03-103123 r1N.
City of Federal Way
Community Development Services Electrical Permit #:03 - 103123 - 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: CITY OF FEDERAL WAY
Project Address: Cil-) Wick- Parcel Number: CITY WIDE
Project Description: ELE-Install new service for illumination on the SW and SE corner of HWY 99 at S.324th St
Owner Applicant Contractor
CITY OF FEDERAL WAY-PW*GARY KENN POTELCO INC POTELCO INC
33530 1ST WAY S POTELCO INC POTELCO INC
FEDERAL WAY WA 98003 14105 8TH ST E 14105 8TH ST E
SUMNER WA 98390 (253)863-0484
Electrical Fixtures
,q " Ot*7 ... Is ? ;hu t • ,s f sly
� � wag
Service/Feeder:101-200 amps-Co 2
PERMIT EXPIRES January 26,2004.
Permit issued on July 30,2003
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` & Date: 7 j 0 D
�- \\—p 3
CONSTRUCT ION PERMIT APPLICATION
CITY OF �...� RECEIVED APPLICATION NUMBER: 03 - /a.21 Z3- do 7
Federal Way APPLICATION NUMBER: -
JUL 3 O 2003 APPLICATION NUMBER: - -
**The follow -,j FittdcT Yn-Please print(in ink)or type**
I�P1'R' OP DEPT.
Please note: Electrical,Fire PrevenHbri stems and Engineering permits may require a separate application.
a PROPERTY INFORMATION
SITE ADDRESS:5 ,0 4 5', 5Z-4° SV ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL a DEMOLITION
X ELECTRICAL 0 ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):-N-S AnIX-Sr-71.1/ bp —TC,::,O j Ni -1
Qlk, a ' - I o SC-• 4 / c'. b e 1 G ' IC (-to °J e-
0
0 'f c 6 i . 1 a - 60 C. e-' - Lam_ L . tiK ONLY
. PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: 1 DAYTIME PHONE:
-FG1e_l_tj(. W 71461.4 L.C, ot.{.G S { )
MAILING ADDR S(STREET ADDRESS;art,STATE,ZIP):
� 1
CONTRACTOR: NAME: DAYTIME PHONE:
1701---dc c.0 (zs 3)% ) -b(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): C EVENING PHONE:
it-11°C
1(�(�11 fi�nn,,!! C}/�JN � (`
CITY 0 FEDERAL AY BUSINESS U� NUMBER: I FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME. i DAYTIME PHONE:
ortLGU — `frai ✓ 69,a0 (Z53 )6G a -bqf34
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
lq/ar 6t, sl-, ! (
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT a TENANT ❑ OTHER(DESCRIBE): ( ) -
I �
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT CK CONTRACTOR
:' ■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ JO,*
■ 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: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC a 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 claim 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:'ft-JO/ 1 ) j Vy,j DATE: 7-,56-6...5
❑ PROPERTY OWNER o APPLICANT A CONTRACTOR
FOR.OFFICE.USE ONLY:;-.
NEW - .¥ . ;'ADDITION q,ALTERATION.. REPAIR. - n TENANTIMPROVEMENT „ , _„
'-CENSUS.`CODE a - 4 ? � :..:,:. •. 'LOT.SIZE� .... , `,a,
`ZONING DESIGNATIONy , " 4VV BUILDING SHELL ONLY? ij YES °.n NO
COMP PLAN DESIGNATION - a �'�,t-., g ABASIC PLAN? ci YES;' ❑`NO,,�� �'
a
SECTION . -
- ':TOWNSHIP ICIRANGE _„ ri_ .NEW ADDRESS REQUhRED? �� 'a YES rF�'NO
PLATTED LOT?> -❑YES ff o NO ' ~ a .CHANGE,OF USE? L i YES NO
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 Fie Calculation Sheet
*** 'I*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$1,00for 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$1.00000 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 S1.000 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$7M for each additional$L000.O0 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.0,00000°r 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 050 for each additional 11,00.O0or fraction thereof.
Bold number is the base fee for the specified Increment
Xtaffdzed,underlined number Is the fee ver additional svedffed 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 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)
• ELECr• CALIII
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-5 13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) _Service and feeder 593.00 #of Low voltage fire or burglar alarms
Square Feet. _ First 2500(1'-$50.00:Each add'n 2500 ft'-513 00
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _it of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
II _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 3 93.:10
Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
_201 -400 amp ..-........ 115.50 57.00 Oto 100 $ 93.00 $ 57.00 _601 -1000 326.50
_401-600 amp 158.50 78.50 " 101 -200 100-#1"' 115.50 72.50 _over 1000 363.00 II
_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 (I-5 circuits-$72.50:Add'n circuits,$6 ca)
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/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)
!
i TOTAL COLUMN(D):
Total Coiumn(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)
a 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