03-104746� 1
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED Y 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.
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 F
lP82 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 �iP.ce=^-
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 r e
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 oFd r ari1
I. +2Fior 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 �'Qd F:�, ':*�!
�_-� 'd.fh� 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
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
or fraction thereof.
Bold number is the base fee for the specified increment
PLUS: Add 65 percent of the base building permit fee for plan revlew fee.
Add 25 percent of the base mechanical permlt fee for mechanical plan review fee.
Add 15 percent of the base bullding permit fee for Fire Dlstrict #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 **
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: f+
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
�tC (b) Additional Increment Fee:
Estimated Permit Fee: (4)'
Estimated Plan Review Fee: (5IN
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fixtures
$26.00 + f 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)
CONSTRUCTION PERMIT APPLICATION
4%L CITY OF ATION NUMBER:-123 -
Federal Way oci 1 71-1111 APPUCAMN NUMBER., - - - - - - - -
Cily ()V,- IFF-DERAL WAY APPUCAMN NUMBER:
a
**The 4Wowing "i'sDrequ�lred information -Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: qTH C-5UL_1*�SSESSORS TAX/PARCEL #: q
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
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TYPE OF PROJECT (This application): XgUILDING o PLUMBING Ei MECHANICAL o DEMOLITION
o ELECTRICAL Ei ENGINEERING Ei FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): VE+-162 OF t�-7'k lf-Ti "ej 1"T1E171z74C?k_1 rt___0_H
�-[!s r_jk_TU!E_ �17 CA)CMIT 15�1 LA604T) �_Vl , r-C4-_ A
PROJECT NAME: -JOH
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS,, CITY, STATE, ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
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-VIA-ILINGADDRESS (STREET ADDRESS; Cn-Y, STATE, ZIP): EVENING PHONE:
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
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1 CONTRACTOWS REGI:STRATTON NUMBER: 12-01'q
"" G N P (.r�f ,d :.I ..................... ------- - F G ------------ . ......
APPLICANT: NAME: DAYTIME PHONE:
-re CHO ee'" ir:5j V441r__ r1t__1rr cl-2 1 kA,- (25 _02111)
MAILING ADDRESS (STREET ADDRES,- CM, STATE, ZIP): EVENING PHONE:
ML4W f-,64r1C-,,6-,\-1e, -i*qC)0 J-Ace�-IA '
RELATIONSHIP TO PROJECT: - - FAX NUMBER:
o ARCHITECT oTENANT OTHER (DESCRIBE):'
ii
ADDRESS:
E-MAIL
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CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT o CONTRACTOR e 4- earnve'b-drreff, cam
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
11-0 -110
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? 3<YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED-XYES Ei NO
WATER SERVICE PROVIDER: NkLAKEHAVEN 1:1 HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: )<LAKEHAVEN 11 HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** Q
r
ESTIMATED SELLING PRICE:
Indicate number of each type of fixture
MECHANICAL
_AIR HANDLING UNIT(S)
# EVAPORATIVE COOLER(S)
0 GAS LOG(S)
) REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
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)
URINALS)
WATER HEATER(S)
i DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
XELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S) WASH MACHINE OUTLET
rR GAS PIPE OUTLET(S)
SINK(S) WAFER CLOSET(S)
MISC. _ )
INTERCEPTOR(S)
SUMP(S)
NAME/TITLE: x. . , DATE:
❑ PROPERTYOWNE `;APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
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