02-104037 City of Federal Way
Community Development Services Electrical Permit #:02 - 104037 - 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: FEDERAL WAY PLAZA
Project Address: 31830 PACIFIC S Parcel Number: 092104 9221
Project Description: ELE-Electrical for(1)sign
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES*SEA-TAC 1-5 SIGNS INC I-5 SIGNS INC
2101 4TH AVE#250 8751 COMMERCE PLACE DR NE 8751 COMMERCE PLACE DR NE
SEATTLE WA LACEY WA 98516-1326 LACEY WA 98516-1326
98121-2317 (800)459-2967
Electrical Fixtures
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PERMIT EXPIRES March 17,2003,IF NO WORK IS STARTED.
Permit issued on September 18,2002
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: Date: q
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RECEIVED BY
COMMUNITYDEVELOPMEN7pppgp
p^ CONSTRUCTION PERMIT APPLICATION
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�� ��� �� APPLICATION NUMBER: Q 2,- 1DqQ32 - trG
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.
• PROPERTY INFORMATION
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SITE ADDRESS: ,31 4 rn d� ASSESSOR'S TAX/PARCEL#: C, g 42,1 Q y -
LEGAL DESCRIPTION OF SUBJ1ECT P OPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): /DT /14 ,
,1 . -e_ • ori% sr. i
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
,ELECTRICAL ❑ ENLGINEERING o FIRE/ 1 JPREVENTION SYSTEM r
PROJECT DESCRIPTION(Provide detailed description): �—f 1 S,1 ? �� 1 1O /O)1._ w, /( - ,,,
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PROJECT NAME: F (4 e y'' VLJtc 7/7
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Sea`far_ C`en sv� , 6706 )e-7z-if -Jct)
MAD ING ADDRESS(STR ADDRESS; STATE yx
CONTRACTOR: DAYTIME PHONE:
5 S( , (3k) (./C ( 'j Zd c)
717
ADDRESS
` CITY,
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: F UMBER:
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) z L E SI 1 L 5 is l 3 0 / 0.t
APPLICANT: NAME: —� DAYTIME PHONE:
lC�h n c�,l- � �f (36o yisq -3
LING ADDRESS(STREET-ADDRESS,:CITY,STATE,ZIP): EVENING PHONE:
cc G�,( Gt!"_�7) 7 (800)4/S�I a-% 7
RELATIONSHIP TOLPROJECT: MOER: //G�
0 ARCHITECT o TENANT ❑OTHER(DESCRIBE): 37( )L� /4
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ❑CONTRACTOR 24111,i}-(e_fig1.5 Stn.c e),ni
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
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) FURNACES)
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 o 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 claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such c m arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information -. plied to • as a ,=rt th a, 1-
NAME/TITLE: i'//iii . ��'%lw!'�i .;
�, DATE: =g-2
0 PROPERTY OWN;• X• "CANT o CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW o ADDITION ci ALTERATION ct REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑NO
PLATTED LOT? ❑YES II NO CHANGE OF USE? ❑YES ❑NO
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$3.50 for each additional$100.00 or fraction thereof,to and induding
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$76.50 for the first$2,000.00 plus$15.50 for each add/tiona/$L00 t 00 or fraction thereof,to and
inducing$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 addition/$1.000.00 or fraction thereof,to and
including$50,000.00.
(5)$50,001.00 to$100,000.00
(5)$710.00 for the first$50,000.00 plus.$B00 for each additional$1.000.00 or fraction thereof,to and
inducing$100,000.00.
(6)$100,001.00 to$500,000.00
(6)$1,110.00 for the first$100,000.00 plus 16.00 for each additional$1,001200 or fraction thereof,to and
inducing$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 fix 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 addition/$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicised underlined number itthelfeeaeraaditionalweaifiedfnaement
PWS: 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)
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
_Each outbuilding or garage. $31.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders 'Per WAC 296-46-910 5 i 6t ii)
_Each outbuilding or garage... $50.00 (First service/feeder-$50.00;Add'n service/ f#of Si ( )roX.
(Inspected separately) feeder-$32 each) $17.50(First sign-$37.50;add'n sign
_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 $ 81.00
_Up to 200 amp S 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 _0 to 100 S 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 (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 $ 50.00
_201-600 amp 101.00 _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
_#of circuits 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=1 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):
l Total Column(D)
Estimated Permit Fee: (12) 71 -�.)
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) a
Bond Amount: (17)
• OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total (Pages one&Iwo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)