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02-103689 . • City of Federal Way Community Development Services Electrical Permit #:02 - 103689 - 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: CHOICE DENTAL LABORATORY Project Address: 31003 18TH S SuiteA Parcel Number: 785360 0156 Project Description: ELE-Service alteration and(5)new circuits for existing commercial building. Owner Applicant Contractor Peter H Townsend C T S CONSTRUCTION LTD C T S CONSTRUCTION LTD 1648 S 310TH ST#6 25410 42ND PLS 25410 42ND PL S FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98003-4954 (253)941-5119 Electrical Fixtures Desc gitiRrelt4'Wf,QuJti r _ ,`f Description Qtjantity ,, :=,De"scriptiolr M� Quantity Alt.Serv./Feeder up to 200 amps-Co11 Circuits- Commercial 5 PERMIT EXPIRES February 25,2003,IF NO WORK IS STARTED. Permit issued on August 29,2002 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: ._k n 0. .IA , OW Date: ©8- -es C fz/L e c� Ixl1s 42-1c .e,0) g } CIT."( RECEIVED CONSTRUC I ION PERMIT APPLICATION FDErz .).> FryAUG 2 2��2 APPLICATION NUMBER: res . - L 0 vg( - Q (0_�o-. APPLICATION NUMBER: - - CITY OFppFEDERAL WAY APPLICATION NUMBER: - - - **The following is re uING 9ireeddThfortnatioh•-Please not 9 q p ' (Sh ink)br type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. .. - %- '.:!',1'.i.:: ■ !:PROPERTY INFORMATION : ' • • -- -. - 6 !/ SITE ADDRESS: 3 1 O O 3 •- A 'A $4-h -A .•*---c:300 ASSESSOR'S TAX/PARCEL #: ?a `� 3 60- 7C/ 1-6 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -.,' ="t ---.. ?;-".-',-.:-:.-74--',,::::':-:-:::--:-.-.-.. . . .:...':;.•, PRO3ECTINFORMATION '- .. - . . : " - . TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ,L `ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): -e....- / in, - - iy 40-,___ a/2-- L L ? / PROJECT NAME: C/-6/Ce- Z41,417)211--ra '-.? jyJ7rz_ - '■-:PEOPLE INFORMATION -=•.-• - PROPERTY OWNER: NAME: _ oa, 42,, "e-/2- /1,CP r�mMPHONE: /y 'v��II MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE C CONTRACTOR: NAME. --��/ �� 1i - v P -,(1'47---- 6..-77...c 111■ / 4 /D'DAAY''TTIIMEEE PHONE• /C� ii MAILING am/7..c ADDRESS /ADDRESS;<y./ ,ZIP y- EVENING PHONE: " ` O i V �OF FEDERAL WAY BUS[/S UC :l/ S .. r J/�/(V/,f� (2c3)5.6,,_, .,71?, / / FAX NUMBER. / I �TRAC70R ISTRATION NUMBER: L O . t ` •� r ` EXPIRATION DATE: (copy of card required) r f ' i (O 10 J�/V5 / / APPLICANT: NAME. yv�-L "L' it 1---1 ��YE DAYTIME PHONE: i MAID 7 (STREET ADDRESS4/.71-E'er)-('/�Pg(- y'Cf /.� EVENING PHONE: C--'217tl V 6 C-.‘r-C sco ( ) - RELATIONSHIP TO PROJECT" FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS' CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR .. - - -' ■ -DETAILED BUILDING INFORMATION ' - - ''•'. : - . -7- EXISTING 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 ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 4 **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • - -• ■ PRO3ECTFLOORAREAS • - -- - - _ :. FLOOR •-. EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL E� 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(including 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 city,induding its officers and employees,upon the accuracy of the Information su li to . e city as . part of this application. NAME/TITLE: f_ , DATE: g ❑ PROPERTY OWNER ❑ APPLICANT F. ONTRACTOR =FOR OFFICE USE ONLY: I =rlytig36 s_= -ADDITION • 0 ALTERATION _ =Q REPAIR=== - L].TEIVANT IMPROVEMENT 'CENSUSCODE: _ _.-- _ -r- __ _- 'LOT_SIZE:-__ -- -- ---,,2'ONIN_G DESIGNATION' _ - 'BUILDING SHELLONLY? ❑YES- -0 NO =COMP PLAN UESIGI'VATION = •- - _BASIC PLAN'-_; L)-YES -Cl NO - _TOWNSHIP RANGE_ -NEW ADDRESS,REQUIRED? - 0 YES .❑NO `PLATTED OT? 0 YES 0 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.dtvoffederalway.com Construction Permit Fee Cain 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' 0 • (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 515.50 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 51.00000 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 induding$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 51.000.00 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 51.0010.00 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 14.00 for each additional 51,000.00 or fraction thereof. Bold number is the base fee for the specified increment Ttardzed,underlined number Is the fee per additional soedtied 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,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 $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) • • ■ ELECTRICAL TABLE B • I • NEW RESIDENTIAL SERVICES - MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or fccdcr only • 550.00 • _II of Thermostats(First-$37.50;add'n-SII.Soca) (First 1300 ft2 575.00;Each add'n 500 ft'-524.00) — ft Scrvicc and fccdcr' $81.00 _II of Low voltage fire or burglar alarms A : Square Feet:-----: --- First 2500 ft'-543.50;Each add'n 2500 '-SI-1.50 • Each outbuilding or garage . • $31 .00 MOBILE HOME/RV PARK Square Feet: • Y(Inspected with service) _I;of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuildingor garage .550 00 (I trst service/feeder-550 00,Addh service/ • _4 of Signs(First sign-537.50,add•n sign (Inspected separately) feeder-532 each) S 17 50 each) ' Swimming pool,hot tub,spa- 575 00 Pard Pole meter loops . . - - 550 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n J 0 to 200- - - - --- -- . - -$ 8f 00 _Up to 200 amp- . . $ 81 00 5 24 00 Feeder _201 -600 - - .. - - 189 00 _201 -400 amp --. . - 101.00 - . 50 00 0 to 100.. . - -- 5 81 00 5 50 00 _601 - 1000 - 284 >0 _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 ill 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-- _201-600 amp.................... .. .......... 10100 _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 II of circuits over 600 - - - - 109 00 (1-4 circuits-550.00,Add'n circuits 55 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 575 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) Estimated Permit Fee from line 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) t 4 Bulletin #100—January 18, 2002