02-100580 City Federal Way
Community Development Services Electrical Permit #:02 - 100580 - 00 - EL
Community
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: DAIRY QUEEN
Project Address: 2305 SW 336TH Parcel Number: 873217 0060
Project Description: ELE-Install low voltage security system for existing fast food restaurant(approx.2400 sq ft).
Owner Applicant Contractor
A 0 Gossan PROTECTION ONE ALARM PROTECTION ONE ALARM
7301 NE 175TH ST#124 3900 S 220TH ST 3900 S 220TH ST
KENMORE WA KENT WA 98032 KENT WA 98032
98028-3534 (253)395-7140
Electrical Fixtures
Description 1Quantity - - Description- (Quantity ; Description :•:Quantity
Low Voltage Burglar Alarm -Comic 2400
•
PERMIT EXPIRES August 5,2002,IF NO WORK IS STARTED.
Permit issued on February 6,2002
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 y. _
Owner or agent: Date: 6"P v�
2— /�—o2 ,L,N(� ( erG
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4 (7-
..-7.0f RECEIVED CONSTRUC=I ION PERMIT APPLICATION
I � — APPLICATION NUMBER: OZ.- I' ' 1 -do–a-
FEB 0 6 2002 APPLICATION NUMBER: - -
crrieOF FEDERAL WAY APPLICATION NUMBER: - — -
**TJIla QE quired information—Please print(in ink)or type** .
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- • , ' - , ��'{`�'-- " • PROPERTY INFORMATION - . -
SITE ADDRESS: ef _ I 1 _ 4 • 4 . ASSESSOR'S TAX/PARCEL #: 75 2/ 7 _v/f0I c
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ ., ; _ , ■ PRO]ECT INFORMATION .. - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
L 0 0 Vo ITLSE r SSy S LOrieln\
PROJECT NAME: I 1/3 i\ 1-& LDL 0 G. ,Ti &V e Q.-VA
-- . - - - - . . .-- _ • ■ PEOPLE INFORMATION - - _
toPROPERTY OWNER: E DAYTI E PHONE: �i... 166,anjtiL,i& t(01...13) V
MAILINGAT
13Uc c t J ADDRESS; IP): heft*I G.. /JAL/ tu/ C(i/d<4.,.3
/ fa1 [
CONTRACTOR: DApfyE +
rRDOnt
G ) ( O . TE,
ZIP): n EVENING PHONE:
_sCITil
QTY OFF 11 WAY -J-Ou. 16/rd-NUMBER: 1 MA- cier�� FAXUMBER:
Tr - LO_ j_. - 60 (in.) -7-Vo -.)b-0
cotrtuertiftt KNU BRR:_4(t441-PKVref, p gi int_ -r go o e EXPIRATION DATE: , 63
APPLICANT: NAME: DAYTIME PHONE:
-• is Z `;�lld ( ) -
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE):_ ( ) -
/ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: I,If[PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- - -- ■ -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: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
I **NEW RESIDENTIAL CONSTRUCTION ONLY**
INUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- " - ■ PROTECT 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)
■ 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 claim(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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
�1 LONAME/TITLE: l � riS - C..41,, -1-3111Pv' 4pr�OC DATE: /
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
.\1(k
'FOR OFFICE USE ONLY:-1
'❑ NEW ,_-E:_. ❑ADDITION ❑ ALTERATION : ❑;REPAIR'. ` - - ❑TENANT IMPROVEMENT "
CENSUS,CODE: '.- LOT-SIZE: . - .
_ZONING DESIGNATION: BUILDING SHELL ONLY? ;❑ YES ❑ NO
`,COMPLPL'NDESIGNATION "- BASIC PLAN?" '❑ YES ' ❑ NO -
-SECTION....'.;:;•:--'', 'TOWNSHIP RANGE ' NEW ADDRESS REQUIRED? -❑ YES ❑.NO
.PLATTED LOT? . ❑ YES ❑ NO CHANGE OF USE?. ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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)$24.25
(2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100 00 or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 for each additional 11,000.coor fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10 82 for each additional$1.000 00 or fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$664.35 for the first$S0,000.00 plus$7.50 for each additional$1,000 00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00lbr each additional$1.000.00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus$5.09for each additional$1.000.00 or fraction thereof,to and induding
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000 00 or fraction thereof.
Bold number is the base fee for the specified increment
Jtaiidzed undefined 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 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
$21.00+{ X$7.00/fixture}= (8) Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
• ■ ELECTRICAL
TABLE B
NEW RESIDENT 1 SER CES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only.. - $48.00 _#of Thermostats(First-$36.00;add'n-S 11.00ea)
(First 1300 ft2-$7 •Each add'n 500 ft2-$23.00) _Service and feeder. -- .... $78.00 4_#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$4 / add'n 2500 ft2-$1 I.00
_Each outbuil.• g or garage.__. $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspectedth service) _#of service or feeders *Per W C 9 910(5)(b)(i&ii)
_Each outb ildingor garage $48.00 (First service/feeder-$48.00,Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
Yard Pole meter loops 48.00
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 $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
_601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits
Over 800 amp 243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral
_0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600 97.00
_#of circuits _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr.
FIXTURED ESCRIP,TION'(A)I$ FIXTURE FEE FROMTABLE-B(B) = 3NUMBER,OF:UNITS:(C)"t 1i</ t AI t TOTAL(D)
'-':'TOTALCOLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from ine 12
Estimated Plan Review Fee: $56.25+ X.35= (13)
■ 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)
r
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) 4 3 r, V
cmt., .
.: ,..
Bulletin #100-August 20,2001