01-102371 City of Federal Way Electrical Permit #:01 - 102371 - 00 - EL
Cormnunity 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: MARISTA'S COFFEE
Project Address: 1301 S 320TH 5+ Parcel Number: 150050 0040
Project Description: ELE-Install(15)branch circuits for tenant improvement.
Owner Applicant Contractor
MARISTA'S COFFEE RTB CONTRACTING,INC RTB CONTRACTING,INC
1301 S 320TH ST 309 S CLOVERDALE ST B-22 309 S CLOVERDALE ST B-22
FEDERAL WAY WA 98003 FEDERAL WAY WA FEDERAL WAY WA
(206)762-4007
Electrical Fixtures
Description ; ° Quaninity 4 .- D-scriptlori ilQa8ntity p! Description (Quarititjl
Circuits- Commercial 15
PERMIT EXPIRES December 11,2001,IF NO WORK IS STARTED.
Permit issued on June 14,2001
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 W.
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Owner or agent. i �/ ;
Date:
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CONSTRUCTION PERMIT APPLICATION
-- Wi t— APPLICATION NUMBER: 0 / - / 00) 3 7/ - .1....
-.. W,'i 1 i
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.
. • - - ii- rnVrth.. ani a.... -.,_ '
SITE ADDRESS 130.1 South 320th St rept ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
llt ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Install f ift 'een (I5) branch circuits
PROJECT NAME:
1
PROPERTY OWNER: NAME: DAYTIME PHONE:
1560 Investors LLC C/O rYDonald A Bern, ESP ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
200 S. Broad Street 1, Philadelphia, PA 19102
CONTRACTOR: .,- NAME: DAYTIME PHONE:
,' RB Contracting, Inc. _ (206 )162-4007
MAILING DRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
PO Pox AO946, Se ttlP, TiTA 98108-0546 ( 425) 876 -3447
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
i Q a - L 0 2_ L0_7_ - 0 0_ ( 206) 762 -4045
,AI NTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) R T B C 0 I * 9 9 2 KP 5 / 17 / 2003
APPLICANT: NAME: DAYTIME PHONE:
Contractor - See Above ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): (' ) -
E-MAIL ADDRESS:
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:Cl YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN CI HIGHLINE ❑ TACOMA CI PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
0
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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 Cl 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)
M uamL,uuricK,_ �rK
I certify under penalty of perjury that the info ion 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 wh re s claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supp' d t%ity as .,pa of this application.
,4f . ' ake / DATE: June 13, 2001
NAME/TITLE: f // / � /
❑ PROPERTY OWN /1 A P CANT Di CONTRACTOR /v/
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? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
mnann�INITTV nFVFi fPMFNT SFRVIC'FS•13510 FIRST WAY cni m •P n P0X 971R•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAY 751-F.M-41 J9
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$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$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 induding
$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
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 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)
Si h Total rna,,,.nn,.)' I ine(cl(11+(71+("11+(4)+(S)+(Fl+(71+(Rl+(91+(1()1 = (1 1)
a ,
ABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 112467.00;Each add'n 500 ft'-$21.50) _Service and feeder $72.25 #of Low voltage fire or burglar alarms
Square Feet: First 2500 02-$38.75;Each add'n 2500 ft2-$10.50
_Each outbuildingor garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Pcr WAC 296-46-910(5)(h)(i&ii)
_Each outbuildingor garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per 1 hr $33.50
_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
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 1-5gof circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 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
•
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Addi 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 Circuits . $_96. 25 1 $56. 25
10 kitchen Circuits $5 10 50.00
TOTAL COLUMN(D): $106. 25
Total Column(D)
Estimated Permit Fee: (12) $106 . 25
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&Twoo): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24)
Bulletin#100-January 3, 2001