02-103104 s
•
City of ty Development Services
Federal Way
Community Building - ■ 1 ' Fa ly Permit #:02 - 103104 - 00 - MF
33530 1st Way S 4
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: PARKW • • RTM al B . NG
Project Address: 33429 26 ', A ■ Parcel Number: 132103 9023
Project Description: RES ADD LT- e. of ti I . I roofing,install new 151b.felt&new 30-yr GAF laminated
shin! •s. '4 ov •xi' i g • 'Bred decks& install new same sized decks using treated lumber&
2x2 ndle I
ne App t CAtractor . Lender
PACIF • ANAG C. IN . STATE ROOFING INC INTERSTATE ROOFING INC PA AP MANAGEMENT INC.
420 S ASHIN -- ,4N SU •065 74TH AVE INTERRIO77KK 10/18/03 ' 420 SW WASHINGTON SUITE 401
PORTL• I O' 04 PORTLAND OR 97 ' 15065 SW 74 •VE iik PORTLAND OR 97204
PORTLAN FA '722'
r
Includes: - , 1 7
Census category: 434-Reside V 1PV L - #4
Occupancy Group R-1 � `' -- 'f IIII
Construction Type: Type V-' — p im 11, 1
Occupancy Load: IIIIIIIIIIr 41=L 'A1111_ i
Floor Area(Sq.Ft.): — — I a �, ' �A
Census Category 434-Resi 'al add D Proposed F; 300
Mechanical 4 Plumbing No
Will Certificate of Occupancy be Issued? y Zoning Designatio RM 2400
C DITI
1.No building sha u croach on building setb easem shown or not shown.
2.This decision shal 't waive plian with futu i. Way codes,policies,or standards relating
to the subject proposa
PER S nu 19,2003,IF NO WORK IS STARTED.
-rmit issued on July 23,2002
I hereby certify that the above information is , -ct .. , that the construction on the above described property and
the occupancy and the use will be in accordan - with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:--17 Date: -7775
Footing:
Date
Framing:
1� �� Date
Roof sheathing. a 7 �� 7/1 0_2.
Date
FINAL inspection:
Date
l
fi
ICI f�
0 •
�oe EOM— RECEIVED CONSTRUCTION PERMIT APPLICATION
VV �y APPLICATION NUMBER: $ _ - P _1 (2 -
APPLICATION NUMBER: - - aif
JUL 2 3 2002 APPLICATION NUMBER: _ _ -
**The folletino6fr RAlion-Please print(in ink)or type**
Please note: Electrical,Fire PrevgifilbRilaggffnd Engineering permits may require a separate application.
tt: - • PROPERTY INFORMATION
L
SITE ADDRESS: r . ' it 5,1) A;SESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-&•106) 0
. _.. - - ' -■ PRO]ECTINFORMATION . ..
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
75
/Tie..DESCRIPTION(Provide detailed description): 7� 0174. 524 �•C- �57 t
/Vat/ /5 /b zr 4 rv&ev ye/9Q 60F 1,49-l/l�gy)
S bfr4 ricer,
�!L - / i.v,, t _- •to!t•xJ■ A AO. . /Y Arik .1.1a7 3_. S./L' •ik
US/ - /ft,C_ T7Ze2 9 Lai'7 4 0 2 xZ Sf//1/,'/e 2 IV-4S .
PROJECT NAME: kok 4, /� 2 E yn�
j • PEOPLE INFORMATION •
f
PROPERTY OWNER: NA E: DAYTIME PHONE:
F/cam iNeWT//UG , (5.43) 295 - (02/0
MAIUNG ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
4/70 4.c )1251/746-_1/ �+//Tfi )/ 42277 02 `772e,Y .
CONTRACTOR: NAME: DAYTIME PHONE:
'7 f F/� /4/C-. ( 3) 44'-5G//
MA°I/NG ADDRESS(STREET ADD�RE�SS;QTY,STATE,ZIP): EVENING PHONE:
CITY FEDERAL BUSINESS wLIC'. 7BER1 6 , c ''zzV ( )
FAX NUMBER:
0L - lal/ q1Z - C2Q (5v3)639 -5v5Z
CONTRACTORS REGISTRATION NUMBER: ,1 s g o EXPIRATION DATE:
/4/
(copy of card required) .- r A . Q 72 ' K /O1 /9103
APPLICANT: NAME: DAYTIME PHONE:
MAiI Gy 5 Ri f-/e (0; ) 793 -o7/2
RESS( EET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/5-72&5' "W. -7V111 47/6 P ()A q�V ( ) -
RELATIONSHIP TO PROJECT: .. 7 FAX NUMBER:
❑ ARCHITECT ❑ TENANT ,OTHER(DESCRIBE): P/1p7 Y" i'!7/li&it (6Z' ) (d 5r - 3 5Z
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER fei APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION •
EXISTING USE: N(ILTn /126'5 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ _
PROPOSED USE: - PROPOSED VALUATION FOR IMPROVEMENTS: $ GL69 •
.
SPRINKLERED BUILDING? ❑ YES J'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES . ] NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL) /J/
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) �' �� intit
**NEW RESIDENTIAL CONSTRUCTION ON,
NUMBER OF`BEDROOMS: ESTIMATED SELLING PRICE: $
• PROTECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
-
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK I-
I, , c5,. 3001 !541
GARAGE
HOW MANY.FLOORS?
TOTAL:
,. . :.o. ..,..:, �,e.. ;, +•. :.n.;Kp.;t.FIXTURES*;.: .x.; ,..,.,., ..r ..:,. , , �, x.._ . . ...F�,r
Indicate number of each type of fixture I
' MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) s REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) 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)
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.( ) i
INTERCEPTOR(S) 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 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the 'ty as a part of this application.
NAME/TITLE: wi ht DATE: 7////Of-
1 ❑
PROPERTY OWNER APPLICANT ❑ CONTRACTOR
J ORROFEICEiUSE,ONLY:.
.... ..� w ... xsxx�.ax,x:ro � � .;� :+.� .� 5 ��a r,<n�u.xany ...;:s a x:u�:r s wu uq .. x,,,, f;
r ie D ON �lL ALTERATION L REPAIR � ENANT PRO f,EMENT
.. SUS .a Dt L ,. ;v F� n "r a O IZE .x H a 1��'c r { 1F H I
me f Y `Xa%wl'%CF H fn`C k i.:,: : ,
e ems°G A`TIO ' k '�r � � ILDI G,* EL.. NL_Y�? ES O g �'
y®• ,, •'SIG A -6. s e 6F hy'. 'i �!I•yrvw.�,.. .,,., '. t'� —,11,777;,144,,,„,,,,,,,.,„"
�r4 �; } "" k ��.w C��'l► w''�a� `Si .'� l o i ,APK, ;c
TOWNSHIP r RANGE ", !.:1 :. ONJ.DDRESS UIRED;?. ' '`. , C> ,A3 0 N a
5: T,TED., .y n'R s k rU 5r7 Waa x ! 7 S t mGE� s ? V P 001 off M H
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-6661-4000•FAX:253-661-4129
www.dtvoffederalway.com
Conduction Permit.Fee Calculationlleet
*******PLEAST NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
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 additional$100.00 or 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$15.50 for each additional$1,000.00or fraction thereof,to and
including$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$1.00000 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$8.00 for each additional$1.000.00 or fraction thereof,to and
including$100,000.00.
(6)$100,001.00 to$500,000.00
(6)$1,110.00 for the first$100,000.00 plus$6.00 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 additional S1,000.00or fraction thereof,to and
induding$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1.000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Italic/zed,underlined number Is the fee Der additional specified Increment
PLUS: 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 Are District#39 surcharge,commerdal only.
Add$4.50 for WA State Building Code C■undl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
■ BUILDING. . . .. .._ .
PROPOSED VALUATION: 5Z.
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FIN Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
• • MECHANICAL •
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
• FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A:Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
. ■ PLUMBING
Base Fee Number of Fixtures
$22.50+{ , r X$8.00/fixture}= (8)Estimated Permit Fee •
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Page 000: Llne(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11)