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02-105372 ' City of Federal Way Electrical Permit #:02 - 105372 - 00 - EL Community Development Services 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: LAKEHAVEN WELL 9 TREATMENT BUILDING Project Address: 2916 S 298TH Parcel Number: 042104 9099 Project Description: ELE-Install new 200-amp service and building electrical equipment. Owner Applicant Contractor FEDERAL WAY WATER&SEWER LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 (253)946-1516 Electrical Fixtures Description , iQuantity Description ".n, s x)Qiiantity Service/Feeder: 101-200 amps-Comrj 1 PERMIT EXPIRES May 26,2003,IF NO WORK IS STARTED. Permit issued on November 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 Way. /� / `y Owner or ag- . // � Date: /X- 7.- c c, d-e r € r0 cv-vj u v• 5 Aw,rnv.e0 ;4-3- • g — l3-c, ,.18\fr :�, G RECEIVED _ CONSTRUC I ION PERMIT APPLICATION uV L NOV 2 7 2O@2 APPLICATION NUMBER: [ - ��r12?, - ii APPLICATION NUMBER: - - CITY TOFFEDERAL BUILDING DEPT.WAY 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. - - \- • - ■ PROPERTY INFORMATION . . . � �p�> '\ SITE ADDRESS: 3O V ,,7c[ h ASSESSOR'S TAX/PARCEL#: 0 4 01 I_ O.4 - `167 1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATT CH SEPARATE a ESCRIPTION IF LENGTHY): S-C' C A • I• cA ''C- : a-7 a.9. 'o• V UD k 7 .1') 100 t •P SE k , i E. ‘ , d_ k____L\k 5 ems Rct8 GA- t sST , ._-.___:-x...._ • -. _. - --,.<= _. . ,■ -PROJECT INFORMATION`._ , - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION FA/ELECTRIC\AL ❑ ENGI\NEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTIcONN(Provide detailed descri tion): ______ .\\ `tee a0� L�N, �c c`� . \e... --"Ols_ ��E'_C_'.n, GCS 's i�Wtet�, . • PROJECT NAME: ■ PEOPLE INFORMATION ` - . % - - - PROPERTY OWNER: NAME: DAYTIME PHONE: !moi LAQQ� �a�� V 'S GPzs3) X141 -is l6 M \ `.' '50x-(STREET RESS ' ORct ,STATE, P): e _\ Wim_ U.)/lc T306,3 CONTRACTOR: NAME: et\` DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: N DAYTIME PHONE: ova W`F,�e��L~�. (d...3 fieth -S444 MAILING ADDRESS UNGADDRESSTRESSSTAZIP ADDRESS; EVENING PHONE: .03 SC \AY ‘c,,STA ZIP):, � T-e � 3 ( ) _ RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ,'53 )%'74 -, So,•7 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER IXAPPLICANT CIii CONTRACTOR n Y+1pV� t..,A(Q 4yy 4\ 1a ■ 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:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) 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: *� �• .,.. -.w.+....n ce... s+»...y.:w«_ ...r•.sNc2:c t.+�r Cr-aifSNestivI FIXTURESJirK+w.�si• t•i•r.«+w..+.:.•wa.Ni l+i.Miu; ['rz�s+:.�c�sq�.rwv:.:�+.�.aaT.•a-v w.rf awe Indicate number of each type of fixture 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: ❑ 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 • rises ou . e reliance of the dty,including its officers and employees,upon the accuracy of the information suppli•. - . : , a is application. NAME _SOY _/. DATE: // o PRO S. - i OWNER ❑ APPLICANT ❑ CONTRACTOR • ;IFOR;OFFiCE USE_ONLY: , DN_EWA ❑ 1DD_�fION' ❑- LTE LITION ® REPAIR' r '- ITENA MPROVENIENT _ 0 : StGN3A' n _sem ___- � BUS"''I N.SHELL ONLY? E . -:❑X10 st: •MP F 1 DESIGNATION _ _ - ti_BAS](G� LA_? �CES.— ©140 - SECTION TUWNSFIIP iihiqdEZ,VANI ,(�IEVIrADDRESS.REQUIRED? ;,.0 = 3x"SEES: ,flrl O.f.- �a�s 'r -_�-- pry__- ��-r-�.+ - -'- _ _=�e?� ,+��y- s..: .x 4.> - =•3_-'' '__" E�''Y �T��:S` _-,�=A .L-OT?-�=-L7 Yrs ��]=NOr_�_=-_==�;�->CHANGEOF USE?,,.:�,==�r-�;prYES��C�.;NO -- �= _ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvorfederalway.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 additional5100:00or 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 115.50 for each additional51,000.00or fraction thereof,to and inducing$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$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$600 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 15.50 for each additional 51,000.00 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 add tional51,000f.V or fraction thereof. Sold number is the base fee for the specified increment Italiazeef,underlined number Is the fee ver additional spec/led 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 Counci,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) • . . . . . •. •■ 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): 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-S 1 1.50ca) (First 1300 ft2-S75.00;Each add'n 500 ft2-$24.00) _Service and feeder 581.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-S 1 I-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-537.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa S75 00 Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or morc) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 S 81.00 _Up to 200 amp S 81 00 ...... ...S 24.00 �cedcr _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 1 10 t t 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _20 -•i i 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 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 (1-4 circuits-550.00;Add'n circuits$5 ea) 109.00 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'l plan review for other submissions is 575.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) - NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): Total Column(0) 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) • IN ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) k • OTHER FEES Mitigation Fee:(18) (20) (22) SBOC Surcharge:(19) - (21) (23) -iota!(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin #100-February 19,2002