04-101176rCitv..of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 04 - 101176 - 00 - ME
Inspection request line: 253.835.3050
Project Name: METROPOLITAN MARKET
Project Address: 1618 SW DASH POINT AJ Parcel Number: 122103 9074
Project Description: Provide HVAC systems and install 5 heating/ventilation AC units
Owner
Applicant
Contractor
DASH POINT LLC
EVERGREEN REFRIGERATION
EVERGREEN REFRIGERATION
DASH POINT LLC
EVERGREEN REFRIGERATION
EVERGREEN REFRIGERATION
9777 WILSHIRE BLVD SUITE 1009
727 S KENYON ST
727 S KENYON ST
BEVERLY HILLS CA 90212
SEATTLE WA 98108
(206) 763-1744
Mechanical Valuation..........................................95000 Over the Counter Permit ...................................... No
Mechanical Fixtures
Ar Handling Units
�Qu�anti�ty c � Duc Description nti� _Description -_]Q antityl
Fans 8 Furnaces X13 Number of Gas Outlets �3
PERMIT EXPIRES October 20, 2004.
Permit issued on April 23, 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: ti (� ��. --- Date: `/ `a 3 l
7-3o—oz, �i Vlh ` kQ lrOt✓'� �" S
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POST THIS CARD ON THE FRONT OF BUILDING
V" isF
Federal Way BUILDING DIVISION
Y INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 04 -101176 -00 -ME
OWNER'S NAME: DASH POINT LLC
SITE ADDRESS: 1618 SW DASH POINT
() FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
O SHEATHING Roof Floor
() SHEAR WALLS
O ELECTRICAL ROUGH -IN Ditch Cover
;) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
() INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
O PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
INSPECTION LOG
� VE41�D
FedZ,1
eral Way � E
CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: - -
PPLICATION NUMBER: - -
MAR 3 1 2004 JAPPLICATION NUMBER: — -
-The following is required information - Please print (in ink) or type"
Please note: Electrical, Fire PCIT QF FEDERA�L�Vy �
BtRC[�` f6ftjE " gineerin g permits may require a separate application.
SITE ADDRESS: &, ,� h &/l &d ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION (Provide
0
- 1 PROJECT INFORMATION
o BUILDING o PLUMBING MECHANICAL o DEMOLITION
SrELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
description): VI'I)r
.. - i eL- ii 0-- .4 i
• >� . t•
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME:
DAYTIME PHONE:
c 1-1 & A2-6-7 Cee , ae1'
6to ) -1103 til 4�
MAILING ADDRESS (STREET ADD'R'ESS, CIT`Y, STATE, ZIP).
EEVENING PHONE:
I 70� % �l h t� C �' �C✓� � �
i l ) I
CjrTY OF FEDERAL WAY BUSINESS LICENSEE NUMBER:
� FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
i EXPIRATION DATE:
(ropy of card required)t2 P-114 20 S7 7
1 ; /
APPLICANT: NAME:
DAYTIME PHONE:
r1lv-c— 763-2M
MAILING ADDRESS (STREET ADDRESS; CITY, $TATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT. i FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR I
EXISTING USE:
'ROPOSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? o YES o NO
PROPOSED VALUATION FOR IMPROVEMENTS: $
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:
■ PR03ECT FLOOR AREAS I
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) rs1---EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
_ _. _. �`O
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) —�� FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCENLELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. EAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOW WASH MACHINE OUTLET
SUMP(S)
'1TSCLATMER/STGNATHRE RLC
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:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttyoffedmlway.com
Construction Permit Fee Calculation Sheet
r`*****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:
TART F A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 plus $-LOO for each additional
$100. or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $90.00 for the first $2,000.00 plus $18.00 for each additional
SI.000, or fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $504.00 for the first $25,000.00 plus S13.00 for each additional
SI.000.00 or fraction thereof, to and
Including $50,000.00
(5) $50,001.00 to $100,000.00
(5) $829.00 for the first $50,000.00 plus S9.00 for each additional51.000.00
or fraction thereof, to and
including $100,000.00
(6) $100,001.00 to $500,000.00
(6) $1,279.00 for the first $100,000.00 plus $7.00 for each additional
S1.000 DD or fraction thereof, to and
including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $4,079.00 for the fist $500,000.00 plus 56.00 for each additional
51,000.00 or fraction thereof, to and
Including $1,000,000.00
(8) $1,000,001.00 and up
(8) $7,079.00 for the first $1,000,000.00 plus 54.50 for eaoh
addi8onal S1.0o0.00 or fraction thereof.
Bold number Is the base fee for the spedfled Increment
Ttalldzed, underflned number Is the lee Peraddldona/snedRed
Inarmenf
Aaa bb percent or the base ounoing permit tee for plan review tee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 1S 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.
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
** Electrical, plumbing, and mechanical fees are calculated separately **
(a) Base Fee:
(b) Additional Increment Fee:
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
MECHANICAL
t�0
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
0 PLUMBING
Base Fee Number of Fixtures
$26.00 + { X $9.00/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
E V E R G R E E N°
Re f r i g e r a t i o n, I n c.
LETTER OF TRANSMITTAL
Date: April 1, 2004
To: City of Federal Way
Permit Desk
33530 First Way S.
Federal Way, WA 98063
From: Adam Myers
Phone: 206-763-1744
Ext.: 236
Regarding: Metropolitan Market
We are sending you:
Copies Date No. Description
1 4/l/04 5 pages
These are transmitted:
Remarks:
HVAC &
CONTROLS
DESIGN
INSTALLATION
SERVICE.
On March 31, 2004 we submitted a Mechanical Permit Application for the new
Metropolitan Market. This application should have been a revision to the existing
approved Mechanical permit. Please discard the permit application submitted and
replace with the application attached to this fax.
J
Copy to:
727 SOUTH KENYON ST. -SEATTLE, WA. 98108
(206) 763-1744 - FAx (206) 763-2389
X03
1-d 6B as9L90a W0I1d2139I2133N W33N9H3A3
eE0=01 -170 TO add
COMMUNITY DEVELOPMENT SERVICES
orr oP" 33530 F1RST WAY SOUTH • PO RnX 071R
Federal Way FWAY, WA 98063-9718
?53-661-4/5• FAX 253 651.4J2
PERMIT APPLICATION'
wu..eimo� drrah�
Por -MCC U., Only: To-
FW File Number;
ThOf011Owing is required irtformation - an incomplete application will not be accepted, please print legibly /in ink) or tune.
ASSESSOR'S TAX/PARCEL N: _ _ _ _ _ — - ` _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g,: Acme Estates, Lot 1)
(Attach separate page for lengthy Legal description)
TYPE OF PERMIT (This application): ? BUILDING ? PLUMBING
? MECHANICAL ?DEMOLITION
? ELECTRICAL ? ENGINEERING FVSYSTEM
7M;F,9�
IONon of work,(neluded on this
Zs —'
- #_,- ,
PROJECT NAME (Name of Business/Owner Last Name):
PROPERTY NAME:
OWNER: DCAS �/1 j' 1 1 PNIMARY PHONE;
MA ZING ADDRESS 7 % (9T E A13DRES, {{L••+��� CITY, STATE, ZIP
i 5 • `d V�
CONTRACTOR:
LENDER:
1It Pmperta,I Value , 88.000)
APPLICANT:
EXISTING USE:
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK: �
SPRMKLERED BUILDING? ? YES ? NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ? YES ? NO
WATER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? TACOMA ?PRIVATE (WELL)
SEWER SERVICE PROVIDER? LAXEHAVEN HIGHLINE ? PRIVATE (SEPTIC)
z'G) 68E2E9G90z W0I1U839INJ3H W33HOH3A3 eE0:0i b0 10 jdd
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
6 Q
? ALTERATION
? REPAIR 7 TENANT IMPROVEMENT
FIRST
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS (commercial)
W OODSTO V ES
THIRD
FIREPLACE INSERTS
RANGES
MISC (Describe)
FOURTH
��--- FURNACES
GAS WATER HEATERS
? NO
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
? YES
DECK (COVERED?)
GARAGE/CARPORT
WATER CLOSETS (Touet)
MISC (Describe)
A DISHWASHERS
HOW MANY FLOORS?
TOTAL LXMTFmO
TOTAL PR1—D
TOTAL 8X15fINO AND PROMMD
**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
=CRAA7CAL
fp� 0
Value of Mechanical Work
6 Q
? ALTERATION
? REPAIR 7 TENANT IMPROVEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commercial)
W OODSTO V ES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
DUCTS
��--- FURNACES
GAS WATER HEATERS
? NO
PLATTED LOT?
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
? YES
PLUMBING
BATHTUBS IorT„b/shower Combo( SHOWERS
WATER CLOSETS (Touet)
MISC (Describe)
A DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE B1BBS
LAYS (13.1h -Smile
VACUUM BREAKERS
ELECTRIC WATER HEATERS
BLOCK
1 cert(/y under penalty 4f perjury that the irnfor oration jiarnished 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 in formation supplied to the city as apart of this application,
nt�,,,
NAME/TITLE: lJ�ti�V `y�� C.. Q [ I \ DATE: /
RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant
? Architect ?
FOR OFFICE USE ONLY:
? NEW ? ADDITION.
? ALTERATION
? REPAIR 7 TENANT IMPROVEMENT
BUILDING SHELL ONLY?
? YES ? NO
BASIC PLAN?
? YES
? No
ZONING DESIGNATION:
CHANGE OF USE?
? YES
? NO
NEW ADDRESS REQUIRED?
?YES ?NO
UP/SEPA/SU?
? YES
? NO
PLATTED LOT?
? YES ? NO
DEMO PERMIT REQUIRED?
? YES
? NO
Bulletin # 100 —January 13, 2004
E'd 68EZE9L902
Page 2 of 4 kAHandouts - Revised\Permit Application
WO I1d2139I NJ3N W33HON3A3 eEO :0 T b0 To idd