02-103941 City of Federal Way
Community Development Services Electrical Permit #:02 - 103941 - 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: BRETT WALLEN DDS
Project Address: 118 SW 330TH Parcel Number: 182104 9045
Project Description: ELE-Installing new Uv wiring for voice and data systems in 2419 sqft Dr.office
Owner Applicant Contractor
QUAD PROFESSIONAL BUILDING*QUAD I ADVANCED CABLE SYSTEMS,INC. ADVANCED CABLE SYSTEMS,INC.
PO BOX 53290 1807 132ND AVE NE SUITE 4 1807 132ND AVE NE SUITE 4
BELLEVUE WA 98015-3290 BELLEVUE WA 98005 BELLEVUE WA 98005
(425)556-1721
Electrical Fixtures
atiNEZMIINMANNErielri :�;: _ s c'•.io ____ - . _ Q
Low Voltage-Other Commercial 2419
PERMIT EXPIRES March 11,2003,IF NO WORK IS STARTED.
Permit issued on September 12,2002
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 accor nce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: <
Rough-in inspection: Yu.A
Date
FINAL inspection: (was V 111,-21 ---0
Date
�� G RECEIVED
_ CONSTRUCTION PERMIT APPLICATION
• uV FlY EIZI=11_ SEP 1 2 2002 APPLICATION NUMBER: ,6o�- 16 39 to- ()c)EL
APPLICATION NUMBER: — —
17 B�LD NG DEPTNAY 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.
-'J : • -L •� ■ PROPERTY INFORMATION
•
SITE ADDRESS: I /O 51A.) 3 I r— ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:;.-•._._::ri,•_. -.■ PRO3ECTINFORMATION._. "
TYPE OF PROJECT(This application): D BUILDING ❑ PLUMBING ❑ MECHANICAL D DEMOLITION
A ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /11.3-7-4a. W V C�14VE UI LE -cGy-- (Joi c
A 40 V>T
PROJECT NAME:
■ PEOPLE INFORMATION . e
PROPERTY OWNER: NAME: DAYTIME PHONE:
pJMA (,U4l lW_ESS(STRcET ADD ;CITY (Zz3)31 c^ -1055
,STATE,ZIP):
CONTRACTOR: N E:
V L . DAYTIMErPt1pNE:
I+i 6Le 5yS` ` J /VAC- g15)556-172(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1307 3Z /t 5(A ( ) -
CTY OF FEDERALWAY BUSINESS LICENSE NUM R:
` FAX
N
�6� �56 -(
7�- -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 4JYUIv C5oo7Nz 771 /;(5?)
APPLICANT: NAME:
DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: ( )
FAX NUMBER:
❑ ARCHITECT ❑ TENANT El OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION • -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? CI YES CI NO FIRE SUPPRESSION SYSTE ❑ NO.
M PROPOSED/REQUIRED:CI
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**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
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
...». .--...-,-.,....a"•,...,«-, ,,.>..•.y......... .. . s.tex..v�+nh*•iew:•rtswvw4rdi�s FInu RES"Xr�.ewxw.�i-Yre+.w.•«.nm+.:�w>a:3..+i.+�,.�.+rs-s+:.�a.i��nrw3i.:o....aMa.�....re Wy,.
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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information s .plied o the city as a
.rt of this application.
NAME/TITLE: Al /�` DATE: ?//Li 4)6 1'
❑ PROPERTY OWNER ❑ APPLICANT Air CONTRACTOR
fFOR°OFFICE USE ONLY:1-1
(VE AI ❑„ADDITION;= =;;❑;ALTERATION= _f.REPAIR=:' ;❑JENANTcIMPROVEMENTs`€
�'
LO
TsSIZE:���
-" SIGN- -���-• .�. --ZOI YNG /1fxQN' _ r_=__-_;;y � BUI[DI-N".G� ELLO61186131:1W, EsL
jc. -�.s'rW.ts ..Y "..Sr�--
' A _DESI6NATiO_N ,, ;, -_ - Mn= ` � 'QYES _=
.,,.:K=MP,�' . . 3:�_ ��,� =� BASXGQL"AfV?::_�:..
" -sem_' _..�r.-��.: - .rc_ ',NTS
-�t
SECTION __r=_TOWNSHIP;�r_,RANGE. = -NEW ADDRESS REQUIRED?<: =�.. ❑YES:10:11
;NO
'LOT?. ❑"YES< .❑:IVU - ' CHAfVGE�OF USE?. :"_= .❑,YESr:`=L3=IV0:r y =. :
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvo(federalway.com
•
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)$26.00
•
(2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus 13.50 for each additional5100.010or fraction thereof,to and induding
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1.000.010 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 111.00 for each additional$1,000 00or 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
including$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$1.000.00 or fraction thereof,to and
including$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$1,000.00 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$4.00 for each additional$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
italicized,underlined number Is the fee 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 X39 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 FIN 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
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MSC EQUIPMENT/FE/AP SERVICES
-Single Family _Service or feeder only $50.00 H of Thermostats(First-$37.50;add'n-$I1.50ea)
(First 1300 ft-$75.00;Each add'n 500 ft2
-$24.00) -Service and feeder $81.00 2,a 8 of.1.44e fire or burglar alarms
Square Feet: First 2500 ft-$43.50;Each add'n 2500 ft2-$11.50 '
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet:/L1 1
(Inspected with service) _I/of service or feeders $Per WAC 9.616-910(50)0&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) $17.50 each)
_Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 S 81.00
-Up to 200 amp $ 81.00 $ 24.00 Feeder 201-600 ..189.00
-201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50
-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 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-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 1
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 $ 50.00
-
over 600 amp 151.50 201 201-600 amp 101.00 -Mast or meter repair 68.50 _101-200 63.50
- -40075.00
_Mast or meter repair 37.50
_it of circuits -401-600 101.00
over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 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+563.50.Add'I plan review for other submissions is$75.00/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)
k ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
A+ SBtCC Surcharge:(19)
- (21) (23)
" Rota!(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin #100-February 19,2002