04-100724City Federal Way
Community Development Services Plumbing Permit #:04 - 100724 - 00 - PL
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: COVE APARTMENT
Project Address: 152 SW 332ND Apt3002 Parcel Number: 182104 9035
Project Description: Addition of washer dryer unit
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
BELLEVUE WA 98005
\ISSAQUAH WA 98027
(425) 462 -1139
Plumbing Fixtures
Laundry Washer Outlets 1
PERMIT EXPIRES August 31, 2004.
Permit issued on March 4, 2004
I hereby
the occu
the City
Owner or agent:
use will be in
ty
Date:
described property and
State of Washington and
P
THORNBERG CONST
r,ITY OF
Federal Way
•
42SS6790SS
02/26,,'04 03:37pm P. 002
CONSTRUCTION PERMIT APPLICATION
�PPLICATION NUMBEa:. L70
PPLICATION NUMBER: J
LPgCXTION NUMBER'
. ... ...... ..
`I hc following is rocluired information - Please 1)rimt. (in ink) or type""
Please note; Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: SSOR'S TAX/PA
ASS[ RCFI- ;t t
LLGAL DESCRIPTION OF SlJkJECT PROPERTY (ATTACH SEPARATE OF:SCR I PTION TF LENGF-HY):
■ v
y. iv.
PRO3
TYPE OF PRO) . ECT (This application): o BUILDING YPLUMBING 0 MECHANICAL --. DEMOLITION
0 ELECTRICAL L) ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER: NA T DA me Pho
A TATE, ZIP): Mo
MAILJN4� M)RF-%-
.(5TR DO
V LQ 3
CONTRACTOR: ....... OATME PtiONE
M LAN- ADDRESS STPEETADD
L �'2.DKI
A EVENING PHONE,
S. 111, STATE. NE 731: -0
CITY &f FEEiRZL7AY MINF--S LICENSE NUMMR: N r.
P 5 R:!2
coNTRAcTmN -A;6 (�
ER; EXPIRATION DATE:
221 A
APPLICANT-.
DATTIME PHONE:
MAILING OWESS (STREET' AODRr.S; CITY, STATE, 71 EVENING PHONE
RELATIONSHIP TO PROjCLj•:
m ARCHITECT nTENANT u OTHER DFSCP!f1F-):_.
. . ......... . .... .. ....
MAIL ALIU1W.S'
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ID APPLICANT s-1 CONTRACTOR
EXISTING USE- EXISTING BUILDING ASSESSED /APPRAISED VALUATION
PROPOSED USE- 0-0 PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERLD BUILDING? 0 YES LI NO FtR5 SUPPRESSION SYSTEM PPOPOSED/RCQUIRE-D-. 0 YES 0 No
WATER SERVICE PROVIDER: u 1AKEHAVEN 0 HIGHLINI: ri TACOMA n PRIVATE (WILL)
SEWER SERVICE PROVIDER- o'LAKEHAVEN ri HIGHLINE, o PRIVATE (SEPTIC)
THORNBERG CONST
**NEW R€SIDENTIAL CONSTRUCTIOr`I or
NUMBER OF BEDROOMS:
BASEMENT
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK - '- --
HOW MANY FLOORS?
TOTAL:
426SS79OSS 02/26/04 02:97pm P. 002
E,STIMATED SELEING PRICCs
Indicate number of each type of fixture
Ms- CHANICAL.
AIR HANDLING UNIT(S)
BBQ(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
M
BOILE RS)
E550R(S)
FAN (S)
_ FIREPLACE INSERT(S)
HOOD(S)
RANGE(S)
WOODSTOVE(S)
MISC.
DUCT(
DUCTS)
FURNACE(S)
_ GAS PIPE OUTLET(S)
HEAT SOURCE.
❑ ELECTRIC ❑ GAS
PLUMBING
BATKTUB(S)
DISHWASHER(S)
^.. LAVATORY(S)
RAIN WATER SYS.
URINALS)
VACUUM BREAKER(S)
WATER HEATER(5)
RINIKI G FOUNTAIN(S)
DRINKING FOUNTAINS)
SHOWER(S) WASH MACHINE OUTLET
❑ ELECTRIC ❑ GAS
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
SINK(S)
SUMP(S)
WATER CLOSET(S)
MISC. )
I certify under penalty of perjury that the Information furnished by me Is'trve and correct to tfie 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. X
further agree to hold harmless the City of Federal Way as to any Claim (including costs, expenses, and attorneysi fees Incurred mad . 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 supplied to the city as a part of this application.
NAME /TITLE; eK) U���1�IZX N- DATE: _ LP -N
q PROPERTY OWNER ❑ APPLICANT U CONTRAL -rOR
COMMUN17TY DEVELOPMENT SERVICES . 33530 FIRST WAY SOUTH • PO BOX 9718 . RDERAL WAY, WA 96063 -9718 • 253-661.4000 • FAX_ 253-6(,1.4129
THORNBERG CONST 42SSS79069 02/26/04 08:37prn P. 004
Con ction . Pe . rmit . Fee Calculation feet
"PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF pRIORTO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT 13E ACCEPTED!******-.*
Btfilding, MPfJ13niCAl,and five prewrition -y-stern fc�_, are based on Lfi(.• following scjiccluir.
TA13LE A
10 L I-LUATIOt4
(2) $501.00 (7) $30.00 for the ri,%t S!,00.00 plus th,!rfx,(, to an(j n.
(3) 12.0Cx3.o(j
(..1) -.90.00 (or tit(. first $2,000.00 P".", Sj8.(VA rr;,.,,rsn tkur-4
1n,.Jtx1i1W•? to ,ml
(A) $50-1.00 far the tit st s2_,,000.00 rtlir
SSo.(Y)i.on ko [�.tud;rvj .0
$829.00 for LINC rlr!;[. 5;0,000-00 1)'u'; J.',(V(vr CJCA V, C?� or f(,*3",1"r1
(6) $1,).711,00 tot-U", rir-5t $100,000.00 Pl'j' 5?0.101
iry-juding t�e)(I,V)0.00
(7) 5-1,079.00 for the fj!;It $50(),000.00 olus
IfOudirwi $ 1,W0,000,00 tne,!,)f,
'J0
(8) $7,079.00 tot• tj It,
rImt $1,000,000.00 plwn xf,3.0
P-Qld is for the nx-cinitc, Increment
PLUS: ATO �GS
rx'rC(:(jt Of Uic I`Wwr bulldin�T �.'t7
.,,Tjj fl�zr�
F1 id 25 P"rCQf'[ Of 0•.12 bars n1, Cfsonlral �Kytn t f
er.� r J1 ca I ('VIC
Add 15 w.rc 1: f i*lc anl plan r. w
. e
r;( Zjj,
hilfloilig pe.rot ice fcx Flr'r0i.Lrid #39 raircharg 'Ile C. 1 (.X1
Add -SO for WA S.',,i(c Btjjj) „jrjk CrAC crxinait, ptkis sz.00 p, , Q, coty) r j. I ly.
r tiit rcA* (juplx ILX)Yc.
Elet_uical, pluming, am irlW* vQnkal frxs art, C31Lul,!t.P1J ,A!pjratrly
PROPOSED VALUATION:
FEE FA(-TOR FROM TARI.E A: NumLxer:
(a) Wise Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
1"Stinlated Plan Review Fee;
Estimated FW Fire Department Surcharge: (3)
(0011MERCV,I, ONLY)
PROPOSED VALUA-FION.
FEE FACTOR FROM TABLE A- Nunihor; _._ (a) Basc Fee;
(b) Additionfl IrXrement Fee:
Estinlated Permit Fee:
17-5tirnated Plan Review fee: (S)
PROPOSED VALIJAIlow
FEE FACTOR FROM I AF3LC A: Numlx!r: (a) N, l=ee:
. _Sj2 '!
(b) Additional 1ricr(!r11(,1nL
E-Stimated f1p.rmit re(,�, (6)
F'Stir'nated Plan Review (7)
N,r FC,,
•
MiSCe1f.1r1071j.4 FixtLit-c,
Sub Total (P.., On,.): Une(S) (l)-f
X 0.00/fixt1ill?)
X '65 =
W”
(6) F-stillIdtEN1 P(.'1njjjt Fee
(9) Estimated Plat] Review Fee