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00-106063
City of Federal Way Community Development Services Electrical Permit #:00 - 106063 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: C&P DELI Project Address: 29500 PACIFIC S SuiteJ Parcel Number: 304020 0093 Project Description: EL-Electrical for wall signage. Owner Applicant Contractor DAVID RHODES NONE LUMIN ART SIGN CO INC 29500 PACIFIC HWY S 1118 A ST SE FEDERAL WAY WA 98003 AUBURN WA 98002 NONE (253)833-2800 ctrical ' ures a I Description Qu':£® i WA ®= riptio rytity al Quantity Sign - , , PERMIT EXPIRES July 9,2001,IF NO WORK IS STARTED. Permit issued on January 10,2001 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: te: fla4tiji- /`1 `Ibq °IVY" =. CONSTRUCTION PERMIT APPLICATIC - E�1 APPLICATION NUMBER: �Q - ..(_ Q 0�3-EL, \>\> f=1) APPLICATION NUMBER: _ _ _ - DEC 1g2000 - APPLICATION NUMBER: _ - _ _ **The foll i tkapation-Please print(in ink)or type** I Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. i ■ PROPERTY INFORMATION • f SITE ADDRESS: Z g S 0 0 P MS WO— ASSESSOR'S TAX/PARCEL#:3 O I 0 2 0 - 0 0 9 ILEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): I _ ■: PR07ECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION • ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM /671-ic,es- i SYYSTEM 'e�• /PROJECT DESCRIPTION(Provide detailed description): // 051L l One ca O �/ta 1 j PROJECT NAME: C + P be /i. -■::PEOPLE INFORMATION , ' • ` - . i NAME: DAYTIME PHONE: PROPERTY OWNER: M d f _ /J (a r �( _L (u& ) 3 24 i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): /XII T11 II 2''$-Ob PHS • #7- 1 CONTRACTOR: NAME: m DAYTIME PHONE: L.Ltiuj7- ` SeThns . c . ( )S'3? -2-Poo MAILING ADDRESS(STREET ADDRESS;CITY,STA P): EVENING PHONE: 1(lIST �O v, SE, ill, ( ) - CITY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - ( ) CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: L v M ( N A- S,X 3 I 13 'v 0 ( / 2-2_/,-/ APPLICANT: NAME: DAYTIME PHONE: Sa/ii-u A4 CO o C-7S- r ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: - RELATIONSHIP TO PROJECT: FAX NUMB ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** , NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . . .- ' - .. ■ PROJECT FLOOR AREAS - .. FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT .,-/'./ FIRST / SECOND ,.7"' THIRD �/ FOURTH /' OTHER FLOORS(DESCRIBE) j / / DECK / GARAGE '. HOW MANY FLOORS? ' TOTAL: ' / _;*::-FIXTURES - . • ndicate 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: 0 ELECTRIC 0 GAS PLUMBING Q BAT •B(S) LAVATORY(S) URINALS) W TE'R HEATER(S: D WASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS •RINKING 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,an 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 th investigation and defense of such claim),which may be made by arty person,including the undersigned,and filed against the City G Federal Way,but only where such claim arises out of the reliance of •• • % ,including its officers and employees,upon the accurac of the information supplied to the dty as a part of this applica n. NAME/TITLE: IC / LAE/CT— 4 DATE: — , ❑ PROPERTY OWNER yPPLICANT 0 CONTRACTOR F-OROFFICE USE ONLY l _❑aNEW _� ADDITION._. ❑ ALTERATION ce -��;ILEPAIR ��EANT;iMPROVEiMENT "` -" ... , -=L.OT�E_ E '_ :_CENSUS COOS:_..._._. ,; :" .. :: . :BONING )E$IGNATIOt{ #$UILDING'SHELL'ONLY? .,❑YES © NO _ -"COMP PLAN DESIGNATION _ #,BASIC•PLAN? ❑YES 0 v0.,';s.. „, SECTION TOWNSHIP; RANGE ,, ;NEWADDRESSREQUIRED? . = „ > YES .❑.NO; ,,: PLATTED LOTZ; ❑YES Li NO CHANGE OF USE? ❑.„YES NO, OOMMUNI TY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 980639718.253-661-4000•FAX:253-661-4129 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYME CHECKS FOR INCORtL10UNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VAWATION FEE FACTOR (1)$1.00 to$500.00 (1)$23.50 (2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 for each additional f100.00or fraction thereof,to.-.Including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for_eadr additional 11.000.09 or faction.. .f,to and Including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$391.25 for the first$25,000.00 plus$10.10 for each addti'naf3'.Ot70.00. fraction thereof,to and Including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$643.75 for the first$50,000.00 plus$7..,for .. ,..,;. .1 1,c.i.00or fraction thereof,to and Including $100,000.00. . (6)$100,001.00 to$500,000.00 (6)$993.75 for the first$100,000.00 plus$ ..., . .. .or fraction thereof,to and Including $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,233.75 for the fist$500,000.00 plus$4.7 . .•_.r%•r•/ I tic.,or fraction thereof,to and induding $1,000,000.00. (8)$1,000,001.00 and up (8)$5,608.75 for the first$1,000,000.00 plus$ .. . ,. ...i,. ./ 1 110.'1 or fraction thereof. Bold number is the base fee for the spedfi-•increment bathed underfined number Is the fee a additional s, •'lied 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 lan review fee. Add 15 percent of the base building permit fee for Fire District 39 surcharge,commeraal only. Add$4.50 for WA State Building Code Council,plus$2.00 pe unit for duplex&above. ** Electrical,plumbing, .nd 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 Departmen urcharge: (3) (COMMERCIAL ONLY) IMEMBEIIINIMIE1 d PROPOSED VALUATION: FEE FACTOR FROM TAA: Number: (a)Base Fee: e r (b)Additional Increment Fee: f Estimated Permit/Fee: (4) Estimated Nap'Review Fee: (5) FIRE PREVENTION SYSTEM PROPOSEPVALUATION: 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) • • ELECTRICAL' . TABLE 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-S I0.50ea) - (First 1300 ft2-567.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 First 2f Low 500 ft voltage f re orch burglar ala250rms $10.50 Square Feet: �. e Feet: Each outbuilding or garage $28.00 MOBILE HOME/RV PARK -(inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(6)(i&ii) _Each outbuildingor garage $44.25 (First service/feeder-544.25;Add'n service/ $16.00f Signs s(First sign-$33.50;add'n sign (Inspected separately) feeder-$28 each) each) _Progress inspection per 1/2 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 S 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 _#of circuits _Over 800 amp 225.25 169.00 -401-600 197.00 78.75 (1-5 circuits-556.25;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 2 200 amp $61.50 Over 600 volts surcharge 56.25 -61-100 44.25 _ 2011-6600 amp 89.75 -_Mast or meter repair 61.50 - 101-200 56.25 over 600 amp 135.25 _201-400 67.00 _ 40l-600 89.75 _Mast or meter repair 33.50 - 97 75 _#of circuits over 600 (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+$5625.Add.'plan review for other submissions is$67.00/hr. ... TOTAL:{D) FI)tTURE T)E$CRIP7ION.(A)= FIXTURE TEEFROM TABLE..13(B)r {�l1MBER'DF UNLTS�Cj' TOTALzCO,L UM N'(D): Total Column(0) 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-August 29,2000