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02-100701 CmmunityDFederal Way Electrical Permit#:02 - 100701 - 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: CINGULAR WIRELESS Project Address: 31217 PACIFIC S Parcel Number: 082104 9181 Project Description: ELE-Electrical for 2 signs Owner Applicant Contractor ALEXANDER HAAGEN OPERATIN LUMIN ART SIGNS INC LUMIN ART SIGNS INC 3931 B ST NW 3931 B ST NW AUBURN WA 98001 AUBURN WA 98001 (253)833-2800 Electrical Fixtures ;..1 Description' ..: :::1!"0.0 i tity :.:.:.:1 1 pn :::: uantity� b riptian- Puantity Sign 2 PERMIT EXPIRES September 4,2002,IF NO WORK IS STARTED. Permit issued on March 8,2002 • I hereby certify that the above info ation is correct and that the construction on the above described property and the occupancy and the use will .- •rdance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: / /j Date: 3' g'OZ IIC" 3 - l3- oZ F.kik v-ou{D _if!s . 0° 6(// /h 71 lY �Of =.. RECEIVED CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: OZ- IQ 01-01 - El- v\> Frv- FEB 1 4 2002 APPLICATION NUMBER: - - • CITY OF FEDERAL WAY APPLICATION NUMBER: - - JILDING DEPT, t **The f owing is required Information—Please print(In ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • ''-/'= • PROPERTY INFORMATION f( / �j G SITE ADDRESS: 3 1247 P(4 S ASSESSOR'S TAX/PARCEL #:O v C/U 7 - / 4Q -1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,i.'# - - -'-;,; - . , • PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ENGINEERING❑ FIRE PREVENTION SYSTEM 51 C-7,1Q i �1 PROJECT DESCRIPTION(Provide detailed description): 1I ST�L Q l/u-4LL S/61�1 S aiiTD ASGt A- PROJECT NAME: CA N6'7^Pw► 11`-' V 1 12f t f S - - ■ PEOPLE INFORMATION • PROPERTY OWNER: NAME: A DAYTIME PHONE: Lip MAILING ADORES EET ADDRESS;CITY,STATE,ZIP): (2 (7 P(---cc CONTRACTOR: NAME: DAYTIME PHONE: LLit Orl1h -,1-(± S305 nC. ( )Fs33 - 2010 I MAILING ADDRESS(STREET ADDRESS;CITY,STATE, ): EVENING PHONE: I 3q3/ .S?� NW ( ) - CITY OF FEDERAL WAY BL NESS UCENSE NUMBER: FAX NUMBER: /V^ Q - Q / - 00 ( ) - CONTRACTOR'S REGISTRATION NUMBER: i (1 M /N/ETl`_ S ,y' f 62_ EXP/ TION/A l� -z-z-- I v z (copy of card required) /(v/J APPLICANT: NAME: ` „ DAYTIME PHONE: L OM1 if - 1- Y± shs — M/la (2,e_ ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIAW EVENING PHONE: I ( ) .. RELATIONSHIP TO PROJECT: //11 __ FAX NUMBER: El ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): C61472v ( ) E-MAIL ADDRESS: t CONTACT PERSON FOR THIS PROJECT: ❑ 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: Cl LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • - ■ PROJECT 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 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) 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.( ) INTERCEPTORS) 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 dai rises out of the reliance of the city,induding its officers and employees,upon the accuracy of the Information suppli:. to the ci• as • .•.rt of this application. L kit 0 NAME/TITLE: Arj.i4i/ DATE: 2 — ❑ PROPERTY OWNER 0 APPLICANT S •NTRACTO1 :FOR OFFICE USE ONLY: CI NEW == C=ADDITION 0 ALTERATION - -_—_❑=REPAIR :- ❑=TENANTIMPROVEMENT -CENSUSTCODE: -- __ : LOT_SIZE: - . - - „ZONING DESIGNATION: BUI-LDING SHELL ONLY? ❑YES- 0 NO COMP.P.Ly1N DESIGNATION _ BASIC PLAN?== D-YES -O NO SECTION,- = _ TOWNSHIP RANGE_ NEW ADDRESS REQUIRED? _ ❑ YES ❑ NO -PLATTED.LOT? 0 YES ❑ NO CHANGE OF USE? ❑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.cityoffederalway.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 (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 including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$435.00 for the first$25,000.00 plus$11M for each additional$L000. 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 51.000.00 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 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 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. sold number is the base fee for the specified increment italidzed,underfined number Is the fee ver 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 pen-nit fee for Fre District 539 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 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) i • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES 1 pot, -Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) ' (First 1300 ft2-575.00;Each add'n 500 ft'-$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 r l=eer (Inspected with service) _g of service or feeders Per HVAC 296-46-910(5)(b)(i&ii) . _Each outbuilding or garage. . . $50.00 (First service/feeder-$50 00,Add'n service/ ..,:)Feet- ., f 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........... . ...$50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n 0 to 200 ... .... ... ...$ 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 _over 1000............. .... .... 317.00 _601-800 amp 176.50...... ........94.50 _201 -400 189.00........75.00 _/I of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50,Add'n circuits,$5 ca) 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 I _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 i 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 ......... .....................10100 #of circuits _over 600..... .. . .. ..... . .... 109 00 (1-4 circuits-$50.00,Add'n circuits$5 ca) 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) 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