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02-103853
f •' City of Federal Way Community Development Services Electrical Permit#:02 - 103853 - 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: TRAFFIC SIGNAL Project Address: Parcel Number: CITY WIDE Project Description: ELECTRICAL-Electrical work for the installation of new traffic signal located at the intersection of 8TH AVE SW and SW Dash Point RD. Owner Applicant Contractor CITY OF FEDERAL WAY-PUBLIC WORKS POTELCO INC POTELCO INC 33530 1ST WAY S POTELCO INC POTELCO INC FEDERAL WAY WA 98003 14105 8TH ST E 14105 8TH ST E SUMNER WA 98390 (253)863-0484 Electrical Fixtures 5 it"t,+sc " :( n Qg `t s i wM • i thlaf/'.I Service/Feeder: 101-200 amps-Comr 1 PERMIT EXPIRES March 8,2003,IF NO WORK IS STARTED. Permit issued on September 9,2002 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: 9 l 9 7 2 6 (( — Z 6 5632-v1 6 /1-P PPi) ri ,h0d 1 %s` RECEIVED CONSTRUCTION PERMIT APPLICATION uV RyE.JEIL APPLICATION NUMBER: D Z - L c 3 -ja_ - SEP 0 b 2Q02 APPLICATION NUMBER: - - APPLICATION NUMBER: - - CITY OF FEDERAL WAY *.TheNtogitai DaFY{t ired 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: At ,PA /4 Pe,b4 T JZ07Q� ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .. ...--_.:ri-.-....- - : " . - ■ PROJECT INFORMATION-._- .. _ - . TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION VI-ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): /,V"j•r`I_q'r 0)4 QL 'J (&,t)--A-c__ x)-7-- /,i r t(C5tZT7C-4/ r`7, >_ 'I:) 14- lea vt 7— Tx,Al ::', -4 - S,.J_ -7rt../4i,‘..,-h-(0E (- rarz yam,,... ) PROJECT NAME: S w DAA pczn7 [7-4D A-r841/- )t S(-1-) T-az1D Sr C.,,,UXI-C_ 2 Pie-Cr J�Zsce-st7 - ■ PEOPLE INFORMATION % . T. PROPERTY OWNER: NAME: DAYTIME PHONE: C.-/ I i re el W 4r 9 ( ) - MAILING ADDRESS EET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: �C''rEZ e c> , l/A G ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 14[03 g ,fST E- S > hear. I k. A. (Zs3)E,3 -c4& CITY OF FEDERAL WAY NESS LICENSE NUMBER: FAX NUMBER: 2c.9-d/—la/ 35-7-60 'L - - (Z53) 7Y - Z487 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (CoPY Of Card ) ter' 6.1114 3440 / / APPLICANT: NAME: /q/J� �e DAYTIME PHONE MAILING/'ADDRESS(STREET/ADDRESS;CITY,STATE,ZIP): EVEN ONE: - (ZS3) 606- ?MI RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT CiLoTHER(DESCRIBE): c021TV i4C ,-- (7$3 ) -75z: �48P7 E-MAIL ADDRESS: v"I v , CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,la 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 ❑ TACOMA ❑ PRIVATE(WELL) , SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • ■ PRO3ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD • FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: .... —...•-.....n e•..-..... .•.-..y....y........ ,.. s.tcarrw.vrira.li.•acw:wsi+vwta's••i�s FixTuREs•.“44.4ww+.rz`ie.;:. vtrt,,::.;>.-��.w•�a....k�S.s,• 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 0 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 CLOSETS) 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 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 supplied to the city as a part of this application. NAME/TITLE: v— � "") � DATE: " /l l 57�-7-= 0 PROPERTY OWNER ❑ APPLICANT JCONTRACTOR FOR'OFFICE USE-ONLY: ID 1EW _ ❑ ADDITION,=: ❑=ALTERATION _ _= .REPAIR ::=_CI'eTENANT°IMPROVEMENT47'ei:';. =CENSUS:C -n=�.��-r�:�,€_�:r:�= :�:= w�;•_x =-� �LOT;SIZE::�;� �=m.;�-=�� :,>=�-,�R`���;�.' z=��%�`�`.` __: �;,: ;BUILDING SHELI.ONL1(?._=.❑WFS �;,©-NU . COMP LANDESIGNATION = ;;r= ; __�,_ TOWNSHIP;�r'-''' RANGE . - NEW ADDRESS REQUIRED? ?:❑'YES":`❑=NOS=- a PLATTED.LOT?. ❑ YES ,❑=NO -• - _CHANGE OF-USE?'. • - ❑YES.'".."4=1:N01';"; COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtyoffederalway.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$3.50 for each additional$100.00 or 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 additional S1.000.000(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$11.00 for each additional$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$$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 51.000.00 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*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 Fccbires $22.50+{ X$8.00/fixture)= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) 1111 Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11) • TABLE B NEW RESIDENTIAL SERVICES _MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES - _Single Family _Service or feeder only 550.00 _#of Thermostats(First-$37.50;add'n-$11.50ca) (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 outbuildingor garage • $31.00 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 $50.00 (First service/feeder-$50.00;Add'n service/ -#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) S 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 /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 (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 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 _#of circuits - 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'l plan review for other submissions is 575.00/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) i - ■ OTHER FEES Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) 110 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