02-100782VA
City of Federal Way
Conununity Development Services Mechanical Permit #: 02 -100782 - 00 - ME
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:
Project Address:
Project Description
CEO
909 S 336TH�Suite200
Parcel Number: 926480 0150
MECH - Replace/Relocate existing (35) slot diffusers with modular core type throughout existing office
space.
Owner
Applicant
Contractor
Jeffrey W & Leanne M Stock
ENCOMPASS ELECTRICAL SERVICES
ENCOMPASS ELECTRICAL SERVICES
31919 1ST AVE S SUITE 100
12316 134TH CT NE
12316 134TH CT NE
FEDERAL WAY WA 98003-5258
REDMOND WA 98052
REDMOND WA 98052
(425)814-5820
Mechanical Valuation..........................................6398 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
DescriptionQuanti
Air Handling Units 35
PERMIT EXPIRES August 21, 2002, IF NO WORK IS STARTED.
Permit issued on February 22, 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 wil be ' ordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. �
Owner or agent: /Ci�� �,��% Date: Z -ZZ -t9
V
�Y0F G RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: d_ L_ -
_ r
FEB 2 1 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: _ _ -
**The fol'RRttfAQK9QW(Td information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
qPROPERTY O.
MATION
SITE ADDRESS: l ;57C,0 33( ASSESSOR'S TAX/PARCEL #:,9—,?"�/
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
t ■ . PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING R1 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): $j R6T--1-1 r�C� 45r/ S C,O
rz_ t. Ty I> ET I i•! STYa
CLs Iy czSc-c> '�-s AN k r -,—
PROJECT
PROJECT NAME: LEO TG,A -S
PEOPLE• •
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
C) ( ( ) -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
F-IJCo r'I
(70b ) -76S
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
I
7702 De,rzacr ais-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
zap ) -76g
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) L r, O > /� S gj O
J / S
/ U
APPLICANT: NAME* DAYTIME PHONE: I
(OOG ) 76 - 3 7
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
6 77c7-7 .( e1✓ L z— is J I� -�� (& ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): 5 (2mg, ) 7&S
E—MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER AAPPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
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: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ■ PROTECT 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)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
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) _3c' MISC. (C* R 5 )
FURNACE(S) �(
GAS PIPE OUTLET(S) HEAT SOURCE: d� ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S)
RAIN WATER S VACUUM BREAKER(S)
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S)
SUMP(S)
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 suppJjdq to the city as a part of this application.
NAME/TITLE: �rk�/� DATE: :2 - Z [ - Oz
❑ PROPERTY OWNE6I APPLICANT CONTRACTOR
_......................._..............
FOR OFFICE USE ONLY:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.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.
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 $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 addition/ $1,000.AOor
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 51,0010.00
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 addition1$1,000.IX1
or fraction there9f, 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 $LOCO.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 $4.010 for eadh additional $1,000.00
or fraction thereof.
Bold number is the base fee for the speed Increment
rtarazed, underlined number is the fee Per addidonal svedTied increment
twu oa percent w ule uase uunamg permit tee tur pian review nee.
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)
PROPOSED VALUATION: I (�' J`�S
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b).Additional Increment Fee:
Estimated Plan Review Fee: (7)
Base Fee Number of Fu tries
$22.50+( X $8.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit 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