHING WO '1''' Roof COWS VI! ^"1'4 1 Floor har
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
T7',_.''". ""4"AI 1 M'TF Q` B WW01►FRAMLNG 10PIR I N� l
( ) FRAMING/FIRESTOPPING to • 3 0 -• p 3 G Cj
( ) INSULATION: Floors Walls Attic
.L:, ;.F ... , .ikki :0'4:::.:4 ***UVE)C}�,`P,,�R,�, 0O,P ' ROS 44tWz.
( ) WALLBOARD NAILING (1 163 ffrf ( ) SUSPENDED CEILING
-z..�.r.<;?", T> R C S 'k er:
^`.�- F G%,�t''�'-, !D�=�._ � ��.� ��'�4�E1�1�` U __.�. _. � QR,�IN��._t'�,��I� 1!, 1):. i.,OTI)C;E:�'%` ��'t=V.
( ) ELECTRICAL FINAL ,3 " /1 d $1149C.___.—
(
1pG C.___.._
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
to _ :,;-;.T4 =ABOETAE Qfi il*WO BUILDING.DEPAR:y ' , .4i::1I1. e';':= ::... '`:..-�
( ) BUILDING FINAL „s'----&--- 0i4,--,) (see eorreon40 A/IO'lee CPalrD "/"63 Glf)
Y„rt� . :::$ T 00 8T` nD :TG-$ " 4.:;114-10(0,1 TG'.kIS:1 L-v0,
_a
• •
A16, •
CITY ofCITY HALL
Fe d e ra I Way 33530 1st Way South•PO Box 9718
Federal Way,WA 98063-9718
(253)661-4000
www.cityoffederal wa y corn
March 24, 2004
Belete Negash
1925 S 291st Street
Federal Way, WA 98003
RE: 03-102805-01-SF; NEGASH FIRE DAMAGE
1925 S 291St Street; Expiration of Permit, Notice to Extend
Our records indicate that on Friday, October 17, 2003, the City of Federal Way
issued revised permit #03-102805-01-SF. This permit expires by limitation and
becomes null and void if the building or work authorized by the permit is not
commenced within 180 days from the date of issuance, or if the building or work
authorized by the permit is suspended or abandoned at any time after the work is
commenced for a period of 180 days. The building official may extend the time for
action by the permittee for a period not exceeding 180 days upon written request by
the permittee showing that circumstances beyond the control of the permittee have
prevented action from being taken. No permit may be extended more than once.
To avoid expiration of your permit, you may call the inspection request line (253-835-
3050) to set up an inspection; or request an extension of your permit by submitting a
written request to the building official by Saturday, April 17, 2004. This request may
be submitted via the regular mail or e-mail at buildingofficiak ci.federal-way.wa.us.
The request should include information indicating that circumstances beyond your
control have prevented you from taking action on this permit.
If you choose not to request an extension for this permit, your permit will become null
and void on Sunday, April 18, 2004. Your expired plans, if applicable, will be
retained for an additional 30 days, should you wish to use them for resubmittal. Work
shall not continue at any time after expiration of the permit until a new permit is
obtained.
If you have any questions, please call 253-661-4115.
Sincerely,
gkIX 9'4artin
Building Official
cc: Paul David Systems Of Greater Tacoma;Attn: Permits; 6405 Vickery Ave E;Tacoma WA 98443
file
ifCEIVED
CONSTRUCT.] PERMIT APPLICATION
CITY OF JUL�� 0 9 2003 APPLICATION NUMBER: 03 - L�j2,0,(� -2_ !
Federal Way APPLICATION NUMBER: Z
- - `'(_
CITY OF FEDERAL 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. p[
_
_ . ■ PROPERY INFORMATION .- . ,
SITE ADDRESS: i CI a 5 S. _ l s f . ASSESSOR'S TAX/PARCEL #: 40-2- 3 Dv- o Z .0 . ,
)-z(-) -A1 W4(4. 4)4 - c?S'OC3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:• .' - - -• , - -- - • PROJECT INFORMATION - -
TYPE OF PROJECT(This application): , BUILDING 0 PLUMBING 0 MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): fix-6- ,A2:43-&-- ,,--e l-/c.. t eSj• /1-,ES'/D e.
1*' .,NCL r- 3 7,w,-/iiu/f,'4 Zv/V/ ‘ s 6-
-*/- 7-fry StrSs %77J,o2--/e,7- . 72) o/2 4//v,- C a.✓ 7'-cUh`yl i 2--frim✓
PROJECT NAME: NeG/ 3/-I-
. - . , • -■ PEOPLE INFORMATION - .
P�ROPERTY OWNER: NAME: ; DAYTIME PHONE!
Y-'���/' M GeA1`DDRESS(STREET ADDRESS;CITY, �TE,ZIP):
I ( 6 ) �� �0�•i
1945 S - / 1 Si - rFJ c)A y c 3'c.)v-3 .
i
CONTRACTOR: NAME: S S Of 6/101-7&-A.. { DAYTIME PHONE: ;
?AAAl bA0l5 v ,_, ( as.3) y75"- n3g
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE•
6405— V/CKek V n l)e i ( ) I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 1
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION9 I PTRATION DATE:
(copy of card required) T 4 c1 LP s Cs O 3 4 O 9 / / i
APPLICANT: NAME: i DAYTIME PHONE
\V i(74 T7` ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): i EVENING PHONE:
i � (
RELATIONSHIP TO PROJECT: j FAX NUMBER. •
0 ARCHITECT ❑TENANT OTHER(DESCRIBE): C0,0170-1,7W—' I ( ) -
I
! E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR I
- - . : . a DETAILED BUILDING INFORMATION .
EXISTING USE: Sr/Z- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ //1.,Deo
PROPOSED USE: SA''7' ¢ �J
PROPOSED VALUATION FOR IMPROVEMENTS: $ ` /, !G '
SPRINKLERED BUILDING? a YES A NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES NO
WATER SERVICE PROVIDER: XLAKEHAVEN a HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: q.LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
L*NEW RESIDENTIAL CONSTRUCTION O * i Z" • i
NUMBER OF BEDROOMS: /V ESTIMATED SELLING PRICE:
• PRO)ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
1
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: 0 ELECTRIC o GAS
P MBING
BATHTUB(S) LAVATORY(S) - NAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. _ VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) . ATER 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 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: :T N/U C- CLL ID T1 E�t-IDVIA.4-@iZ DATE: :-to JtJA) C)3-
O PROPERTY OWNER o APPLICANT .CONTRACTOR
_.FOR.OFFICE USE ONLY
.;fl NEW1 ADDITION = as ALTERATION ' oREPAIR'" TENANT:IMPROVEMENT v`• ,-
,CENSUS CODEil T-s ;=_-M%'sy-,' =' ' '�� ,-..,.-4#2�, - :47,4 _�::= _- -
- �_=`.��=�;�t �+: -LOTSIZE: .��„�.�-., „r�- _,„s:�:- _-:�r,
ZONING DESIGNATION '' x”{ -
. ;:' *�_,_ r,=fid:: .�=yes={BUILDING,SHELL'''ONLY?«-0 YES:�,'=❑ NO_-.
-"COMP_P[AN-DESIGNATION-4=:- =,-:-, -i'ir,-*-x BASIC PLAN?-c`;=o YES -'O'NO'.)•T - ,.
-SECTION g-= >=TOWNSHIP: `;'RANGE 7;7'15'' >, NEW ADDRESS REQUIRED? -:' e'`❑YES•- o NO
"PL'ATTEt LOT?x ;-❑YES-=-7'r-041.O '-fot,,pt'ii•,a_' z,... CHANGE OF USE?.` _-•F_:=---c YES"-.-=fl NO-; .-'".-.: ' -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvofTederalway.com
Consi .tion Permit Fee Calculation Set
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Budding,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)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus 59.00 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional$L000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to and
including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000,0Q or fraction thereof,to and
Including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$I.00 for each additional 51.000.000r fraction thereof,to and
induding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus 56M for each additional$1.000,00 or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$450 for each additional$1.000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Ifa//dzed underlined number Is Me fee per.#dd/tonafsoedtl'er/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 X39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
IN 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)
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
$26.00+{ X$9.00/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
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only ... .. . $57.00 _#of Thermostats(First-543 00,add'n-$13()Oca)
(First 1300 ft'-$85 50.Each add'n 500 ft'-527 50) _Service and feeder .. . . $93 00 _ ft
#of Low voltage fire or burglar alarms
Square Feet _ First 2500 '-$50 00.Each add'n 2500 ft'-$13 00
_Each outbuilding or garage $35 50 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 . . ... . $57 00 (First service/feeder-$57 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
I _Yard Pole meter loops. $57 00
I
I
I
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morel Altered Service or Feeders
Service Fcedei Amps Service or Add'n _0 to 200 . 5 93 00
_Up to 200 amp.. .. 5 93.00. $ 27 50 Feeder 201 -600. 216.50
201 -400 amn 115.50. . . . .57.00 _0 to 100... ...... .1 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
_ (1
601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _ft of circuits
_Over 800 amp . 289.50.. .. 216 50 _401 -600.... -- 252.50 101.00 -5 circuits-572.50,Add'n circuits,£6 eal
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 S 71.50 _Over 600 volts surcharge 72.50 0-100 5 57.00 ! I
_201 -600 amp 115.50 Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp.. ....- ... ......-.-. 174.00 _201-400------------------------ 85.50
ast
r
4
-#1of circuits r repair - 43 00 _Doer 600 f 25.00 i
(1-4 circuits-$57 00,Add'n circuits$6 ea)
i 1
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 fcc+$72 50 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 j i
r ' � I
1
TOTAL COLUMN(D): l
Total Column(0)
Estimated Permit Fee: (12)
• Estimated Permit Fee from line 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)
- I OTHER FEES . .• . .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pa9esone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002