02-101425of
City Federal
Development Services Way
CommununitMechanical Permit #:02 -101425 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 O
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.035.3050
Project Name: 7-11 STORE #26268
Project Address: 28719 MILITARYiS l Parcel Number: 332204 9161
Project Description: MECH - Install (3) rooftop condensing units and associated piping and "Slurpee" machine for existing
store.
Owner
Applicant
Contractor
THE SOUTHLAND CORPORATION
PRO STAFF MECHANICAL
PRO STAFF MECHANICAL
PO BOX 33370
PO BOX 33370
SEATTLE WA 98133
SEATTLE WA 98133
(206) 361-0071
Mechanical Valuation..........................................10000 Over the Counter Permit ...................................... No
Evapp rative Coolers 3
Mechanical Fixtures
CONDITIONS:
Per FWCC, Sec. 22-960, The new mechanical equipment that extends above the roofline may be painted, if the inspector
determines that the site conditions merit screening. Please contact Kari Cimmer @ 253-661-4115 for questions.
PERMIT EXPIRES October 9, 2002, IF NO WORK IS STARTED.
Permit issued on April 12, 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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
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FR 2002RECEIVED CONSTRUCTION PERMIT APPLICATIONDY L APPLICATION NUMBER: 2 - l d _ _ L _ - DO Ale
APPLICATION NUMBER:
** CITY OF FEDERALWAYAPPLICATION NUMBER:
The fd3Naii required Information — Please print (41 ink) or type**
Please note: Electrical, Fire *Prevention Systems and Engineering permits may require a separate application.
W-PROPIERTY INFORMATION
Q
SITE ADDRESS:J�)%G�[ j Onov 5. ASSESSOR'S TAX/PARCEL #:3
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ^V MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 45C_41 L
K—GjTfj�
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PROJECT NAME: (" o— e;�%J
S. EOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE: -
MAILIgDRE (STREET ADDRESS; CITY, STATE, ZIP
CONTRACTOR: NAME: DAYTIME PHONE:
i
MAID DRESS (STREET ADDRESS; CITY, STATE, ZIP):`' EVENING PHONE: I
( O ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
ZcD- OZ L (707 - (Zdx*)3Po{ -042- �
CONTRACTOR'S REGISTRATION NUMBER: p EXPIRATION DATE:
(copy of card required) (2 O S L MS O 7 Q
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
A-5
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT/CONTRACTOR
-DETAILED • • �
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)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
S
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
_ ■ PR03ECT FLOOR AREAS
- FLOOR
EXISTING SQ. FT.'
PROPOSED SQ. FT.
TOTAL
BASEMENT'
FIRST
AIR HANDLING UNIT(S)
SECOND
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
THIRD
HOOD(S)
WOODSTOVE(S)
BOILERS)
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)
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 o e reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a partjor
0A application.
NAME/TITLE: DATE: P.
" b2.
❑ PROPERTY OW R ❑ APPLICANT O RACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 - 2S3661-4000 • FAX: 253-661-4129
www. dtYof IederalwaV. Com
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)
BOILERS)
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)
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 o e reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a partjor
0A application.
NAME/TITLE: DATE: P.
" b2.
❑ PROPERTY OW R ❑ APPLICANT O RACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98063-9718 - 2S3661-4000 • FAX: 253-661-4129
www. dtYof IederalwaV. 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.
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 ado(Wonal $100.00or (radion 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 $1,000.00Or fraction thereof, to and
including $2S,000.00
(4) $2S,001.00 to $50,000.00
(4) $435.00 for the first $25,000.00 plus $11.00 for each additional$1,000.A7or 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 additions/51,000.00 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 $1,00000 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. r
(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. or fraction thereof.
hold number is the base fee for the specified increment
Ttafidzed, underfined number is the fee per addib°anal soedried 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.
0 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: (
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
MECHANICAL
PROPOSED VALUATION: ( O t Octy
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee:
Base Fee Number of Fixtures
$22.50 + { X $8.00/fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
.65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Page owx): Line(s) (1)+(2)4 (3)+(4)4-(S)+(6)+(7)4-(8)+(9)+(10) = (11)