00-105619 City of Federal Way
Community Development Services Electrical Permit #:00 - 105619 - 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: RITE AID
Project Address: 2131 SW 336TH Parcel Number: 873217 0030
Project Description: ELE-Electrical for one wall sign
Owner Applicant Contractor
AMERICAN STORES PROPERTIE RITE AID PLUMB SIGN,INC.
2131 SW 336TH ST
FEDERAL WAY WA 98023 PLUMB SIGN,INC.
5838 S ADAMS
Electrical Fixtures
Description Quantity) ,; :Description iQuantity Description Quantity
Sign 1
PERMIT EXPIRES May 14,2001,IF NO WORK IS STARTED.
Permit issued on November 15,2000
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.
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Owner Dr agen . G�� Date:l/ p(/
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«�� G CONSTRUCTION PERMIT APPLICATION
k �� �EIZf�L
APPLICATION NUMBER: d) - 10.,5 /' - EL__
APPLICATION NUMBER: - -
/ .
APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,FirtIQtevefft�n s and Engineering permits may require a separate application.
lt'�@��!!�� ■ PROPERTY INFORMATION
BUILDING DEPT.
ITE ADDRESS: 02/�/ �S_ 6) ,33G �" ASSESSOR'S TAX/PARCEL_#:S 3a L 2 - 0 O3 v
• GAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION '
E OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
JECT DESCRIPTION(Provide detailed description): /NS 74L L S/� &4 L L5/(s ou
d Ltf..41/A.ser- `' &NO L_/V e (....)£(-G'' v oo.e Gt/`' D-a
E KiS7 ,k )t e..t-2-C7. "/c' 4 ,6ee) de
JI ECT NAME: ID k1 A-1 J
■ PEOPLE INFORMATION
OPERTY OWNER:
NAME: DAYTIME PHONE:
,` /p/Ta /ei- ( )
-
YcMAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
0213 '3- w - 336, 1.
'ONTRACTOR• NAME:�p DAYTIME PHONE:
14CJmea 6 / .5 ,iJ (•rs3)ei73 - 33
4 � MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
511
5 f31' .5. i9DA�ns 7-A-ce s+19 ( ) -
? CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
'.:, - - (c35:3) St7.tx - 3/6 ?
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
v . / /724- V � /O d i
f'PLICANT: NAME: DAYTIME PHONE:
�y . �Lu el?41 j/t.,4‘.J. /"Je (.2s3) y73 - 33..73
L NAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ' EVENING PHONE:
57 5' �DA�'Y) !h 97 Ya f )
NUMBER:
$ °,... RELATIONSHIP TO PROJECT: FAX(
41
❑ ARCHITECT ❑ TENANT QBOTHER(DESCRIBE): es,N/� .Q (1 sj) 701 - j/O
t`kr. E-MAIL ADDRESS:
' CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CICONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
00
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: /,:re.BUILDING?
0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES CINO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHUNE 0 PRIVATE(SEPTIC)
**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,rwrrber 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) D ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEgTOR(S) SUMP(S) Cra
■ DISCLAIMER/SIGNATURE BLOCK ,(1
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
-;k rther,that am authorized by the owner of the above premises to perform the work for which the permit application is made. I
rther agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
4� , 7 vestigation and defense of,such claim,,which may be made by any person,induding the undersigned,and filed against the City of
ederal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
,•f the information supplied to the dty as a part of this application.
•
F-.`!NAME/TITLE: C O ]r \ 9 . DATE: //.1/6 t1
:-❑ PROPERTY OWNER 0 APPLICA T • I�CONY1tAC`fOR
FOR OFFICE USE ONLY:
0 NEW':. • 0 ADDITION 0 ALTERATION REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: .10T SIZE:
•ZONING;DESIGNATION: , -BUILDINGSHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION " sBASIC:PLAN? 0 YES '❑ NO
SECTION::::. TOWNSHIP RANGE ° _NEW ADDRESS REQUIRED? 0_YES 0 NO
PLATTED LOT? ❑ YES -0 NO CHANGE OF USE? ❑YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•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 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)$23.50
(2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 for each additional$100.00 or fraction thereof,to and 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 each additional$1.000.00 or fraction thereof,to and induding
$25,000.00 -
(4)$25,001.00 to$50,000.00
(5)$50,001.00 to$100,000.00
(4)$391.25 for the first$25,000.00 plus$10.10 Ar each additional$1.000.00 or fraction thereof,to and Including
$50,000.00.
(5)$643.75 for the first$50,000.00 plus$7,00 for each additional$1,000.00 or 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$5.60 for each additonal$L000.00 or fraction thereof,to and induding
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,233.75 for the fist$500,000.00 plus$4.75 for each additonal$1.000.00or 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$3.65 for each additional$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Jtar�dzed underlined number Is are fee Der additional snedried 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 AN 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 Foclures
$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 +'
4t TABLE B
EW 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 ft2-$67.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 _#of Low voltage fire or burglar alarms
quare Feet: First 2500 ft2-$38.75;Each add'n 2500 ft2-$10.50
Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ Velli of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 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 $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 _l01-200 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-$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.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)
TOTAL COLUMN(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)
1
Bulletin #100-August 29,2000