01-103592 City of Federal Way --E1Lctrical Permit #:01 - 103592 - 00 - EL
Cormm�nity 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: PALISADES RETREAT CTR("A"BLDG)
Project Address: 4700 SW DASH POINT Rd, Parcel Number: 112103 9077
Project Description: ELE-Electrical for renovation of existing retreat center
Owner Applicant Contractor
CORPORATION OF THE CATHOLIC COMMERCIAL ELECTRIC CO.INC. COMMERCIAL ELECTRIC CO.INC.
ARCHBISHOP OF SEATTLE 4033 S UNION AVE 4033 S UNION AVE
910 MARION ST TACOMA WA 98409 TACOMA WA 98409
SEATTLE WA 98134 (253)473-5818
Electrical Fixtures
Descri tion ' Qianti Descrl tion�: °. T Quanti Descri tion , ,W _-
� .� � -tY p tY �' Quantity
Service/Feeder: 0-100 amps-Comm. 1 Service/Feeder:101-200 amps-Comr 6 Service/Feeder:over1000 amps-Corn 1
Service/Feeder:401-600 amps-Comr 1
PERMIT EXPIRES June 1,2002,IF NO WORK IS STARTED.
• Permit issued on December 3,2001
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: /Z/3/o/
/2—/Z— °( G'v��'•c iat�t s ���
yr KQs��..�,v> is.c 4 70,3 \o-c-L 0(Z caw-tric
r1 S
1 Co Q r2i +14-t 0 V c C-74-6 �/N`tvK
2 Co �,Ny �v��-: ;���y ((� ��/ l F )N( '' y �s�°� -gyp
z-- (3-0 AA.tZ S Z�v.c .lOrlZ �v� k
[5 — 2- ---;) , r7L‘ co u, F te
( � ^d 2. .3),IT( 6 s•egg;ea/ 7e, le f C4.61e v/ "/r- 2, -
,4"W sE2vJC itfiOCfl�
`7- 1 --OZ sb ("A) c ofn, L ,-P pA,D
G-o z •r > 0 — walls {g Ge:11ti`'Il -� c Cort. ,%T
Mir
°� G CONSTRUCTION PERMIT APPLICATION
VV FD'. APPLICATION NUMBER: 0 (_ - I easo . - El-
APPLICATION NUMBER: _ _ - -. -
sEp ?p APPLICATION NUMBER: _
**The following is required information-Please print(in ink)or type**
1\1\1%„.......,,
i� v; _�
WAY
Please note: Electrical,Fli're�tpgl i6r Tems and Engineering permits may require a separate application.
} /x.1 Q. /� ■ PROPERTY INFORMATION
SITE ADDRESS: I-POD 5' $ CZ*(Yr- R-1> ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MOCHANICAL El DEMOLITION
,IgrELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 7rvov Ar;I. i OF 1 -r- -
PROJECT NAME: .W 1 'Eg 'S12.Ex ;�YL/
PAL 31..aCv- A- _
■"PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
C )(2 P OP' 'moi= G', --mv L.tc /4(1.44.13i. rite dp '5` �l,E ( ) -
f MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
/1,C;iiYtr4E �L.M.onr2_ c_ Ga. 1N� - (253) 4/7 3 -581 8 _
MAILING ADDRESS(STREE�LET ADDRESS;CITY,STATE,ZIP): EEVENING PHONE:
CITY OF PO 3..,R WAY 3573, NSE NUMBER: �A 98 1/416 1 FAX NUMBER:N/�
ZOO/) 45 - 1QLD - 0o (Z3 ) 4-05--6:62-s
CONTRACTOR'S REGISTRATION BER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: r ilvt. DAYTIME PHONE:
6v,..„_
E ., . C EM‹. 6, /tivd-z' - (ZSJ, ) Y73 -S-r'8
l MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �+.2,4-4-.)1
EVENIIFNG PHONE:
RE-SHIP TgPROIECT:9 36
. i W:Yy V /� 1 ( ) /-[/4--
ELIS411144/a4... FAX NUMBER:
❑ ARCHITECT ❑ TENANT /15
OTHER(DESCRIBE): ' 4-ti'cp-coc _ (ZS-3 )c j7s- - `0Z,6—
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT I�CONTRACTOR S( reu Q. 2S AR- -
• 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: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Itr
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• ■ PRO3ECT 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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 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 dty as a part of this application.
NAME/TITLE: �tc..wt)•�� DATE: 9/1 3/Zvo f
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
1FOR.OFFICE USE ONLY:
o.NEW; " ,., , ,;[I ADDITION ❑`ALTERATION ❑ REPAIR- .. .. : TENANT IMPROVEMENT
CENSUS CODE:: . LOTSIZE
ZONING DESIGNATION BUILDING SHELL ONLY? ❑'YES ❑ NO
.COMP P_L'AN DESIGNATION BASIC PLAN? YES ❑';NO
SECTION - TOWNSHIP :' RANGE - NEW ADDRESS REQUIRED? ❑ YES ❑=NO
;PLATTED LOT?' ❑YES ❑NO CHANGE 0 -USE?: _ ❑ YES. . ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
1.r
Construction Permit Fie 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$2,000.00 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 11,000.00or 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 S1.000.00 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 51.000.00 or fraction thereof,to and induding
$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 fix each additional$1.000.00 or fraction thereof,to and indudirg
$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 spedfied increment
Italicized,underlined number Is the fee per additional specified 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
$21.00+{ X$7.00/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)
Irr
■ ELECTRICAL
• TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $48.00 _ii of Thermostats(First-$36.00;add'n-$11.00ea)
(First 1300 ft2-$72.00;Each add'n 500 ftZ-$23.00) _Service and feeder $78.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$42.00;Each add'n 2500 ft2-$11.00
Each outbuilding orgarage $30.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-9(0(5)(b)(i&ii)
_Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign
(Inspected separately) feeder-$31 each) $17.00 each)
_Swimming pool,hot tub,spa 72.00
_Yard Pole meter loops 48.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL CO ERCIAL/INDUSTRIAL
(Includes three units or more) Itered Service or3'eeeders
Service Feeder Amps Service or Add'n 10 to 200 -......r.._.. $ 78.00
_Up to 200 amp $ 78.00 $ 23.00 Feeder 1201-600 ... 182.00
_201-400 ampp 97.00 48.00 i 0 to 100 $ 78.00. ...$. 8.00 ' 1601-1000.... 274.00
_401-600 am 133.00 66.00 101- :I 97 '• over 10i. 305.00
_601-800 amp 170.00 91.00 201-400.... . .00 _# . ircu its
_Over 800 amp 243.00 182.00 T 401-600 .212.00 (� (1-5 circuits-$61.00;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 274.00 117.00 1
(When inspected separately from the services.) 801-1000.... i .00 140.00 TEMPORARY SERVICE
Service or Feeder I Over 100 365.r t. 195.00 Residential/Multi-Family/Commercial/Industiral
_0 to 200 amp $66.00 _Over.••I volts surchare„ 61.00 _0-100 48.00
_201-600 amp 97.00 M
_ ,.t or meter repair 66.00 _101-200 61.00
_over 600 amp 146.00 _201-400 72.00
_Mast or meter repair 36.00 S� _401-600 97.00
#of circuits �� - - _over 600 105.00
(1-4 circuits-$48.00;Add'n circuits$5 ea) ( i'f' ft-N W P 1
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'l plan review for other submissions is$72.00/hr.
FIXTUREI)ESCRIPTIONS(A),. FIXTUREI EEiROM=TABLES(B) UMBER:OF:UNITS{C). "4 ----1;"w---'1•4'TOTAIS(D). ,1`)4, --
3t'als. e. 1 3loS va
55W A- fib ate. - / is- oo '
Zrn. 4 L, C D r0 4u4a, v,
4- arc_ La. OG --t
''i..4441-0 CAL:COLUMN(D):4 44o+tr,aci
Total Column(D) f4.i
Estimated Permit Fee: (12) ASL'/.L'
Estimated Permit a me 12 / ate
Estimated Plan Review Fee: $S LS+ ( - . ay X.35)(13) --340 3- L-----
• OLITION
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-August 20,2001