02-104902 r ]
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City of Federal Way
Community Development Services Electrical Permit#•02 - 104902 - 00 - EL
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Feder 1st Way S cif/ ( -W t//- - (9 c— /„
Federal Way,WA 98003-6210 T. v d ✓J' U/Vg r("6
Plc:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: Cingular Wireless on Stadium Light at Sacajawea Park Q (J r b`l �' `� 5
Project Address: 1600 'DASH POINT 50�'"C of S I,L ' Parcel Number: 052104 9016 el)1"r"J
Project Description: ELE- 100amp service to cell site; including up to(5)circuits 14) E sr
Owner Applicant Contractor
CITY OF FEDERAL WAY VECA ELECTRIC CO INC VECA ELECTRIC CO INC
CITY OF FEDERAL WAY PO BOX 80467 PO BOX 80467
PO BOX 9718 SEATTLE WA 98108 SEATTLE WA 98108
FEDERAL WAY WA 98063 (206)436-5200
Electrical Fixtures
escriptiort Q aitity �"�Ci scriptibri: ? `" °Qiaaritlt
Circuits- Commercial 5 Service/Feeder. 0-100 amps-Comm.l 1
PERMIT EXPIRES May 4,2003,IF NO WORK IS STARTED.
Permit issued on November 5,2002
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 ith the laws,rules and regulations of the State of Washington and
the City of Fe
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Owner or agent: ._ . �. Date: N4 Vv ,,
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:°c G CONSTRUCTION PERMIT APPLICATION
uV DEI- _ APPLICATION NUMBER: _oa - t. 12 C/ 9 J_
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.
° ( 1/,, ■ PROPERTY INFORMATION
SITE ADDRESS: 7661 LY� ' ' '' ASSESSOR'S TAX/PARCEL#: D'S--,A / 05/ p- ! 0 /‘:::.
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• ■ PROTECT INFORMATION -
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
'LECTRICAL �❑ EN�G/I/NEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): c e//s/
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/0 -- / ✓vtp .r- V tee_ -40 GetkkYke
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PROJECT NAME: L3-744e/4e/ 4Q, / V// Co 2 7 /0, I1 , U r'jlr-
■ PEOPLE INFORMATION
p/yam , //r�
PROPERTY OWNER: NAME:6,:R& ^� �C.l'G�/'`*,( DAYTIME PHONE:
Cf (253)64/ - 135'/
0.
MAILING ADDSTREET ADDRESS'CIlY,STATE IIP):
,335 3 O /s '� S /``<ctf ,../ Le), c.r) W00 3
CONTRACTOR: NAME: erneVEDAYTIME PHONE:
MAILING ADDRESS DRESS ,STATE,ZIP):(STREET ADDRESS' PONE:
,�/V 7. ' s. . 97iA w" s"° EVENING, ( )H -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER FAX NUMBER:
- / DU 0 3i - DC7 ( -) 763 -05-65-
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(may of care required)
�red) / l�c ,} &e' ,T�"ia2/7'GC /'47 1,3/ I ,a3
APPLICANT: NAME: i DAYTIME PHON
,,5" 75/MAIUNG RESS(� DRE55;CITY,STATE,ZIP: I jo- EVENING)ONE: -
RELATIONSHIP TO PROJECT: �J,�(!� � �/ //� Y FAX NUMBER:
0 ARCHITECT 0 TENANT 1THER(DESCRIBE): C .Z))/*C] C".24./4 %? -65-0c---
E-MAIL
O,7cE-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ '
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO1
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHUNE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHUNE 0 PRIVATE(SEPTIC)
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**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-.. . . ... ,�..��-.., - ��.t.FIXTURES-•... .....: _.. . , k. ..... , ... ��_.:�, .,r,." _
Indicate number of each type of fixture
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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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) - RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 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.
NAME/TITLE: DATE:
❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
FOR OFFICE.USE.ONLY:At
ANEYWO 4014.3 TON :❑:ALTERATION = LEPAIR 4 TENANT IMPROVEMENT _
ENSUS.,CODE:M r--,; - _ • yi:
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COMMUNITY DEVELOPMENT SERVICES.•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253.661-4000•FAX:253-661-4129
www.dtvofederalway.com
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED RV 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)$78.50 for the first$2,000.00 plus$15.50 for each additional$5000.00 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$1.1.00 for each additional 51.000.07 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$8.07 for each additional 31.000.00 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 SL070.00or 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$5.50 for each additional$1.000.00 or fraction thereof,to and
induding$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 fee_Deradditional 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 Are District#39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Coundl,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 Fbdrxes
$22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee •
Estimated Punct Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
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 _#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)(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) $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 I_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'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FE FROM TABLE B(B)_ .NUMBER OF UNITS(C) TQTAL(D)
/l 0 ,//. /j r'IQ . U� / ez Ute
/- G. .1n-t? i-.s- e-,-?-
TOTAL COLUMN(D): f1f -S J
Total Column`(D)
QQLL
Estimated Permit Fee: (12) Q• Z +�"/'
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 •