03-101855r
THORNSERG CONST 425SS7SOSS OS108105 OS:4Spm P. 019
4%
RECEIVED CONSTRUCTION PERMIT APPLICATION PL
cl7Y pF �� MPLUIECATHOM 'CION NUMBER: _
Federal Way MAY 0 9 2003 NUMBER:
PPggATION NUMBER:
CITY OF FEDERAL WAY
"'The Eello$liiiyiQt99-RdTinformation — PiEase print (in ink) or type
please note: Electrical, Fire Prevention Systems aria Engineering permits may require a separate application.
SITE ADDRESS: S .c���' ASSESSOR'STAXlPARC_EL It;
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYP[ OF PROJECT (This application): O BUILDING PLUMBING j- tECHANICAL ❑ DEMOLITION
q ELECTRICAL O NGINEERING r7 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
1 % . 1I r
PROJECT NAME:
PROPERTY OWNER:
fi y *
CONTRACTOR:
Lill
N pA nME PHONC{
.... a ATr, 710 1• , EVEN*,Nr PHONE:
fl a
L WAY BL NESS LICENSE NVMGR! 1 F NU aER;
-03•ta 35'a no_�.1 _ - _� -.�- - - - (a6)55o1
APPLICANT: NAME;
DAYTIME DRONE:
MNLSNG ADORES' , (STREET ADDRESS; CrTY, STAIE. 73P): I EVENING PHONE: I
i RELATIONSHIP TO PRO)E(:'T: FAX NLJIIMR:
o ARCHITECT O TENANT n OTHER ( DESCRISF):
;.MAIL ADDRESS: i
1 �
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER O APPLICANT 1 "I CONTRACTOR _
BUILDING ETAILED O•
EXISTING USE: WPM kM It EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: V y R r PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED. o YES o No
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE O TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
THORNBERG CONST
* sHEW RESIOENTUIL CONSf RUCT10N ONLY"
NUMBER OF BEDROOMS:
425SS7905S 05108/03 OS:49pm P. 016
ESTIMATED SELLING PRICE: $
M Pool' FLOOR AREAS
Indicate number of each type of fixture
MEC14ANICAL
_ AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PXPE OUTLET(S) HEAT SOURCE: p ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S)
DISHWASHERS) _ _ RAIN WATER SYS. VACUUM BREAKER(S)
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SXNK(S) WATER CLOSET(S)
INTERCEPTORS) SUMP(S)
JTQf.IeTMFil/STCNATume gf_C
WATER HEATER(S)
p ELECTRIC O GAS
MISC. ( ��
I certify under penalty of perjury that the information furnished by me is'tme 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 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
FMPral 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 sup red to the city as 1 part of this application.
NAME /TITLE: O ! 1 L` g �� DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUN'Ty OEVOMPMENY SERVICES - 33S30 FIRST WAY SOLMH - PO BOX 9718 • FEDERAL WAY, wA 98063 -9718 - 253-661 -4000 - FAX. 253.661 -1129
www.dtvoffedo}�Jwav�
THORNBERG CONa 4255579059 05/08109 09:49pm P. 017
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED 13Y CITY STAFF PR.IORTO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * ***
Building, mechanical, and fire prevention System fees are based on the following schedvfe.
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) 51.00 to 3500.00
(2) SSOI.00 to $2,000.00
(2) $30.00 for the first $500.00 plus 5.200$ �tGfi2dd %C{QQ lfh7q?or fraction tereof, to and inciudiquj
(3) 57..001,00 to 5?.5,000,00
S7 „OOO.pO
(3) $90.00 for the first $%000.00 phut S1LrP.D1¢i cDtl) vQrh ?g1/S(,{k){)Wor frac-:rod uu;rr ,f, to and
(4) $25.!101.00 t0 550,000,00
irJtAirV $5,000.00
K 2
(9) $504.00 for the first 52S,000A0 Dltg f 134010! Cx!,tv nr (Thuiol� ulert`of, to and
(5) 550,001.00 to $100,(M.00
Induding 150,000.1X)
(5) 5829.00 for tht first 550,000.00 plus f,7,,r (�dch,iQrl1t+or�LfL000..00or frac.t nn tberM)(, to and
h-KJuding $100,000,00
(6) 5100.001.00 to 5500,000,00
(G)'$1,279.00 for the nsst $1,00,000.00 piuc ST�QQf¢Le3th�2d�rfi¢p,]IlI GXd2LX1 or fraction thereof, to and
(2) S500.00i.no to S1,000,Wo.00
Induding $500,000.00
(7) 1,4,079.00 for the fist 5540,000.00 plus fl q�I fw raer_dCd ¢nd� SLLYd2fX1 or framon thereof, to aro
l^dudirC $1.,000.000.00
(8) $1,0x,001.00 and up
(8) $7,079.00 for the first $1,000,000.00 plus f.2SQ(QL r2C11dDflllh7Rd /.J1 f�2f?Q (x (rlttiUn thr_rrbf.
Bold number Is the base fee for tt+e sDodfkd Increment
fI z �1!!Idc�eed rtumberls i�iC�EY.�ona/ sa�bfierf ir+,�•,ms�
PLUS: Add 65 percent of the base bu(lding permit fee for plan review fee.
Add 2,5 percent of the base mechanical permit fee for mc.<tanical plan review fee,
Add 15 percent of the ba ,e building perrnft fee for Fire DlsfriCt #39 Surchargg, commerdal only.
Add $9.50 for WA State auilding Code Council, plus $2,00 per unit for duplex & above.
•s Electrical, plumbing, acid mechanical fees are calculated Separately •*
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(commErLaAL ONLY)
■ BUILDING
(a) Base Fee: _
(b) Additional Increment Fee:
MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Petmit Fee: (4)
Estimated Plan Review Fee: (S)
■ FIRE PREVENTION SYSTEM -
PROPOSED VALUATION:
FEE FACTOR FROM TASi -E A: NUrriber: (a) Base Fee: _,-
(b) Additional [fxlenlent FeC:
Estimated Permit Fee: (6) ~
Estimated Plan Review Fee: (7)
M%e Rea st ratxr or Rxtuns
$26.00+( ' X $9.00 /fixture) _ • (8) Estimated Permit Fee
Evdm t 1crmit Fee
X .65 = (9) Estimated Plan Review Fee
Misceltaneous Fixture Charge: (10)
Sub Total (Pa Q,): Line(s) (1) +(2)+(3) +(4)+(5) +(6)� (7)+(8) +(9)x(10) (I 1)
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
f
Plumbing Permit #: 03 - 101855 - 00 - PL
Project Name: COVE APARTMENTS, UNIT 1402
Inspection request line: 253.835.3050
Project Address: 104 SW 332ND Bldg14 Parcel Number: 182104 9035
Project Description: Installing new washer for new laundry room in UNIT #1402
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
PERMIT .EXPIRES November 10, 2003.
Permit issued on May 14,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
% -�
Owner or agent: —s -may'"' _ Date: Q.��N111 3
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