03-104042 .a.
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City of Federal Way ' �uilding - Commercial Permit #:03 - 10404"2 - i�� - Co
Community Development Services
33530 I st Way S -
Federal Way,WA 98003-6210
PU:253.661.40�0 Fax:253.661.4129 Inspection request line: 253.t�35.3��J�
Project Name: MIDAS AUTO SERVICE ADDITION
Project Address: 32530 PACIFIC HWY S . Parcel Number: 162104 9051
Project Description: ADD- 1204 square foot shop additiun to existing 3999 square foot shop&office/toilet facility.Site work
as req'd.New landscapting,new canopy and facade modulation.NO PLUMBING,NO MECHANICAL
on this permit.
Owner Applicant Contractor Lender
Family Trust Titterud BRUCE W.MECKLENBURG NONE NONE
23100 PACIFIC HWY S#301 PO BOX 986'70
DES MOINES WA DES MOINES WA 98198
98198-7281 NONE
lncludes:
Census category: 437-Comm � #i �f #2 � #3 �!-— #4 --- -�
�—� � �
—-- -- -�
�Occupancy Group H-4 � '
_. _
� Construction Type.�� _ �� _��T ---,i_�
TYPe�'-N �_ __ �
--- --- — �- —�-- ---_ _
�Occupancg Load. _J� � J
LFloor Area(Sq Ft.): ,.TT _ -- 1204 �L_�� --��-- _---J�
Building Pre-con.Meeting Required...................No. r Census Category ........................ ..............437-Commercial alt/add
Fire Sprinklers ....... .. ............................ No Mechanical....................... ......... Yes
Number of Stones.......:. ......... ..................1 , Permit for Building Shell Only....... .......::..... No
Permit for Foundation Only.................................No Plumbing........... ......... ................. Yes
Special Inspection Required................................Yes Will Certificate of Occupancy be Issued?............Yes
Sensitive Areas?................................................ No Zoning Designation.............................................BC
PERMIT EXPIRES Apri16,2004.
Permit issued on October 9,2003
I hereby ce��tify that the above information is correct and that the conshuction on the abov�described property and
the occupancy and the use will be in accordance with the laws,nzles and regulations of the;:>tate of Washington and
the City of Federal Way.
Owner ar agent: ��~�"{-..� ` �G� � Date: l� ��t ^� �
�. • , �
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City uf F��leral Way � ' '
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Cade certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building �
construction or use. This certificate is valid ONLY when endorsed bv Citv staff.
Tenant Name: MIDAS AUTO SERVICE ADDITION Pernvt number: 03 - 104042-00
Address: 32530 PACIFIC S
#1 � #2 I� #3 � #4 - �
Ocupancy Group: H� ��
i Construction Type: Type V-N _� I I
LO ancy Load: _� � � -�
�Floor Area(Sq.Ft.): 1204 1� � _ __ �
Owner Family Trust Titterud
Name: 23100 PACIFIC HWY S#301
Address: DES MOINES WA
98198-7281
Building Official Date
The prioriry focus in the review and inspection made by the Ciry prior to issuance of this Certificate was on those malters which experience has shown most severely
afJ`'ect the health and sajety of the general public. Although the City has made as comple�e a review nnd inspection as is rensonab!y possible('.vithin budgetary time
anQ personne!limitalions),the City neither guarantees nor warrants to the owner/ocu�pnnt or to any other person that this Certificate evidences strict compliance
wiih each and every ordinance or regulation of the City or the State of Washington afj`ecting the construction or use ojsaid structure cr the[and upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premis�s.
•
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� • , POST'i'HIS CARD ON THE FRONT OF BUILDIP'r' ' " }'
� CITY OF �'~
���',���� Wa BUI�,�ING DI�'v�SII�N
�'`"' � INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-104042-00-CO
OWNER'S NAME: Family Trust Titterud
SITE ADDRESS: 32530 PACIFIC S
O FOOTINGS/SETBACKS G��rI i�`�� �/� !/ O FOUNDATION WALL
DO NOT'POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floar
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
`ALL THE'ABOVE MUST BE APPROVED PRIOR'TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
THE`ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSUiATION: Floors Walls Attic
THE ABOVE MUSTBE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED'PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL � � D
DO NOT OCCiJPY THIS BUILDING UNTIL BtiILDING FINAL IS APPROVED
.R � • � , ,
r - � _
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INSPECTION LOG
DATE INSPECTOR ` OK GORR/REJ AREA AND TYPE OF INSPECTI�N
3� "`(� � �tJ � �' � ��� T" �- �.�` /
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3 � � � f✓ / L - G1M � �s' ��� .z �- _
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l � '� -� � m��H I o�+�' f,or o�F -�'s
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City of Federal Way Building - Commercial Permit #:03 - 104042 - 01 - CO
Community Development Services
33530 Ist Way S
Federat Way,WA 98003-6210
Ph:253.661.4000 Fax:2�3.661.4129 Inspection request line: 253.g35.3�50
Project Name: MIDAS AUTO SERVICE
Project Address: 32530 PACIF'IC HWY S Parcel Number: 162104 9051
Project Description: ADD- 1204 sqft shop addition to existing 3999 sqft shop&office/toilet facility.Site work as req'd.
New landscaping,new canopy and facade modulation.No plumbing or mechanical on this permit. This
revised permit added an exterior exit/fire door in e
Owner Applicant Contractor Lender
Titterud BRUCE W.MECKLENBURG NONE NONE
23100 PACIFIC HWY S#301 PO BOX 98670
DES MOINES WA DES MOINES WA 98198
98198-7281 NONE
Includes:
Census categorys 437-Comm #1 #2 ��� #3 � #4
�--_ ----- — �L =-�-- �—
Occupancy Group � H-4 �
��� � T_.
Construction Type Type V-N ___�L ___
� Occu anc Load � �
P Y� 9 ) ----- l � �� __ �
_ —� ____
' Ftoor Area S Ft 1204 _ �__L p �� � '
Building Pre-con.Meeting Required..................:No, Gensus Category ......... ..,..................:.....:437-Gommercial aldadd
Fire Sprinklers:' ......... ........................... No Mechamcal_....................... ................... Yes
Number of Stones .......:'. ....:'.... .................1 Permit for Building Shell Onty............................No
Permit for Fo,undation Only.................................No Plumbing................................................. Yes
� Special Inspection Required................................Yes Will Certificate of Occupancy be Issued?...........Yes
Sensitive Areas?................................................. No Zoning Designation.............................................BC
PERMIT EXPIRES March 2,2005.
Permit issued on September 3,2004
I hereby certify that the above information is correct and that the construcrion 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 Feder y.
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
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: MIDAS AUTO SERVICE Permit number: 03- 104042-O1
Address: 32530 PACIFIC S
#1 #2 #3 j� #4
--..�`_
Occupancy Group: 9 H-4 � �
Construction Type: Type V-N __�
Occupancy Load: ��_
Floor Area(Sq.Ft.): 1204
Owner Titterud
Name: 23100 PACIFIC HWY S#301
Address: DES MOINES WA
98198-7281
n�K• rN�'�, C 3C�
la Z�,- os/���
Building Official Date
77re priority focus in the review and inspectron madE by the City prior to rssuance of this Certificate was on those matters which experience has shows most severely
afject the health and sajety ojthe general public. Althovgh the Ciry has mace as complete a rwiew and inspecNon as is reasonably possible(within uudgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other persott that this Ceriif+cate evidences stricl compliance ,
with each and every ordinance or regulation of the City or the State of Washington aJjecting the construction or use of said structure or the land upon which it is
sihtated. Such compliance is the responsibility oJttie owner and/or occupar.t of the premises.
THIS CARD IS TO MAIN ON-SITE •
���►oF �.ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUES'T PHONE # (253) 835-3050
PERMIT#: 03-104042-01-CO
Owner:
Address: 32530 PACIFIC HWY S
FEDERAL WAY, WA 98003-6402
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TffiS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to instal]siding
By Date By Date By Date
❑ Roof Sheathing(4220) � Rough Plumbing(4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing Approved � Approved
By Date By Date By Date
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Appmved Approved
/
By Date Date j 4 � By Date
❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Appmved
By Date By Date By Date
❑ Final-Building(4050)
Approved
B3'�.�-/� D�.Ye d'�d `�s
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� CONSTRUCi � PERMIT APPLiCATION
CIiY OF �+.-� �+,.C���[} Pp�„ICqT[ON NIfMBER: -
Federal�ay ��"`� PPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _
AUG 2 9 2003 PPLICATIDN NUMBER: _ - - - - -
"The following is required 'nformation-Please print(in ink)or type"
�1'�Y OF FEDERA�-w�+Y ���"�
Please note: Eledrical, �re��v��(��ms and Engineering permits may require a separate application.
• • a• � -. • ��
SITE ADDRESS: J���� Fd`+� NwYr 70. ASSESSOR'S TAX/PARCE! �: � G 2 i o sF - 5 0 6 ��Q'L,
LEGAL DESCRIPTIO OF SUB)EC7 PROPERTY TTACH SEP.�RAT DESCRIPTION IF LENGTHY): �e n/�/gl�. ��Q,��jP �p O�
ftie ,v. /a o�fhe 5�v%¢a� '�►GNW/¢ o�5�c .�G,T�►��, ZrN, ��a��. �v�vr. ac��n co�,�q,
i xcG • - c, f-fwY, a5 ,
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� TYPE OP PROJECT(This application): �BUILDING o PLUMBING a MECHANICAL � DEMOLI'1"ION
• o ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSfEM
� PROJECT DESCRIPTION(Provide detailed description): �rjp0 /.������'�C� �IX! s�. `IdC:��'
'f �XiS� fo �lets �D�fkic�.�t�.�"G`1 eX/�' Mti�"�vidS �C��avS�Pvevidc
i h A.1� L�hc1�c�oih� as v�a d �v/r�ccr� i arr�,�v dv�llii,� ',f��� �tl�� -
; � , � -
� e n t r/� �o H_/ /vrn rr � , ,�/et vlco ��ve /4YM w� e r �e $or Y
I, PR07ECENAME: � Q�+ / r /GH �l� M�t�OjC,�" AV 7�v ���V�C,� gub�Gofrfr�D'G7o�5
i
' • • • •
� PROPERTY OWNER: N""'E� : �a`�M�O}1`-""- �
Tr f fe�-u�f� r"t f��`v���s�t�vvi� T f��yud ; �2a�) �� -c►9�� ;
MAILING ADORESS(STREE7 AU�RESS;UTY,S7ATE,ZS�j:
: 23/G0 �1✓c.Xwr. 50• �5w�e 30/,aesMoitieS ; \1/A. g��f3 �
CONTRACTOR: N^ME' pye S l 6n'� ��J oN erc ; D4rTlr��r�or+=_: —^
; (D�5 orv�er� � CYeg l�re/�oi�'oS� ��.A1.,cl�i�ee ��rOAS ; (253) 8.9� -/B8� ;
i MAIUNG ADURE55(STREET ADDRE55:CM.STA7E.ZIP): EVENtNG vriOt�E• O �
If � 24�0/�o KwYl�/O E- 5t1/>e /Too 6cnne�'Lr,�1lc ���9839 (206} j79 - D�f'88 i
'. CiTY OF fEDfRAL WAY BUSINpS$UCENSE N BER: . , FAX NUMBER:
�' � - - ' - - - - - - ' - � (253 ) 8 9 1 -1096 7 i
, CONTRACfOi?'S REGiSTRATION NUMBER:OW H eYI� 1 aPIRAT-ON.r,:.TE:
�c�w�m���,��� �tlA - 'LetfPt�'o�Ac,tftior�zA�'ioh A�f�tc�,eql � i �
� ,APPLICANT: NAME: par'r:n��ct;o�:� i
, � Br�ce 1V,- MeG,�/eh6vvQ � iza6) 8Z$ -8�4�0 �
MJ�UhG AODCESS(5'TFEET�D�RCSS;CITY,STATL,Zit'): � FVEt�l!:G��10�:` �
�p4. l�ax `�8�.7D , Des Moirres, l�/A , 98/98 ! (206; 824 -og�I !
.I REtATIO�tSHIP TO DROJ[CT: � � � F4X NU��9ER.
� �ARGFiITECT ❑TENAtvT o OTHER( DESCRIOE): � �QQ6J �Z� �G/G�l� i
E-rta��a^o�..`5 - -�
1 _ �
CON i ACT' PERSON FOR THIS PROJECT: O PROPERTY OWNER �APPIICANT ❑ CONTRACTOR � I
bFri.�.� ., ..�� . . �� - �5:�., �L:
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x[�''�jtr�Ys�., 1'%�-jt..E,�_ -:.�1 ,,..a��a � / 3� 1 1 � f ,c '• •� _ .:�v'9*a �''r.
EXISTING USE: /�V�O S��ZY/G�EXISTING BUILDING ASSCSSED/APPR�IISED VAWATION � 2 4 � �OG'_��'
PROPOS[D USE: /'� V �0 �J' �/ZV/GC� PROPOSED VALUATION FOR IMPROVEMENTS: 5���"'� —
SPRINKLERED 6UILQING? O YES �NO FIRE Sl)PPRESSION SYSTEM PROPOSEO/REQUIRED:❑ YES �CNO
WATER SERVICE PROVICER: j(LAKEHQVEN C1 NIGHLINE U TACOMA q PRIVATE (WELI)
SEWER SERVICE PROVIOER: �LAKEtiAVEN r7 HIGHIINE ["� PRIVATE(SEPTI�)
�
*�NEW RESIDENTIAL CONSTRUCTION ONI
NUMEIER OF[3EDROOMS: ESTIMA7[D SELLING PRIC[: T
;�,.,:.�. . . • � f• • • 7� _ ;�'�i..
_ :.. ".::�y %r
_,y�._• ,{ Y.. ,., . - .�}.a:.:1_. ._.. :.. • �.:.' ., � •.._ _..... ,'.�*
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FIOOR EXISTING SQ.FT. PROPOSED S .FT. TOTAL
(TASEMENT
�R� 3 � 9 � i2o� �Zo3
SECOND
TNIRD
FOUR7H
07NER FLOORS(DESCRIEIE)
DECK '
GARAGE
HOW MANY FLOORS7
TOTAL: ��� � I ZD¢ � �ZO3
�: - • ��r -'= '`"
Indicate number of each type of fixture �
. MECHANICAL pe✓rr���.�. d�e��gti� 6Y.�c�c�. CC I?�'Y.+
AIR HANOLIIVG UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
6BQ(5) � FAN(5) NOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(5} RANGE(S) MiSC.
COMPRESSOR(S) FURNACE(5)
DUCT(5) GAS PIPE OUTIET(S) HEAT SOURCE: o ELECTRIC a GAS
, PCUMBING ,r'evi'Y!i 7� �Y GaNf'r•
BATHTUB(S} � IAVATORY(5) URINAL(S) �
WATER HEATER(S)
DISNWASHER(S) �i , . ATER SYS. VACUUM BREAKER(5) p ELECTRIC O GAS -
DRINfQNG FOUNTAIN(5) SHOWER(5) WASH MACHINE OUTLET
GAS PIPE OUTLEf(S) SINK(S) WATER CLOSET(S) f MISC.( Hdfe�l b )
IN7ERCEPTOR(5) SUMP(S)
. ct • «
I certity under penalty of per�ury that the infortnation fumished by me is true and corred to the 6est of my knowledge,a�d
tucther,tfiat I am autfiorized by the owner of the above pcemises to perform the work foc which the permit appliption is made. I
furtfiec agree to hold harmless the City of Federal Way as to a�y daim(induding costs,expenses,a�d attomeys'fees incurred in the
I�vestigation and defense of sud�claim),which may be made by any perso�,induding tfie undersig�ed,and filed agatnst the City of
Federal Way,but onty where such daim arises out of tl�e reliance of the aty,induding its officers and emptoyees,upon the accuracy
of t3�e I�focma ' su ied to e aty as pa of th[s pptiration. �
NAhtE/7ITLE• DATE: � v i
�PROPERTY OWNER �APPLICANT ❑CONTRACTOR
_FOR:OFFICE USE ONLY:::
•<.�,�. " �w{ct.�'.yr.\."._." �.T:....�...��._..�. ..t..�. , -: �rS�.r� .�l � i':-:.� '�a,-Ty� .ti ' '.. ... �. . .' '�... �� . ..Y �...'.��._.
eL7..NEWi�-=tys.:�ADDIRON� :�-��ALTERATION .� �:;�;REPAIR .;���:'O TENANTIMPROVEMENT�
'.CENSUS�COOE:"-i�'�i2t�yT:'y+ ! .:e�-=-�p:�:�:-�`t'-� ,ir:'=.��: tLOT$IZE .,1���: ?;,� �:�v.��*,^r' „�
�.
. . . _ .,�.
._.
- �..._ . ._ �� . _. ,;
..,. ,.
- - • ' "`d. =t3UILDING SHELL ONL . o YES. 'd NO -: �-:
.ZONING DESIGNATION_ �_...; ._ ` �
.._- ' -
. . _ __. _.- . „ '- . .: ..
:COMP PLAN DESIGNATION ::� . .-•: -.•.:-_; - -x-- .' �BASIC PLAN?.=-,:- p YES '; � NO -. ::; =. : . '
:�SECTION � :,_-��'�?OWNSHIP__;� °"RANGE `'�: *:'�� �N�lAf ADDRESS RE UIRED7 ��.� -� �0 YES•-� [] NO �
' . .• �� - �' ., ;.v,x sr�..r�.- .. . . .,. . .. . ... �
.PLATTED LOTtc ,:�YES . • . r,., .r ;;,�-.:��• CHANGE OF USE7 � ;��'� o YES'�'��o NO'.�:=" ... ,
_�o NO
COMMUNCTY DEVELOPMENT SERVI�S•33530 FIRST WAY SS��WWTN•PO 80X 9718•fEDERAL WAY,WA 98063-9718•253�i61-4000•FAX:253�i61�129
+.�„�w�n....�ffedrralwry.ccxn •
Cons � ction Permit Fee Caic �n et �
'�******PLEASE NOTE: ALL FEES F[�JST E3E VERIFIED QY CITY STAFF PRI TO ACCEPTANCE OF PAYMEt1T
C1iECKS FOR INCORREGT AMOUNTS V4�IlL NOT BE ACCEPTED!******* �
E3uiiding,mect��nical,and fire prevention s��m fees are ba�d on the(ollowin�scfiedule.
TAE3LE A
TOTAL VnLUATiON fEE:FnCTOR �
(i)si.00 co ssoo.00 (i)s3o.00
(2)5501.00 to Sz,000•00 (2)530.00 for the(rst 5500.00 plus f �r p;��p t+i':'��� IC�.L110<<��tion ttx�reo(,to 2nd including
5�.000.00
(3)S?.001.00 to SZ5,000•00
(3);90.00 fo�the first=2,000.00 plus S13.[X�/�r e,; additin��1,1�YJ(�p or frattion thereof,to a�d
induding S2S.W0.00
(4)125.001.00 to 550,000.00
(4);504.00 fo�the first=25,004.00 plus f1�Q?%Zt3c.h a.1d%'tion3/S1.fi�?4�Qor fraction thereof,to and
Indud;ng j;0,000.00 `
I
(5)550,001.00 to SlQ�J,000•00 i
(5)isZ9•00 for the first f50,000.Q0 plus�(�'/ereach ad7i[i,.�nv/fl.(�,gjor fractan thereo(,to and
kxluding 5100,000.00 �
(6)5100.001.00 ta 5500,00�.�0
(6)S 1,279.00 fo�the flrst 5100,000.00 pius fl.hJ/nr e�ch ao�+�;on�a/SI.L�,LY1 a fraction thereof,to a�d
indudirg SS00.000.00
(�5�,001.00 to 51,000,000.00
(7j f4,079.00 forthe Rst f500,000.00 plus SS:Lb(nreadl adJ,ficina/SI.L�OV.LXJor fraction thereof,to and
hdua�9 Si.000,000-oo
(e)si,000,00i.00 a�e uv
(8);7,079.00 for the first=1,000,000.00 plus 59.50/nr each add�tional SI.Q�'7.CXJ or fraction thereof.
Bo1E number Is tfie base tee to�the spedAed inaement
IYa//dreA,underl/ned numdcr/s the/ee oer add/donal sne�dlfed/narmmf
PWS: AdG 65 percent of tlie base buliding pertntt fee for plan revlew fee.
ACA 25 percent of tf�e base mechankai permtc fee for med�ankal plan revlew fee. -
Add 15 percent of the base bullding pem�i[tee for Flre Oistrid t39 wrcharge,commerdal only.
Add�4.50 for wA Sta[e Building Code Coundl,plus 52.00 per unit(a duplex&above.
s s��1,plumbing,and meciwnkal fees are calalated separatey s'
,._; - � � • , ,- "'
PROPOSED VALUATION:
FEE FACfOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional IrKrement Fee:
Estimated PErmit Fee: (1)
Estimated Pfan Review Fee: (2)
Estimated FW F'ire Depa�trnent Surcharge: (3)
(OOMMERQAL ONLn
- PROPOSED VAIUATION:
FEE FAGTOR FROM TABIE A:Number: (a)Base Fee:
(b)�donal Irxrement 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 fce Numtxr d fhIIres
;26.00+{ X�9.00/fixture}_ (8) Estimated Permit Fee
[zcm�cea ac�c r«
, X .65 = (9) Estimated Plan Revicw Fee
Miscellaneous Fxture Cha�-ge:(10)
Sub Totai ��a,e�: Une(s)(1)+(2)+(3)+(4)+(S)+(G)+(7)+(8)+(9)+(10) _ (11)
�
�
TASLE B
r �
_ �
NEW RESI�ENTIAL SERVICES MOBIIE MOMES MISC EQUIPMENT/TEMP SERV�CES
Singic E amily _Scn•ice or fccdcr oniy.. ........ ....... ..557.00 _a of Thcrmostats(first-543.00;add'n•S t3.00ca)
(Firsi 13Uu fr•5�+� S0:Lach add'n 5(�U fl'-5'_�.SU) _Scn•icc and iccdcr ....... ............._...._S93.OU _b o(I.o« voltagc fuc or burglar alarms
(irst 250U ft'-550.00:fach add�n 25(10 ft`-513(�b
iquarc Fcct _
Lach,�utbuildh��nr garagc............ ._ ...... . S3�SU MOBILE HOME/RV PARK Squarc('cct:
(Ins�+cctcd��ith scrviccl b of scn•ice or fccdcrs ' Pcr\VAC 29G-4G-910(5)(h)(i R ii)
[:ach outbuitding or gara�c...........................SS7.00 ((irst scrvicc/fccdcr-557.00;Add'n scn•icd _a of Signs(First sign-543.00;add'n sign
(Inspcctcd scparatcly) fccdcr-S37 cach) S20.0U cach) I
I _S��•imming pool,ho<<ub.s�a...............SsS 50
Yard Polc mctcr locips........._..._.. .. ..S57A(� �
1 �
�
i
� NEW h1UlTl-FAMILY COMMERC1Al/INDUSTRIAI COMMERCIAt/INDUSTRIAI �
Altcrcd Srn�c�or fecdcn �
� (Iaclud.<threc un��:��� nwrtl i
� Scrvicc (ccdci nmp• �crv�cc o� ndd'n _U to 20U............ .__ ....... . .... . ....._ � 9::)u i
U;��,�:tH�arip._ _.. S 93_UG....._......._S 27.50 - (cede; _201 -60U.......................__....... . .... _216.SG ;
201 -a�N�am� . . . .... . I IS.SU.._................57.00 _0 to 100....._..................f 93 OG......S 57.OU _ti01 - IbOU...................... ..........._.....?26.SG '�
I 401 -60U am�................158.50....................78.50 _101 -2W........................ I 15.50...........72.50 _over I000......:............................. ........363.0� I
�iUl -8U0 amp................202.50.................. 10&.50 _20l -40G.......................216.SU...........85.50 _7+of circuils `
Ovice 8W amp. .............2F9.50................. 216.50 _4U1 -�00....................... 252.50.........101 AG i i-5 circuits-572.50:Add'n cirwu�.36 cai
ALTERED SINGLE/MUITI FAMILY _�� •���--••••••--��••��•��•• 326.SG.........138.OU
(��'Ixn inspcctcd scparately Gont thc scrvices.) _g4� -��••-•-•••••••-••••-�•• 39y�•••••--••�66.50 TEMP�RARY SERVICE
Scrvice or Feeder Over 1000......................434.50.........232.00 Residentiallhlulti-Family/Commerciai/Indosuial
0 to 200 amp...............................................S 71.50 _Ovcr 600 volts surchugc......................72.SU 0-100................................................� 57.00
201 -66U am 115.50 _Mas[or mctcr rcpair..............................78.50 101 -200................................................72.SC
p.............................................. � 201 -400........................................._.....8i.5G
ovcr60G amp................................................ 17a.UC _
�1�a or metcr rcpaii .................................... 43A0 4U1 -600........................................._....11$.SU i
' a oi circuits ovcr 60U............................................t 25.Oii �
(j—+c�rcuits-35�.UU;Add'n circaits S6 ca)
. If a n��.or altcrcd commercial scrvice is 200 amps or grcater,or a ne�v or altcred residential srn•icc is greatcr than d00 amps,a plan rcvic�� is rcquired.1'ce is 3�°io of
�rnni:ice�572.50.Add'I plan revicte for other submissions is 585.50/hr. "
� FIXTURE DESCRIPTION A FIX7URE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D I
� j i
,
� ' i
t
i
i � i
'
� TOTAL COLUMN D : �
Total Cqumn(D)
Estimated Permit Fee: (12)
Estimated Permit fee from G�e 12
Estimated Plan Review Fee: $72.50+ ( X.35) _ (13)
��-��:_ � � . .
Estiniated Permii Fee: (14) �
E3ond Amount: (15) , �
�+aT..wery� '. . . h � ' f
..'si,»r�.RYw'a•-��i.�.�i��a
Estini�t�d Permit Fee: (1G)
(iond Amount: (17)
�.,�.-. -
. .,. ,.,,. �. .: . . ,. , . -,. ..
s.,.,,. :.r.sia7.f�..a. . 3�
M,' ,n F�c: (1r) — ------ (2U?---- -- �Z2)---- ,
S:_. : _::�.,:t,.:rc; . (1�) --------- (11) �'3�-
Tc•.�:' ;:,,.;._.�,.�.�.,,.:;;: �mc(s)(ii)+�iz),(i3),�����,�is)+(i�)��i�),��s>�(�9),�?��>,�>>�+���),�13) _ (?•�)— — —
e,.:��_�,��, �ina- ,>,�«�m;>�� z3. 700?