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04-100673
Dty uDevelopment Services Federal Way CommunityElectrical Permit #:04 - 100673 - 00 - EL _ ` 33530 1st Way S r Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050 Project Name: TRAFFIC SIGNAL FOR 14TH AVE S.&S.312TH ST Project Address: G 41 Wide- Parcel Number: CITY WIDE Project Description: New 100amp service for new traffic signal at 14TH AVE S.&S.312TH ST Owner Applicant Contractor CITY OF FEDERAL WAY SIGNAL ELECTRIC INC SIGNAL ELECTRIC INC PO BOX 9718 PO BOX 6209 PO BOX 6209 FEDERAL WAY WA 98063 KENT WA 98064-6209 KENT WA 98064-6209 (253)872-7177 Electrical Fixtures Description Quantity Description Quantity Description Quantity Service/Feeder: 0-100 amps-Comm. 1 PERMIT EXPIRES August 23,2004. Permit issued on February 25,2004 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: ,,�( ),( Acred Date: ?i/'z Sid y' --- l{— lA �r v�c 42. 9 � 4 CONSTRUCTION PERMIT APPLICATION CITY OF ^..ol •FEIN „ r -r • APPLICATION NUMBER: ,Q.j- t_CD 427 3_ - QD Federal Way APPLICATION NUMBER: - -1TY OF FEDERAL WAY BUILDING DEPT APPLICATION NUMBER: - **The following is required information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering pennits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: f�7u' 4 Ile S . a 3':97'I $tASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE Dyh E�SCRIPTION IF LEf HY): l / Suk aULt Ave. o - �© 31a eet S tuna. • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ENGINEERING ❑FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Tn Si-a 11 N e (A) Trri-E-fic S i r21 4nolerrfio r, PROJECT NAME: /U . A S . ( V. 31a44\ S 1 f e e+ • PROJECT INFORMATION PROPERTY OWNER: NAME: c+4, Fe j e r �.1r n T DAYTIME PHONE: MAILING ADDRESS(Si I ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME* i �1(�t E eC�`}i't C DAYTIME 8'1 oz -1r77 77 PQ. 13 OASTREET (oD0gATEDRESS;CITY,ST ,n} e r� , W Ir 9 �5�1 f 395 -dss( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: L 9 - 9 9-LO 7 42.7(Q-p0-tat. (253) .395- 0 Ss( CONTRACTOR'S REGISTRATION NUMBER: � �� A� 1= E©TION DATE/ (copy of card required) 1= A I 3OLS.l L'.Ll 07 / l APPLICANT: NAME: " DAYTIME PHONE: Arlene vii les- Revell (253) Fs7a-- 7177 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: SAME AG 130ve (—) RELATIONSHIP TO PROJECT: FAX NUMBER: a ARCHITECT ❑TENANT o OTHER(DESCRIBE): (53)39.E -055(e. E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT •• ' CTOR k5(e V e i I()Msn,COVY1 • PROJECT INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑NO WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 1 . w T **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: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) 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 claim),which may be made by any person,including 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 party of this application. NAME/TITLE: 4-4414-144g1 ) dl/1! )V7 DATE: /z / / o PROPERTY OWNER 0 APPLICANT CONTRACTOR FOR OFFICE USE ONLY: 0 NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? o YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ❑NO PLATTED LOT? o YES o NO CHANGE OF USE? o 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.cdvoffederalway.com f r 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)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus.t4.00 for each additional 110000or fraction thereof,to and induding $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first$2,000.00 plus 118.010 for each add! a/SL0010.00or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus 513.07 kr each additional$LLGM Opor fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$29.00 for the first$50,000.00 plus 59.07 for e3rh ark/Menai 11.000,(Nor fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus S7.07 for each additional 11.000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,079.00 for the fist$500,000.00 plus 8807 for each additional51.0t17.0Qor fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,079.00 for the first$1,000,000.00 plus 51.50 hr each adoli ua/S1.000.Opor fraction thereof. Bold number is the base fee for the spedfied 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) • 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 $26.00+{ X$9.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total(Page Om): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)=(11) r ■ ELECTRICAL ' TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only .$57.00 _#of Thermostats(First-$43.00;add'n-Sl 3.00ea) (First 1300 ft-$85.50;Each add'n 500 ft-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft-$13.00 _Each outbuilding or garage... $35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5XbXi&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 each) $20.00 each) _Swimmmg pool,hot tub,spa $85.50 _Yard Pole meter loops $57.00 NEW MULTI-FAMILY OMMERCIAL/INDUSTRIAL ) COMMERCIAL/INDUSTRIAL (Includes three units or more) _____..----• Altered Service or Feeders Service Feeder or Add'n _0 to 200 $ 93.00 _Up to 200 amp S 93.00 $ 27.50 Feeder _201-600 ...216.50 _201-400 amp 115.50 57.00 I_ 0 to 100 $ 93.00 $ 57.00 _601-1000 326.50 _401-600 amp...............158.50........ ...... 78.50 iiii��1_�101-200 115.50 72 50 _over 1000 363.00 _601-800 amp .......202.50 108.50 _201-400 216.50 85.50 _#of circuits Over 800 amp 289.50.................216 50 _401-600..................... 252.50 101.00 (1-5 circuits-$72 50;Add=n circuits,$6 ea) ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00 (When mspected separately from the services.) _801-1000. 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50. 232.00 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp.... $ 71.50 _Over 600 volts surcharge......................72.50 _0-100 ..... $ 57.00 _201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50 _over 600 amp 174.00 _201-400 85.50 _Mast or meter repair... 43.00 _401-600 115.50 _#of circuits _over 600 125.00 (1-4 circuits-$57 00;Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$72.50.Add=l plan review for other submissions is$85.50/hr FIXTURE DESCRIPTION(A) FD(TURE FEE FROM TABLE B(I) 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: $72.50+( 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) A Bulletin#100-December 23,2002 L.