02-102242P
11
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 102242 - 00 - ME
Project Name: BANGKOK GARDEN RESTAURANT
Inspection request line: 253.835.3050
Project Address: 31509 PACIFIC S Parcel Number: 082104 9174
Project Description: MECH - Installing gas system for new tenant, including 100' gas pipe, outlets for 3 -burner wok, deep
fryer, range and broiler (Kitchen Hood under separate permit)
Owner
Applicant
Contractor
ALEXANDER HAAGEN OPERATIN
ADVANCED PIPING TECHNOLOGY
ADVANCED PIPING TECHNOLOGY
Number of Gas Outlets
16653 160TH PL SE
16653 160TH PL SE
RENTON WA 98058
RENTON WA 98058
(425) 793-3765
Mechanical Valuation..........................................2000 Over the Counter Pen -nit ...................................... No
Mechanical Fixtures
ul, �s'c° 1pto Q
[3escriton. lQiiantit
Description,,, rt
anfi ty
Ranges 1
Gas Piping 100
Number of Gas Outlets
I hereby certify that the ab
the occupancy and the use
the City of Federal Way.
Owner or agent:
PERMIT EXPIRES December 2, 2002, IF NO WORK IS STARTED.
Permit issued on June 5, 2002
Cation is correct and that the construction on the above described property and
accordance with the laws, rules and regulations of the State of Washington and
Date: d Z—
CONSTRUCTION PERMIT APPLICATION
•APPLICATION NUMBER:
vur�v
MAY ����
PPLICATION NUMBER: -
CITY pyAPPLICATION NUMBER:
* ¢gquiired information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
`i PROPERTY •. •
SITE ADDRESS: ��S h�i<�c `� Fii.a. S ASSESSOR'S TAX/PARCEL
1 —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - - ' ::■ PROJECT INFORMATION''
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGIN EERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): :M, ,• r tl--�t sus X Cay :1"S �- Nem l cnxN;
/Oo� G•�s P,P�T 3 S.,a..c� •ve�tL DfE� F,¢yEL. I�nsLE $�oIL�2
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
>1S6q
NAME:
DAYTIME PHONE:
-)
tN e c Ck
) 9 3
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
C85 I bor I 5
(435 )-753
-3 -7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
(4aS ) 77
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(CPy of cma reWired) A a*14 Rh! T 0 Q fl
/
/ 3
NAME: DAYTIME PHONE:
u_cQx— )-73c: - 5,
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
I S --Z' I (' O r '0 1 's l—�Tos's (425 )--7,> 3 - 3 7(-
RELATIONSHIP
( -
RELATIONSHIP TO PRO)ECT: T FAX NUMBER:
❑ ARCHITECT []TENANT ❑ OTHER( DESCRIBE): (4,72-S ) -7fi3 - G1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER , l� APPLICANT ❑ CONTRACTOR S� fir- IC►c�Z 1 Ll(4 tea%
BUILDINGDETAILED • •
EXISTING USE: (%41 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: T— PROPOSED VALUATION FOR IMPROVEMENTS: $'20 /'06" aU
SPRINKLERED BUILDING? {LYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES Ca NO
WATER SERVICE PROVIDER: RLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROJECT FLOOR AREAS
FLOOR
4
EXISTING SQ. FT.
PROPOSED SQ. FT.
TO TAL
BASEMENT _
FIRST
SECON D
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 PSE OUTLET(SO % tk. '�f HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)--I&-- LAVATORY(S) URINAL(S) � WATERHEATER(S)
DISHWASHERS) 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)
'%TSCTOTMER /STGNATURE BLC
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: DATE: 1
❑ PROPERTY OWNER PPLICANT ❑ CONTRACTOR
aDMMUNITY DEVELOPMENT SERVICES_• 33530 FIRST WAY SOUTti • PO BOX 9718 • FEDERAL WAY, WA 98063.9718 •253-661-4OOo • FAX: 253-661-4129
www.dlyofr< d Iwav_com
r;.
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 additional 5100, 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 515.50 for each additional 51.000.00 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 511.00 for each addfional SI,000.00or 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 SI,000, 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 S1,000.00or fraction thereof, 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 55.50 for each additional 51.000.00 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 59.00 for each additional 57.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized underlined number is the fee per additional sveciTed 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 Fre 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:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
(a) Base Fee:
(b) Additional Increment Fee:
_PROPOSED VALUATIO LESS 4'► ��� Z
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PREVENTIONE FIRE
PROPOSED VALUATION:
! FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
i(b) Additional Increment Fee:
r
Estimated Permit Fee: (6)
j Estimated Plan Review Fee: (7)
t-
Base Fee Number of Foctrxes
$22.50+( X $8.00/fixture) _ (8) Estimated Permit Fee
Estimated PemA Fee
X .65 = (9) Estimated Plan Review Fee w
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11)
•