02-100927 0, ! +
A.
ity'�f heaerat Way Electrical Permit #:02 - 100927 - 00 - EL
Conm;unity Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
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Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010
Project Description: ELE-Install 200 amp service from existing 600 amp,with(2)40 amp panels. Also installing L/V wiring
for separate computer,telephone&data systems and fire alarm system.
Owner Applicant Contractor
MONA C/LAURENCE A LUX SASCO ELECTRIC SASCO ELECTRIC
909 S 336TH ST PO BOX 3887 PO BOX 3887
KIRKLAND WA 98083 SEATTLE WA 98124-3887 SEATTLE WA 98124-3887
(206)571-3973
Electrical Fixtures
Descrlpfion'. -1'''':;''''':Q, . .": r4V,Description =Quantity .;�, '''`'Description Quantity
Low Voltage-Other Commercial 2542 Low Voltage Fire Alarm-Commercia 2542 Service/Feeder: 101-200 amps-Comr 1
Service/Feeder: 0-100 amps-Comm. 2
PERMIT EXPIRES September 29,2002,IF NO WORK IS STARTED.
IllPermit issued on April 2,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use .11 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. /'
Owner or agent: A. Date: 6' `7 -v�
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[ iSi7eleral way Electrical Permit #:02 - 100927 - 00 - EL
• `Community Development Services
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: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010
Project Description: ELE-Install 200 amp service from existing 600 amp,with(2)40 amp panels. Also installing L/V wiring
for separate computer,telephone&data systems.
Owner Applicant Contractor
MONA C/LAURENCE A LUX SASCO ELECTRIC SASCO ELECTRIC
909 S 336TH ST PO BOX 3887 PO BOX 3887
KIRKLAND WA 98083 SEATTLE WA 98124-3887 SEATTLE WA 98124-3887 -
(206)571-3973
Electrical Fixtures
' i ;Descriptieirr',, `,' Quabbtityi` 7N{]escciptionT• :x' 4'` Quantity f, '' .* - :•Description. _'. :iQuantity�
Low Voltage-Other Commercial 2542 Service/Feeder: 0-100 amps-Comm. 2 Service/Feeder:101-200 amps-Comr 1
PERMIT EXPIRES September 29,2002,IF NO WORK IS STARTED.
Permit issued on April 2,2002
I hereby certify that the above information is correct and that the construction on the above described property and
0
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 W.
Owner or agent: - Date: 9 —0.?
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•
aro"' _ RECEIVED CONSTRUC I ION PERMIT APPLICATION
� APPLICATION NUMBER: O2 - zoo .Z 7. - .-,
Fiv
MAR 0 1 2002 APPLICATION NUMBER: - .•
-
CITY OF FEDERAL WAY
APPLICATION NUMBER: - -
**The following Estiiiciwga PI inatiori—Please print(ih ink)or type** .
. Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- . "31148
. ■ PROPERTY INFORMATION ' - -
SITE ADDRESS: 91 e ` J e ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' ',_�t _- - , ■ PROJECT INFORMATION •
TYPE OF PROJECT(This application): ❑ BU ING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ECTRICAL Cl ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed descripti• ): 1/J$T 4 VI QN-t 7/1-4,4-- f,a4 L/IC-'- F( 44 $jli 5/7ti1
..ii .s: i .4 ICC / .. i41 - - _.f: / O Gtl 444
`4--' • • =(M - C C — GAWWI I I . 5"41±1/ IrOraN t
I ' i I E _flit k . ., i
A i :,,N1 • M ► inn/ 6 calcd ►- , bwl-
rQt J$- £4 Av •e,9T ,4 ' pi i)i ' I `
PRC�.FCT NAME: � '� �� X-�A,(b
X11
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE: �,� ,A , '
r
( ) - •w , ,, •
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NA • �� � DAYTIME PHONE:w7/ 7 i
P V '
12_ a )\I (44-(� 9ei
EVENING 1/ S - F 9/M� t R l ✓1 vilojahu, 2 veep) 9770)- 8Z�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
I
CONTRACTOR'S REGISTRATION NUMBER: E yEXPI2 SN ea,- 9�Sd
(copy of card required)NA S Pr-LS e-- O S \ 1 / 1 / "� 1
APPLICA DAYTIME PHONE:
et mac./l< t L ( )
MAID ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
`'^ W- ✓-e--- ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS y���
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ElAPPLICANT CONTRACTOR .•S W€irr•c Q CQ 1
' . ■ DETAILED BUILDING INFORMATION .
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: CI LAKEHAVEN CI HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) -`
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** 71
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ I
•
• - ■ PROSECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. • PROPOSED SQ.FT. TOTAL •
BASEMENT • - - .
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
. ■ 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)
BOILER(S) FIREPLACE INSERT(S) 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)
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)
•
- •
. -. in 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
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the i
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 dty,induding its officers and employees,upon the accuracy
of the information s plied to the city as a part of this appl lion. //
111.
NAME/TITLE: ��__ L.411. 0f' DATE: 3 - fro Z
❑ PROPERr *WNER 0 APPLICANT �eUNTRACTOR
=FOR OFFICE USE ONLY: 1
r10-.NEW,-,TZ__:``:❑-ADDITION 0 ALTERATION ` `a4REPAIR ❑=TENANT-MPROVEMENT - --I
'CENSUS CODE: _ _ -- -LOT:SIZE:' -_- -r--- " - -
ZONINGDESIGNATION: - : BUILDING SHELL-ONLY ?❑ YES- 0 NO
COMP,PLAN DESIGNATION =. .BASIC PLAN? ` _f3 YES 0 NO .. - . -
-SECTION_> „-__ TOWNSHIP RANGE= NEW ADDRESS REQUIRED? 0 YES 0 NO
-PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? - - ❑YES ❑ Na
r COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.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!*******
•
Building,mechanical,and fire prevention system fees are based on the following schedule.
•
TABLE A •
TOTAL VALUATION FEE FACTOR
(I)$1.00 to$500.00 (1)$26.00
(2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus 0.50 for each additional St00.00or 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 115.50 for each additional 51.00000 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 51,000.000r 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 saw 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 16.00 for each additional$1,000.00 or fraction therepf,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 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$4.00 for each additional 51,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,underlined number ls the fee per additional sped/led 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 Fre 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: -1.17 r���,V
FEE FACTOR FROM TABLE A:Number: 60 S(7 (a)Base Fee: /o8340-
(b)Additional Increment Fee:
Estimated Permit Fee: (1)L
Estimated Plan Review Fee: (2) A* 1 'C)
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 Fixtures
$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 (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
1.
?Ol X11Zr( L4vStS FlivS
• ELECTRICAL .
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-SII:50ea)
(First 1300 112475.00;Each add'n 500 ft2-$24.00) _Service.and feeder $81.00 •_#of Low voltage fire or burglar alarms
Squame Feet: - First 2500112443.50;Each add'n 2500 ft2411.50
Each outbuildingor 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/ _4 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................................. ....S 81.00
_Up to 200 amp $ 81.00- . $ 24 00ry Feeder _201 -600. - 189 00
_201-400 amp 101.00.. ..........50 00 ./0 to 100.2 ..-........$ 81.00..... $ 50.00 _601 - 1000...--.- 284.50
_401 -600 amp 138.00................68.50 1''01-200..1 101.00 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 (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 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp S 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
_#of circuits over 600.. ............ .. 109 00
_
(1-4 circuits-$50.00,Add'n circuits$5 ea)
If service is greater titan 200 amp.a plan review is req'd.Fee is 35%of permit fee+$63.50 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;4( �
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12) .J41 S.5
Estimated Permit Fee from line 12
if
Estimated Plan Review Fee: $63.50+( X.35) = (13) I g 4 , 5
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING '
Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES -
Mitigation Fee: (18) (20) (22)
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 11100-January 18, 2002