02-101164City
Development Services °f Federal way
ComElectrical Permit #: 02 -101164 - 00 - EL
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: HEIGHTS OF WEST CAMPUS
Project Address: 125 SW CAMPUS Parcel Number: 192104 9017
Project Description: ELE - Rewire pool room & lounge room. Replace 200amp sub -panel & rewire 20 circuits
Owner
Applicant
Contractor
N/A CEDAR HEIGHTS -52 *N/A CEDAR HEI(
BELFOR USA GROUP INC
BELFOR USA GROUP INC
920 GARDEN ST UNIT A
3826 WOODLAND PARK AVE N
3826 WOODLAND PARK AVE N
SANTA BARBARA CA 93101-7465
(206)632-0800
Electrical Fixtures
Description C' F �;'e�escri ficinQuarltlty ' [escri tin,° w,r,:Y Quanfi
Low Voltage - Other Residential 20 Service: - Residential
PERMIT EXPIRES September 14, 2002, IF NO WORK IS STARTED.
Permit issued on March 18, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal ay
C�.
Owner or agent: Date: /D Z
lei V,f4A NO �-
y
aTfor G CONSTRUCTION 'PERMIT APPLICATION
ON>�ErzRL RECEIVED PPLICATION NUMBER:
-
PPLICATION NUMBER: "
'MAR 1 8.2002` - - - -
[APPLICATION NUMBER:
**ThbKii f ftQ� yormatiod – Please print (ih ink) br type**
BUILDING EPT.
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate. application.
WVROPERTY INFORMATION
i �+S S W cA,%,RvS VE
SITE ADDRESS: EED1,M(AL,AY to [41A ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUtLDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Q ):wZfLf - 1760L- IZrI eL L oqA C_C 2.4 n
h u "ro Pr/,L) )EPLO CIC 2 no/a-P- P S W 6- PA,/ux<_
_Z (3 C_L 2 cu 2 T -.S
CONTRACTOR:
APPLICANT:
"AMIg
DAYTIME PHONE:
coc )rO3 ;j -O660
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE; I
CCD�I\RIL er.21
(;SCJ) 77 5
QTY Of FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
L v i - y
( S Ll %- t>6 (S 0 i
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(� r
S /— PY of card required) `] L
NAME: DAYTIME PHONE:
'D*-)(- - (��5-) 7ti1'?1--765
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: n FAX NUMBER:
El ARCHITECT ❑ TENANT (OTHER (DESCRIBE)SVU� CCW_—J4W KL (H•)51 7If2– -7,2 Gc)
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ `DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $.
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
I NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
I certify under penalty of perjury thallthe 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, b !y where such claim •ses out of4�reliance of the city, including its officers and employees, upon the accuracy
of the informs on u11i�d s a part o��*IK aPglication. / i1
❑ PROPERTY OWNER ❑ APkICANT ❑ CONTRACTOR
-FOR.. FFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.cWoffederalway.com
EXISTING SO. FT.
PROPOSED SQ. FT.
TOTAL
.EASEMENT' .v
FIRST
9a !
'
AIR HANDLING UNIT(S)
SECOND
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
THIRD
HOOD(S)
WOODSTOVE(S)
BOILERS)
FOURTH
RANGE(S)
misc.( )
COMPRESSOR(S)
OTHER FLOORS (DESCRIBE)
DUCT(S)
DECK
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
BATHTUB(S)
TOTAL:
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
I certify under penalty of perjury thallthe 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, b !y where such claim •ses out of4�reliance of the city, including its officers and employees, upon the accuracy
of the informs on u11i�d s a part o��*IK aPglication. / i1
❑ PROPERTY OWNER ❑ APkICANT ❑ CONTRACTOR
-FOR.. FFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.cWoffederalway.com
FIXTURES
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)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
misc.( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS.PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
misc.(
INTERCEPTOR(S)
SUMP(S)
I certify under penalty of perjury thallthe 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, b !y where such claim •ses out of4�reliance of the city, including its officers and employees, upon the accuracy
of the informs on u11i�d s a part o��*IK aPglication. / i1
❑ PROPERTY OWNER ❑ APkICANT ❑ CONTRACTOR
-FOR.. FFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.cWoffederalway.com
Construction Permit Fee Calculation Sheet
* * * * * * *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY -STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
_: ....-._ CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* - --
Bulldng, medoftical, and fire prevention system fees are based on the fdbwing schedule.
TABLE A.
PLUS:
TOT&VAUTATION
FEE FACTOR
(1) $1.00 to 5500.00
(2) $501.00 to $2,000.00
(2) $26.00 for the first $500.00 plus $350 foreach additional
$100.017 or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.0o
(3) $78.50 for the first $2,000.00'plus $1550 for each additional
$1000. of fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $435.00 for the first $25,000.00 plus SII OO for each additiona151000
A7 or fraction thereof, to and
including $50,000.00.
(5) $50,001.00 to $100,000.00
(5) $710.00 for the first $50,000.00 plus $$.00 for each additional51,000.00
or fraction thereof, to and
including $100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,110.00 for the first $100,000.00 plus $6.00 for each additional
St.o00.00or fraction therapf, to and
including $50,000.00
f
(7) $5W,001.00 to $1,000,000.00
(7) $3,510.00 for the fist $500,000.00 plus 55.50 for each additional
51.000, or fraction thereof, to and
including $1,000,000.00.
(8) $1,000,001.00 and up
(8) $6,260.00 for the first $1,000,000.00 plus $4.00 for each
additional SI.U70.00 or fraction thereof.
Bold number is the base fee for the specified Increment
AAA Lf ............a ..t u.. t...
AWAOzed underrned numberls the fee Per additional soearted
Increment
Add 2S 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 **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(ODMMERCIAL ONLY)
PROPOSED VALUATION:
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
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)
Base Fee Number of Fotures
$22.50+( X $8.00/fixture} _ (8) Estimated Permit Fee
Estimated Pemdt Fee
X .65=
Miscellaneous Fixture Charge: (10)
Sub Total (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee
NEW RE$IOENTIAL SERVICES .
MOBILE HOMES .
MISC EQUIPMENT/TEMP SERVICES
Single Family
Service or fecdcr only ......:....:............. S50.00
k of Thermostats (First -S37.50; add'n-$11.50ca)
_
(First 1300112-575.00; Each add'n 500 ft'
-524.00)
_
_ Scrvjec and feeder.,......_...._ ............... $81'.00
_
_ N of Low voltage fire or burglar alarms
Square Feet''"'' -- -_ _ .
_ _. >-�_ ..
First 2S00 W-S43.50;7Each add'n2500112•S1 a.50
Each outbuilding -or garage.....: ......... :...........
531.00
MOBILE HOME/RV PARK
Square Fecl:
_
(Inspected with service)
k of service or feeders
• Per WAC 296-46-910(5)(6)(1 R ii)
Each outbuilding or garage ...........................
$50.00
(First service/fecdcr-$50.00; Add'n service/
_ k of Signs (First sign -$37.50; add'n sign
(Inspected separately)
feeder -S32 each)
$17.50 each)
Swimming pool, hot tub, spa ...............$75.00
Yard Pole meter loops .........................$50.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ..............................................$ 81.00
_ Up to 200 amp .............. $ 81.00................
$ 24.00
Fecdcr
_ 201-600 .............................................. 189.00
_ 201 - 400 amp ................ 101.00 ....................
50.00
_ 0 to 100.........................$ 81.00.......
$ 50.00
_ 601 - 1000............................................284.50
401 - 600 amp ................ 138.00 ....................
68.50
_ 101-200 ........................ 101.00 ...........
63.50
-over 1000 ............................................. 317.00
_ 601 - 800 amp ................ 176.50 ....................
94.50
_ 201 -400 ........................ 189.00...........
75.00_
# of circuits
Over 800 amp ................. 252.50 ..................
189.00
401-600 ........................ 220.50 ...........
88.50
(l-5 circuits -$63.50; Add'n circuits, $5 ca)
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 284.50.........
120.50
(When inspected separately from the services.)
_ 801-1000 ...................... 348.00.........
145.50
TEMPORARY SERVICE
Service or Feeder
_ Over 1000 ...................... 379.00.........
202.50
Residential/Multi-Family/Commercial/Industrial
10 to 200 amp ...............................................
$ 68.50
_ Over 600 volts surcharge .....................
63.50
-0- 100................................................$ 50.00
_ 201 - 600 amp ..............................................
101.00
_ Mast or meter repair..........................
68.50
_ 101-200 ................................................ 63.50
_ over 600 amp ................................................
151.50
_ 201-400 ............. :.: ................................ 75.00
_ Mast or meter repair... ....................................
37.50
_ 401 -600 .............................................. 101.00
Wof circuits
_ over 600 ............................................... 109.00
(I A circuits -$50.00; Add'n circuits $5 ca)
n xrviu: n rt carca luau cvv amp, a porn review is req a. rec is »7u of permit lee +ao}.w. Aao i pian review for omer sumnussions is a n.vvrnr.
Estimated Permit Fee:
Total Column (D)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) _ (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
•
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
. TOta) (Pagesone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =
Bulletin k t00 - January 18, 2002