03-102619 City of Federal Way
Community Development Services Electrical Permit #:03 - 102619 - 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: TRADER JOE'S
Project Address: 32073 PACIFIC S Parcel Number: 150050 0110
Project Description: Adding and altering 16 circuits for work in new refrigeration,front desk&cash stand areas.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC R J CLARK LLC*JAMES K CLARK* R J CLARK LLC*JAMES K CLARK*
HARSCH INVESTMENT PROPERTIES LLC 15601 18TH AVE S 15601 18TH AVE S
509 OLIVE WAY SUITE 1062 LYNNWOOD WA 98037 LYNNWOOD WA 98037
SEATTLE WA 98101 (206)510-8984
Electrical Fixtures
iI , ttor r . ptlett__ t uantPSAIL 6100011t::0
Gantit
Circuits- Commercial 16
PERMIT EXPIRES December 22,2003.
Permit issued on June 25,2003
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: I �6e1/ Date: 6
49
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CITY OF ��—. RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: (2 5L(a-(p L1 - m
El-
1 Federal Way APPLICATION NUMBER: - -
JUN 2 5 2003 r (APPLICATION NUMBER: - -
CrriTIEOf WOired information—Please print(in ink)or type**
BULLDIN�T.
` Please note: Electrical, Ire Prevention Systems and Engineering permits may require a separate application.
_ = ■ PROPERTY INFORMATION
SITE ADDRESS: 3 ZCG 7? P AC. &H!5'- 4-y SG" ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION " :.
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
, ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM n
PROJECT DESCRIPTION(Provide detailed description): X1/141 ,(/ //z.1,5 ,'kit-It/6-1 � F/zG h I�i`S�,
1167 C c4-Sh( sr-6140 c
PROJECT NAME: Ira d er '...1 . . , '
■ PEOPLE INFORMATION- -
PROPERTY OWNER: NAME:
1 r-��h it -306.,:c DAYTIME PHONE
! MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): )
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE./ZIP): /' i. (EVENING PHONE'
CITY OF FEDERALS(SAY BUSINESS LICENSE NUMBER:~ v FAXNUMBER:
_ - ( )
CONTRACTOR'S REGISTRATION NUMBER:
J C L l- L * el I j Pi EXPIRATION DATE:
(roPY Of card required) / /
APPLICANT: NAME: DAYTIME PHONE'
JAP"''dS CL,9-2L (206 ) S`/®- Ff98-zf
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ,I X i EVENING PHONE'
tr-//0 GitsCf-p/*- i X41`( Ly/9A4,049 ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT 0 TENANT ❑ OTHER( DESCRIBE): i ( ) -
I
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
-■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ •
ISPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES o NO
I
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS / j
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK 1
GARAGE
HOW MANY FLOORS? 0
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: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this application.
NAME/TITLE: .Ar's1,(A- I' DATE:
a PROPERTY OWNER a AP CANT CONTRACTOR
.:FOR.OFFICE.USE ONLYf
�1]JVEW
ADDITION ;:..O.ALTERATION. ti REPAIR °: X17=TENANT IMPROV.EMENTr ,F
CENSUSCODE .;� - Ant
ONINGDESIGNATION BUILDING SHEt I ONLY? OYES ❑ NO _2 ,
COMP PLAN DESIGNATION ' i .44. 3 ABASIC P1AN? OYES T]NO . .
• SE.CTION A TOWNSHIP. ' RANGE: rrf, MEW ADDRESS REQUIRED? � fi❑YES..4" 0 NO
;PLATTED LOT? -o YES ❑NO .,t#-
�
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederaiway.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.
e
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 14.00 for each additional$100.00 or fraction thereof,to and induding
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus 118.00 for each additional$1.000.00 or fraction thereof,to and
induding$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$1.000.012 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$9.017 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 5700 for ach additional tr 000 m or fraction thereof,to and
induding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus OW for each additional.f1.000.00 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$1.50 for each additional$L000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Italldzed,underlined number Is the lee veredifonalsvec flied 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 Coundl,plus$2.00 per unit for duplex&above.
'rs 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 ermit Fee
R FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
EstimatedFACTOP : (4)
Estimated Plan Review Fee: (5)
IN 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 Fbrtu s
$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)
• 1. ELECTRICAL Y ,
TABLE B f
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feedc'ro Sly^ $57.00 _#of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft1-585.50;Each add'n 500 ft'-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
Square Feet: _ First 2500 fl'-$50.00:Each add'n 2500 ft'-$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 servicc/feeder-557.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
_Swimming pool,hot tub,spa $85.50
Yard Pole meter loops 557 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 5 93.00
_Up to 200 amp 5 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amn 115.50 57.00 _0 to 100 $ 93.00 5 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 202.50 108.50 201-400 216.50 85.5011 _#of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,S6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 7'2.. c-o 4- 6 O 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 I I
_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
a 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+572.50.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)
IEt
1 IIt
1
I_ TOTAL COLUMN(D): i 3 Z, 1'()
Total Column(0)
Estimated Permit Fee: (12) i
• 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 Surtharge: (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