02-103669 City of Federal Way Electrical Permit #:02 - 103669 - 00 - EL
Community Development Services
33530 1st Way S
Federal , 98003-6210
Ph:253.661.Way400WA0 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: 76 GAS STATION
Project Address: 2535 S 320TH Parcel Number: 599970 0010
Project Description: ELE-Remove old canopy light fixtures and install new. No alterations to panels or circuits.
Owner Applicant Contractor
TOSCO CORPORATION*TOSCO CORPORA EVERGREEN STATE ELECTRIC INC EVERGREEN STATE ELECTRIC INC
72 CUMMINGS POINT RD PO BOX 1448 PO BOX 1448
STAMFORD CT ORTING WA 98360 ORTING WA 98360
06902-7919 (253)770-0656
Electrical Fixtures
i' Description: JQiiantit r =t es riptiorl. " Quantity
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. See Application
Owner or agent:
Date: gP/ /a
1
C-.6t951) 9-14,r q,
c^� G `��'�"'"U^''N RECEIVED BY CONSTRUCTION PERMIT APPLICATION
ncDApTAn�A!T
• E=(Y _ AUG 2 9 2002 APPLICATION NUMBER: Q� "L ;LOS 6)q -
APPLICATION NUMBER:
L.
APPLICATiOIV NUMBER:J- = -=STT=- z--.- :. _
**The following is required information—Please print(iri ink)or type*.*
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• • _ • _ = • 'PROPERTY INFORMATION -
SITE ADDRESS: 2535 South 320th Street ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Circle K - or 76 gas station
PR07ECTINFORMATION •-
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
131 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): removal of old canopy light fixtures,
and installation of new light fixtures. No alteration to panels or circuits
PROJECT NAME: Store# 2705483
_ = • PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Phillips 66 (206 ) 706 - 2222
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3977 Leary Way NW Seattle WA 98107
CONTRACTOR: NAME: DAYTIME PHONE:
Evergreen State Electric, Inc. (253 )770-0656
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
PO Box 1448 Orting WA 98360 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER
19 _ 9 9 - 1 06639-Q0-BL ( 253) 770 - 1 767
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy acard EVERGSE066JA 4 /01 / 04
APPLICANT: NAME: DAYTIME PHONE:
Evergreen State Electric, Inc. ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
.i RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( )
— •
E-MAIL ADDRESS: rI
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT KI CONTRACTOR
-- _ •-.DETAILED BUILDING INFORMATION :.::= = ='-
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 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)N
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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 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 claim),which may be made by any person,including 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 sup lied to the city
as aappaar,t of
this application. Q
NAME/TITLE: \/C1(/t/ - ' DATE: S-�U -U v2
0 PROPERTY OWNER 0 APPLICANT pit CONTRACTOR
W'OI F,FICE_USEONLI _-
Fi W ❑ADDITION T ❑KCYCIallar _ ;REPAIR= =, .TEWANT-IMPRUI/EMENT
• .; :: �4W.=_ �� __ mac:
�3CENSUSjGODE:-� _�T�=�_-__--�—--= - "LOTSIZE.��?��-�,��;�-=_� ---- =
CONI 'DESIGNATION^'f = _ __tn ,BUILDING_SHELLNLY?_ ❑YES=__❑ NO'-=_
•MP •LA !=ESIGNATION _ =___._:, -_'_-: BASILC PLAN?� Uzi t,-fir=❑.110=_, -_ _ '=,f>;
ECtION-_== T TOWNSHIP; 3 RANGE ? '__ 'NEW ADDRESSREQUIRED? = _ ,❑ YES _q❑NO
ra ED, OT'? :❑ (ES:,eaa=❑ NO."= =_ z CHANGE OF,USE?r ❑=YES ='' ❑ NU
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
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)$24.2.5
(2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus 13.27 for each additional 5100.00or fraction thereof,to and inducting$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 for each ao[Titiona1$L000.00 or fraction thereof,to and thdudlng
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus 110.82 for each addtiana/$1.000.00or fraction thereof,to and Including
$50,000.00.
(5)$50,001.03 to$100,000.00 (5)$664.35 for the first$50,000.00 plus 57.50 for each additional$1.000.00 or fraction thereof,to and inducing
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus 16.0016reach a ii0ara/11.000.00or fraction thereof,to and Including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus 15.09 for each adiiticrsal$L 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 13.91(r each addoonat$1.0010,00 or fraction thereof.
Bold number Is the base fee for the specified increment
Italicized,underlined"umber Is the fee Der additional sce,WedIncrement
•
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 only.
Add$4.50 fix WA State Building Code Count,plus$2.00 per unit for duplex&above.
a **Electrical, lumbi
p ng,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 Inaement Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
- • .. • " " - - ■ FIRE PREVENTION SYSTEM _ - -
t 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 Fadues
$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)+(S)+(6)+(7)+(8)+(9)+(10)= (11)
• " IR ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MSC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-S 11.00ca)
(First 1300 ft2-572.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Square Feet First 2500 ft2-$42.00;Each add'n 2500 ft2-S 11.00 -
_
Each outbuild'ngorgarage.... 530.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage S48.00 (First service/feeder-548.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) _ feeder-$31 each) 517.00 each)
_Swimming pool,hot tub,spa 72.00
•
_Yard Pole meter loops 48.00
- NEW,MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) - -- -__ _ -_ Altered Service or Feeders
Service Feeder Amps Service or Add _0 to 200- - - $ 78A0 a
_Up to 200 amp S 78.00 S 23.00 Feeder _201-600 182.00
_201-400 amp 97.00 48.00 _0 to 100 .5 78.00 S 48.00 _601-1000 274.00
_401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00
601-800 amp. .170.00 91.00 _201-400 182.00 72.00 _#of circuits
_Over 800 amp...-.._.......243.00 182.00 _401-600 212.00 85.00 (1-5 circuits-561.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00.._.....116.00
(When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE
Service or Feeder _Over 1000 365.00 195.00 Residential)Multi-Family/Commercial/Industiral
_0 to 200 amp S 66.00 _Over 600 volts surcharge 61.00 _0-100 48.00
_201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00
_over 600 amp - 146.00 _201-400 72.00
_Mast or meter repair 36.00 _401-600... • 97.00
#of circuits _over 600 105.00
(1-4 circuits-548.00;Add'n circuits S5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+561.00.Add'I plan review for other submissions is$72.00/hr.
414FIXTUREIDESCRIFUTONXAM fFIX7UREFEE FROM TABLE B(B)".I,'- `NUMBER=OF 1JNITSXC)M Dl tTOTALkD)4Q# ;
-; TOTAL"COLUMN SD)'*
Cdumn
Estimated Permit Fee: (12 L.
r ,F 3 1 \ke jv Wr
Estimated Permit Fee from tine 12
Estimated Plan Review Fee: $56.25+ 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) .9.9
4t,03h S-1.
Bulletin#i00-August 20,2001