02-103829 City of Federal Way
Community Development Services Electrical Permit #:02 - 103829 - 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: LAKOTA PARK
Project Address: 31334 SW DASH PT Parcel Number: 122103 9016
Project Description: ELE-Addition of soccer feel lighting.Altering(1)circuit.
Owner Applicant Contractor
CITY OF FEDERAL WAY-PARKS TYE MILLER INC TYE MILLER INC
33530 1ST WAY S TYE MILLER INC TYE MILLER INC
•
FEDERAL WAY WA 98003 19950 SE GREEN VALLEY RD 19950 SE GREEN VALLEY RD
AUBURN WA 98092 (253)735-0150
Electrical Fixtures
'Quantity .;
Circuits- Commercial 1
PERMIT EXPIRES March 5,2003,IF NO WORK IS STARTED.
Permit issued on September 6,2002
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. /
Og
Owner or• . _„,/% // Date: /e 6) --
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t j CONSTRUCTION PERMIT APPLICATIONGFYL
APPLICATION NUMBER: Q - L03 ,F.z.. Cj
APPLICATION NUMBER:
APPLICATION NUMBER: -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevent'•n stems and Engineering permits may require a separate application.
. �3 . (. - /1 - 112 PROPERTY INFORMATION
SITE ADDRESS: /33'71/ k_54 ,I�jr(�jf Lir f�i ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
J/ikoTA- '/Z/(
.{-.... - -:_.--..:.-. - - .. -.:_- - f.1V PRO]ECT INFORMATION-. . - - . , . -- - ... - = - -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
rATA;G ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
R11--6/414 . ( () c«cGLA-
i U
PROJECT NAME: - 0 ' rilp.A .•CCE... _ / -77.2/5 i
►v4 PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ...)/
CONTRACTOR: NAME: DAYTIME PHONE:
�� - Oi / �1�� 4ifr- (a - )?3 - -l),i5')MAILING ADDRESS( EET ADDRESS;CITY,STATE, EVENING PHONE:
,i9 E C'�e ✓A- ,. ( --i- -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
f - - (,753)75S- - 05/
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
k
(copy of card required) -TM / 42. 66_ e At / /
APPLICANT: NAME: DAYTIME PHONE:
( ) -
I MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT XCONTRACTOR
■ DETAILED BUILDING INFORMATION • -
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAI�S�p.a,fALIJATIVM$
PROPOSED USE ""�� -PROPOS D VALUATION FOR IMPROVEMENTS: $
SPBIN44 ER'EDBUILDING? ❑ YES ❑ NO ----"--Fili PPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA M_ ELL)
SEWER SERVICE PROVIDER: Cl LAKEHAVEN ❑ 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 �f
T' 'D •//
FOURTH
OTHER FLOORS ESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
slt•+�aY-¢a�-twrati.i�sFiA�VRES•X+Kwavas: e:..n.w+.r.rDov.3ry:s,gs�tse+%ms�i�rTr.M..ii✓•5+�-. Nti3w:w.ki>+ta+
Indi . e number • each type of fixture
MECHAN •:L
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) •OD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RA` - (S) MISC.( )
COMPRESSOR FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SO• !CE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) • R HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 7 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) S P(S)
P1 -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(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 a - • part • .this application. �j / �I
NAME/ • ` C • _/�•w., DATE: / t V
❑ PROPERTY OWNER ■ APPLICANT 421SONTRACTOR
FOR'OFFICE USE ONLY:A
O _IEW <❑ADDITION;-` ❑ALTERATIONr4 vsREPAIR mss:,❑TENANT:IMPROVEMENT
•3-f.3>_y % i._•-tai'.._'-' :t-_ - — - a=:iayE.••^ -•- 3Eirxs�i_•z 3-- 3_.r=
�CENSUSCODE:�__��u�u=��°�_;�.=�;:_ ., =�`��;`` �LOT.SIZE:����t ..�;. .t=_,:�__,._-.�?,�-=y�•;t��`_=-_-._�
ZOIYNG tBUILUING SHELL ONLYt YES ❑
.-�-�-� = ice_,== �Y.,.�_:f.�.�.�-;:::,�-t�T ��- -�- �. -�= -=�-3�
COM AN 11:61 VATIOIV �; -i 1'=6ASZC PLANOMIDN S '_ -� -iVO_ . sY 'Wr
ISECTION -_:__'TOWNSI-IIPf f GRANGE, -, NEW=ADDRESS REQUIRED?ri `- ❑ rES` El NO,
Pl ❑.YES ,t=NO "� :CHANGE OF USE?- _ ❑,YES= su NO, - _-,
ODMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MU BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR IITCRRECT AMOUNTS WILk1 t 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$3.50 for each additional$w0.00 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 edit-tonal$1,000.00 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$11.00 for each additional$4000.00 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$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$5.00 for each additional$1,000.00 or fraction thereof,to and
induding$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 Peeper 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 F=ire 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 Fixtures
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(1.0)
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 MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-$11.50ca)
(First 1300 ft2-$75.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _N 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) _N of service or feeders 'Per WAC 296-46-910(5)(b)0&ii)
_Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _N of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) S17.50 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
ii
_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 T#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
N 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+S63.50.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(0)
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
7 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