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02-103878 / 8N,•. 't City of Federal Way Community Development Services Electrical Permit #:02 - 103878 - 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: WASHINGTON STATE DEPARTMENT OF REVENUE Project Address: 3455 S 344TH Suite140 Parcel Number: 222104 9006 Project Description: ELE-Install(2)disconnets to HVAC equipment Owner Applicant Contractor BEDFORD PROPERTY INVESTORS SUPERIOR BUILDERS INC LAZER ELECTRIC 701 N 34TH ST SUITE 308 PO BOX 1849 9523 19TH AVE E SEATTLE WA 98103 MILTON WA 98354 TACOMA WA 98445 (253)535-1900 Electrical Fixtures Deso •� '" , �� ictli 1 4 - pQuantit It �^ ^cL ptto"5' .< Baru nti Circuits- Commercial V 2 PERMIT EXPIRES March 9,2003,IF NO WORK IS STARTED. Permit issued on September 10,2002 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: ,(-leePPit ct{C pN Date: /-16-0 2 1` G,5Rg c_e -77,9 tis LJ a2(We g), X2(0 Pti Mo A-c6 C$s ( V 6 _a n c i " U 30 - 99- i�N't - cn,o, G CONSTRUCTION PERMIT APPLICATION ' \> L-- • APPLICATION NUMBER:. 0j - I O 3 o7 APPLICATION NUMBER: - - • APPLICATION NUMBER: - - **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. . Z, - ? �J - - 3 ?� / ■ PROPERTY INFORMATION -7 - - q� SITE AL, ESS: J LI Lc..,, ' v 1 T� (A__.)AN ASSESSOR'S TAX/PARCEL #:Z. Z Z I DLI - ( 0 0 6 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DEESCki, _ , IF LENGTHY): - r - ■ PROTECT INFOII14ATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 'ELECTRICAL ❑ ENGINEERING FIRE PPREVENTION SYSTEM PRJECT DESCRIPTION (Provide detailed description): �` S���N e�-fc �-a f-(V 4C c� � ,c- ri i� PROJECT NAME: 1/O D \-z., ■ PEOPLE INFORMATION PROPERTY OWNER: NAM -�(/� /) ,� ,\ DAYTIME PHONE: �e�l ,AZ,,/y� �U w e� c�j'--S g0 c,) J �8-gQ�3 MAILING ADDRESS( REET ADDRESS,C ,STATE, IP): 7ot1� . 3l # Z l D —,1-�-�CLAM CONTRACTOR: NA : DAYTIME PHONE: i�7 CSC £ (\`eci� -'G_ `z 5-s)✓-55---/90.0 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 95 / i-Aoe. , Tom, cJA58Y 'tS- (x.53) Go6-oY (? CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: _ - S3) 33s--/q CONTRACTOR'S REGISTRATION NUMBER• EXPIT ION DATE: /) A7 & !? v3 / (0 / © � (copy of card required) L� ' (� a� — �� 3 � — — i APPLICANT: NAME: .L DAYTIME PHONE: �oL - ��. i ��c— (p25-S7 -16.? co MAP- ADDRESS(STREET °S D/S�rfY �TqZIP): ( ( 1-O A '78` G� EVENING PHONE: - 7 lC v1 J7 J RELATIONSHIP TO PROJECT: f FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): Q5)S73-1711 -7 i - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER ❑ APPLICANT CICONTRACTOR Sc{ . CI rCC-114(44. `re - - ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ • PROPOSED USE: . PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) y I, . **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ - - • - . ' - - ■ PROTECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH - J 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: 0 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 •e owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless , e Cty of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the investigati• an. deft e of su h cla ),which may be made by any person,including the undersigned,and filed against the City of Federal Wa bu •• w re -,h clai,,,Eliout of the reliance of the city,including its officers and e ployee upon the accuracy :t:;::: Atil`` �`�� DATE: ❑ PROPERTY OW R Z .PPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT III CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO rn..,M.. “ry nrvrI nnnlr NT cr Rvi(rc•11'10 FIRST WAY crum4.P n MY,171R.IIN RAI WAY WA ,),1(161 Wig•7S1(f.1-anon.[AY- )cz F".c 1-4170 • 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 (I)$1.00 to$500 00 (1)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus 53 27 for each addtona/$100 00 or fraction thereof,to and including$2,000 00 (3)52,001 00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus 51500foreach additional 31,000 00 or fraction thereof,to and including $25,000 00 (4)$25,001.00 to$50,000 00 (4)$403.61 for the first$25,000.00 plus 510 82 for each additional 51.000 00 or fraction thereof,to and including 550,000 00. (5)$50,001 00 to$100,000 00 (5)$664.35 for the first$50,000.00 plus 5750 for each additional 51,000 00 or fraction thereof,to and including $100,000 00. (6)$100,001.00 to$500,000 00 (6)$1,025.55 for the first$100,000.00 plus 5600 for each additional 31 00000 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 5509 for each additional 51,000.00 or fraction thereof,to and including $1,000,000 00 (8)51,000,001 00 and up (8)$5,788.23 for the first$1,000,000.00 plus 53 91 for each addit,onal51.00000or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the lee 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) ■.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) ci ih Tntcl ,, n liar•/cl/114(7)+/11sMNa/S1etil4/714(R)+( l\•(ln) = /111 .4 . TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $44.25 _#of Thermostats(First-533 50;add'n-S10.5Oca .. $72 25 _ of Low voltage fire or burglar alarms (First 1300 ft'--567.00;Each add'n 500 ft2-521.50) _Service and feeder First 2500 112.538.75,Each add'n 2500 ft2-S 10.50 Square tout 528 00 Square Feet: I:aclt nutbuildingor garage ..... ... MOBILE HOME/RV PARK • 1'cr WAC 29G-4G-91U(5)(b)(i&ii) _(Inspected with service) _ of service or feeders _lath outbuildinpor garage $44 25 (First service/fccdcr-S44 25;Add'n service/ _#of Signs(First sign-533.50,add'n sign 51 G.00 each) (Inspected separately) feeder-S28 each) _Progress inspection per'/2 hr S33 50 _Swimming pool.hot tub.spa 67.00 Yard Pole meter loops .. . 44 25 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL Altered Service or Feeders (Includes three units or more) 5 72 25 Service Feeder Amps Service or Add'n _U to 200.. ... ........ fccdcr _201 -600 1 69 00 _Up to 200 amp S 72.25 S 21.50 5 72 25.. _ $44 25 _601 - 1000 ... 254.50 _201 -400 amp... ..........89.7544 25 _0 to 100. ... .. 282.75 _401-600 and 123.25 6150 _101-200. 89 75 . . 56 25 over 1000 p " . .... .. .. 169 00 00 67 00 „of circuits _601 -800 amp . 158 00...... ... .84 25 _201 -400 . .... . _Over 800 amp.. .......225.25...... ... 169 00 _401 -600 .... 197 00. . 78 75 (1-5 circuits-$56 25;Add'n circuits.S5 ea) ALTERED SINGLE/MULTI FAMILY _601 -800.... .. ... .. 254 50 107.25 (When inspected separately from the services) _801 - 1000.. 310.75. . . 129 75 Temporary Service Over 1000 339 00 181 00 _0 to 60 S38 75 Service or Feeder — 44.25 S 6 1 50 _Over 600 volts surcharge .._....... .56.25 _6l - 100 .. .. ............... . Oto 200 amp S6 25 89 75 _Mast or meter repair..... 61 50 _l U l-200 . .... .... ... . .......201-GOO amp _201 -400 67.00 . 135.25 ............... _over 600 amp 401 -GOO 89.75 _Mast or meter repair............... .... .... 33.50 — .97.75 _H of circuits over 600 (1-4 circuits-$44.25;Add'n circuits S5 ca) - If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit Ice+S56 25.Add'I plan review for other submissions is 567.00/hr 411 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: $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) III • Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100–January 3, 2001