02-102280City Federal Way
Community Development Services Mechanical Permit #:02 -102280 - 00 - ME
un
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: BANGKOK GARDEN RESTAURANT
Project Address: 31509 PACIFIC S Parcel Number: 082104 9174
Project Description: MECH - Installation of (1) Type I Commercial Kitchen Hood, exhaust fan, make-up air unit and
associated ductwork for existing restaurant.
Owner
Applicant
Contractor
ALEXANDER HAAGEN OPERATIN
MUTUAL INDUSTRIES INC
MUTUAL INDUSTRIES INC
1
9832 17TH AVE SW
9832 17TH AVE SW
Hoods
SEATTLE WA 98106
SEATTLE WA 98106
1
(206) 769-6622
Mechanical Valuation..........................................8900
Over the Counter Permit......................................No
Mechanical Fixtures
4escri tion + ;,, ,Qty ritr
� DrescFi tion111 �"
Qir�ntrt
=! " E7escripfiarr 'm
: Quantityl
Air Handling Units
1
Ducts
1
Hoods
Fans
1
I hereby certify that the above
the occupancy and the use will
the City of Federal Way.
Owner or agent:
PERMIT EXPIRES December 2, 2002, IF NO WORK IS STARTED.
Permit issued on June 5, 2002
is correct and that the construction on the above described property and
lance with the laws, rules and regulations of the State of Washington and
Date:
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crffof(x--- RECEIVED CONSTRUCTION PERMIT APPLICATION
____ Ems-PPLICATION NUMBER:
nF3Y JUN 03 20:;2 ----- -
APPLICATION NUMBER:
CITY OF FED& AL WAY PPLICKRON NUMBER:-
BUILDLNG 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•. •
SITE ADDRESS: _2j I �D (L�/ - ASSESSOR'S TAX/PARCEL #: Q 2 1• - q 1 '
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION'
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 14 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
—14a,mm hrioM UT- oNt- Tff�x htL4 �
••
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP):
NAME:
�k. fu «�-L � ae��
DAYTIME PHONE:
cav 6) 6 4 - z 2 -
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
832 _o
EVENING PHONE:
a
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
( A)WI 6 7
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(sof caro required) �c —T cc f� -1 b _L+S
9 'z
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS: v
CONTACT PERSON FOR THIS PROJECT: 11 PROPERTY OWNER ❑ APPLICANT 1I CONTRACTOR UTI QD 6 M OtO, 441
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: $"
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES •❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCTS)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
_ FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
1TSCL1kTMER/SIGNATURE BLC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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:I
❑ PROPERTY OWNER ❑ APPLICANT [CONTRACTOR
CDMMUNrTY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
WWW. 1way.com
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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.
PLUS:
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 53.50 for each additional
$IOO.AOor 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 additional51.000.00
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 eadh additional
S1.000.00or 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 eadi 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 Si.OIOYI.OYI or 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
S1.000.00or 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 54.00 for each
additional $1,000.G10or fraction thereof.
Bold number is the base fee for the specified increment
Italidzed, underlined number is the fee Per addibional sPedFed
Increment
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.SO 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:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
(a) Base Fee:
(b) Additional Increment Fee:
0 PLUMBING
ease Fee Number of Fbt es
$22.50+( X $8.00/fixture) _ (8) Estimated Permit Fee
Estimated Pemdt Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee
I