04-100785 Cityof eveWay
Commuunityity Development Services Electrical Permit #:04 - 100785 - 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: HARRY S TRUMAN
Project Address: 31455 28THIS s Parcel Number: 092104 9054
Project Description: Low voltage hvac controls
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
31405 18TH AVE S MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
FEDERAL WAY WA 18612 p1 2ND AVE.NE. 18612 142ND AVE.NE.
98003-5433 WOGINVILLE WA 98072 (425)483-2677
Electrical Fixtures
Description Quantity Description Quantity Description ,Quantity
Thermostat 10
PERMIT EXPIRES September 1,2004.
Permit issued on March 5,2004
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 acco ance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: If Date: 3 _5
(42\(4).4
•
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CITY CONSTRUCT I ION PERMIT APPLICATION
• Fns_ RECEIVtd .-_ .4... s -�,.:} _ -- .
uV FlY APPLICA ION_NUMBEFZ:_ _- =
2004 AP_-BLICA O.�I_NUMBER:- _=_�; - ._._ •
**The rai i*Qfifi.� f nation-Please,print-(in ink)or type**
BUiLDtNG
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.•
' ' - -- " ■' PROPERTY INFORMATION - -
- -n E ADDRESS: 3/ YS 7D "i' s0•171/ ASSESSOR'S TAX/PARCEL#: S Y 0 1 / O - 9
Lt.t.,„,AL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- LOT / 5 4-7" p/a.7 no, Lig `10 42 5 4-cc.A,rat g.7 74 a ei.427- Ptd :
.1111110
` _ MC,400'1‘40 syptc,,,.bcr 100. 15S'I v.4-•1w r(La,•JI "to-Viol/0a f--.,"••kilt? 6t).-.- w✓44•
- - - ,-- .-: _- -_. - -' ■, PROTECT INFORMATION -- - --- - -• - - -
.-1-177..°E OF PROJECT(This application): 0 BUILDING la PLUMBING 0 MECHANICAL 0 DEMOLITION .-- . -
- - -ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
SA 4JECT DESCRIPTION(Provide detailed description): L•oa...s VO4..-Zv . till. - (p ✓dIS a.L4
1,59°OJEcr NAME: ' 1041 g< FYL4P1444 -
. ' - ■: PEOPLE INFORMATION- : :__,,- - -
•OPERTY OWNER: NAme DAYTIME PHONE:
Pur ,,So,,. If. ./ c. e4d Sc,--.2c. ,)1,19727 (?or. ) y31 -G•,Ax
MAILING ADDRESS(STREET ADDRES ,STATE,ZIP):
.0
yOo £ • is--.2.--Js7x-u-7- ,74../ci,, cam 921/44 -42. e,
ONTRACTOR: NAME: DAYTIME-PHONE
fl7 012K ft/c.e....fi/c—' " (tar )4183 -2477
MAILING ADDRESS(STREET ADDRESS QTY,STATE,ZIP): EVENING PHONE:
_-- l SrS8- /v.if"- hc< Ma WOCI3N 0;Ile L.4 %o'7�, (Y' ) 3 - 24 77
- • .QTY:OF FEDERAL WA' BUSINESS UICENSE•NUMBFQ- - = ;Fi1X NUMBER.,
_ • :. . - : . . - '--'-- _ .1t QaI0 'Deg - O-Q' ( i"Lc) Yo;--- 7
CONTRACTORS REGISTRATION NUMBER: �^1 n /I / EXPIRATION DATE,
(copy of card reqs - -t '4 ,1_, Q 1� G i Q 0,(Q N1 _•_ - '7-1-15 /`�-1
APPLICANT: 'NAME DAYTIME PHONE: - -
7).)J /t►+/ 2- ( '14r)=y - 24,?7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:-
/1.S 3g' /Y� IS' -� .vt a)+4,.74. .....4g- 9Fo72. (y23'I Y85 -2477 5 -2 77
RELATIONSHIP TO PROJECT:- F -
❑'ARCHITECT 0 TENANT" a.OTHER(DESCRIBE):CO4h•.c.-4-1, v ( ) '101 - 5.7Qf
,_,,� E-MAIL ADDRESS:
-CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER L'YAPPLICANT ❑ CONTRACTOR UA
-- - -■ -DETAILED BUILDING INFORMATION - - - - -
EXISTING USE: - EXISTING'BUILDING ASSESSED/APPRAISED VALUATION`$ `:• _ =:
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:-_$-; - ``'"y-':= "S-=
SPRINKLERED BUILDING?. '0 YES - -0 NO __ FIRE SUPPRESSION SYSTEM PROPOSED[ RED:�0=YES 0 NO
REQUI
.. . -_. -
WATER SERVICE PROVIDER:`-• •0 LAKEHAVEN' --
E ' '❑ HIGHLIN _E 0 TACOMA 0 PRIVATE(WELL) ' -- '
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) . •
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•
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 VAWATION FEE FACTOR
(1)$1.00 to$500.00 (1)$34.25—
(2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus 13.27 for each additional 5100 00 or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 pius$15.00 kr each additional 51.000.00 or fraction thereof,to and krduding
$25,000.00 .
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82loreach additional SSA00.00or fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,to and inducting
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus 15.09 far each additional$1.000.00 or fraction thereof,to and inducting
$1,000,000.00.
(8)$1,000,001.00 and up • (8)$5,788.23 for the first$1,000,000.00 plus$3.91 fo?each additional$1,00000or fraction thereof.
Bold number is the base fee for the specified increment
Ib�dzed undefined number Is the fee per additional spe ified 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,commerdal 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
$21.00+{ X$7.00/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)