02-102412 City of Federal Way
Community Development Services Electrical Permit #:02 - 102412 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax 253.661 4129 Inspection re t e: 253.8 50
Project Name: MARLENE'S MARKET
Project Address: 31839 GATEWAY CENTER S •/ce1 Number: 09210 37
Project Description: ELE-Install 30amp 120/208volt single phase circuit to#L ' for Odwal • cooler.
Owner Applicant ' Contractor
GATEWAY CENTER INC BOYER ELECTRIC I • ELECTRIC
1001 4TH AVE PLAZA STE 320 830A N 127TH ST 830 127TH ST
SEATTLE WA 98003 SEATTLE A • -8030 EAT WA 98133-81 "
06
Elec al Fixtures
- Descri•tion i %, •I A uanti Descr,do 1111 Quantit A
Circuits- Cotnuercial 1 •
•
PE' T EXP ' ' .ecember 7,2002, S STARTED.
•ermit issued on a 10
I hereby ify that the above info tion is correct and that s t> o the above described property and
the occup• and the use will be ' .ccordance with th aws, a nd latt ns of the State of Washington and
the City of • - al Way. CO /�
Owner or agent: Date: O V Z
r - 13 , ov ILP"-5/56 ,4/ PiVriL f #e_d —
. ti / �4wG Le-
„.� 6Cfi CONSTRUC I ION PERMIT APPLICATION
uV Y ESL RECEIVED PPLICA1 ION NUMBE=R: ii, - [ P z g i Z- .=
PPLICATION NUMBER:
JUN 1 0 2002 PPLICATION NUMBER: _ _—__ — - -
**The following is required information-Please print(in ink)or type**
CITY OF FEDERAL WAY
Please note: Electrical, Elijglt t[yo FS-Fstenls and Engineering permits may require a separate application.
- . . . . h■ !
PROPERTY INFORMATUON. .
!/J
SITE ADDRESS: 3/ !4 1" � (1/ " e , ASSESSOR'S TAX/PARCEL //: —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -
'','4 .. . ..'•■, PROJECT INFORMATION : . , . . . . . .
TYPE OF PROJECT(This application): ❑ UILDING IA PLUMBING Li MECHANICAL LI DEMOLITION
U CLC-ETRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pr ovid detailed description): -' L c��� -- /2'l 7iQ�o /�
.fir /e -- % -- e/•�-c” `-�1 --4_4/57--36 ,,
•61 a/e.,t..— --- - -
PROJECT NAME: 0/11# .". 6 , . �"r le,4 `5 Ka " � ---
- -'1,.' - . - - ■ PEOPLE INFORMATION - . _ - - •
.___ — DAYTIME P110(11_
PROPERTY OWNER: NAME'
MAR INC,ADM SS(SIM I 1 ADOIR SS,CI iV,SI Al I,ill')
)
-___---------
--
----- - - - -- - - ----
CONTRACTOR: --- -- -------
DAYTIME PHONE
—M .6/71--
�,sG7TZ/C b )
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FIAII IAl) RI SS(SIRE(I ADDRESS;CITY,SIAlt,ZIP) FVI NINE,PHONE
CI1Y Or rEDERAI_WAY BUSINESS LICENSE NUHBER: FAX NUMBER
CONTRACTOR'S RFGISI RATION NUMBER' EXPIRATIjO�N DATE
Lf/
((copy of card(equued) �t�/,� ( TI--- ` -- ------- --
--------- - --------------------- - -----------
DAYIIMI PlIONf
APPLICANT: tan ---
MAII III!,AIMSIM 'I(5115111 AI)MR`,S,(Il Y,SIAII,71P) r(VI NI NG PIIONI
)
FAX NUMBER
Rf(Al1ONSl IIP 10 PROIKT --- ,
❑ ARCHITECT ❑ TENANT ( DESCRIBE): Fea/ LnrdeaA_ ( )
--- --------- ------------- ---- ----A---------
II A DM SS
CONTACT PERSON FOR THIS PROJECT: F] PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
_• • ■ -DETAILED BUILDING INFORMATION • :-_ • f- - • '
EXISTING USE: __ __ -- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: — - PROPOSED VALUATION FOR IMPROVEMENTS: $ __ __—__--___ _____
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: I-I YES I I NO
WATER SERVICE PROVIDER: LI LAKEHAVEN ❑ HIGIILINE ❑ TACOMA H_I PRIVATE (WELL)
. SEWER SERVICE PROVIDER: H) LAKEHAVEN ❑ HIGIILINE LI PRIVATE(SEPTIC)
4.*NEW RESI ZENTIAL CONSTRUCTION ONLY** -
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
• - ■ PROJECT FLOOR AREAS • -
1 FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT •
FIRST
--------- ----- -------- ----
SECOND
THIRD
FOURTH -------------- ---------
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ ELECTRIC CI GAS
DUCT(S) GAS PIPE OUTLET(S)
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 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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information supplied t _the city as a part of this application. (692
DATE: o (0
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: i
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT -
CENSUS CODE: LOT SIZE: - -
ZONING,DESIGNATION: BUILDING Si1ELt,O''NLY? ❑ YES _(i NO
COMP MAN DESIGNATION BASIC p�LAN? ` '(U YES El NO
SECTION ;,,,,, ,„TOWNSHIP r NEW ADDRESS PEQUIRED? ❑ YES ❑ NO
SECTI RANGE
i� otz E1'Es ❑ No 41ntih+�''�►I4(ig-,i' _ ti .4e ,' II tib_ ---
COMMUNITY(NVFLOPMf:fir SURVICfi 5-33530 FIRST WAY 50t1111•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•rAX:253-661-4129
www_cityofcdcralway om
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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!*******
Budding,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VAI DATION FEE FACTOR
(1)$1 00to$50000 (1)$26.00
(2)$501 00 to$2,000 00 (2)$26.00 for the first$500.00 plus$320for each00na1110000or 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$1150 for each additonalll 000.00 or fraction thereof,to and
including$25,000 00
(4)$25,001 00 10$50,000.00
(4)$435.00(or the first$25,000.00 plus 111-Q0for each addtional(1.000.00 or fraction thereof,to and
including$50,000 00
(5)$50,001.00 to$100,000 00
(5)$710.00(or the first$50,000.00 plus,18.00 for each additional it 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(oreacLi aa'aViona(IL00000or fraction there f,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..SO for each addtronak$1,000.00or 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$1.00 for each additional$1,000.00 or fraction thereof.
sold number Is the base fee for the specified increment
J(a/irizer/ander(ined number Is tire fee her 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 TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Pel mit Fee: (6)
Estimated Plan Review Fee: (7)
■ PLUMBING • •
Base Fee Number of Fixtures
$22.50 -t { X$8.00/fixture) = (8)Estimated Permit Fee
Estimated Permit nee
X .65 = __ ____(9)Estimated Plan Review Fee
• Miscellaneous Fixture Charge:(10) —
lr,r.r.r>,k.): l ine(s)(I)l(7)l(3)l(1)4(5)I(6)l(1)1(8)l(9)t(10) _' (l i)
4 L,^j, • ��T t
. • . ".
• ■ ELECTRICAL
.
TABLE B .
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family Service or feeder only 550 00 ._ II of I her, ostals(First-537 50,add•n SI 150ca)
(First 1300 ft'-575 00,Each add'n 500 ft'-524 00) _Service and feeder.. ... -- 581 00 _d of Low voltage fire or burglar alarms
Square feet I first 2500 ft'-543 50,Each add'n 2500 ft'-SI 150
_ Each ocitlruildiiig or garage 531 00 MOBILE HOME/RV PARK Square I cel _
(InSp:CdCd(sith scr•ICc) I(of service or feeder', ' Per \\'A( 206-16-9I0(S)(h)(r K it/
ach outbuilding or garage 5 S(1(1 (I in sem(c/Iecdcr-55000,Add n Seined I ill Sten.,(I u,t tlgn-517 50 add n sign
(Inspected separately) feeder-532 each) S1 7 50 each)
_ S\sinrtningPool hot tub Spa 575011
\'aid I'olc meter loops 5.50(If)
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or 1 ceders
Service I ceder Amps Service or Add'n (1 to 200 . S 81 (0)
Up to 200 amp $ 81 00 $ 24 00 I ceder 201 -600 189 00
201 -400 amp 101 00 50 00 0 to 100 5 81 00 5 50 00 __601 - 1000 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 SO 201 -400 189 00 75 00 7.---Th
_Over 800 amp . . 252 50 189 00 __401 -600 . . . 220 50 . . .88 (I-5 circuits-563 50,Add'n circuits,S5 ea)---\,....,ALTERED SINGLE/MULTI FAMILY 601 -800. 284 50 12i -
(When inspected separately front the services) 801 - 1000 . 348 00 145.
Service or feeder _Over 1000 - - 379 00 202 50 Residential/Multi-1 amity/Commercial/Industrial
0 to 200 amp S 68 50 _Over 600 volts surcharge - 63 50 0- 100 S 50 00
201 -600 amp 101 00 Mast or meter repair 68 50 101 -200 63 50
-
over 600 amp .
ISI 50 201 -400 75 00
Mast or meter repair 17 SO 401 -600 101 00
oOCr(,00 100 00
It of circuits
(1-4 circuits-S50 00,Add'n circuits$S ca) —
If service is gr cater than 2(1(1 amp.a plan review is req'd Ice is 3,51%of permit tee r 563 50 Add 1 p1au review for other submissions is 515 00/Iir
(/2 3a4,-,- / ze,'t/,�-L-z i l--3 d e(x_c - —
FIXTURE SC IPTION(Al II URE FEE -ROM T BLE B(B) NUMBER Of UNITS(C) TOTAL(0)
(A )
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TOTAL COLUMN -D S-3.f&
�Z (wloot)(rJumn(n)
/
Estimated Permit Fee: (12) CJ/- J
Estmrated Perim(Fee from tine 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: (1/)
. • . .. - • - , ■ OTHER FEES - • . ' : . -
Mrtiyation fee: (18) - _ (20) (22)_- - -
SBCC Surcharge: (19) - - ( ) 23 -- -
Total (1,,,,,0,,,1%two): tine(s)(11)1(Mr(13)r(tI)1(15)1(16)1(17)I(ttt)I(19)1(20)1(21)4(71)r(13) - (11)
Bulletin Y, 100 January 18, 1002