02-103548 city of Federal Way
Community Development Services Electrical Permit #:02 - 103548 - 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: LOWES HARDWARE
Project Address: 35205 16TH S Parcel Number: 292104 9096
Project Description: ELE-Extend/Install circuit for new camera in tool corral.
Owner Applicant Contractor
LOWE'S HOME IMPROVEMENT HOLMES ELECTRIC HOLMES ELECTRIC
35205 ENCHANTED PKWY HOLMES ELECTRIC HOLMES ELECTRIC
FEDERAL WAY WA 98003 1422 RAYMOND AVE SW 1422 RAYMOND AVE SW
RENTON WA 98057 (425)227-6685
Electrical Fixtures
Description. _; ` �t1 Q W �_ ��: Cri ation , Quanti = - p seri tick. . Q iahti
Circuits- Commercial 1
PERMIT EXPIRES February 16,2003,IF NO WORK IS STARTED.
Permit issued on August 20,2002
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: iv4 Date: O8 ZG Z
2 0 2- ri^I P L- #- f,6 V &b,
1
,
GC CONSTRUCTION PERMIT APPLICATION
- t EI VEp APPLICATION NUMBER: 17- - L c 3. 5 LI S - el.
AUG 2 o 2002 APPLICATION NUMBER: -
APPLICATION NUMBER: -
CITY OF FE
**The f®is IgA r 'ildformation—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
/�5
• PROPERTY INFORMATION
r3
SITE ADDRESS: oZO5 �ll" AVE S ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
lEtA t HAPil“21+ vl-7D -.tom
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL o DEMOLITION
yI.ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): SX./ .00,1)/j uSrP-w (tet R&,, T Fat_
mE -I AJ Cee-z-i L,
PROJECT NAME: k9/....9 E- `/Ai2-DI-‘1
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
(Z53)8-3S(-�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
• 35aa5 D Ac_ LJi4y, L )/4 ' t)3
CONTRACTOR: NAME: DAYTIME PHONE:
LmEiv (1125)2Z? -!06,6""
MAILING ADDRESS(STREET ADDRESS;CITY TE,ZIP): EVENING PHONE:
, cu€-) /F1 6c1A- , a 9g-03- 7
WY ( ) — -
Y OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
QQ - /glob -6V13 ( til5)ii - G6Ts23
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card requtred) Z11-. L ill_ee G 5 11.(3N_ /D /31 /OZ
APPLICANT: NAME: C DAYTIME PHONE:
MAILING ADDRESS(STRE ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o 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:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
I **NEW RESIDENTIAL CONSTRUCTION ONLY**
1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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 REFRIG. OVE(S)(S)
BBQ(S) FAN(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S)
LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 claim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such cl. arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information .plied to the 0:s a part of it lication.
NAME/TITLE• _ *4 </ i v v DATE: 2'- /5-69a
NTRACTOR� •
❑ PROPERTY OWNER ❑APPLICANT L,s
FOR OFFICE USE ONLY:
O NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO
PLATTED LOT? o YES ❑NO CHANGE OF USE? o YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com
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$1.000.00 or fraction thereof,to and
Including$50,000.00.
(5)$50,001.00 to$100,000.00
(5)including$100,000.00.
for $50,000.00 plus$8.00 for each additional$1.00(1.00 or fraction thereof,to and
(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$1.000.00or 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$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified increment
fief/deed underlined number Is the fee Der additional scedfled 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:
a)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)(b)BaseAddiFee:
:l Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fixtures (8)Estimated Permit Fee
$22.50+{ X$8.00/fixture}=
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee 1
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)
•
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 4 of Thermostats(First-$37.50;add'n-S11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 112-$24 00) _Service and feeder $81.00 First 2500 f Loft2voltage SOf re orch burg) r 2500 ft-511.50
alarms
Square Feet: Square Feet:
_Each outbuilding or garage $31.00 MOBILE HOME/RV PARK •per WAC 296-46-910(5)(b)0&ii)
(Inspected with service) _#of service or feeders
(First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37. 0;add'n sign
_Each outbuilding garage $50.00 feeder-$32 each) $17.50 each)
(Inspected separately) _Swimming pool,hot tub,spa $75.00
Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
Service Feeder Amps
(Includes three units or more) Service or Add'n _0 to 200 $ 81.00
Feeder 201-600 189.00
_Up to 200 amp $ 81.00 $ 24.00 -
_201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50 00 _601-1000 284.50
24. 0
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000
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)
601-800 284.50 120.50
(When
in ALTEREDSINGLE/MULTI FAMILY -801-1000 348.00 145.50 TEMPORARY SERVICE
(When inspected separately from the services.) -
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
$ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
_2 1 260 amp101.00 _Mast or meter repair 68.50 _101-200 63.50
_201-600 amp _201-400 75.00
_over 600 amp 151.50 401-600 101.00
_Mast or meter repair 37.50 - 109.00
_over 600
_#of circuits
(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+563.50.Add=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION-(A)' FIXTURE FEE FROM TABLE B(B). NUMBER OF UNITS(C) TOTAL'(DY . ,'
J bII4 t-Pc.. Crlt.dwr g.iD I 1)>
TOTAL COLUMN(D): 5i).DLO
Total Column(D)
Estimated Permit Fee: (12) 4150. OD
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
IIIIIIIIIIIIIMMIMMMIIIIIIIIIIIIUIEMECCBIBMIIIIIIIMIIIIIIIMIIIIIMIMIIIMIIII
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages o(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin#100-February 19,2002