02-103576 •
City of Federal Way
Community Development Services Electrical Permit #:02 - 103576 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ply 253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SUBWAY
Project Address: 1928 S SEATAC MALL Unites-5 Parcel Number: 762240 0010
Project Description: ELE-Remove old unused circuits. Relocate existing circuits.
Owner Applicant Contractor
H M A ENTERPRISES-SEA-TAC BOOKTER ELECTRIC BOOKTER ELECTRIC
249 E OCEAN BLVD#3RD PO BOX 988 PO BOX 988
LONG BEACH CA FALL CITY WA 98024 FALL CITY WA 98024
90802-4849 (425)222-5415
Electrical Fixtures
Description Puerility' :'',25A..' ;4/:xDescriptlbn'. ]Quantity Description ,1[Quantity!
Circuits- Commercial 12
PERMIT EXPIRES February 23,2003,IF NO WORK IS STARTED.
Permit issued on August 27,2002
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 ay.
Owner or agent: Date:
I< Cgt L ly tv Ira G-12 1,e,72._ A/o, /2_0 / P tE;;? '
n e p I
i
10-- 2 2 02- 6,012-14. -e� 7$ 40 S �a
• RECEIVED
• ;o G CONSTRUCTION PERMIT APPLICATION
uV FlY AUG 2 1 Z O C 2 APPLICATION NUMBER: O2 - L 03. - J,
APPLICATION NUMBER: -
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.
q��s (� • PROPERTY�� INFORMATION •
/
SITE ADDRESS: I ` 50 .9,4,...._.t-,... )013-d ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ =_ . . ._'• :_ .: .- - ' : .■ PROJECT INFORMATION' . - ,•. -
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Aft-cJ
- Q
PROJECT NAME: 5_„(.........15
/ ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
4, ( )
MAIUNG ADDRESS(STREET ESS;CITY, ATE,ZIP):
CONTRACTOR{ E 11 DAYTIME PHONE:
t okk-eit. E(.0 4-koti (ggzd) w- -,y*ic
7ONG AISRESS(STfREWDDRESSgy,` C ZP' (E`VENING PHONE:) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: qi9O FAX NUM
girtet;
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
( of card required) Doc/ e- V .0 .d / /
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER "(APPLICANT XCONTRACTOR -
■ 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 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
w
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 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:
...., .Y __._- .._. _ � .,�.�.. .ori. .0•FIXTURES K : r„.�: �_ ., :_r��.r. ::�.;..:..>.:��z.«.�...�. .
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SIP3TIEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVi'.,(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 claim 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.
n ‘°1 ‘61
NAME/TITLE: ie' DATE: RN
A(' 0 �
❑ PROPERTY OW ER 0 APPLICANT 0 CONTRACTOR
R'OFEICE USE:ONLY:
P li/AQD, ,-WMIA-►LTERATI REEAIR i LgTEI ANLIN(P,lgart E W,
-117G HELI3ONLY? FS .Eri
, ") -""_-.` '-_ '+'.t'.`'-:7ET,?...`Y'[v?'e'9:Y" r- �"""e"r..' :_- "spa-.q'''ae"`'•'�m�.-.. >
IJ __=-tU�WNSHIP-=-__==RANGES; _ NE DDRES ,REQUIREID*_: - @ lI=1 0 ' =
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-661-4000•FAX:253-661-4129
www.cRvofrederalway.corn
■ -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-S 11.50ca)
(First 1300 ft2-575.00;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)(bXi&ii)
_Each outbuilding or garage. $50.00 (First service/feeder-S50.00;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 A 0 to 200 S 81.00
Up to 200 amp S 81.00 $ 24.00 Feeder _201-600 189.00
_201-400 amp 101.00 50.00 to 100 $ 81.00 S 50.00 _601-1000 284.50
_401-600 amp 138.00 68.50 It 101-200 101.00 63.50 over 1000 317.00
_601-800 amp 176.50 94.50 _201-400 189.00 75.00 tL#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 S 68.50 _Over 600 volts surcharge 63.50 _0-100 S 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:cee is 35%of
permit fee+563.50.Add'l plan review for other submissions is''$75.00/hr.
FIXTURE DESCRIPTION(A) -- FIXTURE FEE FROM TABLE B'(B) ,.s.-,--,NUMBER OF UNITS(C): ,- - ---'• -TOTAL(D)
--,';.::;•1,- 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
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 SL000.012 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$1.000.00 or fraction thereof,to and
including$50,000.00.
(S)$50,001.00 to$100,000.00
(5)$710.00 for the first$50,000.00 plus 5800 for each ac/ddionaf$1.00000 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$600 for each aaditiona/S1.0 000 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$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
,Ttalldzed,underlined number Is the fee ver 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 FIN 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 hixhaes
$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(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)_ (11)