03-102736 City or Federal Way
Community Development Services Electrical Permit#:03 - 102736 - 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: SIMPLEX GRINNELL
Project Address: 32001 32ND1S u te301 Parcel Number: 162104 9001
Project Description: Intsall low-voltage 5 room sensor
Owner Applicant Contractor
FOSS REDEVELOPMENT MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC
PO BOX 94449 MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC
SEATTLE WA 98124 PO BOX 47983 PO BOX 47983
SEATTLE WA 98146 (206)768-4258
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 5
PERMIT EXPIRES December 29,2003.
Permit issued on July 2,2003
I hereby certify that the above '. • ation is correct and that the construction on the above described property and
the occupancy and the - w' be i accordance with the laws,rules and regulations of the State of Washington and
the City of Federal . .
Owner or agen• Date: 7 2-63
RECEIVED
CONSTRUCTION PERMIT APPLICATION
FCITY OF JUL� 0 2 2003 APPLICATION NUMBER: - L(22 J2-(7()
ederal Way 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: 3aOO I *. '41"aAVL ASSESSOR'S TAX/PARCEL#: 11 Log - qa n
LEGAL DESCRIPTION OF SUBJECT PROPERTY ATTACH SEPARATE DESCRIPTION IF LENGTHY): l-DT A E CA..rn S
FOvs EAT CSI/)Vs qprporea Ft.rfe-,�t!LO
I as , taeal- al
;�11 �• AS.it;-Dt V
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING o MECHANICAL o DEMOLITION
lsicLILECTFLICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM I l
PROJECT DESCRIPTION(Provide detailed description): -1 110-LA) am 4 ( ri- Lo e4t t o tO UO`TLL
A_Mrn S--inOrrs •
PROJECT NAME: %aYr l;e. t►h;, IN PI -T.T.
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DA PHONE:
{=mss -D PM6T (' ) 2-14/00
MAILING ATiS I ET3,ZIP 4 elI +
CONTRACTOR: NAME: r�iSC,( DAYTIME PHONE:
M ACDON A-1 b - M it(.4 ShcirhOnS ( tab)`1103 - CLOO
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Ti 1 1 -€"?(t.O IT Art 1 a 81(4 ( ) -
CM'OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2- 0 — 63 t Q Q 3 - 1 a (aDC )7 7 - X0-173
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) MA c D 0 F S ci a p 'R IA / 3 1 / /D0 9-
APPLICANT: V NAME: —� ������ DAYTIME PHONE:(2a0 )-214 4004
MAILING ADDRESS(STREET ADDRESS;CTIY,STATE,ZIP): EVENING PHONE:
7111 bETh-ot T A-UE Su), seit �I 15 1 b( ( 2 ) -
RELATIONSHIP TO PROJECT: _ FAX NUMBER:
/n�
0 ARCHITECT ❑TENANT )"i OTHER(DESCRIBE): W r111 P 1 uR (2.42)-74$ -4/0
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR pull.tamaron)M4CMl114-C Y)
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.: • ■ PROTECT FLOOR AREAS • .
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES:>>
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 • ner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the Ci of Federal Way as to any claim(including costs,expenses,and attorneys'fees Incurred in the
investigation and defense of:such im),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only wh su aim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the information suppi:,=. to . - city as a part of this application.
Aid
NAME/TITLE: DATE:
❑ PROPERTY OWNER • APPLICANT ❑CONTRACTOR
..FOR OFFICE USE ONLY:
❑,::NEW .. ❑ADDITION F - ❑ALTERATION 4ih`c REPAIR ,.. '. ❑TENANT.IMPROVEMENT s `„
=LOT
ZONING,DESIGNATION: r__ 5#;'x `y BUILDING SHELL'ONLY?. -o YES' .a i NO ..
COMP PLANDESIGNATION BASIC PLAN? - O YES 4:;'"itfe NO;, _
.SECTION :-, .TOWNSHIP.1 RANGE
:��'� NEW ADDRESS REQUIRED? '�.��❑YES •.�o'NO
PLATTED;LOT? '�❑YES ,o NO - .r, "•- ,'C'HANGE OF USE?` ..--.o YES' =fl NO
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
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 11.0O0.00or 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$13.00 for each additional$1.000.00or 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$1,000.00 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 additional 51000.00 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$6.00 for each additional$1,000.00 or fraction thereof,to and
including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1.00000 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized.underlined number is the fee Der additional soedfied 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: 5,D OD
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FIN 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
$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)
`
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 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 $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
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 $ 93.00
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201-600 216.50
_201-400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601-1000 326.50
_401-600 amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00
_601-800 amp 202.50 108.50 _ (1
201-400 216.50 85.50 _#of circuits
- Over 800 amp 289.50 216.50 _401-600 252.50 101.00 -5 circuits-$72.50;Add=n circuits,$6 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50
_over 600 amp 174.00 _201-400 85.50
_Mast or meter repair 43.00 _401-600 115.50
_#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 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+$72.50.Add=l plan review for other submissions is$85.50/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 line 12
Estimated Plan Review Fee: $72.50+( X.35)= (13)
■ DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
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-December 23,2002