02-100814 4't °1
�,
a
City of Federal Way
Community Development Services Electrical Permit #:02 - 100814 - 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: TERIYAKI HOUSE#3
Project Address: 1608 SW DASH POINT Parcel Number: 122103 9074
Project Description: ELE-Alteration of(10)circuits for tenant improvement.
Owner Applicant Contractor
AUDREY/SYDNEY IRMAS CHARITABLE F( PRO ELECTRICAL INC PRO ELECTRICAL INC
20206 72ND AVE S 1707 S 341ST PL SUITE B 1707 S 341ST PL SUITE B
KENT WA 98032-2322 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)835-3231
Electrical Fixtures
Description Quantity Description Quantity .,,.:;Description 1 Quantity
Circuits- Commercial 10
PERMIT EXPIRES August 21,2002,IF NO WORK IS STARTED.
Permit issued on February 22,2002
•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.
/
Owner or agent: ct _--C__—_--C__— c
rC_�--------d Date: 0 2 — Z 2 —C2 )--
2 - 2 6,- o Z — reos 4e, c.a^r v 4-t'w.S (w,..\\s o<< . c<,,, t,(> /S .
4 — ? iD 2 Get G,t N� iG
O � o
c-S�-
r- J y >L:; fva L --Z,,e_� i2 X:"7" ' /1/y✓ F -f LQR r a � �ii,t14,--y _
EA
At —II -- flv Fin)71- L oma- - ge
•
Ci c0) G'14/( 3i PL ��
ra RECEIVED
r aCONSTRUCTION PERMIT APPLICATION
•
* uV FZY L FEB 2 2 2002 APPLICATION NUMBER: 02-- L v d a l S4-00-EZ
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY 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 •
n / /6O d SW p oily
A
SITE ADDRESS: Po;rot V I/° ASSESSOR'S TAX/PARCEL #: -
+2.41eild k f J)oo.3
LEGAL DESCRIPTION OF SUBJECT PROPER (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- , &` 4 - #3
• ..,.„t .-_ _ . , ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ID BUILDING ❑ PLUMBING Cl MECHANICAL CI DEMOLITION
LJ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
I - — /- /6le
PROJECT NAME: 7 F1ytk.-1 t`74 '- )
i
- . . .- ■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME. /W t u K' ' awlJC„"/ p ��k cl(S
DAYTIME PHONE:
(y�3) p
-3 - o,
MAILING ADDRESS(STREET [ CITY, TE,ZIP).
?4DS, ao r4 QaOApoi-)
CONTRACTOR' NAME: r DAYTIME PHONE'
/ o , LGC1 J CJ3L •'f A- L- (-S3 ) e31---- 2--31
MAIUfiG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
/9/0 S. ;W S �L. # Viec1,+Js- y yd v3 (�.t2) 76/ -4206,
C�ITTY�O�F�FEDERAL WAY BUSINESS LICENSE UMBER: �/ FAX NUMBER:
fide/10e Way OA .> O - O /--/D27/-00 BL' (h-3) cF3t---32';)
CONTRACTOR'S RE TION NUMBER: P UO s L ' t C/�,fF9 5 T EXPIRATION/A 0
/ 9(copy of card required) (
APPLICANT: NAME DAYTIME PHONE:
/ k`f e KjWac ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
' ( ) -
,
RELATIONSHIP TO PROJECT: ,,��.-,,// FAX NUMBER:
CI ARCHITECT El TENANT LKOTHER( DESCRIBE): ‘1.4.-10 ,TRAMl' ) -
E-MAIL ADDRESS:
I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT IifitONTRACTOR
' •■ -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 Cl HIGHLINE Cl TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: U LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
f
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: ❑ ELECTRIC ❑ 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 claim(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 claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a pa of this application.
NAME/TITLE: V DATE: 7(94/
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
„ZONING DESIGNATION: - BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? : ❑ YES 0 NO -
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 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
• ELECTRICAL
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only .. . . .. $50 00 _#of Thermostats(First-$37.50,add'n-$1 1.50ca)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$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 8'411 50
Each outbuildingor garage $31 00 MOBILE HOME/RV PARK Square Feet
(Inspected with service) #of service or feeders ' I'cr WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage.. . $50.00 (I list service/Feder-550 00,Add'n service/ _#of Signs( First sign-537.50,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...
l 89 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 - circuits- 63.50 Add'n circuits $5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800... .............284 50 120.50 t 9.1- Cwt' x- �`(-o
(When inspected separately from the services.) _801 -1000 348.00....... 145.50 TEMPORARY SER ICE
Service or Feeder _Over 1000.................379.00......202 50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp ......$ 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
_#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) ,7 t
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+ ( X.35) = (13)
• DEMOLITION
of
Estimated Permit Fee: (14)
ik
Bond Amount:(15)
- . '■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
- • OTHER FEES - • - •
Mitigation Fee: (18) . (20) (22)
1
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
•
ke 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 addhona/$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
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$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
induding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$L00a00or 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 spedfied increment
Italicized,underlined number Is the 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 Council,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)
IN 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)