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02-104574
City Federal Way Community Development ServicesElectrical Permit #:02 - 104574 - 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 WINDERMERE Project Address: 33405 6TH S Parcel Number: 926500 0330 Project Description: ELE-Installing telephone and data cabling for new 11137 sqft building Owner Applicant Contractor Barbara L Billings ALLCITY TELCOM INC ALLCITY TELCOM INC 415 SUMMIT AVE N 415 SUMMIT AVE N KENT WA 98031 KENT WA 98031 (206)930-3234 Electrical Fixtures ISISVMMxaltgzrz,Pirt;', Low Voltage-Other Commercial 11137 PERMIT EXPIRES April 14,2003,IF NO WORK IS STARTED. Permit issued on October 16,2002 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: C Date: t o( �V t o Z /• � \/ Rough-in inspection: s47/w4 Date Service inspection: Date FINAL inspection: •��.•-ti Date OTT Of z_ CONSTRUCT I ION PERMIT APPLICATIONrrI CEIVED APPLICATION NUMBER: 2 ;2 - 1 - OaCL OCT 1 6 2002 APPLICATION NUMBER: - - APPLICATION NUMBER: - erre OFTEEMBIkierYequired information—Please print(in ink)or type** BUILDING DEP Please note: Electrical,Fire Preventi• Systems and Engineering permits may require a separate application. • • - • M PROPERTY INFORMATION • SITE ADDRESS: 33405 Cr'-'t S . ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • _ .. . _ . : .iU PROJECT INFORMATION.- - TYPE OF PROJECT(This application): UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ISF`4t..i--T i o..J J 14 /e4-6-eg Awe te, A/6 -a 0 eg-3(Z 65o6 5 --11.4°°()'Pt"N:/ BOCx)' /J 4T PROJECT NAME: (j() iN/9er2.•^cry "-e? L eSr.4--r ir4 PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: (,1J, 4ia4s4.441E (ZS3 ) 83C -elo0 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): 33 1/44 ° F,z W . 5 , * 2.0c=. CONTRACTOR: NAME: DAYTIME PHONE: ALL C �-t' TEL o,�,. ZN L (2ok,)coo -323 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: cu S ‘5%.3 A.r-•%Cc ATA.) ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( 3 ) 85•K - CONTRACTOR'S REGISTRATION NUMBER: 'r/ EXPIRATION DATE: (copy of card required) / ' 1 / / 3-C- 0 Z / o 9 /Zoo APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) — RELATIONSHIP TO PROJECT: FAX NUMBER: El ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR • - • EMENTS: $ SPRINKLERED BUILDING? ❑ YES ■ • FIRE ••ESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ - HLINE ❑ TACOMA I ••. • WELL) SEWER SERVICE PROVIDER: 0 LAKEH• ❑ HIGHLINE 0 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(DESCRI:E) DECK GARAGE HOW MANY FLOORS? _ TOTAL: y� - _..... ......:c...•...:. ....-s..�_-....w�., .. .se.c�r..n*r+rsh*•su:vs..rawri,•FIXTU RESaca'rce.•w•.ti3y ..r..-.r+.:.rw>.;r3:ar...;u;.ie*rsv%+:c.u.i-s.r.+•s.:>�i Nay...rri.e� Indicat- ber of each type of fixture CHANICAL AIR HANDLING UNIT(S) APORATIVE COOL • S) GAS LOG(S) REFRIG.SYSTEMS) BBQ(S) AN(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 0 GAS DRINKING FOU AIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE 0 ' (S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTO: S) S MP(S) • - .. ;:".= ►11 '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,including 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.pp Ci340-e5 4.Deni-- DATE: 4"1" C7 1 NAME/TITLE: ,,�, ❑ PROPERTY OW R 0 APPLICANT AL.CONTRACTOR 0.0.11:-OFFICE USE`ONLY: i zNEW' OIMI IUN ; , OALTERATIONREPAIFRj❑i7ENANT IMPROVEMENT _ CENSUS COBE= O IIVG:• Gr(AffON - == :BUILDING SHELL NLY? *�.-1fES ®'W0 AZI ,OMP-�'ta i ESIGNATIO 1 _ _"` BASXG 04. #-© O=x'£' _-; p`: =- £TOWNSHIP: 4tid -NEW 3 DDRESS RE'UIR7E7 :St fVO =- ECiION� ' IraffED-LOT? T-❑ fErS,'w�-NO`'=i-' =_: ;-CHANGE OF,USE?.: .k"?-= YES -XC7YN0_ n- ,v;:- COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvorrederalway.com RECEIVED G CONSTRUCTION PERMIT APPLICATION Njv fr. NOV 0 7 2002 APPLICATION NUMBER: APPLICATION NUMBER: OA-- Loq 3Q- .._(......- CITY OF FEDERAL WAY APPLICATION NUMBER: BUILDING DEPT. - - **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 O - ti, 3-911-15 ' Al SITE ADDRESS: cl X Z � � ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' . • ■ PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BU NG ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM D'_I ' n `i) "! PROJECT DESCRIPTION(Provide detailed description): (_,_..."-�/ � // �, ) A04- /< rien /-h>W vit f7i A- 14-4/6 by c ih j, , ylc/c t-tle t• vit Lo1T�c>" 1 - 12eGsr i Ca/ l'Y# /% h 4% a s✓i/ 4 i - - _V l 1.t. , rem //� y PROJECT NAME: �%✓GGIG L pg7ot✓ i-,4 '€h Y17 — I %,-),.9� ' c /' ' C, V ■ PEOPLE INFORMATION 1 PROPERTY OWNER: NAME: / , DAYTIME PHONE: — MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP / :// +"CONTRACTOR' NAME: DAYTIME PHONE: 1 ,Fh e-I r� e- 4F t (( 7) 7-' -� �_ MAILING ADD ((STREET ADDRESS;QTY,SITATE,'�'I�IPPJ%� ^/rf7 EEEVENING PHONE' V`CITY OF F/'O x 9/ 7 U NUMBER:EDERAL WAY BUSINESS LICENSE 1 (v , (�, 9.e3 (FNUMBER: _��GN'C� CONTRACTOR'S REGL NUM BER: O ? "D 0 U CO D - d 0 (EXPIRATION DATE: 4. (copy of card.eq� 1 Ar T �T '11 6 Dr l / APPLICANT: NAME:_ DAYTIME PH TDAONE: * ,f c7�a-e 1-7; ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( i RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ 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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PRO]ECT 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 UNITS) 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 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. / A- NAME/TITLE: r DATE: /)( -2- ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR 'FOROFFICE USE ONLY: "❑ NEW u°,` :.<'; ❑ADDITION -❑ ALTERATION ❑:REPAIR= - ❑TENANT IMPROVEMENT - CENSUS CODE: - - ' - -LOT SIZE: ' ZONINGDESIGNATION:-_ BUILDING SHELL ONLY? .._❑ YES ❑ NO ;COMPPL'AN DESIGNATION BASIC PLAN? ❑.YES ❑ NO' SECTION _` 'TOWNSHIP RANGE NEW ADDRESS REQUIRED? -❑ YES ❑.NO .PLATTED LOT? . 0 YES ❑ NO CHANGE OF USE?. ❑ YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 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)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional mama-fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus;15.00 for each additional S1,000.00or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus;7.50 for each additional SI,000.0Oor fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 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)$3,337.23 for the fist$500,000.00 plus;5.09 for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 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 nen 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) IN PLUMBING Base Fee Number of Fixtures $21.00+{ X$7.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11) l ■ ELECTRICAL .. • TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-S 11.00ea) (First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00 _Each outbuilding or garage $30.00 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 $48.00 (First service/feeder-548.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-$31 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 _Yard Pole meter loops 48.00 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 78.00 _Up to 200 amp S 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 _401-600 amp 133.00 66.00 _101-200 97.00 61.00 _over 1000 305.00 _ 601 800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Over 800 amp , r0 182.00 _401-600 212.00 85.00 (1-5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SING _601-800 274.00.........116.00 (When inspected ', •- - . + e services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral _0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 _Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _Mast or meter repair 36.00 _401-600 97.00 f#of circuits _over 600 105.00 (1-4 circuits-$48.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+561.00.Add'I plan review for other submissions is$72.00/hr. + AFDCTORE'DESCRIPTION tA) IFIXTUREiFEEFROM TABLE B(B)1' f: NUMBER"OF UNITS N) 3`4 IlL4404* TOTAL,`(D)Jlis$W7 _ ...TOTAL COLUMN(D): Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from km 12 Estimated Plan Review Fee: $56.25+ 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-August 20,2001