03-103227 City of FederalWay
Community
Development Services Electrical Permit #:03 - 103227 - 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: SR99&S 288TH ST INTERSECTION REMODEL
Project Address: 28801 18TH 1 Ave 5 Parcel Number: 042104 9261
Project Description: New service for traffic signal on the SE corner of 18th Avenue South and South 288th St.
Owner Applicant Contractor
Linda A Landon POTELCO INC POTELCO INC
POTELCO INC POTELCO INC
14105 8TH ST E 14105 8TH ST E
SUMNER WA 98390 (253)863-0484
Electrical Fixtures
:-: iii .:, 1, - m3 s !IrniM' 49
Alt.ServjFeeder up to 200 amps-Co 1n 1
PERMIT EXPIRES February 2,2004.
Permit issued on August 6,2003
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. r�
Owner or agent: ,/�' Date: T -6 3
• �, CONSTRUCTION PERMIT APPLICATION
CITY OF•
,........4"\‘
APPLICATION NUMBER:()3- tO� -.2 -C.X)
Federal Way APPLICATION NUMBER: -
kPPLICATION 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:) & Ave._ r e r,-)._c,Z p f . ASSESSOR'S TAX/PARCEL #:e/q 2.L (J q - g' Z,1
LEGAL DESCRIPTION F ) c".
O O SUBJECT PROPERY( TTAC 'SEPARATE DESCRIPTION IF LENGTHY):
- - I PROTECT INFORMATION - -
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING 0 MECHANICAL a DEMOLITION
ELECTRICAL ❑fE�NGINEERING ❑ FFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):/., ��15. T' AI Q-!.S ccI3a N e. 1.) SC/Lk)1 Lg-
1 N 6 �Q W GD n-Nc e. fl P i 1j% &O S', S , gS, 7.66 Z''. T b T . (5 1R-OJ Er-cr.
l S. •Q•c4a 4 S, ZE56 c r 1N G--empty Dv, PI2-0V*m e.J7-
PROJECT NAME:
. I PEOPLE INFORMATION::.
PROPERTY OWNER: NAME: i DAYTIME PHONE
)
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I
I
I
CONTRACTOR: NAME: / PHONE:
G DAYTIME 076,C,c )U..�.. ) gc›,.3- 0)-i )1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE
1 }-1t05 $c&-r.E. S ,,, - gZ50 ( ) -
OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I
— ( ) -
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / /
.APPLICANT: DAYTIME PHONE:
I"
2S-3)7S4,1 -T:J 4/ %I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT ❑TENANT 0 OTHER( DESCRIBE): i ( )
I
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
I
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE o TACOMA 0 PRIVATE(WELL)
,
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. ■ PROSECT 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: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 supplied to the as a part of this application.
NAME/TITLE:� DATE:7 G" D3
a PROPERTY OWNER ❑APPLICANT a CONTRACTOR
'FOR,OFFICE.USE ONLY y I
..... := .z�SF Wti. a+.v9'•,... ;ya ,gyp J...2R3i �� �::.: .7ri .I �u....
`OENEW r �Q ADDITION. .ii ALTERATION TENANT IMPROVEMENT ,.
°CENSUS7CODE• 4 . - LOT;SIZE
ZONING_DESIGNATION M .. i :, ,W -.,. ; .� - ,
BUILDING SHELL ONLY7,��❑YES s.,❑•NO ' , .W
COMP PLAN DESIGNATION - -. =BASIC PLAN? ❑YES ` ',❑:NO r'
SECTION �. TOWNSHIP_ RANGE ?_. _NEWADORESS REQUIRED?. .va YES 7.;;',!.::,W
• 'PLATTED LOT? A"o YES .y a NO .'CHANGE OF USE?t x-, n YES' b NO .i;:'7.
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvofederaiway.com
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BITS'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$2,000.00 plus;18.00 for each additional$L000,00 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 S1.000.00 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$1.6V0,01?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$1,0 00 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$6.00 for each additional$1,000.00 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 l4.50 for each additional$1,00000 or fraction thereof.
Bold number Is the base fee for the specified Increment
Jralidzed,underlined number Is the fee per sddltlonafsnedlied 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.
**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
` •ABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-$l3.O0ea)
(First 1300 ft'-$85.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 ft of Low voltage fire or burglar alarms
Square Feet: _ First 2500 fl'-$50.00:Each add'n 2500 ft'-$I3 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage 557.00 (First service/feeder-$57.00;Add'n service/ _ft of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
-
II Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57-0(
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or morel Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 911.00
_Up to 200 amp 5 93.00 5 27.50 Feeder 201 -600 216.50
201 -400 amn ...... 115.50 57.00 Ow 100 5 93.00 5 57.00 601 -1000 126.50
=401 -600 amp 158.50 78.50 - 1 -200 115.50 72.50 =over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 ft of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately front the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/industrial
=
600 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
201 - 0 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
(i-4 circuits-$5 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
Permit fee+572.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) I FIXTURE FEE FROM TABLE B(B) • NUMBER OF UNITS(C) TOTAL(D)
I
i
•
I I 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)
-- ■ 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-December 23, 2002