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02-102801City a Development Services Federal Way Corrmxmity Mechanical Permit #:02 -102801 - 00 - ME 33530 1st Way S Federal Way, WA 98003-6210 P1i:253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: INSTITUTE FOR FAMILY DEVELOPMENT Project Address: 34004 16TH S,Suite200 Parcel Number: 390380 0160 Project Description: HVAC - Replace (5) existing 3.5 to heat pumps with same. Revise existing ductwork to accomodate new tenant. Install exhaust fan for equipment room, per plan and subject to field inspection. Owner Applicant Contractor Rickney D Brown UNIVERSAL MECH SERVICE CO INC UNIVERSAL MECH SERVICE CO INC 34004 16TH AVE S #200 PO BOX 2649 PO BOX 2649 FEDERAL WAY WA REDMOND WA 98073-2946 REDMOND WA 98073-2946 98003-8951 1� (425)885-9100 Mechanical Valuation..........................................46702 Over the Counter Permit ...................................... No Mechanical Fixtures Description n . , wry Descr,,l tlon Qtiantit Description Quantity Air Handling Units Compressors (Fans F� l�____II Ducts 1� PERMIT EXPIRES December 30, 2002, IF NO WORK IS STARTED. Permit issued on July 3, 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. Ov.,ner or agent: Date: % J Z M 4CJA , 'P, tAc. k 0 t "- 8-1(,-02- RECEIVED ' �� CONSTRUCTION PERMIT APPLICATION -JUL 0 3 2002 APPLICATION NUMBER: D 2 - / o2-„fa / - p� APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: _ BUILDING DEPT. - - - - - - - - - - _ **The following is required information—Please print(in ink)or type**a 63._ 66 /- (.t) Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: L4. /40 id ' '41 : ASSESSOR'S TAX/PARCEL#: O 7 qd - 0 ( 6 0 SQe'gn01 ricz- LEGAL DESCRIPTION OF UBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): �-s r v►e,r- gU4(t S5 Tia I-LC_ • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING MECHANICAL o DEMOLITION o ELECTRICALo ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 5I�lace �j �- eid5 1 i 3,�"S � kect 1 1904 05 ra(-wr � ,Fevl Se_ e_x15-fi v ffuc4+ -r L' o a c - 11-et ��► .�- , sf�cfl Z©utIV9 ,Iy.s.4--eAAA aTA4, .1) 1. eta- -Cetv. PROJECT NAME: i-v14,+i"I '1 e G -r Wp l Cie via(a nedvd— ■ PEOPLE INFORMATION PROPERTY OWNER: WE: DAYTIME PHONE: -,f-U-k.- � - O�(�y Veoelovutoini-- (Z )( 7( - 3630 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 16( 5cuA-ta 333w4 , 1' t icy, W4 ct$0D3 CONTRACTOR: NAME: DAYTIME PHONE: VV`) ie 5-0I M&I/ 104/ (-!6 too MAIUNG ADDRESS(STREET ADDRESS;CITY,STAB( ): EVENING PHONE: 45461 ((r 5 i � WA °lr� (41 -�itet CITY OF FEDERAL WAY BUSINESS UCE E NUMBER: I FAX NUMBER: - ( ) 6&61 67 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (ropy of card required) 1..2 (0 L V E IYI 13 2- 3 (0 / 30 / Oz APPLICANT: NAME: DAYTIME PHONE:�^, C5O(w� M I (le .v UOWelrr7q( Mark � Ca. I (`7 6 ) gZSc- . /(vo MAILING ADDRESS(STREET ADM'FSS;CITY,STATE,ZIP): EVENING PHONE: /qtr)(( (U((( F-P,o{t u c l &t)A 'KMV ) mac- Cf(00 RELATIONSHIP TO PROJECT: ( I�I FAX NUMBER: o ARCHITECT o TENANT OTHER(DESCRIBE):11/eL4, C ✓C'iCI ( )4 - Coe-(S7 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑CONTRACTOR — • DETAILED BUILDING INFORMATION EXISTING USE: 0-C[Ce___ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: ©FCtc e PROPOSED VALUATION FOR IMPROVEMENTS: $ 4/0, '70Z, CZ.. SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 0 NO WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** a . " NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD ,,,...FOURTH ti, OTHER FLOORS(DESCRIBE) DECK ---- GARAGE GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL ‘.____ 79_2:( ' r AIR HANDLING EVAPORATIVE GAS LOG(S) REFRIG.SYSTEM(S) UNIT(S) COOLER(S) BBQ(S) �_ FAN(S) CE' Nf5 ei�} gAn HOOD(S) WOODSTOVE(S) _ BOILER(S) FIREPLA IN�SERT(S) RANGE(S) 1 MISC.(Aut.114x0✓'�C) .5 COMPRESSOR(S) FURNACES) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: IELE�CTRIC ❑ GAS PLUMBING t'TI—I�v--ip BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) SYS. RAIN WATER VACUUM BREAKERS)SYS. ELECTRIC ❑GAS DRINKING SHOWER(S) WASH MACHINE FOUNTAIN(S) OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) 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(induding 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,induding its officers and employees,upon the accuracy of the information su • e = as a part of this application. NAME/TITLE: . /7 ( O (V4°r- 1 Oe6ka 1)CR/ DATE: 6(7401--- o 74 d2---o PROPER OWNER XAPPLICANT o CONTRACTOR FOR OFFICE USE ONLY: o NEW a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? a YES a NO COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO PLATTED LOT? ❑YES 0 NO CHANGE OF USE? 0 YES 0 NO a Q N � � © M � • a ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-S 1 1.50ea) • (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) Service and feeder $81.00 _#of Low voltage fire or burglar alarms • Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-S 11.50 . Each outbuilding or garage . $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-550.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 81.00 _Up to 200 amp $ 81.00 S 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 S 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 Mast or meter repair 68.50 _101-200 63.50 _ over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 _#of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+563.50.Add'I plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) • FIXTURE FEE FROM TABLE BIB) ,,'.NUMBER OF UNITS(C) • :TOTAL(D) .- - TOTACCOLUMN(0):• I Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) ■ DEMOLITION Estimated Permit Fee: (14) F Bond Amount:(15) • ENGINEERING f Estimated Permit Fee:(16) Bond Amount: (17) ■ OTHER FEES Mitigation Fee:(18) (20) (22) t. SBCC Surcharge:(19) (21) (23) Ir Total(Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002