02-102525 1.11
City of Federal Way
Community Development Services Electrical Permit #:02 - 102525 - 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: LAKEHAVEN WASTE WATER TREATMENT PLANT FUEL TANK
Project Address: 3203 SW DASH POINT Parcel Number: 122103 9105
Project Description: ELE-Circuit for diesel fuel storage tank dispensing pump.
Owner Applicant Contractor
FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER
Electrical Fixtur -
a
0e60ri0.16,, . '`, Q.ua` fi eta' Quantity
Circuits- Commercial 1
1/1
PE XPIRES Ja • , 2003,IF NO WORK IS STARTED.
4riiti ed on July 22,2002
I hereby certify that the above information i orrect 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. ^ /�
Owner or agent: / C (� / Date: 1 `� Z
ms$ ;7E OP
Sr —tri \JO aed9c0.5 �S .
City of Federal Way
Community Development Services ectrical Permit#:02 - 102525 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210r (-0 i )1
Ph:253.661.4000 Fax:253.661.4129 ED
1 t Inspection request line: 253.835.3050
V—d
Project Name: LAKEHAVEN WASTE WATER TREATMENT PLANT FUEL TANK
Project Address: 3203 SW DASH POINT Parcel Number: 122103 9105
Project Description: ELE-Circuit for diesel fuel storage tank dispensing pump.
Owner Applicant Contractor
FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER FEDERAL WAY WATER&SEWER
Electrical Fixtures
Circuits- Commercial 1
PERMIT EXPIRES January 18,2003,IF NO WORK IS STARTED.
Permit issued on July 22,2002
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.
Owner or agent: See Application Date:
_ o '1— tom) ,�'L- fi1--.00 1�
A
nRECEIVED CONSTRUCTION PERMIT APPLICATION
JFI1_y APPLICATION NUMBER: �Z - L 6 45 -E(•,.
JUN 1 7 2002 APPLICATION NUMBER:
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
**The foy ►E Ii3Qd16RRd information-Please print(in ink)or type**
Please note: Electrical,Fire Preventi• Systems and Engineering permits may require a separate application.
El PROPERTY INFORMATION
SITE ADDRESS: ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIP ON • SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTIO V HY):
WIIIIIIII
- ' -'Ai PROJECT INFORMATION V
TYPE OF PROJECT(This application): 0 B LD G 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): #2 D / P S t / fe--, e / S f0 vq, e—
T� /,-) /< Q b o Q G� 064:✓i fes'J 1✓0 CA !h (4'C9 k/-c.-c. (7e / l�(L i- ,,_j e j
1,•1 ,' ,� a D / 5/ ) ; ' 9 '&_/
PROJECT NAME: Lf{/1oA1cM, 0 ' L lj b f v cf
ir PEOPLE INFORMATION
PROPERTY OWNER: NAME: / DAYTIME PHONE:
L a /�tlr) u - eI, 1 71,4/ �, 5 717 ( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP):
3 2 03 SW. Oa h 1971. nI- - fDJe,c. e. i (-1.--a ,
CONTRACTOR: NAME: • DAYTIME PHONE:
( ) _
i1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMB:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy a Card required) / /
APPLICANT: NAM„;___, DAYTIME PHONE:
61 in Kue1,s (253 ) ' - ('C2
MAILING ADDRESS(STREET ADD CITY,STATE,ZIP): /� EVENING PHONE:
32P3 -54V P.I3 4 fi. X.1( releai / 4'14 / ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): (2 5"3) 8'761 -2 50 7
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER /,'APPLICANT ❑ CONTRACTOR
E
■ DCAILED BUILDING INFORMATION
EXI* NG USE: EXISTIN BUILDING ASSESSED/APPRAIS • ,LUATION $
PRO'OSED USE: • •OPOSED VALUATION • • IMPROVEM S: $ -
SPRI LERED BU A i ING? 0 YES 0 NO FIRE SUPP: s.SION SYSTEM PRO• ••ED/REQU • D:❑ YES 0
WATER • E PROVIDER: ❑ LAKEHAVEN 0 H UN 0 TACOMA ❑ PRIVATE(W )
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHUNE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. -- ffOTAL
BAS .ENT _ "yr,
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
._ . . .- .. .. . , -....,�.. :r,,,. -.,,NI FIXTU itES ...;... . n .. ... --- .-, , „ _ . _,. ., ..,.
Indicate number of each type . fixture
MECHANICAL
AIR H• DUNG UNIT(S) EVAPORATIVE COOLER(S) GAS L•`. ) REFRIG.SYSTEM(S)
BB• ) FAN(S) HOOD(S) WOODSTOVE(S) I
: % LER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( . ) 1
OMPRESSOR(S) FURNACE(S) 1
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 - CTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER •TER(S) 1
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 c•
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S MP(S)
- - ri -DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th•y th• 'nformation furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner o 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 daim),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 city,induding its officers and employees,upon the accuracy
of the information supplied to the city as part of this application. /� /.,
NAME DATE: v 7/w 2
L- NAME/TITLE: �ti d
❑ PROPERTY OWNER yAPPUCANT ❑ CONTRACTOR
. - OROF CCUSEONLY 4
1- _EY� . /A7 �O� �1LTERATION `:" '.=� AIR ia.TEA NP O MEN
sT-A
NSUS DE:= =n _ ?:r OT SIZEi's .- . = t' x= x = 3
'OG' SI6IV�ATOI�i 'ice = _. ' .K tf NO< _°_ _ _
y'" .. ., ,�... s�t�.-_-�_�-,4=E=;���II:DIi G'�H�LL'��NI,Y?�=�7 -
P�t i ESIGNATION ss *'Y. =
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ECTiON __TOIAINSHIP _ RANGE s, =tNEW ADDRESS tEQUIRED? r ._�J ES a
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
yvww.dtvof1ederalway.00m
r
CRY 0/ G BUILDING DIVISION
•
F_J=3 33530 First Way South
VV RY Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELE -
Job Address 3 D 3 S. Gt./. 0,s Zi P/, d . Job Site Phone 253 92.9 76 3 I,
Parcel No ('2. /,pd,-- 1.ipf" Lot No Subdivision Name
Owner/tenant Mail Address Phone �Q1.1 K
1464. Was74c 4471(G- Tv,a740) eh 3 203 5, .i, ,2a5h(7 ?6,/, 255.- 1105---C6 4 2
Electrical Contractor /I Address/phone Electrical contractor license number (copy r•1'd).
( e v Expiration Date: / /
Jae of Bldg: O SF Rcs (Comm O Other O Multi OChurch/School Class of Work: O New 0 Alteration 'Addition O Repair
Description of work::
:/,' O 1 e .fel F1 5 /-,,,., 9 E -1; y1 '{ F),, ,,y6 4490„ l„ezeei vA
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only . . . $44.25
o (First 1300 t1=-567.00;Each add'n 500 ft'-521 50) Service and feeder $72.25
plan review is req'd. Fee is 35% of Square Feet: -
permit fee +$56.25. Add• 'I plan review _Each outbuilding or garage . $28.00 MOBILE HOME/RV PARK
for other submissions is $67.00/hr. (inspected with service) _#of service or feeders
Each outbuilding or garage. .$44.25 (First servicerfeeder-544.25;Add'n service/
(Inspected separately) feeder-528 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(includes three units or more)
Amps Service or Add'n
#of Thermostats(First-$33.50:add'n-510.SOea) Service Feeder- Feeder
_#of Low voltage fire or burglar alarms _Up to 200 amp $ 72.25 . $ 21.50 0 to 100 S 72.25 YY'
First 2500 ft'-538.75;Each add'n 2500 ft1-$10.50 _201 -400 amp . 89.75 . . . 44.25 101 -200 89.75 . . 56.25
* Per WAC 296-46-910(5Xbxi&ii) _401 -600 amp 123.25 . . . 61.50 -701 -400 . . 169.00 . . 67.00
#of Signs(First sign-533.50;add'n sign _601 -800 amp 158.00 . . . 84.25 -401 -600 . 197.00 78.75
$16.00 each) -Over 800 amp225.25 . . 169.00
_Progress inspection per'/ hr . . . . $33.50 _601 -800 . . . . 254.50 107.25
_Swimming pool, hot tub, spa . . . . 67.00 _801 - 1000 . 310 75 129.75
_Temporary Pole(up to 60 amp) . . 38.75 _Over 1000 . . . . 339.00 181.00
_Yard Pole meter loops 44.25 _Over 600 volts surcharge . . 56.25
_Mast or meter repair 61.50
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/1NDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the Altered Service or Feeders
made the following work day,253.661.4140. services.) _0 to 200 $72.25
_301 -600 . . . . . . . . . . . 169.00
I hereby certify that I am the owner(or authorized Service or Feeder _601 - 1000 254.50
agent)of the above named property,or a licensed _0 to 200 amp $61.50 _over 1000 232.75
contractor(or firm's authorized agent)and am _201 -600 amp 89.75 _#of circuits
making the installation or alteration in _over 600 135.25 (1-5 circuits-$56.25;Add'n circuits,35 ea)
compliance with all applicable city,county, _Mast or meter repair 33.50
and/or state laws. _#of circuits Temporary Service
(1-4 circuits-$44.25;Add'n circuits$5 ea) _0 to 60 538.75
Applicatres Signature: _61 - 100 44.25
/.. c____..
t" _ 101 -200 56.25C �� _201 -400 67.00
401 -600 39.75
Date: /U Q -over 600 . . 97.75
ELECTRIC Air
REVISED Irm
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 •
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 1100.00°r 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$1,000.00 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$6.00 for each additional$1.007.00 or fraction thereof,to and
induding$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 adoiWonal$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$4.00 for each additional 51.000 00 or fraction thereof.
Bold number is the base fee for the specified increment
Italic/zed underlined number Is the fee per additional spedfied 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**
- - - • 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 Permit Fee: (6) -
Estimated Plan Review Fee: (7)
■ PLUMBING
Base Fee Number of Fbdu es
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee •
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Payton): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)_ (11)
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$1 I.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00,Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 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 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 5 t.0 r _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 g#of circu'-
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circui -$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 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 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 151.50 _201-400 75.00
_Mast or meter repair 37.50 _401-600 101.00
_#of circuits _over 600 109.00
(1-4 circuits-550.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+563.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) '.NUMBER OF UNITS(C) 'TOTAL(D)
- TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
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)
L Bond Amount: (17)
I OTHER FEES
r
} Mitigation Fee:(18) (20) (22)
3 SBCC Surcharge:(19) (21) (23)
Total
(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-February 19,2002
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