02-101600 •
City°f Federal WaY serv;ees Building - Multi Family Permit #:02 — 101600 — 00 — MF
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: FOREST COVE
Project Address: 30805 20TH AVE SW UnitB > Parcel Number: 122103 9141
Project Description: PL/MECH-Install washing machine h kup,a haust fan,&dryer vent At
Owner Applicant Contractor Lender
Forest Cove 388 LLC TMAC SERVICES TMAC SERVICES NONE
1703 SW 309TH ST. 1235 SW 132ND LN SUITE 921 TMACS**000J6(4/21/02)
FEDERAL WAY WA 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
Description Quantity Description Quantity Description Quantity
Laundry Washer Outlets 1
L.-
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fans 1
PERMIT EXPIRES October 13,2002,IF NO WORK IS STARTED.
Permit issued on April 16,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accor nce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
V /6.7 0 t..-----
Owner or agent: Date:
ro 3 Iu 6 , 0 /4 S.=3 - oz... Lc�
, ' Pi Ear/ (PL
«..oF G
iltGElt\I
CONSTRUCTION PERMIT APPLICATION
.\)\> EKY APR 1 g 2002 APPLICATION NUMBER: 0 2- /Di 6 �D - eres
APPLICATION NUMBER: -
Gay OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT'
**The following is required information—Please print(ih ink)or type** •
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- "- ! VROPERTYINFORMATION -
SITE ADDRESS: 3�)��r C �GI i7 f L ASSESSOR'S TAX/PARCEL #: j Z2 /e.) 23 - V G
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
4 :4C _ .:'3. .- 5■;:PROJECTINFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING PLUMBING [MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ' f . Si . a ' /N" 4 g//
0(/1,1+St t4 ' ) 4' 4,76Art OFfr
PROJECT NAME: hp)f CO`J..e
-PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
Frip+ Lit .-3o 'Ztc ( 2,,--.5) t3 j - ,4-c ,
MAIUNG ADD ESS�R AD ESS;CITY, ZIP): ��
�'°3 5 10,' 01 //°2,)
CONTRACTOR: NAME:
/21111 l DAYTIME PHONE:
MAILING ADORES (STREET ADORE ;CITY,/STATE,ZIP). , EVENING CGS 406 )O?@ - $ i
C OF FEDERAL$ BUSINESS CENSE NUFIBER: e R 7 2( k) w4- /�" 7• F •FAX NUMBER: c
CONTRACTOR'S REGISTRATION NUMBER: 2'' ° Z (2 / 202-`�_ " _Woe
e)53 -4z,3
(copy of card required) /14_,4 . P V Q ,62 / 1z( 1 6�_.
NAME: 777 DAYTIME PHONE:
APPLICANT: A / eC)
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: U PROPERTY OWNER ❑ APPLICANT ^CONTRACTOR
.a -DETAILED BUILDING INFORMATION ...
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 90
SPRINKLERED BUILDING? ❑ YES 4f10 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES WWO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION X** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROSECT 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)
- •••..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 ere such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informati n up d to the city as a part of this application.
NAME/TITLE 9.'‘,11" /2 ,6"( DATE: /r! -� 2.--
❑ PROPERTY OWNE ❑ APPLICANT (:CONTRACTOR
FOR OFFICE USE ONLY:I'
LI NEW, : D ADDITION II ALTERATION ❑ REPAIR' ❑ TENANT IMPROVEMENT
CENSUS'.CODE: '', LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTIONTOWNSHIP RANGE NEW ADDRESS REQUIRED? CIYES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGEOF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDE=RAL WAY,WA 98063-9718•2S3-661-4000•FAX 253661-4129
wwwdtyofledera lway.corn
ConslOction Perrnie Fee Calculation Itet
*******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 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$1,000.000(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$6.00 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$1,00000 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$4.00 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Ita/idzed anderficed 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,commerdal only.
Add$4.50 for WA State Building Code Coundl,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: 2t
(b)Additional Increment Fee:
Estimated Permit Fee: (4) , .c)0
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)
Base Fee Number of fixtures
$22.50 +{ r X$8.00/fixture} = 3c7 (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
4Sub Total (Page o ): Line(s)(1)+(2)+(3)+(1)+(5)+(6)+(7)+(8)4(9)+(10) = (11) , J