04-102841-COThis is an overview of possible fees associated with the
of permits and is not intended to be inclusive.
PERMIT FEES
Building, mechanical, and fire prevention system fees are based on the following schedule.
** Electrical and plumbing fees are calculated separately **
TOTAL PROJECT VALUATION
(1) $1.00 to $500.00
(2) $501.00 to $2,000.00
(3) $2,001.00 to $25,000.00
(4) $25,001.00 to $50,000.00
(5) $50,001.00 to $100,000.00
(6) $100,001-00 to $500,000.00
(7) $500,001-00 to $1,000,000.00
1 (8) $1,000,001.00 and up
PLAN REVIEW FEES
INCREMENTAL FEE FACTOR
(1) $30.50
(2) $30.50 for the first $500.00 plus 4440 or WELL additional I00.0O or fraction thereof, to and
including $2,000.00
(3) $90.50 for the first $2,000.00 plus V8.00 ihreaOt additional J1.0W.00 or fraction thereof, to and
including $25,000.00
(4) $504.50 for the first $25,000.00 plus V3.00 or each addNanal l 000"00 or fraction thereof, to
and including $50,000.00
(5) $829.50 for the first $50,000.00 plus .00 r1preach additional 1 0t]0"OO or fraction thereof, to
and including $100,000.00
(6) $1,279.50 for the first $100,000.00 plus $7.50 for each additiorea[_$i 000.00 or fraction thereof,
to and including $500,000.00
(7) $4,279.50 for the £sst $500,000.00 plus $GAP for each additional $1 000.000 or fraction thereof, to
and including $1,000,000.00
(8) $7,279.50 for the fast $1,000,000.00 plus $1,50 rareach additional $1.000.0Q or fraction thereof.
1 ante A
• Building Permit 65% of Building Permit Fees
• Mechanical Permit 25% of Mechanical Permit Fees
• Plumbing Permit 65% of Plumbing Permit Fees
• Additional Building Division Review $61.00/hour
PLUMBING PERMIT FEES
• $26.50 Permit Fee plus $9.50 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBBC) Surcharge $4.50/issued permit
• Fire District #39 review fees (commercial only) 15% of Building Permit Fees
• Public Works review fees Hourly/varies by project
• School District Impact Fees (new residential only) $3,269.00/single family residence
$ 940.00/multi-family unit
• Demolition Permit Fees
• Required Bond(s) / Deposits
If you need assistance completing the permit application form, or have questions
concerning the application process, please contact
Community Development Customer Service Counter at (253) 661-4115
8:00 am to 5: 00 pm, Monday through Friday
Federalal Wa REG EN EL
y PERMIT
COMMUNITY DEVELOPMENT SERVICES 'APPLICATION
235 FEDERAL WAYY• WFIRST WAY A�9800.9 18 PO BOX 7J� L.. 2
253-6614I15• FAX 253b614129
umo—dl rrdtua "m
The followinq is an incomplete applicatigftwill n,t be
SITE ADDRESS 'f 4-4:�) C> I rAl"
ASSESSOR'S TAX/PARCEL # Z O
LEGAL DESCRIPTION (e.g. Acme Flales, 11)
TYPE OF P T
PRO T DES ION (P vi e delat
lk i r-•I GI `��
IFE
MF E EL PL DE EN FP
M 7M a N, X M
Iegdde MgAT--)
SUITE/UNIT#
LOT SIZE (sJ)
KB DING ❑ PLUMBING ❑ MECHANICAL
OLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE
�scripiion of work i uded on this permit onitt)
PROJECT NAME (Name of Business or Owner Last
PROPERTY NAME
OWNER I
MAILING ADDTtESS
ZZC:' I I
CONTRACTOR COMPANY NAME
CONTACT
LENDER
� 1 CITY. ATE, 2!P
� AipL � VA
M'%ILIN DIiR CITY, STA'
y [ STlS l01 V
CITY L7F ❑ERAL BUSiNE LICENSE NUMBER
S L
CO RACfG ' RF.Gt TIpN 14UMBER [copy of eazd rep with e"t
inkj or
SYSTEM
(so` ) q o -Co a 9+
di
rCE PHONE
?i)
CELL PHONE
(Z53) 37Z.-
FAX NUMBER
EXPIRATION DATE
IZ/ot/o5
COMP AME 36
APP
CANT NAA4E
OFFICE Pl30NE
.. . 1�Ey � N k N e,
, �.n
[ ")
AILING A R£SS + I
t
CITY, STM1FF., 2!P CIP ,'�
CEEL PHONE
9,c, 31
RMAT[ONS1 'TO PR E
❑ Architec ElAge ❑ Other tDescribe)_W �� - CRT
FAX NUMBER �t
31
A PRIMARY PHONE E-MAIL ADDRESS
)" 54- - a5f! �HTGNAPz.s-I.&N-It
Per R I9. 7.095: Lender informatNatt is NAME
requi If Jett value exceeds $S,Uati�
IA1LING ADDRESS CITY, STATE, ZIP
'fooI I OS AYE.. T-4.G. 1jV-'Le-v116' 1 PA, 9800�
EXISTING USE PROPOSED USE
EXISTING ASSESSFD/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
Bulletin # 100 — March 30, 2004 Page 4 of 4 k\Handouts — Revised\Permit Application
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST /
S�•C)
Z iSo.o
SECOND
116i3 5Ic . O
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
r
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL rMSTIRG
TOTAL PROPOSED
TOTAL EXI--G MD PROPOSED
C,00, o
'"N-FW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECTLA NICAL ,%
Value of Mechanical Work $ 5��. x=�
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
3OODS (co-roial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
;r
s
r
BATHTUBS (or Tub/Shower bmbo)
�
SHOWERS
�` WATER CLOSETS
M[SC (Describe)
DISHWASHERS
Ii SINKS
31K DRINKING FOUNTAINS .
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS '
LAVS ilouiroam s'
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 f led 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.
�1 'r
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner XAgent ❑ Contractor
A46w"j
(Title)
❑ Architect
DATE T A I A.
CI Uthe
u
FOR OFFICE USE ONLY
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? ❑
YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
HEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $87.00, Each add'n 500 ftz- $28,00)
❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 117.50 74.00
(Inspected with service) $ 36.50
❑ 201 - 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 256.50 103.00
(Inspected separately) $ 58.00
❑ 601 - 800 amp 332.00 140.50
NEW MULTI -FAMILY (three units or more)
❑ 801 - 1000 amp 405.50 169.50
Service Feeder
❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 - 400 amp 117.50 58.00
❑ Over 600 volts surcharge $ 74.00
❑ 401 - 600 amp 161.00 80.00
❑ Mast or meter repair $ 80.00
❑ 601 - 800 amp 206.00 110.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY
❑ 0 to 200 amp $ 94.50
❑ 201 - 600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
❑ # of circuits to be added/ altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58.00; Add'n circuits $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Mast or meter repair $ 43.50
❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLEIMULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
❑ Service or feeder only $ 58.00
TEMPORARY SERVICE
❑ Service and feeder $ 94.50
Commercial Residential
MOBILE-HOME/RV PARK
❑ 0 - 100 $ 58.00 $ 51.00
❑ # of service or feeders
❑ 101 - 200 74.00 51.00
.(First service/ feeder-$58.00; each add'n-$37.50)
❑ 201 - 400 87.00 n/a
❑ 401 - 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First-$43.50; add'n-$13.50/ea)
(First sign-$43.50; add'n sign $20.50/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $58.00
❑ Security Alarm System
El Additional Plan Review $87.00/hour
❑ Voice Cabling
(for modified submittals)
El Data Cabling11
(Per System(s) 1- 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) • Per WAC 296-46-910(5)(b)(i & ii)
Bulletin # 100 - March 30, 2004 Page 2 of 4 W-landouts - Revised\Permit Application
Bulletin # 100 - March 30, 2004
Page 3 of 4
k\l landouts- Revised\Permit Application
f/7T /Ycnl
King County
Dept. of Development and Environmental Services
Building Services Division
900 Oakesdale Avenue Southwest
Renton, Washington 98055-1219
(206) 296-6600 TTY (206) 296-7217 JUL 1 9 2004
King County Certificate of
Sewer Availability
Alternative formats available
upon request'ITY�_ l
King Court 04�to of Sewer Availability
This certificate provides the Seattle King County Department of Public Health and the Department of
Development and Environmental Services with information necessary to evaluate development proposals.
Do not write in this box
,Building Permit
❑ Short Subdivision
Applicant's name:
Proposed use: C
name
❑ Preliminary Plat or PUD
❑ Rezone or other
o f L [. C
wwr
Location: — d S/L
(attach map and legal description if necessary)
Soweragency
CAP
1 • 0 a. Sewer service w be provided by side sewer connection only to an existing
! 2 "
ph 9 size sewer
OR
fthe site and the sewer system has the capacity to serve the proposed use.
❑ b. Sewer service will require an improvement to the sewer system of:
❑ (1) feet of sewer trunk or lateral to reach the site; and/or
❑ (2) The construction of a collection system on the site; and/or
❑ (3) Other (describe)
2. 4el a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan.
OR
❑ b. The sewer system improvement will require a sewer comprehensive plan amendment.
3. f;� a. The proposed project is within the corporate limits of the district or has been granted Boundary Review
OR Board approval for extension of service outside the district or city.
❑ b. Annnexation or Boundary Review Board (BRB) approval will be necessary to provide service.
4. Service is subject to the following:
a. Connection charge: Ta
b. Easement(s):
c. Other: S 1911.411.2 rn
■
s; d� s� w.�,- ,�,�. �, � � ,�.�� a .•, .� d
* The District, at its sole discretion, reserves the right to delay or deny sewer service based upon capacity limitations in District and Other Purveyor facilities. *
I certify that the above sewer agency information is true. This certification shall be valid for one year from date of
signature.
LAKEHAVEN UTILITY DISTRICT Fr 1�/Ll f�
Agency name Signatory name
Title J Signature y Date
sewer availability form.doc b-cert-sewer.pdf 02-07-2002
Page 1 of 1
i DNIQ"IIiIB
AVM, .�QD� jO A.LIO
King County Certificate
King County MOZ G 1 inr of Water Arrailability
Departrnent of Development and Environmental Se`rvices
Building Services Division CMA1�lVF—D
900 Oakesdale Avenue Southwest L1
Renton, Washington 98055-1219 Alternative formats available
(206) 296-6600 TrY (206) 296-7217 JUL 1 9 2004 upon request
King Couffi�li' N"of Water Availability
This certificate provides the Seattle King County Department of Public Health and the Department of Development and
Environmental Services with information necessary to evaluate development proposals.
not
in this box
ber name
Building Permit ❑ Preliminary Plat or PUD
❑ Short Subdivision ❑ Rezone or other
Applicant's name: .� ra e� ac L L
Proposed use: co -rr ^-"e A 4.6 611h r 's
rr� w
Location: 3 �[ o f uc. �. wu -�� . -T -oY L o 2 z I zi
(attach map and legal description if necessary)
later purveyor information:
❑ a. Water"" be provided by service connection only to an existing (size) water main
that is feet from the site.
OR
b. Water service will require an improvement to the water system of:
❑ (1) feet of water main to reach the site; and/or
(2) The construction of a distribution sy tem on the site; and/or
0 (3) Other (describe) j 6 .c x d_ L r .c R
�1T �i Y• (J� b I'•�
2. a. The water system is in conformance wit. a Count� appro4ed water comprehensive plan.
OR
❑ b, The water system improvement is not in conformance with a County approved water comprehensive
plan and will require a water comprehensive plan amendment. (This may cause a delay in issuance of a permit or
approval).
3. X a. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board
approval for extension of service outside the district or city, or is within the County approved service area of a private
water purveyor.
OR
❑ b. Annexation or Boundary Review Board (BRB) approval will be necessary to provide service.
4. X a. Water is or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the
nearest fire hydrant I . b ("2-) feet from the building/property (or as marked on the attached map):
Rate of flow at Peak Demand
❑ less than 500 gpm (approx.
❑ 500 to 999 gpm
K 1000 gpm or more
❑ flow test of gpm
Duration
gpm) ❑ less than 1 hour
❑ 1 hour to 2 hours
2 hours or more
other
Id calculation of , Z Sz o gpm O o— 2, v- q g 1
(Note: Commercial building permits which includes multifamily structures require flow test or calculation,)
OR
❑ b. Water system is not capable of providing fire flow.
5. g a. Water system has certificates of water right or water right claims sufficient to provide service,
OR
❑ b. Waters tem does not�rurrently hav n7cessary water n is or water right claims.
( irSSv�f 1Z��u ee •� �jA d.4 �•�'arr.e
Comments/conditions:
I certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature.
LAKEHAVEN UT_TLITY _DIS_TRTCT U� t�7 r w�„ L /Tess
Agency name Signatory name f
Lsac�.i,.c.ciin� l luww��r� (/S� 1 /� ' —7413lY
Title ✓ J ✓ signature Date
...........
In 539 Pressure Zone; I-iSimt Elevation of Property 2 76 1 st. M. Pressure __psi
._..- ..................�............... _............................... _...... _.................................................... _.... ..--- ... -...... _---- ........... ..... .... ............. _.....-........ _........................................ ......... .......... .,,,..._.... .............. ... ...........................
�
** The District, at its sole discretion, reserves the right to delay or deny water service based
upon capacity limitations in District and Other Purveyor facilities. **
I
Water availability form.doc b-cert-water.pdf Rev. 02-14-2002 Page 1 of I