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03-104446 City Federalof Way Community Development Services Electrical Permit #:03 - 104446 - 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: STAR 101.5 ULTIMATE HAUNTED HOUSE Project Address: 1928 S SEltrittelvrtrt Comm on S Parcel Number: 762240 0010 Project Description: Install low-voltage fire alarm system. Owner Applicant Contractor H M A ENTERPRISES-SEA-TAC FEDERAL FIRE&SECURITY FEDERAL FIRE&SECURITY 249 E OCEAN BLVD#3RD 31217 PACIFIC HWY S 31217 PACIFIC HWY S LONG BEACH CA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 90802-4849 (253)874-8368 Electrical Fixtures Description Quantity Description 'Quantity Description f Quar tityi Low Voltage Fire Alarm-Commercia 4000 PERMIT EXPIRES March 27,2004. Permit issued on September 29,2003 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: Date: I v— z—.03 ,h*1 t\4 4Ntl A Pr6fiv Q 1/1 (94V (.,°1 RECEIVED LL- 41116,. CONSTRUCTION PERMIT APPLICATION CITY OF SEP 2 9 2003 APPLICATION NUMBER: 0 3 - _.1_0 (Y. - �C Federal Way APPLICATION NUMBER: - - _ _ _ - _ - - - CITY 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. c • PROPERTY INFORMATION SITE ADDRESS: /9a l J d'--1d /",1/ X" —/4 ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION Nl ELECTRICAL o ENGINEERING ❑,cFFIRRE PREVENITION SYSTEM PROJECT DESCRIPTION(Provide detailed description): LDA/ !� �i4$ �- +�'t 1 'V), PROJECT NAME: 3 t D ( • S t+EML/t.1 e l/( 1-4-151( • PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: ,� )d 71.1r3ME PH E: ere, Pte.-1'� s Glsri y �i F,�ffJC� MAILING aA�DDRESS( ADDREES-S;CITY,ST TE,ZIP): yyf ) EVENING PHONE CITY OF FEDERAL WAY BUSINESS LICENS NUM FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: /� EXPIRATION DATE: N (copy of card required) F5 0 E •'//�� r�+C L/� i PR /V i /9 PAP, APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT o TENANT o OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT CONTRACTOR • PROJECT INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS LOOR 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 fi re MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS L (S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.( ) COMPRESSORS) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( - ) INTERCEPTORS) 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(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information sup lied to t e ci;�-s a .-rt of this application. 9 NAME/TITLE:... /I i DATE: l' ❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR FOR OFFICE USE ONLY: I o NEW ❑ADDITION 0 ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT CENSUS COPE: LOT SIEE:. ZONINGDESIGNATION'': BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? o YES . ❑ NO SECTION` TOWNSHIP RANGE NEW AD:DRESS'REC�RED? Ll YES ©NO P TTED'LOT? C:YES 0 NO CHANGE OF USE? 0 YES ct NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.cityoffederalway.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)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first;2,000.00 plus$18.00 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus i i or-. r <. • •n. I&I c or fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5);829.00 for the first$50,000.00 plus$9.00 for each additional$ or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus$7.00 for each a,dilional$1,000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,079.00 for the fist$500,000.00 plus • ti •r ch additional$1.000.00 or fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (:' $7,079.00 for the first$1,000,000.00 plus 4.50 for each additional$1,000.00 or fraction thereof. Bold mber is the base fee for the spedfi . Increment PLUS: Add 65 percent of the base building permit fee for pla review fee. Add 25 percent of the base mechanical permit fee for m= hanical plan review --. Add 15 percent of the base building permit fee for Fire Di .ct#39 surchar. ,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 pe unit for dup x&above. **Electrical,piumbi • an- mechanical fees are calculated separately** • LBUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: . Base Fee: b)Additional In ement Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcha r•e: (3) (COMMERCIAL ONLY) ■ MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Num.-r: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fe : (5) • FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM T':LE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) ■ PLUMBING Base Fee Number of Fixtures $26.00+{ X$9.00/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)