02-103522 164
City of Federal Way
Community Development Services Electrical Permit #:02 - 103522 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661.4000 Fax:253 661.4129 Inspection request line: 050
Project Name: TACOMA GOODWILL INDUSTRIES
Project Address: 32521 PACIFIC S Parcel ' ber: 0380 120
Project Description: ELE-Install low voltage security and camera system to existing buil•'
Owner Applicant Con or
TACOMA GOODWILL IND.REHAB CTR ROBBLEE'S TOTAL SECURITY w RO: 'S T• L SECURITY INC
714 S 27TH ST 751 TACOMA AVE S 751 T VE S
TACOMA,WA TACOMA 98402
98409-8193 / (253)
pp�� Elec -1 Fixtures
DesC ' !�=4. "r1 x'' - en Elescri•T• s fi°. tl i ?V&.QBScri• Qua ti
Low Volta - �,
PERMIT 1 S February 17,200 I IS STARTED.
Permit issued on 1,
I hereby ce . at the above info. .tion is correct and t I 1 .n the above described property and
the occupancy . •- use wil • accordance wi e la , - nd regulations of the State of Washington and
the City of Federa .
Owner or agent: Date: -°? ! 2
�o RECEIVED •
CONSTRUCTION PERMIT APPLICATION
uv fry AUG 1 6 2002 APPLICATION NUMBER: 0 Z - /03 sola-
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.
■ PROPERTY INFORMATION
•
SITE ADDRESS: 2 / P44/1/t! / wf/, 6' ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
X ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): .. - n 544- t 1_6 u/ t>DIfY e S-ec vr,.)-Y
G4A Co gm tr'{ 5>e,- ts4 -
PROJECT NAME: i% GOO LOi k SnJ 54 �' + t S
■ PEOPLE INFORMATION
PROPERTY OWNER: N `E'= A DAYTIME PHONE:
1ft! &70 U-); rcSVS-L-1%C,S ( )
MAtItIG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
CONTRACTOR: NAME
!� DAYTIME PHONE:
/« S `7 / 6ecy,• Y (a53) 7 - 5-4/q9
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
75/ Tce>..-i 4 e. S'. 4co«y , u4. y 'yz,z ( )CITY OF FE ERAL WAY BUSINESS LICENSE NUMBER: �j
6 )
L �`/e o - i `moi - - FAX NUMBER:
REGISTRATION mom EXPIRATION
IRATION DATE:
(copy of cad rewired)
APPLICANT: NAME:
4Ait
/v DAYTIME PHONE:
)
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
( )
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? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL •
BASEMENT _
•
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
B
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) 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 dty,induding its officers and employees,upon the accuracy
of the information su ied to the ' as a part this application. //
t- NAME/TITLE:
DATE: ( `L/ O Z—
€ 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
[:::'''''5-
I: . - OR OF CE;USEONLY
afiL1 tr11►DDI IONS, i:tEl ALTERATION- REPAIR' - `'' l E ANTggtlPROVEMENT "
-e -SUS •DEM:#_--1,---It.-"Y-
. _:4:fl` 'A- Wit Fi.OTSSIZE'° - 4.4r '�!':"° -s:sh,, ."" 1-44.fry_-- �� __
6`i SfGNKIY(JN: - c `` = __ BUII DING SkllONI 1(? ❑�1(ESWNU _-f
MociNe _T0INNSTIPlTtRAN6Ee-_ ;= = NEW. 'DpSS"tEQU IRED N�_S`n251-1 ❑; _R
,
D LOT? ❑ (ES !lU :` GE-OF 11`SE?--k_'.`-- _;. .YES •===Yfl !iU . n=2::,-,...- ,-.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253.661-4000•FAX:253-661-4129
www.dtvoffederalway.com
r
4.-% '1
■ -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-$11.50ea)
(First 1300 112475.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 r P 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: /D,DDO
(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/ _4 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 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 $ 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 3 %of
permit fee+563.50.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(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from kne 12
Estimated Plan Review Fee: $63.50+( X 35)=(13)
■ DEMOLITION
Estimated Permit Fee: (14)
}_ Bond Amount:(15)
I
• ENGINEERING
t
I. Estimated Permit Fee:(16)
Bond Amount: (17)
■ OTHER FEES
I 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$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 51.000.00 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$$.00 for each additional SL000.00 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 3I.000.00or 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 S1.000.00 or fraction thereof.
Bold number is the base fee for the specified Increment
Jtafdzed,underlined number Is the fee her 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**
- IN 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:(10)
Sub Total(Page one): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)