03-105494 City of Federal W
Community Development en t Services Electrical Permit #:03 - 105494 - 00 - EL k
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: CONOCOPHILLIPS SITE RETROFIT
Project Address: 2535 S 320TH 3-1— Parcel Number: 599970 0010
Project Description: Remove and replace(8)new fuel dispensers.
Owner Applicant Contractor
TOSCO CORPORATION*TOSCO CORPORA TRI-M ELECTRIC LLC&CONOCOPHILLIPS TRI-M ELECTRIC LLC
72 CUMMINGS POINT RD 7515 201ST ST SW 7515 201ST ST SW
STAMFORD CT LYNNWOOD WA LYNNWOOD WA
06902-7919 (425)773-4677
Electrical Fixtures
j Description Quantity Description Quantity Description Quantity
Circuits- Commercial 8
PERMIT EXPIRES June 16,2004.
Permit issued on December 19,2003
I hereby certify that the above informationis 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: j'r u Date: 49 fig-- 00.3
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CONSTRUCTION PERMIT APPLICATION
CITY OF �..� APPLICATION NUMBER: 6.3- j 0_949 1 -00 %
Federal Way APPLICATION NUMBER: -
!APPLICATION 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.
:- a .PROPERTY INFORMATION
SITE ADDRESS: /G J s _A-Aim T Id -7,cv7)\77/ J/ ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
H
i
. . . : ' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
)(ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM /1 /
PROJECT DESCRIPTION(Provide detailed description): �/�i�/Q!/C- .7t /`63 €4 E' ( t) //.s/0C/v. /�5,
,
PROJECT NAME: (ONOCE /'/ i �rp 6.4 ,5Z 97 O4)
■ PEOPLE INFORMATION
r PROPERTY OWNER: NAME: DAYTIME PHONE
CCNU /°/#4,fS (y2S ) 773 -w-7 7
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
0; 2_53C i) 320711 5r ,4 -6- u44y, WA
CONTRACTOR: NAME: DAYTIME PHONE:
r 7e/-/t1 CLeGTX/ — ' ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP). ,/ /Ai EVENING PHONE: �75/c24 WA BUSINESS 5SE NUMBER:44 L.>'N 'woce � '& j (qzs 7731
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CITY
- - i ( ) -
CONTRACTOR'S REGISTRATION NUMBER: /�� / I EXPIRATION DATE: p
! (copy of card required) 7 I d j C7� 1- 1- 1 / es ; /0 / 0,5- /V y
APPLICANT: ( NAME: DAYTIME PHONE:
` MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
� ( `
RELATIONSHIP TO PROJECT: j FAX NUMBER:
I i
i I ❑ ARCHITECT ❑TENANT 0 OTHER( DESCRIBE): ( )/
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR ( I
1 .. . -■ DETAILED BUILDING INFORMATION
l
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
Construction Permit Fe t Caf;ulation Sheets
*******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 I4.00 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$1.000.0Q 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 113.00 for each additional$1.000.0Qor 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 59.00 for each additional S1.Ol?0.00 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 57.00 for each additional SL0cf0.00 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$6.010 for each additional S1.000.Op or fraction thereof,to and
including$1,000,000.00
(8)$1,000,001.00 and up
1 (8)$7,079.00 for the first$1,000,000.00 plus$9.50 for each additional$1.000 0p or fraction thereof.
Bold number Is the base fee for the spedfled Increment
Jtalldzed,underlined number is the feeveradditional svedMed 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 FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY) _y • 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)