02-100742 City of Federal Way
Community Development Services Electrical Permit#:02 - 100742 - 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: LADY OF AMERICA FITNESS
Project Address: 1614 SW DASH POINT Parcel Number: 122103 9074
Project Description: ELE-Relocate 2 thermostats
Owner Applicant Contractor
LADY OF AMERICA SYSTEM HEATING&A/C CO INC SYSTEM HEATING&A/C CO INC
e
LADY OF AMERICA 9410 DELRIDGE WAY SW 9410 DELRIDGE WAY SW
1600 SW DASH POINT RD SEATTLE,WA SEATTLE,WA
FEDERAL WAY WA 98032 98106 (206)762-4249 0
Electrical Fixtures
Description . JQuantity Description 'Quantity Description JQuantity
Thermostat 2
PERMIT EXPIRES August 19,2002,IF NO WORK IS STARTED.
Permit issued on February 20,2002
IDI 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: y---K.---77-- 1 G,e"; . Date: — .— Qi c- s
Z — Z { — 0Z VV0.11 c.v,cr- O �--Z-- S.
3 - 15 -- 0 z. f',..1.44. I At i v-0 u of .
r
III
„. ..--0
CI6 / _
L...„
tvi / °
V
.•°� CONSTRUCTION PERMIT APPLICATION
eLe� •
L RECEIVED APPLICATION NUMBER: JO 2-- 1 DO7. 2- O Q
APPLICATION NUMBER: - -
• FEB 2 A ?:^� APPLICATION NUMBER: - -
**TemglDping iii irformatiori—Please print(ih ink)or type**
Please note: Electrical,Fi BY49enEio9gI
ystems and Engineering permits may require a separate application.
- . ' '/
■ PROPERTY INFORMATION - .
SITE ADDRESS: 1614- S4/ D a '11 Pc ii,,,` '/ SESSOR'S TAX/PARCEL #: - -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,;.-t _.-...; :; - . . -..c. , ■. PRO3ECTINFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
IXELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): R e (p c am 7-- fes,f..-c.
PROJECT NAME: `a eiv 07 J4,f11 i c A, ) /7 l cc--‹
' ` - ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: LL Y DAYTIME PHONE:
MAILING ADDRESS 6" ADDRESS;CITY,STATE,NS a( /r� ( ) A/4
CONTRACTOR: NAME: DAYTIME PHONE: I
SV--5 f-ei 1-/e4-r.-2, 4 A9 - c_ (9-46) 762- 4.A.4
MOAIILI(NG DRESS(STREET ADDRESS;CITY,
STATE,ZIP): / _ EVENING PHONE:At/At 1
/ fO /o WA0Se frE'NSE NUMB . Gf-/a- , -C t ( )
CITT FAX NUMBER:
( ) - I
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
J E cc /es fes .- c"?- 76 .10 /?
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1761s SE .i6 Pt Cc2 s te,"*'L- ww 9 �� ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT VOTHER(DESCRIBE): C‘ril I'IPO Ctv- ( ) -
E-MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ik1CONTRACTOR 16,
' ■ 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: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• - ■ PRO3ECT 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) FURNACES)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 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 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 a part of this application. ``''
NAME/TITLE: _ ��� _ �`�i DATE: P._—
❑ PROPER OWNER ❑ APPLICANT ❑ CONTRACTOR
4 .FOR OFFICE USE ONLY:
-ADDITION 0 ALTERATION - _ __❑:REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: _-: -- LOT SIZE:" - -
,ZONING DESIGNATION: - BUILDING S•HELL=ONLY? 0 YES -0 NO
-COMP=P,LAN'DESIGNATION -; _ BASICPLAN?-_' _ -YES 0 NO -
�SECTION __ TOWNSHIP RANGE- NEW ADDRESS,REQUIRED? _ - ❑ YES 0 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
www.cityoffederalway.com
q
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$100.00 or 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
induding$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 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$6.00 for each additional$1,000.00 or fraction therepf,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$5.50 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$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
jtall zed underlined number Is me 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 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 Factures
$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)
I
• ELECTRICAL
TABLE B •
•
NEW RESIDENTIAL SERVICES MOBILE HOMES 64ISC EQUIPMENT/TEMP SERVICES
_Single Family _Scrvicc or feeder only $50.00 ...N of Thermostats(First-$37.50;add'n-$l I.50ea)
(First 1300 ft'-575.00;Each add'n 500 ft'-$24.00) _Service_and feeder S8I.00 k of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft'-S 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 (I first service/feeder-$50 00,Add'n service/ _l of Signs(First 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 ...$50 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders l
' Service Feeder Amps Service or Add'n _0 to 200 .. . ....$ 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 50.00 _601 - 1000 .. ...... 284.50
_401-600 amp 138.00 68.50 _101-200 101.00........63.50 _over 1000 317.00
_ (I 601-800 amp 176.50.................94.50 _201 -400................. 189.00.... ....75 00 _$1 of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -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 $ 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
_il of circuits over 600.... . ... ..... 109.00
(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'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) I
Bond Amount:(15) l
- - '■ 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