02-104051City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 104051 - 00 - ME
Project Name: NINTH AVENUE SCHOOL OF DANCE
Inspection request line: 253.835.3050
Project Address: 33639 9THI P J� Parcel Number: 926480 0190
Project Description: HVAC - Strapping up existing ducting & adding 2 returns
Owner
Applicant
Contractor
Co -Op U.s.a. Inter III
K & D MECHANICAL INC
K & D MECHANICAL INC
3650 131 ST AVE SE #205
30230 8TH AVE SW
30230 8TH AVE SW
BELLEVUE WA
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
98006-1334
(253)945-8204
Mechanical Valuation..........................................1500 Over the Counter Permit ...................................... No
Mechanical Fixtures
Descri tion Qui
Ducts 1
PERMIT EXPIRES March 19, 2003, IF NO WORK IS STARTED.
Permit issued on September 20, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ' %" G Date: ���
�pl
RECEI01p 0
CONSTRUCTION PERMIT APPLICATION,'.
�nE=r 92002
APPLICATION NUMBER: -
CITY OFFEDERALWqXr APPLICATION NUMBER:
P -
BUILDING DE - - - - - - - - - - -
PPLICATION 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: / %�o ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING P1 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �i(.0-oJ dch 13F__
PROJECT NAME: l ul k /W AL; or 12147J66 --
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
MAILINGGAADD (STREET ADDRESS; CITY, STATE, ZIP):
3 62
INAM _
W—Se e4 .� -L'� c-
DAYTIME PHONE:
(V6) 5W-
3rPlo
MAILIN ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FED RAL WAY B INESS LICENSE MBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBE .
/�� *
(SPY ��j
EXPIRATION DATE:
/
rA,r
of card wired) _��� — -
—
APPLICANT: NAME:
V 1</�_(-5 p //<iI
ADDRESS (STREET ADDRESS, CITY, STATE,:
� W (,FV,7.s 1)
LP ('i a"eC-t7,%,
z/
W,
l ❑ ARCHITECT ❑ TENANT, -OTHER ( DESCRIBE): COd47,'j c
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
DAYTIME PHONE:
EVENING
ENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: -N,, ROPOSED VALUATION FOR IMPROVEMENTS: $
1
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONST
NUMBER OF BEDROOMS:
Y**
ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
Indicate number of each type of fixture
FIRST
AIR HANDLING UNIT(S)
SECOND
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
THIRD
HOOD(S)
WOODSTOVE( )
BOILER(S)
FOURTH
RANGE(S)
MISC./
COMPRESSOR(S)
OTHER FLOORS (DESCRIBE)
DUCT(S)
DECK
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
BATHTUB(S)
TOTAL:
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
'1TSCI_A?MERA41GNATURE BLC
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 informations e e a part of this application.
NAME/TITLE: z�� DATE: z'
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNFFY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www. citygff0cra Iway.com
1
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( )
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. ( )
INTERCEPTOR(S)
SUMP(S)
'1TSCI_A?MERA41GNATURE BLC
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 informations e e a part of this application.
NAME/TITLE: z�� DATE: z'
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNFFY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www. citygff0cra Iway.com
Cotruction Permit Fee Calculatil0sheet
*******PLEASE 40TE: 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
(i) $1.00 to $500.00
(1) $26.00
(2) $501.00 to $2,000.00
(2) $26.00 for the first $SOO.00,plus 53.50 for eaor adddOnal SIM. 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 SLOb0.A9or 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 far each additiona/ S1.A00.00 or fraction thereof, to and
including $50,000.00.
(S) $50,001.00 to $100,000.00
(S) $710.00 for the first $50,000.00 plus $8.00 for each additiona/ SI,000.00or 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 56.00 for each ad6litiona/SI,OG1200or 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 55.50 for each additiona/ SI,COO.00or fraction thereof, to and
including $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 foreach additional $1.000.DOor fraction thereof.
Bold number Is the base fee for the specified Increment
Tta/icized underlined number Is the fee per 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 Fre 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)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (
Estimated Plan Review Fee: (S
- � � BUILDING •- _... , , � ._�_.
(a) Base Fee: _
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
- ■ 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)
Base Fee Number of Fb trx es
$22.50+( X $8.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Rage one): Line(s)(1)+(2)+(3)+-(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)