03-102869 City of Federal Way
Community Development Services Electrical Permit #:03 - 102869 - 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: VERIZON WIRELESS
Project Address: Ps,I I C 5 w' 3?,2 5' Parcel Number: 122103 9030
Project Description:,: t`' lgtia.up electrical service for cell tower facility
Owner ApplicantCL" Contractor
HAPPY VALLEY LAND COMPANY WIRELESS FACILITIES INC E H S LLC(ELECTRICAL CONTRACTORS)
575 ANDOVER PARK W 9510 STONE AVE N
TUKWILA WA 98188 SEATTLE WA 98103
(206)527-4422
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 101-200 amps-Comr 1
PERMIT EXPIRES February 29,2004.
Permit issued on September 2,2003
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: 9- 2 -03
a
RECEIVED
CONSTRUCTION PERMIT APPLICATION
CITY OF
1 APPLICATION NUMBER: - I Dc q-cro
FederalWay'UL 4 2003 APPLICATION NUMBER: -CITY OF FEDERAL 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
SITE ADDRESS: 2105 SI 320th St., Raderal Way ASSESSOR'S TAX/PARCEL#:1 2 2 1 0 3 - 9 0 3 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): See Atter
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
r►ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECTached
� DESCRIPTION�1 � (Provide detailed description): ' At / // /,
7 '! 2 4Q C (��'�^d7 �G-MC! er 'i ff441,1i4totii./[..�i aL;i�r✓c. 4i;!J
PROJECT NAME: SFA 5'620114
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Happy Valley Lars 3 013., LLC c/o Bennis Perkins (i125 ) 455 -5K32
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1570 Skyline fir, 10900 NE 4th St., Bellevue, W .. 98004
CONTRACTOR: NAME: DAYTIME PHONE:
IYiU ( ) -
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: NAME: DAYTIME PHONE:
Wireless Facilities, Inc. for Veriacn Wireless Ctntact: Jchn Wer ( 206 ) 574 -61)2
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
575 An5over Park Wast, Shite 201, 'itilaaila, VA 9918E3 (253 ) 778 - 2Q07
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT ❑TENANT Xi OTHER(DESCRIBE): 0-rmi tart (206 ) 574 - 6333
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER )]APPLICANT o CONTRACTOR i.ecia.€awfirlet.ocm
■ PROJECT INFORMATION
EXISTING USE: Raw Lam] EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ N/A
PROPOSED USE: WJ-relms Oarrrmcaticn FacilitWROPOSED VALUATION FOR IMPROVEMENTS: $ 627;0670
SPRINKLERED BUILDING? ❑YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES )(NO
WATER SERVICE PROVIDER: NA a LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: �V�A'o LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
F-14
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
1 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 EVAPORATIVE GAS LOG(S) REFRIG.SYSTEM(S)
UNIT(S) COOLER(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 ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER VACUUM BREAKER(S) ❑ELECTRIC ❑GAS
SYS.
DRINKINGSHOWERS) OUTLET
WASH MACHINE
FOUNTAIN(S)
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 arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the dty as aapp�art of this application.�� Jf
NAME/TITLE: L�21 - J- (4ki rrrt l!lire4S5 DATE: �/�/0 3
o PROPERTY OWN 'APPLICANT ❑CONTRACTOR
FOR OFFICE USE ONLY:
o NEW .❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? o YES ❑ NO CHANGE OF USE? o YES ❑ NO
1
I
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$1,000.0Q 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$13.00 for each additional$1,000.00 or fraction thereof,to and
including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$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$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$6.00 for each additional 31,000.00 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$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Jtalicized,underlined number is the fee Der additional snedled 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:
(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
$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 (Paye one): Une(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 _4 of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ftZ-$27.50) _Service and feeder $93.00 4 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/ _4 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 $ ' I I $ 57.00 _601 -1000 326.50
_401 -600 amp 158.50 78.50 X 101-200 115.50 72.50 _over 1000 363.00
_601 -800 amp 202.50 108.50 _201-400 .. 0 85.50 _#of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 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
_4 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=1 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)