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02-101604City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 0 1 0 Building - MW i Family Permit #:02 - 101604 - 00 - MF Project Name: FOREST COVE Project Address: 30805 20TH AVE SW UnitD Project Description: PUMECH - Install washing Inspection request line: 253.835.3050 Parcel Number: 122103 9141 hookup exhaust fan, & dryer vent Owner Applicant Contractor Lender Forest Cove 388 LLC TMAC SERVICES TMAC SERVICES NONE 1703 SW 309TH ST. 1235 SW 132ND LN SUITE 921 TMACS * *OOOJ6 (4/21/02) FEDERAL WAY WA BURIEN WA 98146 1235 SW 132ND LN SUITE 921 Occupancy Load: BURIEN WA 98146 NONE Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Load: Floor Area (Sq. Ft.): Census Category .................. ............................... 434 - Residential alt/add - no - Mechanical.................. ............................... Yes Plumbing.................. ............................... Yes Plumbing Fixtures ,.� -: �Desci�Eptiorl, �f � lariat' Mechanical Fixtures _ �; cri P iciarI��I�Des to�. Quantit .: I Y Fans �� PERMIT EXPIRES October 13, 2002, IF NO WORK IS STARTED. Permit issued on April 16, 2002 I hereby certify that the above information is co ct and that the construction on the above described property and the occupancy and the use will be in accorda e ith the laws, rules and regulations of the State of Washington and the City of Federal Way Owner or agent Date: ,-*'0-CA y4 , Zy � /--// , 1/1 � /- 7 0 0 PCCH/PL cff•ow � CONSTRUCTION PERMIT APPLICATION r VV F-TY1 __ REG�V GD PPLICATION NUMBER: Q Z- D O DV APPLICATION NUMBER: APR APPLICATION NUMBER: — * *The following OF Fgp,�.ift�r* phation — Please print (ih ink) or type ** Please note: Electrical, Fire `Pre$VjWd\- QQ9Thnd Engineering permits may require a separate application. INFORMATION PROPERTY SITE ADDRESS: _ �� ASSESSOR'S TAX /PARCEL #: 4C. LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ... - � I;. PROHCT INFORMATION a _ TYPE OF PROJECT (This application): PROJECT DESCRIPTIOIJ(Provide detailed PROJECT NAME: ❑ BUILDING 012LUMBING .,MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROPERTY OWNER: NAME: MAILING ADDRESS (STREET ADDRESS; CITY, CONTRACTOR: APPLICANT: - ,PEOPLE INFORMATION V DAYTIME PHONE: (21'? �;e'r- - ?nt' NAME: ©/� ( DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): Z I,A) 2 /1 EVENING PHONE: I ITY OT FEDERAL WAY BUSINESS LICENSE NUMBER:2 ./� �f (FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: / 0 6 a EXPIRATION DATE: / 0 /,::;' 2 (copy of card required) J6, Att NAME: DAYTIME PHONE: ` (? 4glzh ( - MAILING ADDRESS (STREET ADD SS; CITY, STATE, ZIP): (EVENING PHONE: RELATIONSHIP TO PROJECT: fAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( - E -MAIL ADDRESS: , CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT W- ONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ ❑ YES b4-NO PROPOSED VALUATION FOR IMPROVEMENTS: $ <710 ��++ FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: El YES M N0 ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Aft ANN& * *NEW RESIDENTIAL CONSTRUCTIO Y ** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS -- FLOOR EXISTING SQ. FT. PROPOSED S . FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) 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) • CK 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 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 attomeys' fees incurred in the investigation and defense of such gym), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only yrher� su m ariP out of tfi the reliance of the dty, including its officers and employees, upon the accuracy of the information sudplit to u��{{{ a as a art of this application. NAME /TITLE: J , I (l f /,-)1 DATE: f✓ r C) L" ❑ PROPERTY OWNER ❑ APPLICANT I- CONTRACTOR ,FORz.OFFICE '_USE ONLY. COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • PO 60X 9718 - FEDERAL WAY, WA 98063 -9718 - 253!61 -4000 • FAX: 253 -661 -4129 www.citvoffederalway.com Cons(Octvon Permit Fee Calculation *bet * * * * ** *PLEASE NOTE: ALL FEES MUST 13E 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 (4) $26.00 (2) $501.00 to $2,000.00 (2) $26.00 for the first $500.00 plus $3.50 for each additional $100. or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $78.50 for the first $2,000.00 plus $15.50 for each additional $I,".A7 or fraction thereof, to and including $25,000.00 (4) $25,001.00 to $50,000.00 (4) $43S.00 for the first $25,000.00 plus $11.07 for each additional SI,OCXI.A7 or fraction thereof, to and including $50,000.00. (5) $50,001.00 to $100,000.00 (5) $710.00 for the first $50,000.00 plus $6.00 for each additional $1,000.00 or fraction thereof, to and including $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,110.00 for the first $100,000.00 plus $6.07 for each additional $1,000.07 or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,510.00 for the fist $500,000.00 plus $5.50 for each adddana /SI,000.07 or fraction thereof, to and including $1,000,000.00. Ir (8) $1,000,001.00 and up (8) $6,260.00 for the first $1,000,000.00 plus $4.07 for each additional $1,0100.00 or fraction thereof. Bold number is the base fee for the specified increment rtajgc underlined number Is the fee per additional smoWcd 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: (i Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) 0 MECHANICAL PROPOSED VALUATION: _� (/ •. j FEE FACTOR FROM TABLE A: Number (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: (4) 100 Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: ■ FIRE PREVENTION SYSTEM (a) Base Fee: (b) Additional Increment Fee: Base Fee Number of F (cures $22.50+{ ( - X $8.00 /fixture} _ V _ (8) Estimated Permit Fee Estimated PennR Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (Pawone): Line(s) (1) +(2) +(3) +(4) +(5) +(6) +(7) +(8) +(9)4(10) = (11) e �1V1