03-102176City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address
COVE APARTMENTS
33126 1ST SW Bldg6
Project Description: Add washer /dryer to unit #606
Plumbing Permit #:03 - 102176 - 00 - PL
Inspection request line: 253.835.3050
Parcel Number: 182104 9035
Owner
Applicant
Contractor
PROMETHEUS MGT GROUP
THORNBERG CONSTRUCTION
THORNBERG CONSTRUCTION
4809 242ND AVE SE
4809 242ND AVE SE
ISSAQUAH WA 98027
ISSAQUAH WA 98027
(425) 462 -1139
THORNBERG CONST 426SS79OSS 06/22/03 03:50pm P. 002
PL
CONSTRUCTION PERMIT APPLICATION
C I T Y 0 r I APPLICA-nON NUM.* (9 LK
-J
Federal Way APPLICATION NUMBER:
PPLICA-MN NUMBER:
—The following isrFtcjuired information – Plea"- print. (in ink) or typi�.
Please note-, Electrical, Fire PrevCtntion Systems and E119im!ering pCrmits may require aseparat.e. :application.
SITE ADDRESS: ASSFSSOWS TAX/PARCEL. 9:
l-FGAI. DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF I.FNGTIIY):
PRO3 r-PR14ATIO 7
TYPF OF PROJECT (This application): Cj BUILDING /P•UMBTN(j I'l MECHANICAL i.-i DEMOLITION
0 ELECTRICAL ri ENGINEERING r3 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)-.
I y
JLA.
---in poof. w
PROJECT NAME:
PROPERTY OWNER:
DAY-1 [IN Nw
f�"t YMP
(IsrmEga 5 9t
STATE,
` I , : L?
2 ow 4 -, —u–)- 0- Agn
CONTRACTOR:
APPLICANT:
MNLIV I Anmess (Sigw
CPY OF FEDERAL WAY PA)SI
CO5R G 66 -Iv 9 WE G i��T,
S!n of uird mquimd)
44t Z61 1 .1 z
)RE`}c,; CrrY, -rATr., ZIP):
p EVENING 11ONf:
+
S LICENSE NUMSERt FAX NUMM
I
L
16
PIRATIE)NI DAIE:
Ict
NAMt:
MAILIM; -0()RESS (VREEf AUDgESI;; CITY,STATT., 77P):
RELATTON14H(P TQ PROJEc-r-
n ARCHITECT ci,rENANT LD OTHER ( 0tiSCRIGE):,___._
CONTACT PERSON 17OR THIS PROJECT: m PROPERTY OWNER n APPI,TCAN*f 0 CON I RACTOR
70MM. 1(*R�
EXISTING USE:Q EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE- PROPOSED VALUATION FOR IMPROVEMENTS= $
EVENING PHONE:
FAX NUMMIR:
SPRINKLERED BUILDING? m YES El NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED; ri YES 0 NO
WATER SERVICE PROVIDER: ri LAKEHAVEN o ItIGHLINE 0 TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN In HIG11LINE. Ci PRIVATE (SEPTIC)
THORNBERG CONST
�xNk'MV RME)ENTIALCONSTRUCTION ONLY••
NUMBER OF BEDROOMS:
BASEMENT
FIRST
riti:RD
FOURTH
OTHER FLOORS (DESCRIU[ )
DECK
42SSS79OSS OSl22 /os os:SOpm P. OOS
ESTIMATED SELLING PRICE:
FT aROPnSED SQ. FT_
Indicate number of each type of fixture
MECHANICAL
_ AIR HANDLING UNITS) _
86Q(S)
EVAPORAi'TVE COOLERS)
GAS LOGS)
RE FRIG. SYSTEM(S)
BOILER(S)
FAN(S)
�^ FIREPLACE INSERT S)
HOOD(S)
RANGE(S)
WOODSTOvE(S)
COMPRESSORS)
FURNACE(S)
MOO
)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
o ELECTRIC ❑ GAS
PLUMBING
BATKTUB(S)
DISHWASHER (S)
( )
^� LAVATORY(S) --"`—
S URXNAL
( )
.. WATER HEATER(S)
DRINIQNG FOUNTAIN(S) _
GAS
RAIN WATER SYS. VACUUM BREAKER(S)
SHOWER(S) WASH MACHINE OUTLET
p ELECTRIC O GAS
PIPE OUTLETS)
INTERCEPTOR S)
SINK(S)
`WATER CLOSET(S)
MzSC.
SUMS)
P
I Certify under penalty of perjury that the Information furnished by me ls'true and connect 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 where such claim arises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the Information stj"Hfd o e city as a part of this application.
NAME /TITLE: I.� P _— DATE:
U PROPERTY OWNER C1 APPLICANT (CONTRACTOR
COMMUNITY [)e&- 1OPMt'NT S[RVICES - 33S30 rlRST WAY SWTH • PO PDX 9718 • FEb>_RAI, WAY, WA 98063 -9718 . 2.53-661.4000 • FAX_ 253.661-4129
X-'"—W-Cn&CCSI=kJy z41
THORNBERG CONST 426SS73069 06122/08 09:SOpm P. 004
Construction Permit Fee Calculation Sheet
* * * * ** *PLEASE NOTE: ALL FEES MUST SE VERIFIED By CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*****—
Bvildinq, meld-,arlic-al, and fire prevention system fees are h:jsed on the following .' ,heciuio.
PLUS!
I OTAL. VJkL I JXJ I �t
67W.06 to S506SX)
$101'00 if) $2,00).00
12'WI.00 to $25'0(X).00
(5) 150.tX1r.p0 to 11CU,W0.00
(C
1.00 to SSwjm.00
umm t'00 a,-..I up
TABLE A
F
$30.00 for the rir%t $500.00 pkrS P/
$2'omoo �tW CV 01 (Mrl.ir)n thcre•,(, ts) 0,,.1 jr, foding
(3) $90.00 far the. rvr,;t $7,000.00 plt.vc to .1 1
Incilidirm) 5s'!+'000.00
(4) 1504.00 for the r3rst $Z:),000,f10 plus a) or lr;ioam t?)s-ep.)t, to "(1cl
Ism I'X14W.1 190, rm.00
1829.00 for the f-iria 150,000.00 plus
including $100,".).00
(6) $1,7.79,00 for the fiM $L00,00().00 plus Jl2(0, .
Cd.;harhj 1 11C
0'/ 51,00 C1l1 or r;xtion tru`'o(' to and WItuJiu.) 3500,000,00
(7) $4,079.00 for the ri5t- $500,000.00 plus 0QC&AyCfjj:'iL71?,1LSL(XV,6V
Indurling $1,0M,000.00 . of fom.I.Jon the,o)r, to at"I
(8) $7,079.00 for the recst $1,000,000.00 Plus Or 1'r-10JOrs ther,�.r,
[Bold number Is the base fee for the spo011ed ln<zrrncnt
Add fry W rt ent 0( the base building pe rtilt fee rc)r plan rf.mow
Ad(i ZS percent Of the ba!w., Mechanical permit ff,,e
For mechanical plan review fee.
Add 15 NrCent or Ijie base bulldinq permit fo.±e for r1re DISUIrt #39 Surdiarge, commerriij only,
Add $4.50 for WA State
., Ouildinq Cbdc Council, PIuS $2.00 = unit for duplex & abme.
w I Electrical, plumbing, and m0d)anIs:Z1 rues ar)e Cal-(AWd rgzpamtcly
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional fncrJrieni f--ce;
Estimated Permit Fee:
Estimated Plan Review Fee-.
—
Estimated FW Fire Department Surcharge: (3)
(WMMERaA)- ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A.- Number:
(a) Rase Fee;
Estimated Permit Fee. (b) Additional Incre.rnent F,_,C-
5,stimated Plan Review pee, (5)
FIRE PREVENTION 515LE4.M., 7-
PROPOSED VAt,UATION:
KE FACTOR FROM TABLE A: Numtx-r;
F
(b) Additional fiv.:relment 17--,e;
Estimated Pemlit Vt.,,:
—
Estimated Plan Review Fee-
Bas rec Number of Fbaumn
$26.00+( - X $9.00/fixture) (8) Estimated Permit Fee
-I,-- -
X .65 -- --..
Miscellaneous Fixture Charge: (IC))
S—'A—TZ'3-1 Onorm:): Line(,) (1)+(2)• I.(3)+(4)+(5)+(6)+(7)+(8)4-(9)+(I.0) = (1.1)
— (9) Estimated Plan Review Fee.