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02-100260 City of Federal Way Community Development Services Electrical Permit #:02 - 100260 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph 253 661 4000 Fax.253 6614129 Inspection request line: 253.835.30504 • Project Name: CENTER FOR DIAGNOSTIC IMAGING Project Address: 33801 1ST S Suite101 Parcel Number: 926504 0160 Project Description: ELE-Low voltage thermostat Owner Applicant Contractor SPIEKER PROPERTIES L P EVERGREEN REFRIGERATION INC EVERGREEN REFRIGERATION INC 33801 1ST WAY S 727 S KENYON 727 S KENYON FEDERAL WAY WA SEATTLE WA 98108 SEATTLE WA 98108 98003-4546 (206)763-1744 Electrical Fixtures Description Quantity Description Quantity Description Quantity Thermostat 1 PERMIT EXPIRES July 17,2002,IF NO WORK IS STARTED. Permit issued on January 18,2002 I hereby certify that the above information is correct and that the construction on the above described property and III 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: Date: �( 1/i /c A / / 3- t z.- 0 2 F, .\ o( --q--:S ) /1/ ki a / - -. .9 (i 6.: ,• / . V CONSTRUCTION PERMIT APPLICATION -----_ EDE <FI _ APPLICATION NUMBER: 02- I c2(2 2 Q - EL uV Fly JAN 18 2001 APPLICATION NUMBER: - , _. i ,...v....,„,L voty APPLICATION NUMBER: ' - - • • BUILDING DEPT. '**The following 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 ' - SITE ADDRESS: ,3 3(O( 51- vt.�� ��LT� ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .;.zt -- ' -. ;:-; ---. . ■- PROTECT INFORMATION - -. - - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): j LCU.1 V©1 5 +her^►'nt2 5+ct+ PROJECT NAME: O,4— efi�i( WG(•Cp ` • PEOPLE INFORMATION . PROPERTY OWNER: NAME: DAYTIME PHONE: I Ulu.shIh14.O/'t (7ct✓`1L ‘pt'eLe1 Prep. ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): C` PO (;031 4-3178 e.hc � -T.& GO6 to CONTRA OR: NAME: DAYTIME PHONE: Co i .-/IVYk /4_, Sce_ta-l-e5 ,Iii. c ( ) _ l soe.- I MAILING ADD ESS(STREET ADDRESS;CITY STATE,ZIP): EVENING PHONE: i Pc) 1vx 97E - (,b OS 711644 5.4- (4)1i, 9soY6 - yncvard ( ) CITY OF FEDERAL WAY BUSINESS LICENSE UMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: A r Q �{7 TI! /'� / EXPIRATION� DATE:�( /� (copy of card required) L- V ✓ !1 6 , { 1-0 V S (,� I C A / !3 /"� APPLICANT: NAME Q DAYTIME PHONE: - ct, -< ean. AeCrt'ger'Cc A "- MAILING �t'(�f�„ (- )7 3 t7�/y ADDRMS(STREET ADDRESS;CITY,STATC'Z(IP): ` EVENING PHONE: °60441401( L 7 RELATIONSHIPS TO PROJECT. -- sea.ZT('g-I w4 , c(tog'og ( ) y� FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE):WC(.Pe hhpctS e Sc.e , ( ) - r E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ElCONTRACTOR • - • - ■ 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 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • • ■ PRO]ECT 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) I 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/ :. ied thQ city as a part of this application.io NAME/TITLE: F Ware-11045e- Su 4rtit5di^ DATE: ❑ PROPER/OWN kAPPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: I ❑ NEW .-_7.4=,[1 ADDITION 0 ALTERATION • C7:REPAIR • 0 TENANT IMPROVEMENT - 'CENSUS CODE: - _ _ _ LOT-SIZE - XONING�_D'_F_S ENATION: BUILDING SHELL-,ONLY? 0 YES 0 NO -COMP_PUIN DESIGNATION BASIC PLAN?-__. ❑ YES Cl NO ' - SECTION: _;7. TOWNSHIP RANGE NEW ADDRESS,REQUIRED? 0 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.citvoffederalway.com • ELECTRICAL TABLE B • NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50 00 1#of Thermostats(First-$37.50;add'n-S 11.50ca)' (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Scrvice.and feeder .$81.00 #of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500'ft2-SI 1.50 Each outbuildingorgarage.. . .. . . $31 00 MOBILE HOME/RV PARK Square Feet: . (Inspected with service) #of service or feeders • Per 11'AC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage. .. . .... .$50 00 (First service/feeder-$50.00,Add'n service/ _#of Signs(First sign-$37 50,add'n sign (Inspected separately) feeder-532 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 _#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) 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 S 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 _#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'I plan review for other submissions is$75 00/hr. 1 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 hne 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 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$11.00 for each additional$1,000.00 or 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 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$1.0010.00• .ction 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 I •.to or fraction thereof,to and including$1,000,000.00. F (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each add7.nal$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized underlined number Is the fee ner additional•• .Yiied 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 X39 surcharge,commerdal on . Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical f--.are calculated separately** ■ BUILDIN( PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base •• (b)Additi• al 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 F••. (5) • ■ FIRE PREVENTION SYSTEM PROPOSED VALUATIO, : FEE FACTOR FRO ABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated P: it Fee: (6) Estimat•• •lan 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 (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)