04-101740City 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 APAR
b Plumbing Permit #:04 - 101740 - 00 - PL
7'�J L Inspection request line: 253.835.3050
114 SW 332ND Apt2305
Project Description: Addition of washer /dryer unit
Parcel Number: 182104 9035
Owner
Applicant
Contractor
PROMETHEUS MGT GROUP
THORNBERG CONSTRUCTION
THORNBERG CONSTRUCTION
PROMETHEUS MGT GROUP
4809 242ND AVE SE
4809 242ND AVE SE
12011 NE 1 ST ST SUITE 207
ISSAQUAH WA 98027
ISSAQUAH WA 98027
BELLEVUE WA 98005
(425) 462 -1139
Plumbing Fixtures
description _Quanti C Description_` _ Quantity Description Quanti
Laundry Washer Outlets 1�
I
tl
tl
THOIPNBERG CONST
42SSS79OSS 05/06/04 01:4Spm P. 002
f I%--�
CITY of CONSTRUCTION PERMIT APPLICATION
Federal Way PPLIG4TION NUMBER:
- -- _ _
APPLICATION NUMBER:
PPLICATION NUMBER: - -
"-The following is required information — Please print (in ink) or type•
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
SITE ADDRESS: Z.0• ASSESSOR'S TAX /PARCEL st;
LEGAL DESCRIPTION OF 5U JECT PROPERTY (ATTACH SE ABATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): U BUILDING XPLUMBING 0 MECHANICAL ci DEMOLITION
O ELECTRICAL o ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
flc�mt
CONTRACTOR; nMF-
I i 1�
NUM Elf R:
- - -w
TIME DRONE: I
IL
EVENING PHONE:
_
CONTRArf00.5 EG
0.LSIP/�TION NUMBER:T,M — O 163 - - -�o �•It� ��
EXPIRATION DATE:
•
(copy a a�� rrgt,lrni) '
APPLICANT. NAME:;
DRONE' k
MAIIa NG ADDRESS (-mcr:r Ar.)0RESS: CITY, STATE, ZIP -- l
EVENING PHONE:
i• -- _ _. _.... ( I
REUI7I0NSI1IP TO mk C.T: .. .._ • - -...
FAX NUMCa�'R:
O ARCHITECT O TENANT o OTHER ( DESCRIBE):— ! t
;
Z r,An. ADDRESS; 1
CONTACT PERSON FOR THIS PROIF-CT: n PROPERTY OWNER o APPLICANT o CONTRACTOR j
EXISTING USE. EXISTING BUILDING ASSESSED /APPRAISED VALUATION �
PROPOSED USE; V PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER;
SEWER SERVICE PROVIDER:
C] YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: r:1 YES o NO
U'LAKEHAVEN O HIGHLINE O TACOMA o PRIVATE (WELL)
❑ LAKEHAVEN 0 HIGHuNC n PRIVATE (SEPTIC)
THORNSERG CONST 42SES79OSS OS/06/04 01:45pm P. 003
* *NEW RESIDENMI- CONSTRUCTION ONLY **
NUMBER OF BEDROOMS_ ESTIMATED SELLING PRICE: S
_ rw�tt
BASEMENT
FIRST --
SECOND -
THIRD
FOURTH — -
OTHER FLOORS (DESCRIF3E)
GARAGE
HOW (MANY,FLOORS?
TOTAL:
EXISTING SQ FT. PROPOSEfI SQ- FT. TOTAL.
Indicate number of each type of fixture
MECHANICAL
AII� HANDLING UNITS)
88Q(S)
_ EVAPORATIVt COOLER(S)
GAS LOG(5)
EFRIG. SYSTEM
REFRIG. SYSTEM(S)
BOILERS)
COMPRESSOR(S)
FAN(S)
FIREPLACE INSERT(S)
tI00D(S)
RANGE(S)
_
i
MISC. ST
)
DUCT(S)
FURNACE(S)
_ _
GAS PIPE.OUTLET(S)
HEAT SOURCE.
0 ELECTRIC n GAS
PLUMBING
9ATHTUB(S)
_ DISHWASHER(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
NG FOUNTAIN(S)
RAIN WATER SYS.
SHOWER(S)
VACUUM BREAKERS)
WASH MACHINE OUTLET
C� ELECTRIC ❑ GAS
GAS PI
GAS PIPE OUTLETS) z
INTERCEPTORS)
^ - -`_-
^: SINK(S)
WATER CLOSETS)
MISC. )
— SUMP(S)
I certify under penalty of perjury that the Information furnished by me Is'true and correct to the
further, that I ant authorized by the owner of the above premises to perform the work for which the petmybest P(icma� application Is de.� ind
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
of the information supplied to t
Federal Way, but only where such claim arises out of the reliance of the city, including Its Officers and employees, upon the accuracy
he city as a part of this application.
46A,
NAME /TITLE;
�- DATE:
O PROPERTY OWNER D APPLICANT 0 CONTRACTOR
COMM(JN T( DFVELOPMEMr Sr RV10ES , 33530 FIRST WAY SDUTN - PQ BOX 9718 - FEDERAL WAY, WA 98063 -9718 , 253.661 -1000 - FAX: ZS3- 661 -41Z9
WWW.cltyo(rszj y gm
Pl -U S:
THORNBERG CONST 4255579059 OS/06/04 01:45pm P. 004
Cowction Permit Fee Calculation heet
PLEASE; NOTE' ALL FEES MUST BE VERIF rzO BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED[ * * * * * *x
flooding, mcc;haniCal, and lire prevention system fees are based on the Following sd3edui, -.
TOTAI. VALUnT'iUrl
(4) S?5,(Y)1Jy) ro S!.r).fX1U.(iU
(,) si0.0o1.00 in SrrA,txx3.an
(7) SSO),orll. 7) hr ! ; rr•r) (Y t�.rv)
(8) S1,0C)O,GU l.M nrd uU
TABI.F A
S.) S30.00 for the first $ ,,00.00 piu5 S•1. U7 /VLA?Cn Jc.'y4(p ?n,7 /.S/L .), L'Q rJr frac',on th.;ncaf, to anr,l u1t; 1, pJviq
(3) $90.00 for (hc rir•.t S2,000.00 plus S/ ?(:Zip /CJC'(-
1rr1txlirx) S25,ryy).Cd1
(4) 550.1.00 for the first 57$,000.00 plot, S.(J. G1C1... G!j,yj.34r.;ijrr�! ?J /SL CCV7. LCt Ar fr.7Ct r'rr th•tCp7. t) , n,j
Ir,t:l.idinq S50,000 ry)
($) 5829.00 for the first SSO,000.00 ptu; S ?;C;�(p� „CJCfI IGr:7;?Vn)l f; 6 j 6,V)Q( Iraau2rt trn n p!, ht ,�r „I
'-JJ 7Nx) 5100,00o.ry)
((i) SL, 7.79,00 for tJ1r. nrrt 5100,000.00 ph r•+ SL00- .1.vrC.:C,7, nil SLCILn X or Ii�tLnn lt,ra�ril, to ,)nr)
indtu7ing 1500,(XK).(X}
(7);1,p79,00 for thr fist S500,000.00 pfi<. SG, OL )rGC.CJCIZdGpgonJlSl.G�Jj)Gy)or fr.)c'ian t}tesst�f, t.n onr)
hk;ltxjiru7 FI,000,(x,0.p0
(t{) ;7,079.00 for Ctic first $1,00(j,000.00 pl,,rs 21a j./ JI,,6:'C 7? of fna:tior, th, rmr,
Bold number Is the Liss, fee for the 3pc4d11ed Increment
ILG >- zM�Vn�ICH /ns�plan r S�fJQdS'";ij a s�
j is /nG•r -C_
°- -
pert:ent: o Uv_ hg e pultding rR)it rce for plan rr_`vlcw fee. --
Add 15 percent of trio pays buil,.lwl "Ormlt Ir_c for merh;,nlral plan review fe,3. —+ —
Add 1 :i Pcrcert A the hay_ pudding pennit fep for r1rn District A:1�? :a %r'tlWr'ge, c�xr mcrc)�t gnly.
Add $4.`;0 for WA :,uric t3utlttln<J Crx c <:a,ir�yl, PIUS 5].00 fxrr unit for duplex Fk atx+v,!.
"' F10Ct71rai, plum✓71,zq, and rt)rY1laoUcal fee, arc calrad•3lcd scPar�tcly
PROPOSED VALUATION:
FEE FACTOR FROM TABI.E A: Number:
(t)) fU.lditional Ina-emgnC Fee:
Estimated Permit Fee: (I)
Estimated Plan Review Fee: (7)
Estimated FW Fire Depdrtmetlt Surcharge: (3)
(COMMERCAI, ONLY)
PROPOSED VALUATION:
F. E1-. FACTOR FROM TABLE A: Number:
(a) Base Fee_
(b) Additional Xrlcrement t'rr•,: —
EStifrtated PerMit Fee: (9) —
Estimated Plan Review Fee; (5)_ w
PROPOSED VAL,UA'TION:
FIT FACTOR FROM T'ABL F A: Numtx:r;
.— .._......— (a) &35e FCC:
(b) Addit:ionaf I110CMeot Fer-: —
i_stim.ited
Estimated Plan Rcview Fee:
11-1;r FCC Numtx:r Fbty IMF
e7.6.0U i• { _� _ X $9.00 /IixtLr0. -
Fit -3tN r, —ft r } - ��• - -- ..._ (8) CStirnated Pertnit Fee
— — _ X .65 - „ _Y — (9) Estimated Plan Review Fee
Mi5C4111-WICOUS Fixture Charge: (1.0)
Sub. Total (narrrJcnr•). l.ine(5) (t) +(2 }i•(3) +(�)i.(S).1.(G) +(7) I (t3)+ {9)1-(10) - (11)