02-104193 d 4`
City of Federal Way
Community Development Services Electrical Permit #:02 - 104193 - 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: BRANTLEY JANSON YOST&ELLISON
Project Address: 1615 S 325TH Parcel Number: 162104 9052
Project Description: ELE-Install low voltage for telecommunication lines throughout existing office space.
Owner Applicant Contractor
BBSG INVESTMENTS LLC EZ-INTERFACE EZ-INTERFACE
33530 1ST WAY S#200 1111 S 344TH ST SUITE 202 1111 S 344TH ST SUITE 202
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98003-6210 (253)444-5555
Electrical Fixtures
. :��t�.u'1" i 'ia�x«rin...:'"~'sir•i`i��«:,,�� w Quantity °L7esc tci
Low Voltage-Other Commercial 1230
PERMIT EXPIRES March 26,2003,IF NO WORK IS STARTED.
Permit issued on September 27,2002
I hereby certify that the above information'• correct and that the construction on the above described property and
the occupancy and the use will be in acc• •ance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. j
Owner or agent: / Date: d 7-C.c _
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RECEIVED
• «nom = CONSTRUCTION PERMIT APPLICATION
Amy SEP 2 7 2002 APPLICATION NUMBER: OZ.- - 1 D�1�.;� -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT. 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
SITE ADDRESS: ' l!l (1 \, ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL ) o ENGINEERING o FIRE PREVENTION SYSTEM j
PROJECT DESCRIPTION(Provide detailed description): 1.-0U-3 — 1;C ` - v') 4 / n\ 'CCJ 1 oN)
0 I. Ar‘'' i 7.-I,1 Lit in 1 (•C.�-f-J o A) S
PROJECT NAME: -6\r"C1(TZ•1 -3-C,vr)SZ)/•_) • `D, eze Ai
• PEOPLE INFORMATION
PROPERTY OWNER: E: DAYTIME PHONE:
r 1 a�- S ten.? , 1J4 2 Ps moo-3/3L
MAILING ADDRESS(STREET ADDRESS; ,STATE,ZIP):
WCV1
3 - ' � r
CONTRACTOR: NAME: DAYTIME PHONE:
(STREET CITY, ()s3) q -
MAILING ADDRESS SS
CITYOF EDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
uP)• 4 a(Da • �VENIN�G��
<nfoo c. - - - - - '- 4 - - - ( S--3) 444 �S 5
CONTRACTOR'S REGISTRATION NUMBER: _ `, EXPIRATION DATE:
(copy of card required) C Z / x t clA /
APPLICANT: NAME: DAYTIME PHONE:
)6- SlnYe IC ' .11t-L9601)
s
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �` ( ,� EVENING PHONE:
It 34 1 n� Lt tk 1 L96 d IwJC ��Q
�ti/ Z O'-CJ(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT ,KSJI HER(DESCRIBE): ( ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 'APPLICANT ",CONTRACTOR
• DETAILED BUILDING INFORMATION
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 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE o 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
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 s ch claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where ch claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to a city as a part of this application.
NAME/TITLE: 0-4...dy �1Q 3& DATE: 9—c9-7 -0
❑ PROPERTY OWNER o CANT o CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLAITED LOT? o YES o NO CHANGE OF USE? ❑YES o NO
• 4.• . _ .._.__
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cltvoffederalway.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 additional$100.00or 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$15.50 for each additionl$1,000.00or 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 11100 for each addibhna/$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 additional11.000.000r 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 additonal.$1,000.00or 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.$5.50foreach 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$1,000.07or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,underlined number Is me fee cer 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 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 Fbctures
$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 (Paye one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
TABLE B • en
!
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-$43.51 . •.'n 500 ft2-$11.50
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: -�.,..0 .J` /'j 30
(Inspected with service) _#of service or feeders *Per W/1'.- .'6-9 1(5 •)(i&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs rst 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 $ 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 (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+$63.50.Add'l 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)
• 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)
Bulletin#100-February 19,2002