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01-103059 _, , � Z ',i � ,,«m�es j �uildin� - Commercial Permit #:ol - 103059 -•�b'- �o 8003-6210 Fax:253.661.4129 Illspection request line: 253.835.3050 i�lame: FEDERAL WAY HIGH SCHOOL ';t Address: 31031 PACIFIC S Parcel Number: 082104 9001 :,ject Description: COM ADD-Two additions to existing high school,totalling 10,410 sq ft. Includes mechanical. Plumbing under separate permit. Owner Applicant Contractor Lender FEDERAL WAY PUBLIC SCHOOL MERRITT+ PARDINI ARCHITECT, GEORGE SOLLITT CORP,THE NONE 31405 18TH AVE S 1701 COMMERCE ST GEORGSC1520T(10/�/02) FEDERAL WAY WA 98003-5433 TACOMA WA 98402 23109 SSTH AVE W MOUNTLAKE iERRACE WA 9804. NONE . Includes: ' Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: A-2.1 E-1 Construction Type: Type V-One-HR Type V-One-HR Occupancy Load: 400 Floor Area(Sq.Ft.): 6000 4410 lst Floor Pro�osed Sq.Feet.................................10410 Building Pre-con.Meeting Required...................No Census Category................................................. 437-Commercial alUadd Fire Sprinklers................................................. Yes ' Mechanical................................................. Yes Number of Stories................................................1 Permit for Building Shell Only............................No Permit for Foundation Only.................................No Plumbing................................................. No Special Inspection Required................................Yes �\ Total Proposed Sq.Feet.......................................10410 Will Certificate of Occupancy be Issued?............Yes I Sensitive Areas?................................................. No Zoning Designation.............................................RS 7.2 ` Mechanical Fixtures Ctes�ripti�n- � ,.;�. Quanti � :-Description:=:'; ;-=; Qu�r�ti ' n Quanti Air Handling Units � 5� Ducts �1 CONDITIONS: 1.Landscape Inspection required before occupancy granted.Contact Rox Burhans at(253)661-4082 for inspection.2. Rhododendron Unique shrubs(5)shall between 18-24"in height at time of planting.3.The Rhododendron Unique shrubs (2)in vicinity of 308th Street shall be spaced at 7'O.C..The Rhododendron Unique shrubs(3)in vicinity of Pacific Avenue shall be spaced at 11' O.C.4.Flowering Horsechestnut tree shall have a minimum caliper of 1.5"measured 4.5 feet above the rootball at the time of planting and avoid being located over any underground utility lines.5.The Significant Tree located in the vicinity of Sarah Yarborough memorial shall be protected during the construction stage using a temporary 5' � high chain link fence or a line of 5'high orange colored two-by-four inch stakes placed no more that 10' apart connected by highly visible surveyor's ribbon per FWCC section 22-1568(c)(6). 6. Roof top screening of all mechanical systems shall 1�, required pursuant to FWCC section 22-960. 7.Exterior building walls surfaced with Veneer Masonry-Type III shall corl�sist of Carob raked brick with"hand selected" terra Cotta color tone. 8.Exterior Band Masonry-Type II shall consist of split face CMU with a natural color tone.9.Type I-Base Masonry shall consist of split face CMU with a natural color tone.10. The top brick texture/banding shalt be recessed 1/2"from face of brick veneer.11.The east and north building walls of the classroom addition shall contain 1 & 1/2"clear alluminum frye reveals. 12.At least one outdoor light fixture for both the ' classroom and common area additions shall project light onto both the roof and ground areas.13.The outdoor pole lights in the vicinity of the common area addition shall be less than 20'in height and contain cutoff shields. I �� \ } � � r , �. . � PERMIT EXPIRES July 6,2002,IF NO WORK IS STARTED. � � . Pe:mit issrP�?on J<,�,•�r�.'?,�pn2 I hereby certify that the above information is correct and that the constructicn 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:�� City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building cor�struction or use. This certificate is valid ONLY when endorsed bv Citv staff. 'renant Name: FEDERAL WAY HIGH SCHOOL Pernut number: Ol - 103059-00 Address: 31031 PACIFIC S #1 #2 #3 #4 Occupancy Group: A-2.1 E-1 Construction Type: Type V-One-HR Type V-One-HR Occupancy Load: 400 Floor Area(Sq.Ft.): 6000 4410 Owner FEDERAL WAY PUBLIC SCHOOL Name: 31405 18TH AVE S Address: FEDERAL WAY WA 98003-5433 �MK• lk�.w+�►, c� g�z 3 - o z, c� Building Official Date The prioriry focus in the review and inspection made by the Ciry prior to issuance of this Certif+cate was on those matters which experience has shown most severely nJJ'ect the health and safety of the genera!public. Although the City hns made as complete a review and inspection as is reasonably possib[e(withrn budgetary time and personne[limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict complinnce with each and every ordinance or regulatron of the City or the State of Washington aJjecting the construction or use of said smecture or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant ojthe premises. � � r :� � � , --�- , � , _ POS'; IIS CARD ON'd'�IE FRONT OF�UIL�I ',/� � --�--- arroF � � �� UILDING DIVISI�i�fi � uV A�' INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMI'I' #: 01-103059-00-CO OWNER'S NANIE: FEDERAL WAY PUBLIC SCHOOL SITE ADDRESS: 31031 PACIFIC S O FOOTINGS/SETBACKS Z--( Z- o 'Z G c..1 O FOUNDATION WALL Z,-/ Z„ - o Z,. c�t�.J '�� `� � �'��0 NQT�PO�`�JR CONCRETE YT1�1T THE ABOVE��IS A�PROV�D�" w�� ° •��-�� a..�.,..�'" .�. k�s'. r"'�'"�'s s-�.�.�. .1� i n., , _ ._ --�".u.�.... � ..,.� . r .a .a . � �. . '� .,�n . .. .� � �' _' ��- d.�_ .. . ._ _ �� ` ( ) DRAINAGE: Line G 4�3( ) Connection ___ �r+ , �"`. �,�� _ ��""��,��`��bO�TOT P4LTR�L�i��"�TIiE ABOVE TS APPROYED� �� ' £=�� _. __ . _ �d .. , � . ..._ .__._ .� , .�� ( ) iJNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV -� �� " � Z Gc..� Water piping (� � / ?-' o L G..t.✓ O ROUGH MECHANICAL � �'/s �(5Z L Gas piping (� -/ 7 -� O L G� ( ) SHEATHING Roof ? � / - o a Gc.� Floor ( ) SHEAR WALLS � � � - � 'Z G e.� � _ ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS �'q�Y � " �" AZTv�HE`tiAB()�E��I�ST�B�� ED PRIQR Tb FR4MIN(C Ti��PE�TI(�N �� ,� �� . �.�.��.,. �, �� _ rt_...�. w_o__.�_ _ _ . �. �_, �_� � _ .. . . �. _ >.��m�� = ( ) FRAMING/FIItESTOPPING (� ' /$ • O Z G� �� n� � � � � a� � � � � ��.z ��THE�ABUVE ��p �OR�.'0 Il�TS�.ATING 0�2-�HEE�ROC �, G � �� 3..� . �.�.._� ��.� � , ��. _.. �� _ .� �Z- .... �,�..�� .�_��.. �"��. _..� ( ) INSULATION: Floors Walls � -/g- p t,, �,t�Attic (p -/�c�, - 0 2��,� :.� '„ �.M�r,��'��Bo��!�..�T��.a.�:��''�`E��R�OR T'O APPL�irTG SHEETRO,cz�� ; �� =�� ., .w� O WALLBOARD NAILING � �/ 8 M1� O 2.�t�J O SUSPENDED CEILING � �-�S - O 2r yy xTHE�AB(��:ZVIUST��p�T�x�,�iO�ED�PAYOR=TO TAPING QR INSTAI;LIl�TG CEILING�TILE ''� .�,��`� � O ELECTRICAL FINAL 8 ` Z 3 ' 0 Z �.S wPi r�c n O PLANNING FINAL -o ' ul► �o Gsnl� • � A Me. '1 hy�a„�„� O PUBLIC WORKS FIN ZZ D Z- (f f L U � t ( ) FIRE FINAL � - c3"2,. �.:,`,°� *�„�� ; . THE;�ABO�E MUST�BE�APPRO�'ED PRIOR TO BUILDING DEPART'MENT.FINAL ` '" „ w.��,e �„ � ( ) BUILDING FINAL � " � 3 - Q Z,..�� ... � � DOtlNOT OCCUPY'THIS��1�LDING`UNTIL Bi7II:DING FINAL IS APPROVED � .,.3.�w. ..,w��. , !A . . , < ,. <$'m_ <�.., . ,>..:.ti�'��,16!.,w,�,« ,. . „ . . . , . , .<. .o< , . �... :;nw°5� . >.. �� , - �. • ' . � . , INSPECTIOI�I� ��OG � f ' D.ATE ' INSPECTOR OK C(JRR/REJ ' AREA AND TYPE OF INSPECTION i O � ,. p '�� - /- O L G c�., �-� • � /' - G C.� � � ' `f 'C � T'G✓� S. O � (.� • /- �..-�...� '�/ � - �. , -�z.. c-�.J / /�� c a.5 s .3 �� ✓Lsa.. - O �J r•�` s d-,3 4, / . �' � a/4/. 3- 7- z, c. �J i , �( 5��...� r s�/a, / .�. /s v'� d rC , o S. S- � v z...C v^-� K ' 6i S �x� S G �.� A.� � � �' ?i 'O � !.� ✓� s ��G. �, Sf rlb � U G d vre/� Y'✓'�/�..-,r - d`- w�1/ G` 7w I`�o Y .� t � Q � 5'• -o � �`-' �s,.. c. l 6 -��' oZ � Z'`� � �� - �3 oz � �✓ � � �. � �. r s �- s � ..,_ �,� � p / � � � � G.. G ✓'a wT -, �~ �~ O � � _ � b ca� .� t ^ . . . . ' INSPECTIO�! LOG ' ' DATE ' �NSPECT4R ' OK �OH,R/REJ .AREA AND TYFE QF IN�PECTION '. � � C� C c.J - -l o-z. i .. ,` �rt- ✓t/ � � o Z GfiJ / � ` or ' . �5F �� ;��=-t'��'��`'�'� ,� CONSTRUCTION PERMIT APPLICATION �� RY �'Lj PPLICATION NUMBER: Q - 0�� - � ��^�' Q`� �(�(�"i �� ` PPLICATION NUMBER: _ _ - _ _ _ _ _ _ - PPLICATION NUMBER: - - �1�Y O{� t=ti��i3�L ifVHY - - - - - - - - - - - **The fo11cB�d��e�f information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. . � . � . . SITE ADDRESS: � ASSESSOR'S TAX/.PARCEL#: Q � � I � � - � O U I �D.�- /�i�lflC .ld - - - - - - - - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • • . • • TYPE OF PROJECT(This application): '�BUILDING ❑ PLUMBING � MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: �b�'�AL Y�� G� �C'�00 L I��fl1T1O LyS • • • • • PROPERTY OWNER' NAME: DAYTIME PHONE: � � ��:G��C.. (�.�j,--�' �,.�.t�:�`�;_, �.—'c,..y�� :� (2�._3 ) `l 4S - ��30 j MAILING ADDRES (STREET ADDRESS;CI7Y,SfATE,ZIP): -�C�to `� 3Z�T� ST ��r', ��A'{, (,v;�- � c�,� C-'O ,�,� CONTRAGTOR' NAME: � � DAYTIME PHONE: - . � � I { MAILING ADDRESS(STREET AODRESS;CII7,STATE,Z1P): EVENING PHONE: � f � � - � � CIfY OF FEDERAL WAY&15INE55 UCENSE NUMBER: _ - �AX NUMBER: _ � CONTRACfOR'S REGISTRATION NUMBER: � EXPIRATION DATE: I (topy of card required) � / APPLICANT: NAME: qV L DAYTIME PHONE: �'t� 1 Tfi + ��'f�1 1 �s"��-l�c1'JC�c.-t-S oQo��c� (Z53) 3�3 -�7 0 0 ' � MAIIING ADDRESS{SfftEET ADDRE55;CITY,STATE,ZIP): EVENING PHONE: � 1701 co c� 1— c.o v�! 9`�402- ( ) _ � RELATIONSHIP TO PRO)ECT: FAX NUMBER: � �ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): �253�383 " 57�, I E-MAIL ADORESS: - CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER �APPLICANT ❑ CONTRACTOR � . � • • � EXISTING USE: ��C-�GV C...� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 2O M«l p� t/ - PROPOSED USE: �Ct'��p L PROPOSED VALUATION FOR IMPROVEMENTS: $�� C�Q�� __ ISPRINKLERED BUILDING? �YES ❑ NO FIRE SURPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO �, WATER SERVICE PROVIDER: �LAKEHAVEN ❑ HIGHIINE ❑ TACOMA ❑ PRNATE(WELL) SEWER SERVICE PROVIDER: �LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) #*NEW RESIDENT�AL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • • • • FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL BASEMENT ,� � �� /� 1`� �A FIRST , S��O�� IQ1-T�o T I�� I �� SECON D Z Oj S�O `�" � ` d Z O��O THIRD N�A � \ � a� \ A I�l I�S FOURTH l , / � t \ � �� 1l j�� ) ��\ OTHER FLOORS(DESCRIBE) � � �1 /� a 1 A 1 7 �y DECK �/A }� A � R GARAGE � 1 � � /� �` /� HOW MANY FLOORS? �� TOTAL• 1 I y � 6�`� T �V � �T �O � I S� �T5 � Indicate number of each type of fixture �' ��1 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 � E�\g'S'lt� PLUMBING �� J ��►11I� ' ��i"." aJ �_ BATHTUB(S) �� LAVATORY(S) 3� 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) �� ,�.� QLV�.1��j�NG F 1 X'S"U R�sS � • � 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 perfiorm 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 such claim arises out of the reliance of the city,including its o�cers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: DATE: � I��G �1 ❑ PROPERTY OWNER �APPLICA ❑ 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 1 PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMr�L'°dI:Y DFVELOPMENT SERVICES-33530 FIRST WAY SOUTH-P.O.EiOX 971A•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 (i)Sl.00 co gsoo.00 �i);ia.2s (2)$501.00 to$2,000.00 (2)$24.25 for the first;500.00 plus g3.27 for each addiCional 3100.00 a fradion thereof,to and inCluding g2,000.00 (3)$2,001.00 to$25,000.00 (3);71.46 for the first;2,000.00 plus.�15.00/o�each addifional S1,OOO.00 or fradion 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 510.8Z/or each atklifiona/SI,000.00 or fraction thereof,to and induding $50,000.00. (S)$50,001.00 to$100,000.00 (S);664.35 for the first$50,000.00 plus 5750�or each addifionalSI,OOO.00a fraction thereof,to and inctuding ;100,000.00. (6)$1�0,001.00 to;500,000.00 (6)$1,025.55 for the first;100,000.00 plus 36.00(oreach addlfiona/SI OOO.00or fraction thereof,to and irxluding $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus 35.09 fp-each addiGonal 41,000.00 or fraction thereof,to and induding gl,000,000.00. (8)¢1,000,OO1.D0 and up (8);5,788.23 for the first;1,000,000.00 plus 53.91 foreaCh.3Adi[ionalSl OOO.00or fracYion tfiereof. Bold number is the base fee for the specified increment Ifa/icized,underlined number is lhe fee per additiona/speci�ed increment PLUS: Add 65 percent of the base buildin9 permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanicai plan review fee. � Add 15 percent of the base buiiding permit fee for Fire District #39 surcharge, commercial only. Add $4.50 for WA State Building Code Councii, plus$2.00 per unit for duplex&above. ** Electrical, plumbing,and mechanical fees are calculated separately** i . � � PROPOSED VALUATION: � FEE FACTOR FROM TABLE A: Number: (a)Base Fee: � (b)Additional Increment Fee: i Estimated Permit Fee: (1) � Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcha�ge: (3) �� (COMMERCIAL ONLI� PROPOSED VALUATION: � FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) PROPOSED VALUATION: • FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) Base Fee Number of Fxtures $21_00 +{ X$7.00/fixture} _ (8) Estimated Permit Fee Btimated Permit Fee . X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) SUb TOt�I �c��o�,�i: Line(sl (11+(21+(31+(41+(51+(61+(7)+(8)+(9)+(101 = (111 4 � TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Singic�amily _Scrvicc or fceder only.........................$44.2� _N oCThennostats(first-$33.50;add'n-$IO.�Oea) (Pirst 1300 fr'-�G7.00;f_ach add'n 500 ft'-$21.�0) _Scrvicc and fccdcr...............................$72.2� _M of Lo��volta,c firc or burglar alarms Squarc Fcct: 1=irst 2500 it''-$38.7�;Gach add'n 2500 ft2-$10.50 t:ach outbuildin�,or garagc...........................$2A.00 MOBILE HOME/RV PARK Square Fcct: (Inspcctcd��ith scrvicc) _N of scrvicc or fccdcrs 'Pcr WAC 29G-46-910(5)(b)(i R ii) lach outbuildinaor garagc...........................$44.2� (Pirst scrvicc/fccdcr-$442�;Add'n scrvicc/ _�of Si�ns(�irst si�zn-$33.50;add'n sign (Inspcetcd scparately) Cccdcr-$28 cach) $IG.00 cach) Pro�ress inspcction per Yz hr...............$33.�0 Swimmin�pool,hot tub,spa.................67.00 Yard Polc mcter loops...........................44.25 NEW MUITI-fAMILY COMMERCIAL/INDUSTRIAL COMMERCIAI/INDUSTRIAL (Includes three units or more) Altered Scrvice or Feeders Servicc �ecder Amps Scrvice or Add'n _0 to 200...............................................$72.2� _Up to 200 amp...............$72.25.................$21.50 Fecdcr _201-600..............................................169.00 201-400 amp..................89.75....................44.25 _0 to 100..........................$72.25........$4425 _601- 1000............................................254.50 401-600 amp................ 123.25....................61.50 _101-200..........................89.75...........56.25 _over 1000.............................................282.75 G01-800 amp................ I�8.00....................84.2� 20l-400........................ 169.00...........67.00 #of circuits — ......... 197.00...........78.75 (I-�circuits-$�625;Add'n circuits.$5 ea) Over 800 amp.................22525.................. I 69.00 _401-600............... ALTERED SINGLE/MULTI FAMILY _601 -800........................254.50......... 10725 (When inspccted scparatcly from thc services.) _80l- 1000......................310.75.........129.75 Temporary Scrvice 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 mcter repair..............................61.50 _l O l-200. .................. .......................56.25 over 600 am 13525 201-400................................................67.00 _ p................................................ — Mast or mcter rcpair.......................................33.50 401-600................................................89.7� tJ of circuits over 600.................................................97.7> > (I�circuits-$44.2�;Add'n circuits$�ea) If scrvice is grcatcr than 200 amp,a plan revicw is rcq'd.Pec is 3�°/a of permil fee+$j6.2�.ndd'I plan review lor other submissions is$67.00/hr. FIXTURE DESCRIPTION A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D i � I i TOTAL COLUMN D : � Total Cdumn(D) ' Estimated Permit Fee: (12) EsUmated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ X.35=(13) . • • Estimated Permit Fee: (14) Bond Amount:(15) Estimated Permit Fee:(16) Bond Amount: (17) • Mitigation Fee: (18) (20) �z2) SBCC Surcharge: (19) (21) �Z3) Total �v�a,e&T,��: Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24) Bulletin #100—)anuary 3, 2001