02-100431 City of Federal Way
Community Development Services Electrical Permit #:02 - 100431 - 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
1111Project Name: CENTER FOR DIAGNOSTIC IMAGING
Project Address: 33801 1ST S Suite101 Parcel Number: 926504 0160
Project Description: ELE-Installing CAT 5 data and voice cabling for new tenant
Owner Applicant Contractor
SPIEKER PROPERTIES L P NETWORK WIRING SERVICES NETWORK WIRING SERVICES
33801 1ST WAYS 3201 1ST AVE S SUITE 300 3201 1ST AVE S SUITE 300
FEDERAL WAY WA SEATTLE WA 98134 SEATTLE WA 98134
98003-4546 (206)224-0169
Electrical Fixtures
Description Quantity Description [Quantity Description Quantity
Low Voltage-Other Commercial 4706
• PERMIT EXPIRES July 29,2002,IF NO WORK IS STARTED.
Permit issued on January 30,2002
I hereby certify that the above information is correct an. ••t the construction on the above described property and
the occupancy and the use will be in accordance . '. t - aws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent.-;;,101 /0,1111..._„441111111111111111111 Date: (— 30-02—
Gee
62—
CQ ;/v9 Co v e- v0:- 2_576 2_ —
3- - Oz FAN.\ o k ///.//
-�_
0
/1/ /1/. ..//
411
RECEIVED •
C^•°W _ CONSTRUCTION PERMIT APPLICATION
uv ETKFIj N 3 o 2002 APPLICATION NUMBER: Ca- 10 0 L - DO_
APPLICATION NUMBER: - -
CITY OF FLWAY APPLICATION NUMBER:
iI�ILDINGEDERpDEPT.
The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention • stems and Engineering permits may require a separate application.
- • ' /'4 PROPERTY INFORMATION -
SITE ADDRESS: 3 3530 1.51- U4/4-r ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S(J/772" /Q/ ` /5l
FGCGti2 / S- E. Q fJ.lfRA^�7—
•. PROTECT INFORMATION _ . . - - . - . - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
tit...ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /Alg r7fiZL/f-T7OI J r //O/Cd 6-
fl44'774- C ArEPe_
PROJECT NAME:0221
• = - - - -.• FA -PEOPLE INFORMATION •
PROPERTY OWNER: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP).
CONTRACTOR: NAME.
������ DAYTIME PHONE:
�T��� W 4/4.1rr- 51"4i/CidS (2eg ) 224( - O6C9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
320/ /sr ,i S/ a �� r nritYe (2a6 ) 22q -0/6y
crrY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
(2Q5 ) 613"2 - 2608' i-
CONTRACTOR'S REGISTRATION NUMBER: � ) Q EXPIRATION DATE:
/V
(copy of card required) 6 Z lit' Q &1 s R -( 6 F 6 / /S / 03
APPLICANT: NAME' // DAYTIME PHONE:
(Z4') 22c{
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
320( /5r /4. _5 3ee (2.) 22q - 0/67
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT (OTHER(DESCRIBE): CfC"4 4 .T?1Z ('2 6) 612 -- 26Q pG
E-MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ALCONTRACTOR
• ■ 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 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** ,
NUMBER 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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
74 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 a: • ,t of the reliance of the city,induding its officers and employees,upon the accuracy
- of the information supplied application. r�,
�
NAME/TITLE: Pte_!3! "ir DATE: 1-34
❑ PROPERTY OWNER 0 APPLICANT XCONTRACTOR
FOR OFFICE USE ONLY:
=O NEW _Y: ❑ ADDITION 0 ALTERATION _❑-REPAIR ❑TENANT IMPROVEMENT -
'CENSUS CODE: _ _ LOT-SIZE: - -
ZONING DESIGNATION: BUILDING Sf(ELLONLY? 0 YES- 0 NO
-COMP-PLAN DESIGNATION - - - BASIC PLAN? `- _❑ YES 0 NO •
SECTION_= -< _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ 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.citvoffederalway.com
■ ELECTRICAL
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family . _Service or feeder only .....550.00 #of Thermostats(First-$37.50,add'n-$11.50ca)
- ' (First 1300 ft2-$75.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 of Low voltage fire or burglar alarms
Square Feet: rst 2500 ft2-543.50;Each add'n 2500 ft2-S 11.50 '
_Each outbuildingor garage $31 00 MOBILE HOME/RV PARK Square Feet y706
(Inspected with service) #of service or feeders • Per\\'AC 296-46-910(5)(b)(i&it)
Each outbuildingor garage 550 00 (First service/feeder-550 00,Add'n service/ _#of Signs(I first sign-$37 50,add'n sign
(Inspected separately) feeder-532 each) 517 50 each)
Swimming pool,hot tub,spa 575 00 +
Yard Pole meter loops.......... . .....$50 00 i
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 ""... ..-"... ........... ".$ 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 _#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
_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.....""...............................63.80
_over 600 amp ......"..- 151.50 _201-400- .. 75 00
_Mast or meter repair .......37 50 _401-600 .-----".. ... .............."..I01"00
_#of circuits over 600. . ... . . . .. .. . ... 109.00
(1-4 circuits-550.00,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'l 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(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
A
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
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 a •including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus 115.50 for each additional$L000.00or fraction reof,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$1,000.00- 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$8.00 forsach additional$1.c 1.00 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 add-anal 11000.00 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 1 , ,- •a•i%• ./ tt1.0 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$4.11 for each additional$1.000.00 or fraction thereof.
sold number is the base fee for the specified crement
�talidzed underlined number Is the fee per ddiryonal 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, • mercial only.
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex: above.
**Electrical,plumbing,and • •nical fees are calculated separately**
N BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a) :.se Fee:
(, Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FIN Are Department Surcha -e: (3)
(COMMERCIAL ONLY)
N MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Nur•- : (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4
Estimated Plan.Review ee: (5)
• ■ FIRE PREVENTION SYSTEM
PROPOSED VALUA 'aN:
FEE FACTOR FRO. TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated P- it Fee: (6)
Estimated •Ian 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)