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02-102718City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 i Mechanical Permit #:02 -102718 - 00 - ME Inspection request line: 253.835.3050 Project Name: US BANK Project Address: 1436 S 312TH 1 f' Parcel Number: 082104 9060 Project Description: MECH - Like for like replacement of (1) 15 -ton gas rooftop unit AND replace (2) rooftop exhaust fans. Owner Applicant Contractor U S BANK OF WASHINGTON UNITED SYSTEMS INC UNITED SYSTEMS INC 2800 E LAKE ST #LAKE00 1021 SW KLICKITAT WAY SUITE 104 1021 SW KLICKITAT WAY SUITE 104 MINNEAPOLIS MN SEATTLE WA 98134 SEATTLE WA 98134 55406-1930 (206) 654-3340 Mechanical Valuation..........................................14358 Over the Counter Permit ...................................... No Air Handling Units Mechanical Fixtures 2 PERMIT EXPIRES January 11, 2003, IF NO WORK IS STARTED. Permit issued on July 15, 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 Owner or agent: � Date: c 3 SITE ADDRESS: (� �- /� ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):��� Qj�✓J PROJECT•• • TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING A44ECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING C1 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): __``�- �d�I CSA T -ao MI5 ®.-r i .� v9 i T fir+ vl/ /C s w � �t ✓I �v✓ . � s j� s s✓I ' • i ■ PEOPLE INFORMATION ` PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME:DAYTIME PHONE: ESS; CITY, P MAILING dX (-7a? PD w� - ZIP): ko� NAME: DAYTIME PHONE. MAILING AOORESS (STREET AO ; QTY, STATE,ZIP):�3[ f s7e. �Dys r/4 EVENING PHONE: QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 00, a 1 - Q2a 7- &! — — FAX NUMBER: �G) .?,q CONTRACTORS REGISTRATION NUMBER: (copy of card requkeco -L11-V L C4E �Z X 1 762 K l3 EXPIRATION DATE: NAME: DAYTIME PHONE: 4, i to m l"7c Z 0e,-7,1 ; M� Jae - (.206) yz -9ysy MAILING ADDRESS (STfEET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: 102/ 5w ova ie /0 5e, *er�,iA �$1 TJ y W6 ) 6•sY- 33 3 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE): �O✓T7)i�c.�7�✓ (216 ) 6,2 el g'yeg- CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR L/yy; Ile?-eusl DETAILED BUILDING INFORMATION EXISTING USE: ( k, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: �✓���Yt 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 11 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: FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. S 15TEM(S) BBQ(S) �_ FAN(S) HOOD(S) WOODSTOVE S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) �— MISC. (_ G�l� ) ` 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) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) !1TSCLATMFR/STr;NATIIRF RI C 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: llc��� /"�� �fC DATE: O ❑ PROPERTY OWNER kAPPUCANT ❑ CONTRACTOR✓/�P S E� COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VEI2IFIEWBY 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) $24.25 (2) $501.00 to $2,000.00 (2) $24.25 for the first $500.00 plus 53.27 /br eadu &V1 0na/ e100.00 or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $75,000.00 (3) $71.46 for the first $2,000.00 plus 115.00 for eadraVit/ona/11.000.00or fracdon thereof, to and kidudag $26,000.00 (4) $25,001.00 to $50,000.00 (4) $403.61 for the first $25,000.00 plus 110.81 for each additbnal11.000.00or fraction thereof, tD and 1ncWk g $50,000.00. (5) $50.001.00 bo $100,000.00 (5) $664.35 for the first $50,000.00 plus 17.50 for each adoWwl tl_mn Mor fraction thereof, to and Including $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,025.55 for the first $100,000.00 plus $6.00 far eadu addobw/11.0010170 or fraction dwell, to and kxludung $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,337.23 for the fist $500,000.00 plus 15.09 /brwod a"b rra/11.000.010or fraction thereof, to and kndudlng $1.000,000.00. (8) $1.000.001.00 and up (8) $5,788.23 for the first $1,000,000.00 plus 13.91 /br earn aaHitrona/ 11.000.00 or fraction Hereof. Sold number is the base fee for the specified Increment Ita//dred a�ned numberfs the fee arraddi'tlona/ saa~ &% ement 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 $4.50 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: 26'— (a) Base Fee: (b) Additional Increment Fee: -- Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) —riTs r Estimated FW Fre Department Surcharge: (3) (COMMERCIAL ONLY) FEE FACTOR FROM TABLE A: Number: % (a) Base Fee: I(b) Additional Increment Fee: S Estimated Permit Fee: (4) ��6 %::� Estimated Plan Review Fee: (5) 62 PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number. Estimated Permit Fee: (6) Estimated Plan Review Fee: Base Fee Number of Fbcbxes $21.00+( X $7.00/fixture) _ Estimated Permit Fee X .65 = Miscellaneous Fixture Charge: (10) (a) Base Fee: (b) Additional Increment Fee: (8) Estimated Permit Fee (9) Estimated Plan Review Fee Sub Total (Fageone): Line(s) (1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11) / ®� TABLE B RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family Service or feeder only ......................... $48.00 # of Thermostats (First -$36.00; add'n-$11.00ca) (First 1300112-$72.00; Each add'n 500112 -$23.00) Service and feeder ............................... $78.00 _ # of Low voltage fire or burglar alarms [NEW are Feet:First 2500 112-$42.00; Each add'n 2500 ft2-$11.00 Each outbuilding or garage ........................... $30.00 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 ........................... $48.00 (First service/feeder-$48.00; Add'n service/ _ # of Signs (First sign -$36.00; add'n sign (Inspected separately) feeder -$31 each) S 17.00 spool, _ Swimming hot tub, spa .................72.00 -Yard Pole meter loops ...........................48.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ..............................................$ 78.00 Up to 200 amp .............. $ 78.00 ................ $ 23.00 Feeder -201-600 .......................................... ... 182.00 _ 201- 400 amp .................. 97.00.................... 48.00 _ 0 to 100 .........................$ 78.00....... $ 48.00 _ 601-1000 ............................................ 274.00 _ 401- 600 amp ................ 133.00 .................... 66.00 _ 101-200 .......................... 97.00 ........... 61.00 _ over 1000.............................................305.00 601- 800 amp ................ 170.00.................... 91.00 _ 201-400 ........................ 182.00 ........... 72.00 _ # of circuits _ _ Over 800 amp ................. 243.00 .................. 182.00 _ 401-600 ........................ 212.00........... 85.00 (1-5 circuits -$61.00; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601-800 ........................ 274.00......... 116.00 (When inspected separately from the services.) _ 801-1000 ...................... 335.00......... 140.00 TEMPORARY SERVICE Service or Feeder _ Aver 1000 ...................... 365.00......... 195.00 Residential/Multi-Family/CommerciaV[ndustiral 0 to 200 amp .................................... ........... $ 66.00 _ Over 600 volts surcharge ...................... 61.00 _ 0-100 .................................................... 48.00 _ _ 201- 600 amp ................................................ 97.00 _ Mast or meter repair.............................. 66.00 _ 101-200 ................................................ 61.00 _ over 600 amp ................................................ 146.00 _ 201-400 ................................................ 72.00 _ Mast or meter repair ....................................... 36.00 _ 401-600 ................................................ 97.00 _ # of circuits _ over 600 ........................................ x..105.00 (14 circuits -$48.00; Add'n circuits $5 ea) If service is greater than 200 amp, a plan review is req'd. Fee is 35% of permit fee +$61.00. Add1 plan review for other submissions is $72.00/hr. - Total Con,rmm (D) Estimated Permit Fee: (12) Estimated Plan Review Fee: $56.25 + Estimated Permit Fee: (14) Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) Esuffetw vermat Fee from rine ti X.35 = (13) (20) (22) (23) Total (Payer one &To): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = Bulletin #100 - August 20, 2001