03-105485City 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 #: 03 - 105485 - 00 - ME
Inspection request line: 253.835.3050
Project Name: MERRILLk
,YiCH
Project Address: 32001 32NWS � rkx(jJ Parcel Number: 162104 9001
Project Description: Adding 7 VAV boxes & one computer room iplit system. Adding grilles, registers and diffusers
Owner
Applicant
Contractor
FOSS REDEVELOPMENT
BELLEVUE MECHANICAL INC.
BELLEVUE MECHANICAL INC.
PO BOX 94449
1489 130TH AVE NE
1489 130TH AVE NE
SEATTLE WA 98124
BELLEVUE WA 98005
BELLEVUE WA 98005
(425) 453-2140
Mechanical Valuation..........................................23800 Over the Counter Permit ...................................... No
PERMIT EXPIRES July 24, 2004.
Permit issued on January 26, 2004
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:1��1 _ Date: f
�4ecA - J 0, � 0 t � (= — CC-2�' C::�� 41 C' 0--i
POST THIS CARD ON THE FRONT OF BUILDING `
CITY OF
�► Federal Way BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 03 -105485 -00 -ME
OWNER'S NAME: FOSS REDEVELOPMENT
AV 6
SITE ADDRESS: 32001 32NDYS #3.0 o
O FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
NDERFLOOR FRAMING
() ROUGH PLUMBING: DWV_ Water piping
O ROUGH MECHANICAL Gas piping
O SHEATHING x 7o,Floor
() SHEAR WALLS
()
ELECTRICAL ROUGH -IN _ Ditch Cover _
() FIRE T)RAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
() INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
() PLANNING FINAL
O PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
INSPECTION LOG
DATE
INSPECTOR
OK
CORR/RE.T
AREA AND TYPE OF INSPECTION
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9ECEIVED
CONSTRUCTION PERMIT APPLICATION
CITY OF
DEC 18 2003 PPLICATION NUMBER: _Federal Way
PPLICATION NUMBER:—
;ITB0LD D DEPT ERAL AY PPLICATION NUMBER:_ _
**The following is required information — Please print (in ink) type**
Please note: Electrical, Fire Prevention Systems and Engineering y q
g g permits may re vire eparate�
SITE ADDRESS: 3- gob I -yL Ck ASSESSOR'S TAX/PARCEL #: I j% 4� l � q - U j
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
N
ATVon iiC. /iI"VIn Ps -1 i/ 0,11,41 )i uj 'o d.t r nrA i i_ I ,i.,.:_ n , It c_
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TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ,MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Y, V1 [l afi f r V1'� Y? Y t�"V�P, WI ie -u f- ' /:1 (a J t i�
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON I
EXISTING USE:
PROPOSED USE:
NAME:
-(n f r DAYTIME PHONE: �� 1
t LU II r, !J�
MAILING ADDRESS EET A� DDRESS• CITY $T{tTE ZIP): �
P� � ,Wl/l7j L iA A- q�Iay
NAME:
tIV iu V 'YL e,
MAILING ADDRESS (STREET ADDRESS; CITY, STA//TE, ZIP): j/
LII(V
DAYTIME PHONE:
c �
EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSENUMBER:
IV1PrY��
FAX NUMBER:
-————
-
c ) q
CONTRACTOR' REGISTRATION NUMBER:
(copy of card required) - 1
-r;13-dq
EXPIRATION DATE:
!�
U
n L
V
NAME: �-
DAYTIME PHONE:
( i X53
-arq 6)
MAILING ADORE S ADDRESS; CITY, STATE, ZIP):
✓
EVENING PHONE:
RELATIO HI TO PROJECT:
F
FAX NUMBER:
1:1ARCHITECT ❑ TENANT OTHER ( DESCRIBE):1y 6,v
V
�E>53
'OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT
❑ CONTRACTOR
E-MAIL DRESS:
�` i �t l J I,QVid.@ _ Wal Vii
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
.Y**
•
ESTIMATED SELLING PRICE:
BASEMENT FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
FIRST
FANS)
FIREPLACE INSERT(S)
HOOD(S)
RANGE S)
(
WOODSTO E(S)
MISC.
SECOND
FURNACES)
PLATTED LOT? ❑ YES ❑ NO
rawo)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:ELECTRI � ❑GAS
FOURTH
BATHTUB(S)
DISHWASHER(S)
OTHER FLOORS (DESCRIBE)
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(S)
DRINKING FOUNTAIN(S)
DECK
WASH MACHINE OUTLET
❑ELECTRIC ❑GAS
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
GARAGE
HOW MANY FLOORS?
WATER CLOSET(S)
MISC. ( )
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
B
EVAPORATIVE COOLER(S)
GAS LOGS)
REFRIG. SYSTEM(S)
LE
BOILER(S)
FANS)
FIREPLACE INSERT(S)
HOOD(S)
RANGE S)
(
WOODSTO E(S)
MISC.
COMPRESSORS)
DUCT(S)
FURNACES)
PLATTED LOT? ❑ YES ❑ NO
rawo)
GAS PIPE OUTLET(S)
HEAT SOURCE:ELECTRI � ❑GAS
PLUMBING
BATHTUB(S)
DISHWASHER(S)
LAVATORY(S)
RAINWATER SYS.
URINAL(S)
VACUUM BREAKER(S)
WATER HEATER(S)
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
❑ELECTRIC ❑GAS
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
SINKS)
SUMP(S)
WATER CLOSET(S)
MISC. ( )
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 information supplied to the city as a part of this application.
NAME/TITLE:
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: ''
�'!1"L
I + VP
DATE:
❑ PROPERTY OWNER
❑ APPLICANT
CONTRACTOR
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
FOR OFFICE HSE AN 1 ve
o NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: ''
LOT SIZE:
ZONING; DESIGNATION :
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ' ❑ NO
SECTION TOWNSHIPRANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com
Construction Permit Fee Calculation Sheet
*******PLEASE 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.
PLUS:
TOTAL VAI
(1) $1.00 to $500.00
(2) $501.00 to $2,000.00
(3) $2,001.00 to $25,000.00
(4) $25,001.00 to $50,000.00
(5) $50,001.00 to $100,000.00
(6) $100,001.00 to $500,000.00
(7) $500,001.00 to $1,000,000.00
(8) $1,000,001.00 and up
Add 65 percent of the base
TAQI C A
FEE
(1) $30.00
(2) $30.00 for the first $500.00 plus 54.00for eac
$2,000.00 h additions/ arnn nn or fraction thereof, to and including
(3) $90.00 for the first $2,000.00 plus 516for each add/ti
including $25,000.00 ons/ 4r nnn n0 or fraction thereof, to and
(4) $504.00 for the first $25,000.00 plus $13 00 for each add/t/ona/ 1 n00 00 or fraction thereof, to and
including $50,000.00
(5) $829.00 for the first $50,000.00 plus .89.00 for each add/tions/ 1000 00 or fraction thereof, to and
including $100,000.00
(6) $1,279.00 for the first $300,000.Oo plus57.
including $500,000.00 00 for each additions/ $1.000,00 or fraction thereof, to and
(7) $4,079.00 for the fist $500,o00.00 plus $6 00 f
including $1,000,000.00 or each additions/ Sr nnn nn or fraction thereof, to and
(8) $7,079.00 for the first $1,000,000.00 plus "5A2 for each add/ lona/ $1,000 nn or fraction thereof.
Bold number is the base fee for the specified increment
Italicized, under//ned number is the fee oeradditfona/snerji' increment
Permit fee for olan review faP
Asa L� percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire 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: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:'L 3
FEE FACTOR FROM TABLE A: Number:
(a) Base Fee: C� ,
(b) Additional Increment Fee:
Estimated Permit Fee: (4) AyGoL
Estimated Plan Review Fee: (5) /Z j
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 Fixtures
$26.00 + { X $9.00/fixture} _
Estimated Permit Fee (8) Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee