03-102791 City of Federal Way Electrical Permit#:03 - 102791 - 00 - EL
Community Development Services
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: MONEYTREE
Project Address: 31625 PACIFIC S SuiteA Parcel Number: 082104 9237
Project Description: Install low voltage for voice and data cabling througout tenant space.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC O'BRIEN COMMUNICATION O'BRIEN COMMUNICATION
HARSCH INVESTMENT PROPERTIES LLC 7514 SIMOND RD NE 7514 SIMOND RD NE
509 OLIVE WAY SUITE 1062 KENMORE WA 98028 KENMORE WA 98028
SEATTLE WA 98101 (425)487-3462
Electrical Fixtures
r
Low Voltage-Other Commercial 3510
PERMIT EXPIRES January 4,2004.
Permit issued on July 8,2003
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 agen C7 .-2,27< b--- .76Date: 3
?- i,-e• 3 cce,?rk, -s/-
• � CONSTRUCTION PERMIT APPLICATION
CITY OF RECEIVED APPLICATION NUMBER: 4,7,3- toZ7' ± - dQ EZ
Federal Way APPLICATION NUMBER: - -
JUL 0 8 2003 APPLICATION NUMBER: - -
*`Th f ntquIPIAIXnformation-Please print(in ink)or type**
CIf1,p,�lr��^I�DEPT.
Please note: Electrical, FiG�h�ev�Yifion Systems and Engineering permits may require a separate application.
■:PROPERTY INFORMATION ,
SITE ADDRESS: 31(.75- / 4c.. c., /710)y s. L.4 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATT!ACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION _
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
@'ELECTRICAL D ENGINEERING o FIRE PREVENTION SYSTEM
•I
PROJECT DESCRIPTION(Provide detailed description):
4 C n t /) /
PROJECT NAME: MOis+t7 / vGC....
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
assc4 �.�sVes��,. ee..../ Ii✓rkv/E`a.� j ( ) -
IUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): / l
ra, Q/, (,J.. 1 s:- ; /0(c Se 7V/c_ biA. 9 /E)/
CONTRACTOR: NAME: / ' i DAYTIME PHONE:
' 0/UIr"/C,v CO I.,_ -,. , 1 (`1z - ) 4:0'i - 3'- L
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): v/q 556,2.5i. EVENING PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - FAX NUMBER:
( ) _
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
cdPYdicard ) o 8 LZ1 E ML ; 7 / /3 / oV{
APPLICANT: NAME:(54. N DAYTIME PHONE:
-e v.,1 C) 6 I.A-. { ( ) -
MAIUNG ADDRESS(STREET ADDRES ;CITY,STATE,ZIP): EVENING PHONE:
t�� SMn S 0---(A ( )
FAX NUMBER:
RELATIONSHIP TO PROJECT: I
o ARCHITECT ❑TENANT o OTHER( DESCRIBE): ( )
E-MAIL ADDRESS -
:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR
-■ DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
r -
•
**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?
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: 0 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 city,induding its officers and employees,upon the accuracy
of the information sup ' to e city as rt of this application.
NAME/TITLE: DATE:
(7 Bl
o PROPERTY OWNER ❑APPLICANT CONTRACTOR
-FOR OFFICE USE ONLY
17 NEWVtaci ADDITION., ,, :q ALTERATION- -c ❑.REPAIR , , , D;TENANT IMPROVEMENTS
'ZONING:DESIGNATION= `;. ?, I A _i--.. _ 'BUILDING SHELL"'ONLY?: D YES z =❑ NO
COMP PLAN DESIGNATION t; ., .BASIC PLAN?. ❑YES :; ^❑"NO' . . ,-.,
:SECTION;�s, TOWNSHIP -=y RANGE ? .NEW ADDRESS REQUIRED? : ❑YES •A o NO
'PLATTELOT? ❑YESfNO .-;V ! ,; aCANGE OFUSE? -.� ❑YES- ',
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.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 14.00 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first;2,000.00 plus 118.00 for each additional$L000.00or 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$13.00 for each additional$L00(Z00 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 19.00 for each additional$1.000.0Q or fraction thereof,to and
Induding$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$Z00 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$1.000.00or 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 14.50 fa each additional$1.000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
falldzed,under/Mneinumber Is the fee ver additional'svecffied 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,commerdal 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 (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-$13.00ca)
(First 1300 ft1-585.50.Each add'n 500 ft'-$27.50) _Service and feeder 593.00 .41.'#_ of Low voltage fire or burglar alarms
Square Feet. First 2500 ft1-$50.00:Each add'n 2500 ft'-$13 i)0
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: 3510 - 1104c-or
(Inspected with service) _#of service or feeders ' Per WAC 296-46-910(5)(b)(i R.ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;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 z 93.;70
_Up to 200 amp $ 93.00 5 27.50 Feeder _201 -600 216.50
[ _201 -400 amn 115.50 57.00 0 to 100 1 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 85.50 _#of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,$6 eat
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/Commerciai/lndustrial
_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
a of circuits _over 600 125.00
(3-4 circuits-55 7.00;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
nermit fee+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) - NUMBER OF UNITS(C) TOTAL(D)
:
f i
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)
- IS 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)
TO al (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
100-December 23, 2002