04-103780 arms B
Federal Way T RM IT leg - I o 3 7 3-0
COMMUNITY DEVELOPMENT SERVICES SEP 2 SF MF CO ME EL PL DE E. FP
This is an overview of possible fees associated with the issuance of and is not intended to be inclusive. 33325 8r"AVENUE SOUTH•PO BOX 9718 CATION/� ^ T
FEDERAL WAY,WA 98063-9718 O l0(7r� T,1 ` T j O N To
-- OP OP i
PERMIT FEES-- www.dtwlkdendwoo.com
Building,mechanical,and fire prevention system fees are based on the following schedule.
•`Electrical and plumbing fees arc calculated separately•` The offowin• is required information-an ineo •fete a••lication will not be acre•ted. Please •rint fegibl (in ink)or pe.
i PROPERTY INFORMATION
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR j ` Wei
(l)$1.00 to$500.00 (1)$30.50 SITE ADDRESS �-/4)-0 ,..5*W 33 V •PAS ll(ft�/ Wei 'WO-1-3 SUITE/UNIT# Z/a-4,
(2)$501.00 to$2,000.00 (2) 3 including$t2h�o st$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and ASSESSOR'S TAX/PARCEL# ` 3 •2- _L O 3 - 9 0 9 7 LOT SIZE(sf) 9ef0 `t/fC
1 (3)$2,001.00 to$25,000.00 (3)$90.50 for the first$2,000.00 plus$18.00 for each additional$1,000.00 or fraction thereof,to and LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) "1-7TG de
including$25,000.00 IAA seporale pays fcr SaMOW teyat des.:4,6 nl
(4)$25,001.00 to$50,000.00 (4)$504.50 for the first$25,000.00 plus$13.00 for each additional$1.000.00 or fraction thereof,to IN PROJECT INFORMATION
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$829.50 for the first$50,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof,to TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
• and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,279.50 for the first$100,000.00 plus$7.50 for each additional$1.000.00 or fraction thereof, 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
to and including$500,000.00 PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) �)
(7)$500,001.00 to$1,000,000.00 (7)$4,279.50 for the fist$500,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to t ST De/j' lee -f-m J p ��Z Q /L7 a911 OQY /`C e-c-li' t
end including$1,000,000.00
(8)$1,000,001.00 and up (8)$7,279.50 for the first$1,000,000.00 plus$4.50 for each additional$1.000.00 or fraction thereof.
Table A Rao S
PLAN REVIEW FEES PROJECT NAME(Name of Business or Owner Last Name) Ha tf 4giPayei• Building Permit 65%of Building Permit Fees
• Mechanical Permit 25%of Mechanical Permit Fees ■ PEOPLE INFORMATION
• Plumbing Permit 65%of Plumbing Permit Fees PROPERTY NAME PRIMARY PHONE
• Additional Building Division Review $61.00/hour OWNER i// ad , ha e Z ..2Sc/a/e (940) 711- --ZO 7#
MAILING ADDRESS L CITY,STATE,ZIP
PLUMBING PERMIT FEES -�14 E /74 ,_S /zcf 65-71-a Alesa . Cu1 9_2.i-L 7
• $26.50 Permit Fee plus$9.50.per fixture
CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
OTHER FEES (Vary according to project type and scope) s A Coda YII C l<fo n.. /yw S/A) AAJ (" ) 19.5' -63 4/-3
• WA State Building Code Council (SBBC) Surcharge $4.50/issued permit MAILING ADDRESS/ CITY,STAT ZIP CELL PHONE
• Fire District #39 review fees (commercial only) 15%of Building Permit Fees 31-796 e -C. Il ndera/STATE,
" �� 7�o'9 - ( 3) 709 - 9/4-0
• Public Works review fees Hourly/varies by project CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERR !RATION DATE FAX NUMBER
• School District Impact Fees (new residential only) $3,269.00/single family residence - - -B L / / ( 3) 61f - /9 i,
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
$ 940.00/multi-family unit S• C t'J' N S o 1 1 1- S D// /,P / & -
• Demolition Permit Fees
• Required Bond(s)/Deposits APPLICANT COMPANY NAME AA APPUCANT NAME OFFICE PHONE
$J` ►*-� /� ✓C ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME to PRIMARY PHONE E-MAIL ADDRESS
If you need assistance completing the permit application form, or have questions W M 4� (�13) 7Q 9- 9/ o
cv, Z � � v�aa Set *- A
concerning the application process, please contact LENDER Peru (pr es a maa•n is NAME
MAILING ADDRESS CITY,STATE,ZIP
Community Development Customer Service Counter at (253) 661-4115 .
■ DETAILED BUILDING INFORMATION
8:00 am to 5:00 pm, Monday through Friday
EXISTING USE PROPOSED USE Cs"ii, rrss i'vm Sys- A)
/ 44
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ • tie o, /
- SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
i . WATER SERVICE PROVIDER a LAIC LINE
EHAVEN 0 HIGH O TACOMA 0 PRIVATE(WELL)
Bulletin#WO-March 30,2004 - Page 4 of 4 kU{andouts-Revised\Petmit Application I SEWER SERVICE PROVIDER O LAKEHAVEN a HIGHLINE O PRIVATE(SEPTIC)
•
•
:/ •
- PROJECT FLOOR AREAS �__
E)-CTRICAL PERMIT INFORMAThN
•
-ter -� EXISTING S•.FT. PROP-- OSED S a.FT. TOTAL y
AREA DESCRIPTION ��� COMMERCIAL
RESIDENTIAL
•
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RFIRST IIIIIIIIIIIUIIIIIIIIIIIIESIDENTIAL SERVI• CE
Service or Feeder Add'n
IIIIIIIIIIIIIIIIIIIIIIII ❑ Single Family Square Feet ❑ 0 to 100 amp e 94.50
eor $Each A
SECOND (FirstIIIIIIIIIIIIIIIIIIIIIIIIII g 1300 ft2-$87.00;Each add'n 500 ft2 $28.00) 0 101 -200 amp 117.50 74.00
THIRD 0 Detached outbuilding or garage 0 201 -400 amp 220.50 87.00
(Inspected with service) $36.50
❑ 2401 -400 amp 220.50 103.00
IIIIIIIIIIIIMIIIIIIIIIII
FOURTH ❑ Detached outbuilding or garage ❑ 601 -800 amp 332.00 140.50
(Inspected separately) $58.00
ADDITIONAL FLOORS(DESCRIBE) ❑ 801 1000 amp 405.50 169.50
NEW MULTIFAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
DECK(COVERED?) Service Feeder
$ 94.50 $ re)
GARAGE/CARPORT rorN c�asraowro►R°rose° 0 20 -400 amp28 0 Over 600 volts surcharge $74.00
117.5000
.558.00
❑ 201 -400 amp0 Mast or meter repair $80.00
HOW MANY FLOORS? IlliiiliiiMMililli ❑ 401 600 amp 161.00 80.00
ESTIMATED SELLING PRICE $ 0 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
NUMBER OF BEDROOMS 294.50 220.50 Service or Feeders
"NEW HOMES ONLY" • ❑ Over 800 amp
FIXTURES ;_ - - ❑ 0 to 200 amp $ 94.50
art ofthis project. Do not include existing fixtures to remain ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Indicate number of each type of fixture to be installed or relocated asp 0 601 - 1000 amp 332.00
Service or Feeder 369.50
Value• o MecICAL
hanical
• 0 0 to 200 amp $ 72.50 ❑ over 1000 amp
Value of Mechanical Work $ GAS LOGS REFRIG.SYSTEMS ❑ 201 600 amp 117.50 ❑
N of circuits to be added/altered
FANSORATIVE COOLERS WOODSTOVES ❑ o0er 600 amp 117.50 (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
• - AIR HANDUNGR UNITS FANS H�GNG com MISCS (Describe)
• FIREPLACE INSERTS GAS WATER HEATERS
BOILE• RS FURNACES ❑ q of circuits to be added/altered COMMERCIAL/INDUSTRIAL.PLAN REVIEW
COMPRESSORS GAS PIPE OUTLETS (1-4 circuitsuits t0.Add'n circuits$6.00/ea) $74.00 plus COMMERCIAL/INDUSTRIAL
of Permit Fee
DUCTS • ❑ Service over 200 amps
PLUMBING SHOW ERS • WATER CLOSETS ffou<q MISC(Describe) ❑ Mast or meter repair $43.50 ❑ Medical/35%o Permit
Feeutional Facility
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----
DISHWASHERS BATHTUBS�orrue/snov<rcomeol - SINKS DRINKING FOUNTAINS SINGLE MULTI FAMILY PLAN REVIEW
WIGMC- SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE BIBBS ❑ Service Over 400 amps
URINALS ELECTRIC WATER HEATERS $74.00 plus 35%of Permit Fee
WASHING MACHINES VACUUM BREAKERS -
t1,vs :>d+room S MosILE HOMES TEMPORARY SERVICE
`DISCLAIIMER/SIGNATUREBLOCK - `. _
='- her,that I ❑ Service or feeder only $58.00
knowledge,and fort ❑ Service and feeder $94.50 Commercial Residential
for which the permit application is made. I further agree to hold ❑ 0- 100 $ mere $Residential
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
s•fees incurred i the and defense of MOBILE HOeeder PARK 51.00
(including costs, expenses, and attorney ofFederal Way,but investigationnly where such claim ❑ 101 200 74.00
am authorized by the owner of the above premises to perform the workandfiled against the City
harmless the City of Federal Way as n any claim( 9 ❑ ff of service or feeders n/a
person,including the undersigned, ofthe information supplied to the city as a part of 1 ❑ 201 -400 87.00
gPP
44
such claim),which may be made by a;ncludin its officers and empoyees,upon the accuracy (First service/feeder-$58.00;each add'n-$37.50)
g Jj n/a
51.00
arises out of the reliance of the dry, 0 /�'/O ❑ 401 600 117.50
this application. / ❑ over 600 127.00 n/a
�'i/ DATE
NAME/TITLE (rite)
Signature' O Architect O Other
! RELATIONSHIP TO PROJECT 0 Owner O Agent 0 Contractor UIPMENT
MISCELLANEOUS SERVICE/EQUIPMENT
1
>: ❑ q of Signs
( FOR OFFICE;USE ONLY o TENANT. IMPROVEMENT ❑ 8 of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
o ALTERATION o REPAIRo YES o NO (First $43.50;add'n$13.50/ea) $87.00
o NEW O ADDITION BASIC PLAN? CI Swimming pool/hot tub
• O YES ONO o YES o NO ❑ Low Voltage (Includes additional circuit,if required)
( BUILDING SHELL ONLY? CHANGE OF.USE? Square Feet to be served by system(s) ❑ yard Pole meter loops $58.00
ZONING DESIGNATION o YES o NO 0Fire Alarm System $87.00/hour
UI'/SEPA/SIJ? ❑ Additional Plan Review $8 /
I. NEW ADDRESS REQUIRED? o YES o NO DEMO PERMIT REQUIRED? o YES o NO ❑ Security Alarm System (for modified submittals)
PLATTED LOT? OYES o NO ❑ Voice Cabling
r': ❑ Data Cabling
(Per Systems)1"2500 ft2-$51.00; ,&if
f Each add'n 2500 ft2-13.50)••Per WAC 296-46-910(50)( 1
t
-" Page3of4
kUlandouts-RcvisedU'ennit Application
I ; -
lalandouts-RevisedlPe mil Application Bulletin 11100-March 30,2004
Bulletin#100-March 30,2004 Page 2 of 4
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