04-101409Ck3--if Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: K L COLLISION CENTER
Mechanical Permit #:04 -101409 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 1908 S 341STISuitel Parcel Number: 390380 0070
rl
Project Description: Install paint spray booth in same location as previously removed booth.
Owner
Applicant
Contractor
K L Collision Center *Denis Kiforishin *
KL COLLISION CENTER *JOHN LARSEN *
K L Collision Center *Denis Kiforishin
K L COLLISION CENTER
1908 S 341ST PL BAY 9
K L COLLISION CENTER
1908 S 341ST PL SUITE I
FEDERAL WAY WA 98003
1908 S 341ST PL SUITE 1
FEDERAL WAY WA 98003
(253) 661-9159
Mechanical Valuation..........................................5199 Over the Counter Permit...................................... No
Mechanical Fixtures
Description ]Quantityl Description Quantity Description _]Quantityl
Fans
PERMIT EXPIRES October 27, 2004.
Permit issued on April 30, 2004
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.
Owner or agent: - Date:
f�,a'
/;/;7
R E IVf�W DEVELOPMENT SERVICES
WAY SO(1TlI • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253614115•FAX 2536611129
Federal way PERMIT APPLICATION
lOw.tilunffcdcrrilw0u mm
AFF
For OBice Ux Only ` )
FW File Number:
The followina is re uired in ormation - art incomplete application will not be acce ted. Please print le ibi (in ink) or e.
PROPERTY INFORMATION
SITE ADDRESS: !!L e k".404-2 SUITE/ #
ASSESSOR'S TAX/PARCEL #: O 3 V - a SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT (This application(: ❑ BUILDING o PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM \\
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only/ N S C/
PROJECT NAME (Name of Business/Owner Last Name):�Ll
PEOPLEt • - •
PROPERTY
OWNER
CONTRACTOR
LENDER
(Il Proposed Vala<> $5,0001
APPLICANT:
L U v PRIMARY PHONE:
(t�
/O9' � Jam` 1,6 I - q
MAILING ADDRESS (STRF� � ADDRESS;): CITY ZIP
Itat 3 2/
NAME
COMPANY
OFFICE PHONE:
(
MAILI G ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
(CELL PHONE:
l
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
NUMBER:
MAILING ADDRESS (ST ET ADDRESS):
5 3Y I�� mr
(FAX
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
R LATIONSHIP TO PROJECT: I
❑ Architect 16enant ❑ Other (Describer
(copy of card regaired with each application) _
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
NA
COMPANYOFFICE
Ll
PHONE:
MAILING ADDRESS (ST ET ADDRESS):
5 3Y I�� mr
CITY, STATE, ZIP
a �- X 03
EVENING PHONE:
R LATIONSHIP TO PROJECT: I
❑ Architect 16enant ❑ Other (Describer
FAX NUMBER:
(;,c2q) r635- - yK
CONTACT PERSON FOR THIS PROJECT: 11 Property Owner ❑ Contractor I�(@pplicant -MAIL AD
Ie-IfCeT ' My- r
EXISTING USE: A A , 4 ',2 IOW Il PROPOSED USE: /I12 Q V1 tJ U�%�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ dO
SPRINKLERED BUILDING? ❑ YES )(NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: YES ❑ NO '
WATER SERVICE PROVIDER 94AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER fLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES ❑ NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION:
THIRD
o YES
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXLS[LNG
TOTAL. PROPOSED
TOTAL. EXISTING AND PROPOSED
`•NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Value of Mechanical Work $ 13&0 oyZ
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS (eadtroom Sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (co w) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS c ��M'Ar
WATER CLOSETS (Toilet) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE 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. 1 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 apart of this application.
NAME/TITLE:
RELATIONSHIP
C_
(Signature) I (Tides
PROJECT: ❑ Property Owner <Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION:
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
=PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Page 2
■ ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet:
Service or Feeder Each Add'n
V0
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 117.50 74.00
(Inspected with service) $ 36.50
❑ 201 - 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 256.50 103.00
(Inspected separately) $ 58.00
❑ 601 - 800 amp 332.00 140.50
NEW MULTI -FAMILY (three units or more)
❑ 801 - 1000 amp 405.50 169.50
Service Feeder
❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
Ll 201 - 400 amp 117.50 58.00
❑ Over 600 volts surcharge $ 74.00
LJ - 600 amp 161.00 80.00
❑ Mast or meter repair $ 80.00
❑ 601 - 800 amp 206.00 110.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY
❑ 0 to 200 amp $ 94.50
(Inspected separately from service)
❑ 201 - 600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
❑ # of circuits to be added/ altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
❑ # of circuits to be added/ altered
(1-4 circuits -$58.00; Add'n circuits $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service over 200 amps
❑ Mast or meter repair $ 43.50
❑ Medical/ Educational/ Institutional Facility
$ 74.00 plus 35% of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
TEMPORARY SERVICE
❑ Service or feeder only $ 58.00
❑ Service and feeder $ 94.50
Commercial Residential
❑ 0 - 100 $ 58.00 $ 51.00
MOBILE HOME/RV PARK
❑ 101 - 200 74.00 51.00
❑ # of service or feeders
❑ 201-400 87.00 n/a
(First service/feeder-$58.00; each add'n -$37.50)
❑ 401 - 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$43.50; add'n-$13.50/ea)
(First sign -$43.50; add'n sign $20.50/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $87.00
Square Feet to be served by system(s):
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $58.00
❑ Security Alarm System
❑ Additional Plan Review $87.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
11
(Per System(s): I-� 2500 ft2-$S 1.00;
Each add'n 2500 ft2-13.50) • Per WAC 296-46-910(5)(b)(i & iif
Page 3 `
,J ' Fgk,R; XI OF COMMUNITY DEVELOPMENT SERVICES
33530 First Way South
PO Box 9718
�, ,,, ., ;;•,,. Federal Way WA 98063-9718
253-661-4000; Fax 253-661-4129
www-cit� ffPdera-May_com,
6UI u," G a, P j
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
I, —J -ttm t, r ,+s e , state as follows:
(Print name as signed)
I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090_of the
Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit.
I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Federal Way must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1
consider the work authorized under this building permit to be exempt under No. —, and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unre ' tere,
to perform construction work.
1�
NT'S SIGNA`PUR - -50 ..._
,gyp=
O _
It
op
Si ed and swo n to before me this
�Day of `7' ' 20bq
H. (siV-ack-- S%6&We,
No s (Print)
Notary's Signature
NOTARY PUBLIC in and for the State of
Washington, residing a 1waCounty
My Commission expires: 1446—.y-
Bulletin
6—OS
Bulletin # 116 — December 23, 2002 Page I of 2 k:AHandouts — Revised\Contractor's Affidavit
Revised Code Of Washington
18.27.090 Exemptions. This chapter shall not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within the
scope of their office;
3) Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4) Any construction, repair, or operation incidental to
the discovering or producing of petroleum or gas, or
the drilling, testing, abandoning, ro other operation
of any petroleum or gas well or any surface or
underground mine or mineral deposit when
performed by an owner or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6) Any construction, alteration, improvement, or repair
of personal property, except this chapter, shall apply
to all mobile/manufactured housing. A mobile/
manufactured home may be installed, set up, or
repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile/ manufactured home retail dealer or
manufactured licensed under chapter 45.70 RCW;
7) Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any
site or reservation under the legal jurisdiction of the
federal government;
8) Any person who only furnished materials, supplies,
or equipment without fabricating them into or
consuming them in the performance of, the work of
the contractor;
9) Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials, and all other
items, is less than $500, such work or operations
being considered as a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by
the same or a different contractor, or in which a
division of the operation is made into contracts of
amounts less than $500 for the purpose of evasion
of this chapter or otherwise. The exemption
prescribed in this subsection does not apply to a
person who advertises or puts out any sign or card
or other device which might indicate to the public
that he is a contractor, or that he is qualified to
engage in the business or contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except when any of the above work is performed by
a registered contractor;
11) An owner who contracts for a project with a
registered contractor;
12) Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not, but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved
property;
13) Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14) A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington„pr aplumber licensed under the laws
0 of.the state of Washington while operating within
'the boundaries of such political subdivision. The
:y bxemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his Ticense;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16) Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
Bulletin # 116 — December 23, 2002 Page 2 of 2 k:\Handouts — Revised\Contractor's Affidavit