02-102411 City of Federal Way
Community Development Services Electrical Permit #:02 - 102411 - 00 - EL
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: QFC
Project Address: 31217 PACIFIC S Parcel Number: 082104 9181
Project Description: ELE-(1)Wire 50 amp 3 phase circuit for combitherm chicken cooker in deli dept.
Owner Applicant Contractor
ALEXANDER HAAGEN OPERATIN BOYER ELECTRIC BOYER ELECTRIC
830A N 127TH ST 830A N 127TH ST
SEATTLE WA 98133-8030 SEATTLE WA 98133-8030
(206)367-7606
Electrical Fixtures
lQuant(ty Description- TQuantityj _ ;`. I Description Quantity
Circuits- Commercial 1 -
PERMIT EXPIRES December 7,2002,IF NO WORK IS STARTED.
Permit issued on June 10,2002
•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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
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Owner or agent: Date: 1//6176
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,,.O, 7re.14,f,.." f CONSTRUCTION ERMIT APPLICATION
_ E= APPLICAI ION NUMBER: _ - L O Z q
vv ry[-7�V (AM AI'PLiCATION NUM[3ER: - _ -
JUN 1 -
O 002 APPLICATION NUMBER:- — —_-_
**The following is required information-Please print(in ink)or type**
CITY OFr FEDS Aj.,WY
Please scat lL' r c ire Prevention Systems and Engineering permits may require a separate application.
__ .- _ :.._ . - :„7-1'':1.'
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,' ._ ■ !PROPERTY INFORMATION - . • . . -- . •
.' T 2/2-- / "7 — �// ' e--,—/(� AS
S1I[ ADDRESS: ESS __OR'S AS //: _
_ _ /
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACII SEPARATE DESCRIPTION IF LENGTHY): _—
:: . _ . .. - • = - ■, PROJECT INFORMATION : - : - , -, .. -
TYPE OF PROJECT(This application): ❑ UILDING ❑ PLUMBING ❑ MECHANICAL Li DEMOLITION
ECTRICAL ❑ ENGINEERINGL) FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION Provide ailed description): ---
- //1/ al/ E,�7--- -- -
PROJECT NAME: & eA ` 6,,,egic -;.:- .. -.-1-_, -- ---
= ... -- _I PEOPLE INFORMATION - . . •
- ---------------
------------- --- — ()MIME P11010•
PROPERTY OWNER: Nnwe
)
11A11 INC;ARUM S'.(51121 f 1 ADM SS,(I TY,SIAII,7ll')
CONTRACTOR: N^tr /Z.- :5Z7*----A-/C-- &:' FJ^lo )347 -7 -6
Al �A)URCSS SIRE(T ADDI2 SS,CITY,SIAIE,7112)/ 4/..........j ...,...-2, h 7 EV(NING rHQN[
TY Of f EUERAL WAY B IN€SS LICENSE NUMBER: FAX NUMBER
20 '.01-" 1 '4 -_151---- Qo‘ ) 36-7-i 7s'"_
CONTRACTOR'S REGISTRATION NUMBER- EXPIRATJON DATE /�
(copy of card'Not,ed0) La �/ L E� O/ z- — —__ __-__--
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APPLICANT: UAII PAYIIMf 1( -3t74C
G �L�L7�a2(c.
F II ILGAh)121 Y;(SIM fIAUDItl SS,(IIY,$IAlf,711') I VI NING PI101B
4 7 7__C6,44 6j
REI Al IONSIIIP 10 PROJECT AX NUMB!R
LI ARCHITECT LI TENANT �`6'fif1ER(DESCRIBE): tG //Y /VO6) �b� - LA----7/
_ _
,„7„,,,,,,..._ f MAn ADORE SS ,,
CONTACT PERSON FOR THIS PROJECT: (1 PROPERTY OWNER LI APPLICANT I NTRACTOR 4 W0,i�k•qW/.,I
„ , . - : - , -. • I DETAILED BUILDING INFORMATION' - `• • i
EXISTING USE: _ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ _ —_ —_
PROPOSED USE: __ _ PROPOSED VALUATION FOR IMPROVEMENTS: $--_ ____—____
SPRINKLERED BUILDING? I_) YES LI NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 11 YES I I NO
WATER SERVICE PROVIDER: I_) LAKEHAVEN I] 'HEMLINE LI TACOMA I I PRIVATE (WELL)
SEWER SERVICE PROVIDER: H) LAKEIIAVEN O HIGHLINE L I PRIVATE(SEPTIC)
't*NEW RESIDcNTIAL CONSTRUCTION ONLY** •
• NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ '
•
■ PROJECT FLOOR AREAS
, FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT '
FIRST - -----
SECOND ------ —-- ------------
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
11111111111111111111111111111111111111111111111111111111111111111111111
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) HOODS) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S) FEAT SOURCE: CI ELECTRIC CI GAS
DUCT(S) _ GAS PIPE OUTLET(S)
PLUMBING
BATT ITUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
' ' • - ' AI DISCLAIMER/SIGNATURE CLOCK '
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 author' .d by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold h. •ss the City of F., •ral Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and def• se .1 sudr claim), rich may be made by any person,including the undersigned,and filed against the City of
Federal Way,but on! wi •re such claim .'"ses out of the reliance of the city,including its officers and employees,upon the accuracy
of the information pp ed to the city • a part of this application. /�
�"_/ , 1..------
J DATE: ' 10702—
NAME/TITLE: k
❑ PROPERTY •WNER ❑ APPLICANTNTRACTOR
FOR OFFICE USE ONLY: 1
❑,NEW • ,- ❑ ADDITION ❑ ALTERATION . 0,REPAIR ❑TENANT,IMPROVEMENT
CENSUS CODE: . - LOT SIZE: .= --
ZONING DESIGNATION: BUILDING SHELL;ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASK PLAN? ..1:1YES CINO •
•
SECTION,,,, ,, TOWNSHIP RANGE. NEW ADDRESS REQUIRED? CI YES 1:1 NO
PLAYtf8'ttit4 b lft ❑ NO . ' C(lA.kGf=*6-gei;
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.
TABLE A
TO1 AL VAI DATION FFE 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 13 50 for each a t tuna/1100M 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 1_1150 for each add,t,00al IOf)0.A2Or fraction thereof,to and
including$25,000.00
(4)$25,001 00 to$50,000 00
(4)$435.00 for the first$25,000.00 plus$JL0r)for each addiuona/11,00O.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 1800 for eacfratia 1LL00 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$800 for each adds psol 11 QX0.00 or fraction lherepf,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 15.50 for each adds natiL0p0.(X)or(radian thereof,to and
including$1,000,000 00. f
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus 0.00 for each add�(tonal$1,00000 or fraction thereof.
Bold number is the base fee for the specified increment
Ita/idzed undedined number Is the fee per additional specified 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,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**
■ BUILDING •
PROPOSED VALUATION: _
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)
■ MECHANICAL
PROPOSED VALUATION:
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 TATA E A: Number: ___ (a)Base Fee:
(b)Additional Increment Fee:
• Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■ PLUMBING •
Base Fee Number of fixtures
$22.50 i- ( X$8.00/fixture) = _ (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
, Miscellaneous Fixture Charge:(10) --
5(11)_I°Lai(P.rec oak!): l ine(s)(1)1(2)1(3)1(1)4(5)4(6)1(7)1(8)1(9)r(10) = (11) _----- ,___-- ---_--_--
•
'
■ ELECTRICAL
•
TABLE L3
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family __Service or (ceder only 550 00 __ II of Ihernrosta(s(First-537 50,add'n $I 1 SOca)
(First 1300 ft'-S75 00,Each add'n 500 ft'-524 00) __Scrvicc and fccdcr . .. .. . .. S81 00 _ II of Low voltage fire or burglar alarms
Square Feet First 2500 ft'-543 50,Each add'n 2500 ft'-Sl 1 50
Each outbuilding or garage 531 00 MOBILE HOME/RV PARK Square I eel
(Inspected ortli service) If of service or feeders ' Per \\A( 206-16-9I0(5)(1))(1& ii)
I ach outbuilding or garage 530 00 (I list Scrvicc/fccdcr-550 00,Add n sen ICC/ t;of Siem,(I rist sign-531 50.add ii sign
(Inspected separately) fccdcr-532 each) SI7 50 etch)
Soonnnung pool hot trill,spa $75(1(I
Yard Pole meter loops 550 0(1
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Set vice or Feeders
Service Feeder Amps Service or Add'n 1)In 200 5 81 00
Up to 200 amp $ RI 00 5 24 00 Feeder 2(11 -600 180 00
201 -400 amp 101 00 50 00 0 to 100 5 81 00 5 50 00 _601 - 10(10 281 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 d_gfci_rcoirs -
_Over 800 amp .. . 252 50- 189 00 _401 -600 . 220 50 - .. 88 50 / (1-5 circuits-563 50,Add'n circurts-55- a).
ALTERED SINGLE/MULTI FAMILY 601 -800 284 50 120.50
(When inspected separately from the services) 801 - 1000 348 00 145 5(1 r'MPORARY SrRVICE
Service or Feeder _Over 1000 379 00 202 50 Rcsidcn(ial/Multi-Fannly/Commercial/Industrial
_0 to 200 amp . 5 68 50 Over 600 volts surcharge . .63 50 __0- 100. . . . 5 50.00
201 -600 amp 101 00 _Mast or meter repair .. 68 50 101 -20063 50
over 600 amp . 151 50 _ _201 -400 75 00
Mast or meter repair 37 SO 401 -600 101 00
os cr WO 1(19 00
11 ofcnunl•,
(1-4 circuits-550 00,Add'n circuits 55 ca)
If service is greater than 200 amp a plan revr'w is req'd lee is 35%of permit Ice 11/53 50 Add'I plan review for other submissions is 575 00/hr
FIG RE DESCRIPT[ti (AAi FIXTURE FEE FROM TABLE BJB) _ NUMBER OF UNITS(C) TOTAL(n_
-- ------------ ---- -- ----- --- ------
TOTAL COLUMN(D)
roles Column(n)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X.35) _ (13)
- . . -. •■ DEMOLITION '•• .
Estimated Permit Fee: (1'))_
Bond Amount:(15)
. - - •. . 'Ill ENGINEERING - - ' - • ` - _ . • .
Estimated Pet mit Fee:(16)
Bond Amount: (17)
• . .• •- - - ' ■ OTHER FEES -- - - • - '
Mitigation Fee: (18) (20)— (22)
SBCC Surcharge: (19) (21) (23) _____—_
Molal (nagc,oucF.,wo): tine(')(u)r(I2)t(1.3)t(Ia)t(15)1(I6)r(11)r(18)r(19)i(20)i(11)r(n)r(2-3) _ (I4)
Bulletin #100 - Janu.ry 18, 2002