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02-101599V 0 0 City Federal Way Community Development Services Building - Multi Family Permit #: 02 - 101599 - 00 - MF 33530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: FOREST COVE Project Address: 30917 16TH PL SW B1dgA Parcel Number: 122103 9006 Project Description: PLIMECH - Install washing machine 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 98023 -4389 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 r. cit Q ` rc ° eC : . a iatiti Mechanical Fixtures F.,um�'�t.rlti(3►1 t "...',�r'It mm J 1.SCif�?f01 :.b Qti Clt1 a.p, Q2SC, 1 7-07—'-F-117 Q, fin' Fans �I PERMIT EXPIRES October 13, 2002, IF NO WORK IS STARTED. I hereby certify that the above information the occupancy and the use i11 be in ac the City of Federal Way. � A' Owner or agent: Permit issued on April 16, 2002 and that the construction on the above described property and 1 the laws, rules and regulations of the State of Washington and u►uN b, r X15 --- &ft e Gk Date: # MCA t � �,� CONSTRUCTION PERMIT APPLICATION PPUCATION NUMBER: ��EIV E� - - - - APPLICATION NUMBER: aPR 1 ZC�2 APPLICATION NUMBER: * *The following is requireedd ormatioTi — Please print (hi ink) or type ** FEDERAL W� Please note: Electrical (giarl}fems and Engineering permits may require a separate application. .. . % SITE ADDRESS: �/ /7 {p �l SC-+% ASSESSOR'S TAX /PARCEL #: ! ( l) - e2 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): k =mot PROJECTINFORMATION TYPE OF PROJECT (This application): ❑ BUILDING &70�LUMBING 14- MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (grovide detailed description): `/V ST,�1,/ 1"/'4 S�� 11 S 12 %/'Y�l�' /^'( yj0► PROJECT NAME: PROPERTY OWNER: I NAME: CONTRACTOR: APPLICANT: ` PEOPLE INFORMATION C�JC ADDRESS; CITY, STATE, -3) v q C,0 DAYTIME PHONE ( 1-1-1) 3; ))k_ ?WO N�ADDRESh(STR DAYTIM E PHONE: - (201j ) EET ADDRESS; CATE, ZIP). J EVENING PHONE: I CITY OF FE ERAL W Y [NESS LICENSE NUMBER: '�--6 o1)_ %t FAX NUMBER: G (21)6 )T3 -a-2 z 6 zo _ - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) .� U D / Z tl l G NAME: DAYTIME PHONE: C� c 2— MAILING ADDRESS (STREET ADDRESS; C , STATE, ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ) - E -MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT AUCONTRACTOR EXISTING USE: PROPOSED USE: 'DETAILEDBUILDING INFORMATION EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $ SPRINKLERED BUILDING? ❑ YES *� NO PROPOSED VALUATION FOR IMPROVEMENTS: $ 041 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) A i * *NEW RESIDENTIAL CONSTRUCTION Y ** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING 5 . 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) BOILERS) 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) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) DISCLAIMER/SIGNATURE BLOCK; 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 ow r of the above premises to perform the work for which the permit application is made. I further agree to hold ha less the Ci f Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defe a of sy� d ), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but on( ere m arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information s plied���//// a part of this application. �— NAME /TITLE: ❑ PROPERTY OWNER ❑ APPLICANT IV CONTRACTOR FOR OFFICEUSE ONLY: DATE: � 4 6 COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 2S3-661 -4000 -FAX: 20- 661AI29 www 0!) offederaIwaV.com ConAction Permit-=Fe&Calculation *L-et * * * * ** *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIORTO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * * ** Building, mechanical, and fire prevention system fees are based on the following schedule. PLUS: TABLE A TOTAL VALUATION FEE FACTOR (1) $1.00 to $500.00 (1) $26.00 (2) $501.00 to $2,000.00 (2) $26.00 for the first $500.00 plus $3.50 for each eddd/ona15100.00or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $78.50 for the first $2„000.00 plus SIS.SOforeach adddional$f. 0000 or fraction thereof, to and induding $25,000.00 (4) $25,001.00 to $50,000.00 (4) $435.00 for the first $ 25,000.00 plus $11.00 for each additional $1,000, 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 addition! $1.000.00 or fraction thereof, to and including $100,000M. (6) $100,001.00 to $500,000.00 (6) $1,110.00 for the first $100,000.00 plus 56.00 for each additional $1,000.00 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 aoWional $1.000.00 or fraction thereof, to and inducting $1,000,000.00. (8) $1,000,001.00 and up (8) $6,260.00 for the first $1,000,000.00 plus 54.00 for each additional $1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Ttalldzed, underfined number Is the fee per additional specified increment 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 ** PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (1 Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERQAL ONLY) PROPOSED VALUATION: ■ BUILDING (a) Base Fee: (b) Additional Increment Fee: FEE FACTOR FROM TABLE A. Number: (a) Base Fee: 4�_ (b) Additional Increment Fee: Estimated Permit Fee: Estimated Plan Review Fee: (5 - ■ FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: Base Fee Number of fixtures $22.50 + { f _ X $8.00 /fixture) _ Estimated Permit tee .65 = (a) Base Fee: (b) Additional Increment Fee: (8) Estimated Permit Fee (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) ,off Sub Total (Page one): Line(s) ( 1)+( 2)+( 3 ) +- (4) +(5) +(G) +(7) +(8) + {9) + {10) _ (11) /li TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES -,Sin.-lc Family Service or feeder only ...........:............. $50.00 # of Thermostats (First - $37.50; add'n- $11.50ca) (First 1300 ft2- $75.00; Each add'n 500 ft' -$24.00) _ _ Service. and fecdcr ............................... $81.00 _ _ q of Low voltage fire or burglar alarms Square Feet: ` First 2500 ft'443.50; Each add'n 2500 ft'- $11.54 _ Each outbuildingorgaragc ..... .......... :........... $31.00 MOBILE HOME /RV PARK Square Feet: (Inspected with service) _ k of service or feeders ` Per \VAC 296- 46- 910(5)(b)(i & ii) _ Bach outbuildingor garage. --- ._._...._......._.550.00 (First service /fecdcr- $50.00; Add'n service/ - _ 'V of Signs (First sign- $37.50; add'n sign (Inspected separately) feeder -$32 each) $17.50 each) swilllnling pool, hot tub, spa ...............$75.00 Yard Pole meter loops ..... ................... $50.00 NEW MULTI- FAMILY COMMERCIAL /INDUSTRIAL COMMERCIAL /INDUSTRIAL (includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 .................................... .......... S 81.00 _ Up to 200 amp ...... ........ $ 81.00 ........... $ 24.00 Feeder _ 201 - 600._ ........ ....... ........................... 189.00 _ 201 - 400 am 101.00.................... 50.00 _ 0 to 100 ....... .................. $ 81.00 ....... 5 50.00 _ 601 - 1000 .... .... .... ....... ....... ................. 284.50 _ 401 - 600 amp ................ 138.00.................... 68.50 _ 101 - 200........................ 101.00........... 63.50 -over 1000.................... .........................317.00 601 - 800 amp ................ 176.50.................... 94.50 _ 201 - 400........................ 189.00........... 75.00 _ N of circuits _ Over 800 amp ................. 252.50.................. 189.00 , 401 - 600........................ 220.50........... 88.50 (1 -5 circuits- $63.50; Add'n circuits, $5 ea) ALTERED SINGLE /MULTI FAMILY 601-800 ........................ 284.50......... 120.50 (When inspected separately from the services.) _ 801-1000 ...................... 348.00......... 145.50 TEMPORARY SERVICE Service or Feeder -Over 1000 ...................... 379.00......... 202.50 Residential/Multi- Family /Commercial /industrial _ 0 to 200 amp ................ ............................... $ 68.50 _ Over 600 volts surcharge ...................... 63.50 _ 0-100 .. .......... ... ...... ............ ........ $ 50.00 - 201 - 600 amp ............... ............................... 101.00 _ Mast or meter repair .............................. 68.50 _ 101 - 200...................... ..........................63.50 over 600 amp ............. ...._.... ........... 151.50 _201 - 400 ... ...... .... :.................... ......... .... .75.00 Mast or meter repair ........ ..._........... ..._......_. 37.50 _ 401-600 ................. ..............._._....101.00 _ k of circuit's over 600 .... ................ ..__...... ...__ ..... 109.00 (I A circuits - $50.00; Add'n circuits $5 ca) n service is greater uian cuu amp. a plan review is req a. rec is »- /a o1 permit tee +xos.w. noo I plan review for other suonusslons is b r).uu /hr. FIXTURE DESCRIPTION (A) I FIXTURE FEE FROM TABLE B (B) I NUMBER OF UNITS (C) I TOTAL (D) __1 Estimated Permit Fee: (1 Total Column (D) Estimated Permit Fee from line 12 TOTAL COLUMN Estimated Plan Review Fee: $63.50 + ( X .3S) = (13) Estimated Permit Fee: (14) Bond Amount: (15) ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) OTHER FEES Mitigation Fee: (18) (20) (22) SBCC Surcharge: (19) (21) (23) Total (Pages one &Two): Line(s) ( 11)+( 12)+( 13)+( 14)+( 15)+( 16)+( 17) +(18) +(19)+- (20) +(21) +(22) +(23) = (24 B"lletin 4 100 - January 18, 2002