04-100718City of Federal Way
community Development Services Plumbing Permit #:04 - 100718 - 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: 106 SW 332ND Apt1505 Parcel Number: 182104 9035
Project Description: Addition of washer/dryer.
Owner
Applicant
Contractor
PROMETHEUS MGT GROUP
THORNBERG CONSTRUCTION
THORNBERG CONSTRUCTION
PROMETHEUS MGT GROUP
4809 242ND AVE SE
4809 242ND AVE SE
12011 NE I ST ST SUITE 207
1 BELLEVUE WA 98005
1 \ISSAQUAH WA 98027
1 (425) 462-1139
Plumbing Fixtures
Laundry Washer Outlets T77
PERMIT EXPIRES August 31, 2004.
Permit issued on March 4, 2004
1 hereby certify that the above information i3 correct and that the construction on the above described property and
the occupancy and the use will be in accordance ith the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
kv Ll�.5
THORNBERG CONST 426SS79OSS 02/26e'04 08:37pm P. 01S
0 • PL
CONSTRUCTION PERMIT APPLICATION
Federal Way APPLICA110N NUMBER,: L
APPLICATION NUMBER:
PPUCATION 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- ASSESSOR'S TAXIPARCEL ;i-
LEGAL DESCRIPTION OF SO JECT PROPERTY (ATTACH SE�ACRATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application)- -0 BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION
r.3 ELECTRICAL r7 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT' DESCRIPTION (Provide detailed de:iCription)-
PROJECT NAME:
PROPERTY OWNER:
RTInt
CONTRACTOR:
APPLICANT:
- I
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STATE, 2
4-
,TATE.,
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I Lko uJPr
bA Tj C PHONE;
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CITY 0F FEDERAL WAY BUSINESS 1ICEN5[ NtjMnrR::
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UM f -
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FOKMAUOR-, RECEff �TTON f4U�Hgg7 I
EXPIRATION DATE:
—(C22! of t)
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NAME: DAY71ME SHONE'
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MAILING ADDRr.55 (S-TRI:ET AL)ORES!;; CITY. ' STATE. ZIP): ... .......
.,rVCNING PHONE:
FAX NUMBER:
❑ ARCHITECT r) TENANT ❑ OTHER DESCRIBE-):._ I f
CONTACT PERSON FOR THIS PROJECT' 0 PROPLRTY OWNER U APPLICANT CI CONTRACTOR
EXISTING USE! Up EXIS'
PROPOSED USE-'
SPPINKLERED BUILDING? ❑ YES cl NO
WATER SERVICE PROVIDER- o LAKE-HAVEN
SEWER S•RVXCE PROVIDER- o*tAKEHAVEN
rING BUILDING ASSESSED /APPRAISED VALUATION 1;
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: o YES n NO
HIGHLINE. 0 TACOMA 0 PRIVATE (WELL)
ri HIGHLINE n PRIVATE (SEPTIC)
THORNBERG CONST
=, =NEW RESIDEMMLCONSfRUCTION
• NUMBER OF BEDROOMS:
4255579055 02126/04 03 :37pm P. 014
ESTIMATED SELLING PRICE; $ _
■ PROTECT FLOOR AREAS
5TS[LAIMERI-4%iGNAT"Rr ralr
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 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
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 Infnrmation supplied to the dty as a part of this application.
gAI11. — 1
NAME /TITLE: e[0 61al ���5 L "� DATE:
O PROPERTY OWNER ❑ APPLICANT O CONTRACTOR.
cOMMUNUX DEVELOPMENT' SERVICES . 39$30 FIRST WAY SOUTH • PO BOX 97L8 • FEDERAL, WAY, WA 90063-9718 • 753•G61.4000 • FAX'. 253 -6G1 -4129
lti:+x.!.dAco�e>acral�ay„s�
Indicate number of each type
of fixture
MECHANICAL
AIR HANDLING UNIT(S)
BBQ(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(5)
BOILER(S)
FAN(S)
FIREPLACE INSERTS)
HOOD(S)
RANGE(S)
WOODST0VE(5)
Misc.( )
COMPRESSOR(S)
_ _ FURNACE(S) .
_ DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC O GAS
PLUMBING
SATHTUR(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
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)
_
5TS[LAIMERI-4%iGNAT"Rr ralr
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 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
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 Infnrmation supplied to the dty as a part of this application.
gAI11. — 1
NAME /TITLE: e[0 61al ���5 L "� DATE:
O PROPERTY OWNER ❑ APPLICANT O CONTRACTOR.
cOMMUNUX DEVELOPMENT' SERVICES . 39$30 FIRST WAY SOUTH • PO BOX 97L8 • FEDERAL, WAY, WA 90063-9718 • 753•G61.4000 • FAX'. 253 -6G1 -4129
lti:+x.!.dAco�e>acral�ay„s�
THORNBERG CONST 426SS79OSS 02/26104 03:37pm P. 01S
ConSOCUOn Permit Fee Calculationoeet
"***-*PLqASE NOTE: ALL FEES MUST RE VERXFXED BY CITY STAFF PkIORTO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!**** *;r *
Building, me•±tanical, and fire prevention system fees are lb--d on the following -xiieclute.
0) 12.C4 t.00 to CX)
(4) S 2ZXX) t.rx) :,,
(5)
(G)
(7) 5Srr.001.i;q (o t j,r.ry).,jy),()()
TABLE A
I F r
(1) 130.00
(7) $30.00 fur the ri"..t $500.00 plus 6,1(tiori lhvmf, to an(]
$21(m=
(3) 590.00 for Um firTit $2,000.00 plu"
if'-dudi,w) SZS,fYX).fA
(•) $504.00 for the rjrt( $ 71
_�,000.00 pj
lrK.1udin,g ViO,rm.nri
(5) $829.00 for the first $50,000,00 plu-,
lowduclLng $jo0,cx)a.00
$1,279.00 for th,, f,.7,X
%1.00,000.0() tr,
(7) $4,07 1.0() for the fist $5()0,000.00 pl,j,
-X). 00 OXC.V or (,Dction tt)erpor, to a,-�j
am Indt'dir-K) $t,000"X
(ft) $7,079.00 for the fir-st $1,000,000 ,00 1111""
,),Wor fraction
Bold number Is the bare f", I`OrthO tiX-1diled Increment
PLUS;
Add 65 portent of the tullijinn Permit ff.0 for Dian rcmew fee.
Add 25 mrccnt 0 01C baw, y
mL-h1i)jr�j p(,
.rmtt fc,,e. f(W nwchanlCM plan mlew r(N-.
Add 15 rWrr1T1L of the b;jyc building permit rce for Fire Distict #39 surctiarge, commercial only.
Add 54.50 for WA SLitt, r3ijij(jinj Ccdc (,xA.jr<jj, pj,jj; $2.00 rxr unit for duplex & JLxwe.
Elce-Acaf, plumbing, and mcc•ank-Zi fC-0,j are czrcul,3t(,j Separatety
440") iR
PROPOSED VAWA170N -
FEE FACTOR FROM TABLE A; Numtx-.t-: _ (a) Ba!;e Fee.
(b) Additional Increment R---e:
EStirrtzte4 Permit Fee: (1)_.
Estimated Plan Review Fee. (2)
Estimated FW Fire Department surcharge: (3)
(COMMERam, ONLY)
MECHANICAL
PROPOSED VALUATION-
FEE FACTOR FROM TABLE A: Numbcr: __ (a) Base Fee.-
(b) Additional f(;cr:ernent Re.,
Estimated Permit Fee, (4)__
Estimated Plan Revic- Fee: (5)___
W�.-14JJ:A
•
PROPOSED VAWATION:
F-r,.E FACTOR FROM TABLE A: Numlxr: (z -i) N-ise. Fee:
M Additional 11)(rement Foc,-,
Estimated Permit rt,,(-- (6)_
Estimated Plan Review Fee:
wro Foe Numbs- IZxIIUrs
X $9.00/fixture)
r-hm,tcd "IL Fstinlated Permit Fee
X .65 (9) Estimate
,d Plan Review Fee
Miscellaneous Fixtljre Charge: (j.0)
sub Total (pDr (
. 00c): Line 5 ) (j)+(2)