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02-100750 1111 • ' City Federal Way Community Development ServicesElectrical Permit #:02 - 100750 - 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: CEO Project Address: 909 S 336TH Suite200 Parcel Number: 926480 0150 Project Description: ELE-install new oulets and circuits for tenant improvement to office space on 2nd floor. Owner Applicant Contractor Jeffrey W&Leanne M Stock SELECT ELECTRIC SELECT ELECTRIC 31919 1ST AVE S SUITE 100 6320 52ND AVE W 6320 52ND AVE W FEDERAL WAY WA 98003-5258 UNIVERSITY PLACE WA 98467 UNIVERSITY PLACE WA 98467 (253)435-7761 Electrical Fixtures Description" Quantity Description --Quantity r Description Quantity Circuits- Commercial 15 PERMIT EXPIRES August 19,2002,IF NO WORK IS STARTED. Permit issued on February 20,2002 • 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.door ' ,� Owner or agent: � i�.�// Date: F'�/L. zo 2,- 2-1- P2- lot — 0 Z. C Q;l."L�� C.cv-e r �t�A� ov{U S o) 0� j� 6_ . RECEIVED "To"' G CONSTRUCTION PERMIT APPLICATION uv FEY' FEB FEB 2 0 2002 APPLICATION NUMBER: !>Z - 007 --4 -a-- APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: - - BUILDING DEPT. **The following is required information—��Please print(in ink)or type** Ple. `+'. y le�al,Fire3e� n d.Egne r, -mits may require a separate application. e ..........fffff+++++ v�vV • - - - - •-NA PROPEkTY INFORMATION - - `` SITE ADDRESS( 10 q G AUC.. C 4 ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): , ,, 1:j. -.- •- -` - .- . PA PROJECT INFORMATION . TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION XELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): i��/ . k\ , ?weir- To/e-5 0- i Kew Q Via- - Cub des, N ovtte s � 5 6 X PROJECT NAME: X ck, IQs,, id DNl4( BiClegf - U)es4- —C67.) • ` - W PEOPLE INFORMATION . ROPERTY OWNER: NAME: r� • DAYTIME PHONE: MAILING ADD SS( EET ADDRESS;CITY,STA ZIP): 33 ' C S I u . CONTRACTOR: NAME: DAYTIME PHONE: sal � �� ( ) W- - 726/ MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: (Zrs3 )377 - fez CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: - (Z43 )515--95 CONTRACTOR'S REGISTRATION NUMBER: C� EXPIRATION DATE: l� (copy of card required) J ( € C e * y 9- 5 4, c f.).- / 03 / 2.C2o3 APPLICANT: NAME: DAYTIME PHONE: Scoot , 05 CM c 6-,' ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)- EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT bTHER(DESCRIBE): thTr ( ) - E-MAIL ADDRESS. CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANTPONTRACTOR ■ 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:0 YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • - ■ PROTECT FLOOR AREAS ' • I R EXISTING SQ.FT. • PROPOSED SQ.FT. TO •L • BASEMENT • FIRST • SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES -dicate number of each typ• .f fixture - • MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) G• LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOO c S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ■ -. RIC 0 GAS PLUMBING BATHTUB(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) - - El DISCLAIMER/SIGNATURE BLOCK • • I certify under penalty of perjury th./ the information 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 informati.. p:lied to the .1-y as a part of this application. NAME/TITLE: �- 111 .4_ �/ g' /I I 1 L/ i ,. DATE: o G , zoo 2_ ❑ PROPERTY OWNER ❑ APPLICANT ?<CONTRACTOR :FOR OFFICE USE ONLY: 1 ;;_-0 ADDITION 0 ALTERATION O;tEPAIR• `- Ll TENANT:IMPEROVEMENT - 'CENSUSCODE: : __ LOT.SIZE: '._ONINGGDESIGNATION: BUILDING SHELL-ONLY? 0 YES- 0 NO C MP_PLAN DESIGNATION _ BASIC PLAN?- -- _i3 YES ❑•N O • SECTION:: ;, _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? - ~❑ YES 0 NO 'PIATTEQLOT? - 0 YES ❑ NO - CHANGE OF USE? 0 YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.cihrofederalway.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!******* 1 • 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$100.00 or fraction thereof,to and including $2,000.00 •r./_,_- 5)$2,001.00 to$25,000.00 (4)$25,001.00 to$50,000.00 f (3)$78.50 for the first;2,000.00 plus$15.50 for each additional$1.000.00 or fraction thereof,to and induding$25,000.00 (4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1,00G.00or fraction thereof,to and induding$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus$8.010 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 S1.000.000(fraction therepf,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (8)$1,000,001.00 and up (7)$3,510.00 for the fist$500,000.00 plus$5.50 for each addit©nal$1000.00or fraction thereof,to and including$1,000,000.00. (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 Is the 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 Fre District*39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. I **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 $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 (Page one): Line(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 _ti of Themiostats(First-$37.50;add'n-S 1 I.50ca) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service.and feeder S81.00 _#of Low voltage fire or burglar alarms Square Feet: " First 2500 ft2-$43.50;Each add'n 2500 ft2-$I 1.50 _Each outbuilding or garage.... . .. .$31 00 MOBILE HOME/RV PARK Square Feet (Inspected with service) #of service or feeders * Per\\'AC 296-46-910(5)(h)(i&ii) • _Each outbuilding or garage.. . . . ..$50 00 (First service/feeder-$50 00,Add'n service/. _I of Signs(I irst sign-537.50,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.... $ 50.00 _601 - 1000.... ................. ..........284.50 _401-600 amp 138.00. 68.50 _101-200 101.00 63.50 ver 1000 317.00 _60I-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) CC ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 W.)•J (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 $ 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 over 600 ..... ...... 109.00 #of circuits _ I -(1-4 circuits-$50.00;Add'n circuits$5 ea) If service is greater than 200 amp.a plan review is req'd Fee is 35%of permit fee+$63.50.Add.'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(0): 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) 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 #100-January 18, 2002