02-101603 4111 di
City of Federal Way
Community Development Services Building - Mu • mily Permit #:02 - 101603 - 00 - MF
33530 1st\Vay S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FOREST COVE
Project Address: 1804 SW 308TH PL UnitD Parcel Number: 122103 9141
Project Description: PL/MECH-Install washing machin hookup exhaust fan,&dryer vent
Owner Applicant Contractor Lender
FOREEST COVE-388 LLC*Cove-38: TMAC SERVICES TMAC SERVICES NONE
9500 SW BARBUR BLVD UNIT 300 1235 SW 132ND LN SUITE 921 TMACS**000J6(4/21/02)
PORTLAND OR 97219-5427 BURIEN WA 98146 1235 SW 132ND LN SUITE 921
BURIEN WA 98146 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no. Mechanical Yes
Plumbing Yes
Plumbing Fixtures
I Description j Quantity DescriptionQuantity Description Quantity
Laundry Washer Outlets 1
Mechanical Fixtures
j Description _ Quantity g Description ;Quantity]I Description _IQuantity]
Fans 1
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Peisnit issued on April 16,2002
I hereby certify thatthe ab ve information i,,g'correct and that the construction on the above described property and
the occupancy and the u :will be in acc dance with the laws,rules and regulations of the State of Washington and
the City of Federal W `
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Owner or agent: (Z_ - _._____/'
Date: �_.._....
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aT•°f G CONSTRUCTION PERMIT APPLICATION
C
\)\> F lY RECEIVED APPLICATION NUMBER: Q 2.- L D l D,3- Ba
APPLICATION NUMBER: -
APR 1 6 2002 APPLICATION NUMBER: -
**The following is required information—Please print(III ink)or type** •
CITY OF FEDERAL WAY
Please note: Electrical,FlitURrtmhtioifftems and Engineering permits may require a separate application.
_ clot)
. 1PROPERTY INFORMATION
SITE ADDRESS: l raV t cop 3--)� �l / . .:
/ C
ASSESSOR'S TAX/PARCEL #: Z �/ �;J$- y 0 d
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ttt
.� r - .is■::`PROJECT INFORMATION _
TYPE OF PROJECT(This application): ❑ BUILDING {PLUMBING 14MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
-
PROJECT DESCRIPTI N(Provide detailed description): /V */ i ' IA Nl 4, r O D /
"j LA
PROJECT NAME:
-_' :1PEOPLE INFORMATION •- ,
PROPERTY OWNER: NAME: DAYTIME PHONE:
-off S Co ' (tr3)OOf - 3)a0
MAILADDRESS(SWEET ADDRESS;CITY,STATE,ZIP)
3 w 30 9 1/ 5.?"0-5/ L✓ 'Sa/Z
CONTRACTOR: NAME: DAYTIME PHONE
/�/J/�/ 172�// � . 3 /./7 y - S'i,�(j]JO/_
M�AIIEJNGDRES/S(ST�REETADDRESS;CITY, ATE,ZIP Ili , `Q� /) EVENING PHO N( !�
/C L/OF3 RAl WAY BUSINESS BU/NESS LICENSE NfRe 4 z/ 51 4( vV 9/I�( ) ����
FAX NUMBER:
0-2 /oo l Z. _C /k- _ (2D6 ) ,3f'- aC z3
CONTRACTOR'S REGISTRATION NUMBER:7-4//11
/r1 EXPIRATION DATE:
(Copy of card required) ' / 4/ ( 5 4 v_�— — — / 17
/ a.2___-
APPLICANT:
�
APPLICANT: NAME: // /��� ��JJ DAYTIME PHONE:
(.....,0(V
�" ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
Cl ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 0445NTRACTOR
: : r ./ 'DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 1i)
SPRINKLERED BUILDING? ❑ YES DIO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 044O
WATER SERVICE PROVIDER: Li LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN C] HIGHLINE ❑ PRIVATE(SEPTIC)
**NEM!RESIDENTIAL CONSTRUCTION Y** ..- '
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
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 ❑ 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)
- - 1-.`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 claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but on y wher`such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information up to the city as af!part, of this application.
NAME/TITLE: ^ VW r✓k'� DATE: / 7k- U�.
❑ PROPERTY OWNER ❑ APPLICANT OLCONTRACTOR
FOR OFFICE USE ONLY:
_❑ NEW, . ❑ ADDITION ❑ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION;, , TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOLML-PO BOX 9718-FEDERAL WAY,WA '38063-9718-253-661-4000-FAX 253-661-4129
wwwcityoffederalway-com
• • ConsPctioPeF nit Fee Calculation Ilet
*******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)$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 induding
$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$1,000.00 or 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$1,000.00 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 56.00 for each additional$1,000.00 or fraction therepf,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$1,000.00 or 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$4.09 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Itatidzed,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: 57,1
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 { J X$8.00/fixture}= 3 v. � (8) Estimated Permit Fee
Estimated it Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Pagco0e): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)4(10) = (11) .c.>71
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