03-104179 FILCLIVOfx4)
CONSTRUCTI_. PERMIT APPLICAT
CITY OF "^ Cj it P 1 0 2003 APPLICATION NUMBER: pa- .1 ,) (4 J�- e O
Federal Way CITY OF FEDERAL WAYPPLICATION NUMBER: - -
BUILDING DEPT. APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type** `l
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. \
• PROPERTY INFORMATION
SITE ADDRESS: 31455 28TH AVENUE SOUTH ASSESSOR'S TAX/PARCEL#: (20021104001737) 0921049054
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
LOT 1 OF SHORT PLAT NO. 484069 ACCORDING TO SHORT PLAT RECORDED SEPTEMBER 10, 1984
UNDER RECORDING NO. 8409100751 IN KING COUNTY, WASHINGTON
• PROJECT INFORMATION
TYPE OF PROJECT(This application): $9 BUILDING A.PLUMBING beMECHANICAL o DEMOLITION
E E FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): New construction of a 8,671 sf single story wood frame
building with lap and metal siding and metals roof. Site improvements include outdoor play areas,
courtyard and planting areas. (Parking and site utilities were provided to the site by the Truman High
School project) The building is comprised of (3) classrooms, art room, indoorplay, kitchen, admin and
support spaces.
PROJECT NAME: Federal Way Headstart Building
• PROJECT INFORMATION
PROPERTY OWNER: NAME:Rod Leland (building owner name:John Bancroft) DAYTIME PHONE:("ac.) ��_173
Federal Way School District (Puget Sound ESD (206)206-439-6922) ( 253 ) 945-5934
MAILING ADDRESS(STREE ADDRESS;CITY,STATE,ZIP):
1066 South 320th,Federal Way,WA 98003 (4 0 SW 152nd STREET BURIEN,WA 98166-2209)
CONTRACTOR: NAME: DAYTIME PHONE:
Not yet known ( ) -
t� O If MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEVENING PHONE:
UAC. x�l� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
G/ -
•Qt16
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
ARC Architects—Suzanne Findley (206) 322-3322
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1101 East Pike Street Seattle WA 98122 (206 ) 789-3035
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE): (206) 322-9323
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER )(APPLICANT o CONTRACTOR findlev@arcarchitects.com
• PROJECT INFORMATION
EXISTING USE: N/A EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ IJ/A-
PROPOSED USE: School Building PROPOSED VALUATION FOR IMPROVEMENTS: $ 1,340,000 total
SPRINKLERED BUILDING? (YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:AYES o NO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: T LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• **NEW RESIDENTIAL CONSTRUCTION ONLY
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 8,761 sf 8,761 sf
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
Mech attic
DECK
GARAGE
HOW MANY FLOORS?
8,761 sf 8,761 sf
TOTAL:
Indicate number of each type of fixture /C^k fir ,�k
MECHANICAL I � (4/Akitt-kl l} y^ J
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) 6 FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
3 systems DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC zi GAS
PLUMBING
BATHTUB(S) 2 LAVATORY(S) URINAL(S) 2 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ;OAS
DRINKING FOUNTAIN(S) SHOWER(S) 1 WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 14 SINK(S) 8 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: / _ MSQ-• Ac-C DATE: 9-9-03
o PROPERTY OWNER xAPPLICANT o CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑YES o NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? o YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
Construction Permit Fee Calculation Shcct
*******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)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 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$1,000.00 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$1,000.00 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$7.00 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)$4,079.00 for the fist$500,000.00 plus$6.00 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$4.50 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: 616,949 (per the multiplier)
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
$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)
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$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
_Yard Pole meter loops $57.00
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 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 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 _#of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 -5 circuits-$72.50;Add=n circuits,$6 ea)
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 $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 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 -600 115.50
#of circuits over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
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 fee+$72.50.Add=1 plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
New 600A service 252.50 1 252.50
TOTAL COLUMN(D): 252.50
Total Column(D)
Estimated Permit Fee: (12) 252.50
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( 252.50 X.35) = (13) 160.88
• 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-December 23, 2002