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03-102701 r R ._.� • • r . City of Federal Way Community Development Services Building - Commercial Permit #:03 - 102701 - 00 - CO 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: SAGHALIE JR HIGH SCHOOL Project Address: 33914 19TH AVE SW Parcel Number: 242103 9088 Project Description: TI-Interior alterations in port" of exi ,cho• o divide existing classroom into two classrooms and create corridor; I de• ani' 'wo Owner i•pplica Contractor Lender FEDERAL WAY PUBLIC SCHOOL* FEDERAL .,Y P :LIC SCH• * •ERAL WAY PUBLIC SCHOOL* FEDERAL WAY PUBLIC SCHOOL* 31405 18TH AVE S 31405 TH • ' . 31405 18TH AVE S FEDERAL WAY WA DERA WA 31405 18TH AVE S FEDERAL WAY WA 98003-5433 003-543 FEDERAL WAY WA 98003-5433 Incus .. 16 sus categor 437-C'1116, #1 #2 # #4 / Occupancy' oup: Constru .n Type: pe II •-HR •cc cy Load: • Area(S. ):" 36 k h\ I st o.r'i ,osed Sq.Feet 3: ` Census Categ .437-Commercial alt/add Fire . lers Y. ,A-chanical. .. :...... ........: Yes Number of Stories..... 1 ®- o ildin ell Only...: ..No Permit for Foundation Only No umbi .. .......... No Total Proposed Sq.Feet 3600 71 t e of Occu ancy be Issued ..: .No Zoning Designation RS 7.2 echanic. ixtur-s 7 Descriptionon 4 in-N, 1 � 6 «rptiun... _ Quantlt ,,6 V., ;, Quantity Fumac- t ik' CONDITIONS: 1. Separate e trical permit a lan view requ' ed and an ew altered electric• ork. 2.This decision •all not waive c iia ce with fut City of der ay codes,policies,or standards relating to the subject proposal. 0 '.' I S December 28,2003. rmit i •ed July 1,2003 I hereby certify that the above info 1 •n is , t and that the construction on the above described property and the occupancy and the :e will be ' a •'da - w e laws,rules and regulations of the State of Washington and the City of Federal W:;'. � � �icl` 617 Owner or agent: Date: POSTIIS CARD ON THE FRONT OF BUILDI ' 'CITY QF - BUIL ING DIVISION Federal 1 1a INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-102701-00—CO OWNER'S NAME: FEDERAL WAY PUBLIC SCHOOL *FEDERAL WAY PUBLIC S SITE ADDRESS: 33914 19TI1 SW H) FOOTINGS/SETBACKS 7 - Zit.d Z,� ( ) FOUNDATION WALL e.: �� ', ,y Di d yLTR COQ ' T:Qa'['.I E, i ,..�. ,S A PRUWib ,t ( ) DRAINAGE: Line ( ) Connection ,� 00.$U (iceSL ,L!' ° joyES01R EBi '_, �. ! ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover () FIRE/DRAFTSTOPS F / , ALI,TIRtAE( 1 ST eaki.RO Eti 1 tOR ' ER IlG TS., ..:,. ._..,. 1! CION ( ) FRAMING/FiRESTOPPING 7 2'S ' cj a a_ ' `I E U 15I B i1' t E C1R 0 - --0ii7ki�TR0d 0 ... x ( ) INSULATION: Floors Walls Attic . , . - d ,s,, .DJ AP (1 .«w, QR' # PIi S.: E* ` () WALLBOARD NAILING g" / ' 0 3 C_ O SUSPENDED CEILING a . Z„']—__e_..'3 ev c J N EIIIl �E . , m- .ABt T4 'PRO / is.® d , T A NG1ORJ15 .. ,., ..i «. « , ,. () ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL �, $ +14, �� p -,:',:511.0,1® i°,r� Ill 6likP " ,,. "TNAL ``:`:1 i W.�v.�hi.�A�'�e ���'1. �o 4..,a-.—..r w, ,..e. wv��a� � ,.�,fa Ci �v.,.v, � ,w�..t , � P"€oti� � .� .,. ( ) BUILDING FINAL �. SiF/"«�'" = --£.Cz'F` R3 ` "*&Y Aa �F3 ( t Y�N, 9 Yi z Yc3,, 1„ p S e' .G al a;' ' �x - f .', . G _ � t � .. ,-...,,,,„.-„,..„4,,,,....,-,.„,.:„,® i oV D, ....;�, ..� ;,,,,,�., a ,,.a tx.. .�'.r /ice .,,,, ..aw�a OOMMUNYiv RECEIVED By ' • �ELOPMENTDEPATMENT OTTO ROSENAU & ASSOCIATES, INC. SEP 0S 2003 Geotechnical Engineering,Construction Inspection&Materials Testing , MASONRY REPORT Job Number: 03-369 Report Number: 001 Permit Number: 03-102701-00-CO Project: Saghalie Junior High School Client Fed Wy do Greene Gassaway Architect Address: 33914 19th Ave SW Federal Way,WA Address: PO Box 4158, Federal Way Date: 7/29/03 Inspector Brian Robertson v j i E .c ; rS rt7 _ fr m'x 3 z'=�'-�-`- R d a y i t so ;171 Observed the grouting of Portal Wall Resteel is grade 60 ,as specified,from S Grout Supplier: Site Grout Preparer: Mix No./Type: Design Mix I/II Grout Description: Fine Masonry Grout Method of Consolidation: Vibrate Twice Grout Slump: 6" Number of Sample Specified Grout Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Grout: 1-4 4X4X8 2000 75° 82° N/A N/A Observed the masons laying block at N/A Mortar Supplier: Mortar Preparer: Mix No./Type: Mortar Description: Number of Sample Specified Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Mortar: aMi Date Constructed: Constructed by: Date Grouted: Block/Unit Supplier: Number of Sample Specified Grout/Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Prisms: Masonry Units/Blocks 5� �:.,...: z .�,_ � � � cam- c - -.�-€ 11:1-41r:' 1��. s R �� _.__.,�_..� '. fir.__,.. �.+a.e.;wxr�.�_�..,.. ,. . ��r. ,3.;�....�<.. __..,£.: ?".. "... x.. . Weather: Indoors Ambient Temp: 82° Date Samples Picked Up: 7-31-03 Other Test Methods/Standards Used: REINFORCING/PLACEMENT: Conforms X Does Not Conform GROUT AND MORTAR COMPRESSION TEST RESULTS Specimen Test Age Size Area Max Load Strength Tested in general No./Tvpe Date (Days) In. (Sq.ln.) Weight fp_sa accordance with Grout 1 8-5-03 7 4.05x4.21 17.05 10.93# 80,490 4720 ASTM C 39 Grout 2 8-26-03 28 4.18x4.22 17.64 9.93# 109,350 6200 ASTM C 109 Grout 3 8-26-03 28 4.05x4.19 16.97 10.45# 101,560 5980 ASTM C 1019 X Grout 4 8-26-03 28 4.187x4.17 17.43 9.99# 108,790 6240 Avg.Compressive Strength of Grout Specimens(psi): 6140 Copies to: X client x Contractor Architect x Building Dept. Technical Responsibility: x Engineer David Lyal-Project Manager This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report, except in full,without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L.King Way S.,Seattle,Washington 98118—Phone(206)725-4600 or 1-888-OTTO-4-US—Fax(206)723-2221 Form No.:T-106 Revised:05/03 • ' rCITYOF • Building Division � _ C • 33530 First Way South P.O.Box 9718 Federal Way 98063-9718 Phone 253-661-4115 Fax 253-661-4129 INSPECTION NOTICE ADDRESS: 537/ 1 / vi 'h lie .SW #: 03 -/a7701 �ro✓ide)4/4- S," n nC'ttr horn) WosA 544-1, I IF YOU HAVE ANY QUESTIONS CALL A1 �ae/ L° (253) 661- LFD� Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. lO -743 DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page / of r,op a gun,,,v RECEIVED Y • n!T nn �ni1 OTTO ROSENAU & SSOCIATES, INC. AUG 18 zap, Geotechnical Engineering,Construction Inspection&Materials Testing MASONRY REPORT Job Number: 03-369 Report Number: 001 Permit_ Number: 03-102701-00-CO Project: Saghalie Junior High School Client: Fed Wy c/o Greene Gassaway Architect Address: 33914 19th Ave SW Federal Way,WA Address: PO Box 4158, Federal Way Date: 7/29/03 Ins.-ctor: Brian Robertson :._ k,''Oti.is x1�. '51W: ...,W..:,::m- 3. a.- Observed the grouting of Portal Wall Resteel is grade 60 ,as specified,from S Grout Supplier: Site Grout Preparer: Mix No./Type: Design Mix I/II Grout Description: Fine Masonry Grout Method of Consolidation: Vibrate Twice Grout Slump: 6" Number of Sample Specified Grout Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Grout:. ;�3 1-4 4X4X8 2000 75° 82° N/A N/A t y -a :-3,t � ',mow': :01 Observed the masons laying block at N/A Mortar Supplier: Mortar Preparer: Mix No./Type: Mortar Description: Number of Sample Specified Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Mortar: z. g a Z"";.��aw"�Yj AMY k ;G��4 x« x,.-.. .. �a ,. .,n< .. e �:t:42:411'5:yp Date Constructed: Constructed by: Date Grouted: Block/Unit Supplier: Number of Sample Specified Grout/Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Prisms: Masonry Units/Blocks: ,,r k�G"�"�: '� €, - , �$# - F a5 ' nr Weather: Indoors Ambient Temp: 82°` Date Sam•les PickedUp7-31-03 Other Test Methods/Standards Used: REINFORCING I PLACEMENT: Conforms X Does Not Conform GROUT AND MORTAR COMPRESSION TEST RESULTS Specimen Test Age Size Area Max Load Strength Tested in general No./Type Date (Days) (Sg.in.) Weight Ib.) fps1) accordance with Grout 1 8-5-03 7 4.05x4.21 17.05 10.93# 80,490 4720 ASTM C 39 ASTM C 109 ASTM C 1019 X Avg.Compressive Strength of Grout Specimens(psi): Copies to: X client x Contractor Architect x Building Dept. Technical Responsibility: x Engineer David Lyal-Project Manager This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report, except in full,without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L.King Way S.,Seattle,Washington 98118—Phone(206)725-4600 or 1-888-OTTO-4-US—Fax(206)723-2221 Form No.:T-106 Revised:05/03 • • • OTTO ROSENAU ASSOCIATES, INC. Geotechnical Engineering,Construction Inspection&Materials Testing MASONRY REPORT Job Number: 03-369 Report Number: 002 Permit Number: 03-102701-00-CO Project: Saghalie Junior High School Client: Fed Wy Go Greene Gassaway Architect Address: 33914 19th Ave SW Federal Way,WA Address: PO Box 4158, Federal Way Date: 7-30-03 Inspector. D Johnston Grout Information(ASTM C 1019/UBC 21-18) Observed the grouting of The 2"d lift of portal wall returned later in afternoon observed grouting of final lift. Dowels epoxy grouted into existing wall. Hilti Hy 150. Resteel is grade 60 ,as specified,from S Grout Supplier: Design Mix Grout Preparer: Mix No.IType: Fine Masonry Grt Grout Description: Fine Masonry Grout Method of Consolidation: Yes Grout Slump: Number of Sample Specified Grout Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Grout: None Mortar Information(ASTM C 109/UBC 21-16) Observed the masons laying block at N/A Mortar Supplier: Mortar Preparer: Mix No./Type: Mortar Description: Number of Sample Specified Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Mortar. None Prism Information(ASTM C 1314/ASTM C 140 Date Constructed: Constructed by: Date Grouted: Block/Unit Supplier: Number of Sample Specified Grout/Mortar Ambient Truck Ticket Sample Description Samples Size Strength(psi) Temp Temp No. No. Prisms: None Masonry Units/Blocks: Weather: Indoors Ambient Temp: Date Samples Picked Up: No Samples Comments Other Test Methods/Standards Used: REINFORCING/PLACEMENT: Conforms X Does Not Conform GROUT AND MORTAR COMPRESSION TEST RESULTS Specimen Test Age Size Area Max Load Strength Tested in general No./Type Date (Days) (In.) (Sa.ln.) Weight (lb.) (psi) accordance with 1 7 ASTMC39 . 2,3 28 ASTM C 109 4 Hold ASTM C 1019 • Copies to: X client x Contractor Architect x Building Dept. Technical Responsibility: x Engineer David Lyal-Project Manager This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report, except in full,without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L.King Way S.,Seattle,Washington 98118—Phone(206)725-4600 or 1-888-OTTO-4-US—Fax(206)723-2221 Form No.:T-106 • , CITY OF Building Division • • 33530.First Way South ` `` �/ P.O.Box 9718 ` t) �/ r■ Federal Way 98063-9718 Phone 253-661-4115 Fax 253-661-4129 INSPECTION NOTICE ADDRESS: 33i714' f Ave ,� #: 1 e tat, � �",� @S -M A . 07 11 .1 , i(ceeJ lc S 1i ii) /) 19 ,SC�fa-' a z/Yii .__ s ��A/ Z9 /- a r On 'a/ d3i�' cih —/ ' •er / 41. 7 . A C,. k or pjov-c 14,T, • 5e ') ,6nfre-s no copy y IV' i-hi e a,bvve J AA 11 ' l V' ' ' Val )) 1 1 IF OU HAVE ANY QUESTIONS CALL M /L� l,.f l..-(253) 661_ ' Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. 7//Z /Q-3 1z DATE INSPECTOR DO NOT REMOVE THIS NOTICE / Page of 1 Rper- 0 a q CONSTRUC I 10 PERMIT APPLICATION CITY OF �� APPLICATION NUMBER: !� 27o r - ad Federal Way 1 2003�aY APPLICATION NUMBER: - -pr (APPLICATION NUMBER: - **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. . :■ PROPERTY INFORMATION . " SITE ADDRESS: 33q 14 ta_TN ,M E svi ASSESSOR'S TAX/PARCEL #: 2 ZI Q 3 - q a LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): /R'Zl a 4' ---?6t33 4 er ASE) ` ' .. :• PROSECT INFORMATION " TYPE OF PROJECT(This application): )4UILDING o PLUMBING XMECHANICAL o DEMOLITION o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): D 1v tp E. 6X(Sti INr4 litio0 c-t,Ass1z-dbM t NTo -P “Ass PCOM-S dtviDE Eol=R'lON 0E- e4STINf Ii4PusTWm, Alt-TS GVAI'SPOOH 1NTt = 0 T _ ApD cow P PROJECT NAME: 404 1.4 frIAE J ? 1.11614 lc..wm-1e1 i mmova TS . • PEOPLE INFORMATION`- PROPERTY OWNER:/ NAME: }y--W P5 I DAYTIME PHONES ... 4 , �r t tLIfi ' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I (255)4145' 255)41 -5/3G I f� V h-� 1pCs6 5 3 Zo 714 V' f , IAA- MOO? CONTRACTOR: NAME: i DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STAP): I. ENING PH ONE : ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - � ( ) _ CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: ieLvt V l N wtShver'4 ..G 104046- oks.euitefpifGk i rear DAYTIME PHONE:in ) gig lef37 i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: PO Parc 41 s-t , •Fattn- tilcl IAA 88067 ; (296. )81& -5f e( RELATIONSHIP TO PROJECT: FAX NUMBER: RCHITECT ❑TENANT ❑ OTHER(DESCRIBE): i ( ) - If 1 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER • •PLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: 0?(/(411.16/4A-C- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ *e .1 t010001000took , nb PROPOSED USE: J( ' we_PT'L PROPOSED VALUATION FOR IMPROVEMENTS: $ ':'I`(OQ 3 q MSN SPRINKLERED BUILDING? )S(ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIREDFfES NO WATER SERVICE PROVIDER: ,LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: dporKKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION O.** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT 616 , /v 6 I& FIRST 'f`T "� V SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK ,J GARAGE 3L-)O Sf �tif,'�I,(OVw HOW MANY FLOORS? TOTAL: , 3sJ 6'C` q4, 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) I WOODSTOVE(S)_ 'y� BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(I 'fllJ(t wl4 COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 'GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) _ SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),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 su lied to a ci as a part of this application. /� NAME/TITLE: DATE: 1' \ C. o PROPERTY OW R PPLICANT ❑ NTRACTOR FOR.OFFICE.USE ONLY: ,-,- ,:m-if,NEV/Wanzi.ADDITION r, o ALTERATION tek;❑yREPAIR, _ .; n TENANT-IMPROVEMENTS ; CENSUS'CODE;t' ki.. Wki' ' -:LOT SIZE .;c °x ZONING_CI ESIGNATION ;; BUILDING,SHELL ON LYT-:ciff YES ; >❑ NO l.. COMP PLANY'DESIGNATION ,'.; c,BASIC PLAN?�-.,q YES ❑ NO„ . SECTION » , TOWNSHIP RANGE FiNEW ADDRESS REQUIRED? ❑YES, 'a NO' 'PLATTED LOT? "p YES ❑ NO > , �, .f .CHANGE OF USE?, o YES '' -a NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,dtvoffederalway.com Conection Permit Fee Calculationet *******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 19.00 for each additional 5100.00 or fraction thereof,to and induding $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$100000 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 113.00 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 induding$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus 1207 for each additional 51,000.00 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 1600 for each additional$1,000.017 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 11.50 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified Increment Italicized,undeiifned number fs the ftv_ver asldltlonaf spec led 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,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** r ■ BUILDING. ..- PROPOSED VALUATION: ; 10 at e0C) 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: 200, 000 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)