03-101810 t )
City of Federal Way
Community Development Services Electrical Permit #:03 - 101810 - 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: PSYCHIC SPECTRUM GIFTS AND LEARNING CENTER
Project Address: 1620 S 312TH�SuiteC Parcel Numbe 5360 0187
Project Description: Electrical work for(1)sign.
Owner Applicant Con .: or
Leila FULLER ELECTRIC FULLER E I C
1620 S 312TH ST FULLER ELECTRIC I FULL • CTRIC
FEDERAL WAY WA 37107 12TH AVE S 2TH AVE S
98003-4945 FEDERAL WAY W• 8003 )661-7181
Electrical Fi res
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. O .. ..4 x Quant w. SWPit4riiitiOntiMiCkiOtifitY
sign ---- _ 1 Aiiiiii
P, 4 T EXPIRES November ,20 11/
r414
Permit issued on May 7,200
I ' -by certify that • above info •tion is correct and that the construction on e ov!lescribed property and
the o. .ancy an. - use will be in accordance with the laws,rules and regulatio the State of Washington and
the City . ay. /
1
Owner or agent: ‘ / ' I`�,,. Date: S 7--O)
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CONSTRUC I ION PERMIT APPLICATION
RECEIVED APPLICATION NUMBER: Q 3- ‘1C)--( /V -
APPLICATION NUMBER: -
:.. MAY .0 7 2003 APPLICATION NUMBER: - -
**TTerIerr E pEriwiwormation-Please print(in ink)or type**
BLIIeDotPlease note: Electrical,Fire Prevention Systems and Engineering g permits may require a separate application. .
■ PROPERTY INFORMATION
SITE ADDRESS: 16 AD SO 3/.2.1.1c Ste.ft ( ASSESSOR'S TAX/PARCEL #: 7 Fr 3 6 v- 0(17
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Ph Spec-1 .
.. ■ PROJECT INFORMATION - _ .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
At ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
14 o k Lye 5:911 7.
PROJECT NAME: 7/
- - _ ■ PEOPLE INFORMATION .
PROPERTY OWNER: NAME:
DAYTIME PHONE:
Sk: `e7N6 (t$3 ) 8'39 - 2.-W
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/ 624 So 3/Z4'`
CONTRACTOR: NAME: DAYTIME PHONE:
� �� le c�n•c to
c . ( 7,53 ) 66/ -7/1J
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
37/07 /)f" Ave So Fell e,.,( 4JO, GJA'toe ( z-S3)66/ -7/8/
cm OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
FeCie 01 (.0a 3 - / Q 3 3 G 1(- 0 0 () S,3) 6 6/- 6956
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) E _y1 I e. e , 0 2;2 /,� k / l
APPLICANT: NAME: DAYTIME PHONE:
Fwl/Q iec,Irg c-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
C..
•
J Y
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
-. . .. ■=PROJECT FLOOR AREAS : - .
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST •
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
R
TOTAL:
- -U-'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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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)
• f _, _ •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 supplied to thecity as a part of this application.
NAME/TITLE: 6 , /; 11.4-g1/4-- DATE: 9 --? -0 3
❑ PROPERTY OWNER ❑ APPLICANT (2f.CONTRACTOR
FOR OFFICE USE ONLY:
0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
r".
Construction Permit Fee Calculation Sheet
*******PLEASENOTE: 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)51.00 to$500.00 (1)524.25
(2)5501.00 to 52,000.00 (2)$24.25 for the first$500.00 plus fJ.27 for each acf'J:tia+a/5100.0Q or fraction thereof,to and including 52,000.00
(3)52,001.00 to 525,000.00 (3)571.46 for the first$2,000.00 plus 515 00 for each add:Drna/SI 006 Mor fraction thereof,to and indudvhg
$25,000.00
(4)525,001.00 to 550,000.00 (4)$403.61 for the first;25,000.00 plus 510.91 for each ad:itiona/51,000.0Qor fraction thereof,to and including
$50,000.00.
(S)$50,001.00 to 5100,000.00 (5)$664.35 for the first$50,000.00 plus 57.50 for each addponal 51.000.0Q or fraction thereof,to and including
$100,000.00.
(6)5100,001.00 to 5500,000.00 (6)$1,025.55 for the first$100,000.00 plus 5600 Thr each adCtiana/SI OW OQor fraction thereof,to and including
$500,000.00
(7)$500,001.00 to S1,000,000.00 (7)53,337.23 for the fist$500,000.00 plus 55.09 for each additional SI.C10.00or fraction Thereof,to and including
$1,000,000.00.
(9)51,000,001.00 and up p (8)55,788.23 for the first$1,000,000.00 plus 5391 for each addgtrna/?1,00000 or fraction thereof.
-Bold number is the base fee for the specified increment
ffa/icired,underlined number is the fee per additional specified 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 X39 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)
■ PWMBING '
Base Fee Number of Fixtures
$21.00 + ( X$7.00/fixture) = (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
G.F.Tnhal tt,,,f,\/tl.c./71+(111./n1.,.JC14-1A1..f71;JRla.(Ql+ftnl = (1 11
i
• IR ELECTRICAL •
TABLE 6
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP-SERVICES
_SingleFamily _Service orfeeder only 544.25 _#ofThermostats(First-533.50;add'n-SI0.50ca)
(First 1300 ft1-567.00;Each add'n 500 10-521.50) _Service and feeder 572.25 _#of Low voltaec fire or burglar alarms
Square Feet: First 2500 ft2-538.75;Each add'n 2500 ft'-S 10.50
Each outbuildingor garage. 528.00 MOBILE HOME/RV PARK Square Feet:
I (Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i Fe ii)
_Each outbuildingor garage 544.25 (First service/feeder-543.25;Add'n service/ L#of Signs(First si_sn-533.50;add'n sign
(Inspected separately) feeder-528 tach) 516.00 each) - - -
_Progress inspection per 1 hr 533.50
_Swimming pool,hot tub,spa 67.00
_Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
I Service Feeder Amps Service or Add'n _0 to 200 S 72.25
1 _Up to 200 amp S 72.25 S 21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 S 72.25 S 44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_
Over 800amp 225.25 169.00 _401 -600 197.00 78.75 (I-5 circuits-556.25;Add'n circuits.S5 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 254.50 107.25
(When inspected separately from the services.) _801 - 1000 310.75 129.75 Temporary Service
Service or Feeder P- _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp 'S 61.50 Over 600 volts surcharge 56.25 _61 - 100 44.25
_201-600 amp • .: 89.75 _Mast or meter repair 61.50 _ 101 -200 56.25
_over 600 amp 135.25 _201 -400 67.00
_Mast or meter repair 33.50 _401 -600 89,75
-#of circuits _over 600 97.75
(1-4 circuits-544.25;Add'n circuits 55 ea)
If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+556.25.Add'l plan review for other submissions is 567.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN CD):
Total Column(0)
Estimated Permit Fee: (12) -
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + 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-January 3, 2001