02-103573 City of Federal Way
Ccnununity evelopment Services Electrical Permit #:02 - 103573 - 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: ALASKA USA MORTGAGE
Project Address: 33305 1ST S SUITEA100 Parcel Number: 9 10 0230
Project Description: ELE-Remove existing lighting and replace with same type. Add one duple nd 9 re ed can
downlights and 3 wall washer lights.
Owner Applicant Cos
Ted N Price Sr. PRIDE ELECTRIC,INC. PAID ,INC.
2225 SPERRY AVE#2000 3984 150TH AVE NE 3984 151 E NE
VENTURA CA REDMOND WA 98052 REDMOND '
93003-7450 (425)454- - •
al 'xtures 111A111
t • w"" _ --""4411per'n °; •i os ription, = Quantity
Circuits- Commercial I 5 F
P. IT E 4' + S February 17,2003,IF NO WORK IS STARTED.
Permit issued on August 21,2002
I h eft' that the ab information is correct and that the construction on the above described property and
the p nd the use 1 be in accord ce with the laws,rules and regulations of the State of Washington and
the CI ederal Way.
Owner o cent: C. Date: 01 02_
1 b -- ( 2— F�, � t r4P � e279-
s.
�of G RECEIVED CONSTRUCTION PERMIT APPLICATION
N).\> L APPLICATION NUMBER: O - Ja T_S -E L
AUG 2 1 ,u� APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
**The followi� 4�[��NG DdFPT•
� gwre information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
' • - - • F:1 PROPERTY INFORMATION
r
SITE ADDRESS: 33505 IhIG4 cu x G 1D
J ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- .►i PROTECT INFORMATION . " . . . . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1`Q.w`'U•.e Q./(4 ST�^t 1•§^'� c �r�Ic•„c,c. W Hin
S&# - �y Pt-. ,40164 O n c (y,,._tole y c 9 re-ca-ss-4 e ,.: at o t...J., 1:5A E
3 wc' 1 I I,)etz,(.•< (.il.-As
PROJECT NAME: /1 10..4kik,i- (, j4 -i' � i
ik: PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME PHONE: -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( )
CONTRACTOR: NAME: DAYTIME PHONE:
PP.,o f ►tn'C. I, ms
( s ) y54 -3((
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I ..31q4l so /Lit Nr REo►ytnNo . U4. 13652 ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
t1 - 93 ( 03. 1 - 95 Nes ) cm/ - 5?c)O
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: /00" DAYTIME PHONE:
6(05MHRAS 60PID (C(7.0 14 54 - 36(/5MAILING
AILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
SC1Z4 15404 A4 Ne Rowopr, W1 'NOS/ ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): Pray. ((1Z5) L491 - $71)0
, � E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT W C' ONTRACTOR •
■ DETAILED BUILDING INFORMATION -
F
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPRO • : $
SPRINKLERED BUILDING? 0 YES ❑ NO - • SUPP• - - I N SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIG. - • 0 TAC• ' • ! • • ATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVE k I HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY** f
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• ■ PRO3ECT FLOOR AREAS •
FL 4O EXISTING SQ.FT. PROPOSED SQ.FT TOTAL
BASEMENT I
FIRST 1
SECOND +
THIRD
FOURTH
OTHER FLOORS(DESC• BE)
DECK
GARAGE
HOW MANY FLOORS?
TOTALi
..�.. _-..•a-......:.�,a+....,� .- .:.s.�_-..,...w.._. •sWcc:✓xa r."t*•ar,.y:•asr+SKrt►�s . uREs'Ftr:.fw:r.at-;se::.w.ww.r+..rwaa:3r..n,o,+ie.xz^+.:a%�.i-a�rr+a-s..:��.a.M a-v.wke maa 1
1
Indi . e number of each type of fixture
\ MECHANICAL
,
AIR HAN' NG UNIT(S) EVAPORATIVE •OLER(S) GAS LOG(S) REFRIG.SYSTEM(S) y
BBQ(S FAN(S) ,,, HOOD(S) WOODSTOVE(S) ,
BOI -.(S) FIREPLACE INSERT( RANGE(S) MISC.( )
C• PRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING i1
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) i
DISHWASHERS) 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)
• .. . - - - " • . 'r. "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 s plied toth city as art of this
application. � /0'1
NAME/TITLE: �' /rU 1CJ /J1 4^ci f DATE: t eq%.
❑ PROPERTY OWNER 0 APPLICANT 12CONTRACTOR
FOR°OFFICE()SE'ONLY:
W ❑ ►DDI IOV -lQ ALTERATION=, .REPAIR ❑iTENANT-IMPRUVEMENT'W-=4-
=CENSUS COD =maw-_ � _� -_ =LOT SREs _ 1 =- `t='' :`
;d SIGN ,,s_ , _= __1 0.iBUILDINGSHELt ONLY? YES' CJ°NCA"
MPLA 7-ESIGNATIO---� .— _ = BASXC1A? @1fESn®TAO= :% - i
SECR0.7 ; TOWNSt1IP'" RANIE== ANEW ADDRESS•.RE•UIR D? ?�YESs t,irci ,
„ .x Y..,.T - --.._ - _ r-.�.u=-_e _r :-. n-w.,. s', -t _ s i 4_ s'1�--__L_ 1.>=�3
:.PLATTED.L-OT? ❑Y `0 NU-`=-_- -_= -,� _:CHANGEOF-ti -.;°-:,_ ',0 YES ,IJ NO ti .-x�, -
COMMUNITY DEVELOPMENT SERVICES..33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-6661-4129
www.dtvofffederaIway.00m
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 I I.50ca)
(First 1300 ft2-S75.00;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)(6)(1&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) fecdcr-$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 S 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 S 81.00 S 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 S 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+S63.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE BIB) - NUMBER OF UNITS(C) TOTAL(D) .1
TOTAL COLUMN (D): '
Total Column(D)
Estimated Permit Fee: (12) 11
Estimated Permit Fee from line 12 1
Estimated Plan Review Fee: $63.50+( X.35)_(13) 11,
• 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 Pet-mit-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 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$1,000.00 or fraction thereof,to and
induding$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$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$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
,:)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additiona/$1,000.00 or fraction thereof.
Id number Is the base fee for the specified Increment
7.. pied,underlined number Is the fee per additional specified increment
PLUS: Add 65 percent of the base building permit fee or plan review fee.
Add 25 percent of the base mechanical permit f:•for mechanical plan review fee.
Add 15 percent of the base building permit fee f. Fire District#39 surcharge, .mmerdal only.
Add$4.50 for WA State Building Code Council,pl -$2.00 per unit for duplex; above.
• **El• .1,plumbing,and •echaniical fees are calculated separately**
■ BUILDING • . . .. -._ ....._..
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (• :•se Fee:
b)A.•itional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Sur •.rge: (3)
(COMMERCIAL ONLY)
• MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: umber: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee' (4)
Estimated Plan Rev ew Fee: (5)
• ■ FIRE PREVENTION SYSTEM •
PROPOSED VAL,ATION:
FEE FACTO• •OM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
•
•. •. . . . ■ PLUMBING - . - • - . . . .. . • .
ease 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:(10) •
Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)_ (11)