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02-105161 { N City of Federal Way Community Development Services Electrical Permit#:02 - 105161 - 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: ARCO Project Address: 27202 PACIFIC S Parcel Number: 332204 9076 Project Description: ELE-Disconnect/re-connect(4)fuel dispensors&(2)turbines(6 circuits) Owner Applicant Contractor ATLANTIC RICHFIELD COMPAN TRI-M ELECTRIC LLC TRI-M ELECTRIC LLC 7515201ST ST SW 7515201ST ST SW LYNNWOOD WA LYNNWOOD WA (425)773-4677 Electrical Fixtures rif, ;Pt- ..' -40)2:7°. , " • -.+-E'_' -``1 :irl4�a y. a: ' .;:=v DescrOtiP.6 - =-'';':401110 Circuits- Commercial 6 PERMIT EXPIRES May 18,2003,IF NO WORK IS STARTED. Permit issued on November 19,2002 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 b- in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: A i�j�" .� Date: A /1 O Z G� A RECEIVED - ` p^°r G CONSTRUCTION PERMIT APPLICATION NOV 1 9 2002 APPLICATION NUMBER: O O S j ID 1 - EL APPLICATION NUMBER: - - CFN OF FEDERAL WAY BUILDING DEPT. 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. • • �-7 - - - • ■ PROPERTY INFORMATION •` SITE ADDRESS: Z.o %-.Ls . /M., 411-{- ASSESSOR'S TAX/PARCEL#: 3 3 aQ 0 l - 1 © 7 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' - .■ PROJECT INFORMATION`. • .-.- - TYPE OF PROJECT(This application): ❑ 1:91L-DING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION VWELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DES�UPTION(P ovide detailed description): _:A-„_ '_ ".,..i.l AA i._ `_ ` r • ,tr... PROJECT NAME: ARC.--0 - .■ PEOPLE INFORMATION PROPERTY OWNER: NAME:/R6..0 DAYTIME PHONE: - MAILING ADDRESS(STREET STATE, P): `J NI. CONTRACTOR: ^�= 7 7 -q677 N DAYTIME PHONE: 1 r7t—IM- � z L.L,(- . (1/Z) 7 MAILING ADDRESS(STREET ADDRESS; EVENING PHONE: 15-(5-- ("T �k 0t S8o56 ( YZO-77 - °WO CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: `IV ‘‘ki - - (L/ 778 - /o9 ) CONTRACTOR'S REGISTRATION NUMBER: G EXPIRATION DATE:n �y� (ropy of Card required) Jr,1_,.` & t ? / to / (V / ZC o 41 APPLICANT: NAME: n DAYTIME PHONE: " 44, -Arlo ( ) - MAILIN ADDRESSADDRESS;CITY,STATE,ZIP: EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANTCONTRACTOR ■ DETAILED BUILDING INFORMATION . EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: El LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: El 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: .. ._�,•,_,n,...w....._ .._>w.Y .._ . - �..�� ,.�. ��. k'V t•FIXTURES'K frtis�»r_n.. ,_�T»::,.t� �,;.,..r ;..}.�Yl���.w.tf:.. 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 ❑ 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 a 'ses out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied = the d as - . of this application. / / di /Z (iq .r NAME/TITLE: i!n 1' RM1 — DATE: 1( (a ❑ PROPERTY OWNER 0 APPLICANT LWCONTRACTOR FOR OFFICE USE ONLY::il £NEIN «'0. O TIO '''cI:4142 _ � �" N ��.� ❑�1LTERATIUN ,REPAIR- '.�❑�TEIVAN.L=IMPRUVENIENT�=��;_ `CENSUS :s=3 ---a- A=tes" _- itor r--'-'f- :-.1g2_-,-,7---, -` _ � ,-,..�s.�s= -=��� _BUxCDINGSHELUONLI(? �1,YES;��C�:NO��',�t� �.. OM_P -AN.DESIG(VATION-` : '€4`� -=g >'� �Q:5 - e; - .•->_,.,,��-r _�••�, ,�.�, � ASXC PiAf!�? �YFS' �0������=3 0:161— =T01MNS1-IIP= _-y,,--RANGE=`= x P,N ADDRESS,REQUIRED? t° ' AY. ?YES ''® f 0 = .�.+"' ..�"o.e`��`-='`• Vis= _-': = .x.. ._,yi'.i:,-:w`- � R s2«� 3;...,. .�. - _�.- t.:ty�«c�':=r.�i`�7'-=,. :tLY1rit OT? _❑1fES t:{sio__= _ .kis-:CHANGEOF;USE?=. .�YES t4raii;,x .r:_ V- 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 A "' •� 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 13.50 for each additional S10000or 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 additional 31.000.00°r 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 111.010 for each additional$1.000.00 or fraction thereof,to and induding$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus 18.00 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$6.010 for each additional 3'1.000.000r fraction thereof,to and induding$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 S1.000.00o4'fraction thereof,to and induding$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus 19.00 for each additional 51,000.00 or fraction thereof. Bold number Is the base fee for the specified Increment jtarvzed undedined number Is the fee Der additional snecifred 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 Fre District X39 surcharge,commercial only. Add$4.50 for WA State Building Code Coundl,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 factures $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) I ■_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-$1 I.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 ft'-$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)(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) 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 $ 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 _ovcr 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-550.00;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'l plan review for other submissions is S75.00/hr. FIXTURE DESCRIPTION(A) - FIXTURE FEE FROMTABLE B(B) .NUMBER OF UNITS(C) O AL D) . . TOTAL COLUMN(D):. 6e TotalalColumn(0) Estimated Permit Fee: (12) e ,et. � 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) i - ■ OTHER FEES Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) - (21) (23) I( lotdd(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) tO 8 r 0 1 1 Bulletin#100-February 19,2002