01-103170 City of Federal Way
Community Development Services Electrical Permit #:01 - 103170 - 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: CAPITAL ONE,BUILDING B
Project Address: 32125 32ND 4. AVG.5 Parcel Number: 162104 9059
Project Description: ELE-Install low-voltage voice and data system.
Owner Applicant Contractor
CAPITAL ONE SERVICES INC VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN
32275 32ND AVE S VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN
FEDERAL WAY WA 98003 3001 OLD HWY 99 S 3001 OLD HWY 99 S
MOUNT VERNON WA 98273 (425)483-6869
•
Electrical Fixtures
„ Description [Quantity Description [Quantity] [ Description [Quantity
Low Voltage-Other Commercial 52000
PERMIT EXPIRES February 9,2002,IF NO WORK IS STARTED.
Permit issued on August 13,2001
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 Date: %3 - 0
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( • ' CONSTRUCTION PERMIT APPLICATION
•
�� v AUGAG 13 APPLICATION NUMBER: Q J1 - =`?,
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APPLICATION NUMBER: - -
CITBUILDING DEPT. AY 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.
■ PROPERTY INFORMATION
SITE ADDRESS: V ca(S S arl j AlL/e,, s„ ✓/fSSESSOR'S TAX/PARCEL #: J b?1 q - 16
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• , - •.■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ykl-ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1 !A.,5 '- �` 1J 01 CG V&1Cc..- Cc_k. /e
PROJECT NAME: C./41'i t A. .l l / L C t / / t,
■ PEOPLE INFORMATION
PROPERTY OWNER: :`�-,�(/��J `/l 1 /1 DAYTIME PHONE:411E
NG ADDRESS(( LET ADDRESS,CITY,STATE,ZIP):
3 .?,t 5 3.z Al.te 3
CONTRACTOR: N1AMMEE: ^ (Ip Co DAYTIME PHONE:y
MAILING tee;
( TREET ADDRESS;CITY,STATE, 1 -‘i69”�6
P NE
CITY OF FEDERAL.WAY BUSINESS LICENSE NU BER: FAX NUMBER:` 4
CONTRACTOR'S REGISTRATION NUMBER: 1 T ^ Q EXPIRATION DAT : r��7 , �
(copy of card required) Si AL 1 C c I 1 L /V /v /I 101 l .11'.r 7`).
APPLICANT' NAME: ,Q /p L / / /(,�/� ��Q {DAAY(YTIIMEEE PHONE: �
• MAILING ADDRESS/ nj) DRESS;CLYe z1/ l):`, 8o10 !1 ect `La 5 EVENING P)Olp i6?
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RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT .OTHER(DESCRIBE): (4/25 )9/7 611-fi
E-MAIL ADORES
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ _DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ 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:
U `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)
.• -111 .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 claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where ch clai ses out of the reliance of the city,including its officers and employees, upon the accuracy
of the information e s a part of this application.
NAME/TITLE: DATE:
3 -01
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? 0 YES 0 NO
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)$24.25
(2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100.00 or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2000.00 plus$15.00 for each additional$1,000.00 or fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1,000.00 or fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 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)$3,337.23 for the fist$500,000.00 plus$5.09 for each additional$1,000.00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicizeunderlined number is the fee per additional specified increment
PLUS: Add 65 percent of the base building permit d,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)
■•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
$21.00+{ X$7.00/fixture) = (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
. , . ... ,.. ,.... ,...
IN ELECTRICAL • - •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _N of Thermostats(First-$33.50;add'n-$I0.50ca)
(First 1300(t2-567.00;Each add'n 500 ft?-$21.50) _Service and feeder $72.25 N of Low voltage fire or burglar alarms
Square FccC
First 2500 112-538.75;Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet.
(Inspected with service) _N of service or feeders ' Per WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _N of Signs(First sign-$33.50;add'n sign
(Inspected separately) fccdcr-$28 each) $16.00 each)
_Progress inspection per' hr $33.50 1
_Swimming pool_hot tub.spa 67.00
Yard Pole meter loops 44.25
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp.. 89.75 44.25 _0 to 100 $72.25 $44.25 _601- 1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75 1
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _N of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (I-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801- 1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61- 100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201 -400 67.00
_Mast or meter repair 33.50 _401 -600 89.75
N of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ca)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
5.� /I PO 5 >-'w a 71ae
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + 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-January 3, 2001