03-105364 i • ,.• _
City of eWay
Community
Development Services Mechanical Permit #:03 - 105364 - 00 - ME
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: HALLMARK MANOR
Project Address: 32300 1ST S Parcel Number: 172104 9073
Project Description: Remove and replace water boiler serving kitchen and laundry areas.Unit to be sucured to concrete floor
with angle brackets and 3/8-inch bolts.
Owner . Applicant Contractor
HALLMARK CARE CENTER CARRIER CORPORATION CARRIER CORPORATION
PO Box 723548 CARRIER CORPORATION CARRIER CORPORATION
3215 S 116TH ST SUITE 133 3215 S 116TH ST SUITE 133
PO Box 723548 !Atlanta,GA 31139-0548 TUKWILA WA 98168 (206)439-0097
Mechanical Valuation 12337 Over the Counter Permit No
Mechanical Fixtures
Description Quantity, r Description Quantity L Description Quantity
Boilers 1
PERMIT EXPIRES June 13,2004.
Permit issued on December 16,2003
I hereby cettify 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. F
c
S �� r)-- Date: \ \ 0 7- —
Owner ora ent t; C
4
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CONSTRUCTION PERMIT APPLICATION
CITY OF .M, DEC 0 9 2003 APPLICATION NUMBER: _ _ - _ _ — _ _ - _ _
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
**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.
• PROPERTY INFORMATION
SITE ADDRESS: 5-9 >L 0 ' P11).€ S ' ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING `[MECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERINGl ❑ FIRE PREVENTION/ � ggSYSTEM
PROJECT DESCRIPTION(Provide detailed description): -g( -e- /7"O/ IN'41 g----
..11•5
‘ 716/7
P W V41 11`x:5 '3`1°11( o BTV Otitt
'I S A1 ( S.&VQ-S kc64r. 4-Lo,��,�r- �-�.5
\, A- 4k� c��tcL - � ��•\c,tit Lr� 't �. �.�� � ct� 4s 4--'/z ���5 ����,
PROJECT NAME: H1L11 YVI kAt k. 01-(1)710-4•(--
•
r KA_A70-4
■ PROJECT INFORMATION
PROPERTY OWNER:
NAME: DAYTIME PHONE:
��i � v & k_ ►�YlcGo, ( 5`3) '7L( - 3SEe3
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3; -50p 1`.+- Ate. S• eI.kex(l 1I 1`�QD"3
CONTRACTOR: NAME: DAYTIME PHONE:
C ante CoV� vcuki. (2a(40) 'I-39 -0027
MAILING ADDRESS(STREET ADDRESS;CITY, TE,ZIP): EVENING PHONE:
•) �,:> ' 3 'IA" 5r• S4� 133 ."T'. i�a►lct.)wA ci%t lo' (:2U(0) +5`1 -bad '-1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ,� FAX NUMBER:
•20 - Q3 LQ L & - ` (2 ) �2 -9512
CONTRACTOR'S REGISTRATION NUMBER: X70--6 L EXPIRATION0.2/.4. 5
`` DATE:
(copy of card required) & 11 36 3 2_ E P _ V.2/�. l !;?eckc
APPLICANT: NAME DAYTIME PHONE:
l�L I.Y r t(V ,Y m/iee- /* iiiGrr-e�fi' (...)e• (t ) •�/ �� '�('� 7
MAILING ADDRESS(STREETADDRESS;jCITY, ATE,ZIP): `• e //PK-MING PHONE:
�� T ��� 133 ' I I �� M k FAX ) O' - elfcy
RELATIONSHIP TO PROJECT:
0 ARCHITECT o TENANT oTHER(DESCRIBE): (4' (;. ) .24.2. - 967
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT A CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) ,
CCWCD CCDUTPC DDnITneo• ,- I AVCUAUCN , UTP_UI TPJ 1-1 DDT\IATC/CCDTT/•\
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture j a 00
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(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 o 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)
• 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 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 art of this application.
NAME/TITLE: G�/ Z Z-f til�f%!� "` �*-�� � DATE: ���
❑ PROPERTY OWNER 7PPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES ❑ NO
PLATTED LOT? ❑ YES o NO CHANGE OF USE? ❑ YES ❑ NO
•
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.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional$1,000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to and
including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000.00or fraction thereof,to and
including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$7.00 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)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and
including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,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 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**
• BUILDING
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)
MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4) 470
Estimated Plan Review Fee: (5) 657‘5D 4'337%SO
• 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 Fxtures
$26.00 +{ X$9.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)