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02-101040III 4e t f City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: QWEST Project Address: 32015 23RD S U Electrical Permit #:02 -101040 - 00 - EL Project Description: ELE -100 amp service & 70 amp sub -feeder Inspection request line: 253.835.3050 Parcel Number: 762240 0010 Owner Applicant Contractor QWEST THOMPSON ELECTRICAL CONTR INC THOMPSON ELECTRICAL CONTR INC QWEST 31212 12TH AVENUE CT E 31212 12TH AVENUE CT E 402 VALLEY AVE NW, SUITE 109A ROY WA 98580 ROY WA 98580 PUYALLUP WA 98371 (253) 843-0530 YORK IS STARTED. I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in ac ordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date:17, t) 4,1- co /1 0- V-f� wf-1'4"yf�5- 4 0 City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: QWEST f Project Address: 32015 23RD S Project Description: ELE - 100 amp service Electrical Permit #: 02 - 101040 - 00 - EL Inspection request line: 253.835.3050 Parcel Number: 762240 0010 Owner Applicant Contractor QWEST THOMPSON ELECTRICAL CONTR INC THOMPSON ELECTRICAL CONTR INC QWEST 31212 12TH AVENUE CT E 31212 12TH AVENUE CT E 402 VALLEY AVE NW, SUITE 109A ROY WA 98580 ROY WA 98580 PUYALLUP WA 98371 (253) 843-0530 Electrical Fixtures Service/Feeder: 0-100 amps - Comm. 1 PERMIT EXPIRES September 4, 2002, IF NO WORK IS STARTED. Permit issued on March 8, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accor ce with the laws, rules and regulations of the State of Washington and the City of Federal Owner or agent: Date: 0 6 0Z iTc14 D K M fVfT Ale Gov /,�s S 14P tO % "�/\ Abw X16 mss. 01 • CIT•of G CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: - L= Q 9 -00- APPLICATION PPLICATION NUMBER: - PPLICATION NUMBER: - "The following is required information - Please print (hi ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PERTY N , .. • SITE ADDRESS: 3z O) Z 3rd 4-K, ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): • TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION PI ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DEESCRIPTION (Provide detailed description): in Ino A,—,n �O.r u. n_ r / . 1 •s_.� c PROJECT NAME: -,PEOPLE INFORMATION PROPERTY OWNER: I NAME: DAYTIME PHONF- CONTRACTOR: Uye s r' MAILING ADDRESS (STREET ADDRESS; CITY, NAME: DAYTIME PHONE: aenor.0'.j (;zS3) 9, - S3 MAILING ADDRESS (-STREET ADDRESS; CITY, ATE, ZIP): EVENING PHONE: I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 43 FAX NUMBER: — — - — — — — — — - — — (2.s3 )-2YOS� I CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: Sa✓ (ZSR )97S— -45_2Z MAILING A DRESS (STREET ADDRESS; CM, STATE, ZIP): EVENING PHONE: i 4 ? �L. Err Ila L RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): C ema._ 7,, - ) -k E-MAIL ADDRESS: � CONTACT PERSON FOR THIS PROJECT: ElPROPERTY OWNER ElAPPLICANT ❑CONTRACTOR Io.•���Ca�� -DETAILED . . • EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC) N - **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS - FLOOR EXISTING SQ. FT. PROPOSED SO. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCTS) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 filed 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 supWied to th_pjdty as a part of this application. NAME/TITLE: _ 'X_ &/ DATE: !7-f.40710 ❑ PROPERTY OWNER ❑ APPLICANT VCONTRACTOR COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 • FAX: 253-661-4129 www.dtyoffederalway.com U11 `S e 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!******* Building, mechanical, and fire prevention system fees are based on the following schedule. PLUS: TABLE A TOTAL VALUATION FEE FACTOR (1) $1.00 to $500.00 (1) $26.00 (2) $501.00 to $2,000.00 (2) $26.00 for the first $500.00 plus $3.50 for each additional $100.00 or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $78.50 for the first $2,000.00 plus $15.50 for each additional $1,000.00 or 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 $11.00 for each additional $1,090.00 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 $8.00 for each additional $1,000.00 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 $6.09 for each additional $1,000.00 or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,510.00 for the fist $500,000.00 plus $5.50 for each additional $1,000.00 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 $4.09 for each additional $1,0190.00 or fraction thereof. Bold number is the base fee for the specified increment Itardred, pnderfined number is the fee per additional specified ino-ement 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 Fre District #39 surcharge, commercial only. Add $4.50 for WA State Building Code Coundl, plus $2.00 per unit for duplex & above. PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: ( Estimated Plan Review Fee: (2) ** Electrical, plumbing, and mechanical fees are calculated separately ** (a) Base Fee: (b) Additional Increment Fee: Estimated FW Fre Department Surcharge: (3) (COMMERCIAL ONLY) E MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: ( Estimated Plan Review Fee: (5) PREVENTION -N FIRE PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: Base Fee Number of fixtures $22.50+( X $8.00/fixture} _ Estimated Permit nee X _65 = Miscellaneous Fixture Charge: (10) (a) Base Fee: (b) Additional Increment Fee: Sub Total (Pawone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) (8) Estimated Permit Fee (9) Estimated Plan Review Fee 11 ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _ Service or feeder only ........... :............. $50.00 _ N of Thermostats (First 437.50; add'n-$ 11.50ca) _ (First 1300 ft' -$75.00; Each add'n 500 ft' -$24.00) _ Service fdcdcr ............................... $81.d0 _ k of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50; Each add'n 2500 ft' -$11.50 _ Each outbuildingor garage... ...._......: $31.00 MOBILE HOME/RV PARK Square Fccc (Inspected with service) _ k of service or feeders ' Per \1'AC 296-46-910(5)(b)(i R ii) _ Each outbuilding or zaragc._._._ _..._._.___ 50.00 (Dint service/fccdcr-550.00; Add'n scn icc/ _ x of Signs (first sign -537.50; add'n sign (Inspected separately) fccdcr-$32 each) 517.50 each) _ S\v imming pool, hot tub, spa ...............$75.00 Pard Pole meter loops .........................$50.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (includes three units or more) Service Feeder Amps Service or Add'n Altered Service or Feeders *0 to 200 ..............................................S 81.00 Up to 200 anip.............. $ 81.00 ................ $24.00 2Fceder _ 201 - 600.......___..........................._....189.00 p ................ 201 - 400 ant 101.00 .................... 50.00 Z( to 100... .... ......_.........$ 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 _ q of circuits _ Over 800 amp ................. 252.50.................. 189.00 _ 401 -600 ........................ 220.50........... 88.50 (1-5 circuits -$63.50; Add'n circuits, $5 ea) 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 Res identiaVMulli-Family/Commercial/Industrial _ 0 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 .............................................. 101,0o _ N of circuits _ over 600. ........................................... _ 109.00 (IA circuits -$50.00; Add'n circuits $5 ca) n service is greater uian Auu amp, a pian review is req a. i-ce is .33 io of permit tee +303.3U. Aao i plan review for ower suonussions is a r�i.uu/nr. 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) _ SBCC Surcharge: (19) (20) (22 (21) (23 Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)f(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24 Bulletin k 100 - January 18, 2002