03-103070r y
r
•
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MANILA'S PRIDE
Project Address: 32700 PACIFIC S UNIT4
Mechanical Permit #:03 -103070 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 162104 9024
Project Description: Installing new Type I kitchen hood; install one gas water heater and up to 50 feet of gas piping.
Owner
Applicant
Contractor
William J Morris
RUBEN & MYRNA CUEVAS
RUBEN & MYRNA CUEVAS
1325 4TH AVE #940
MANILA'S PRIDE SARI -SARI STORE, INC
MANILA'S PRIDE SARI -SARI STORE, INC
SEATTLE WA
9504 S 207TH PLACE
9504 S 207TH PLACE
98101-2509
KENT, WA 98031
(253) 838-8860
Mechanical Valuation..........................................7000 Over the Counter Permit ...................................... No
Mechanical Fixtures
�T Description Quantity Descri tion Quantity Description Quanti,
Hoods�F Gas Piping 50
PERMIT EXPIRES February 21, 2004.
Permit issued on August 25, 2003
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: Dates " A (! — - d 2
9qS ���ei� ID�z%�
l0/z7�3 �ih'
�(Op& PrIlPWOt L*
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CITY OF CONSTRUCTION PERMIT APPLICATION
Federal Way PPLICATION NUMBER: _ � - n .1_ _ C) - _ _
y 3UL 2 5 2003 PPLICATION NUMBER:
ED��A�'WaY PPLICATION NUMBER:
information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): o BUILDING o PLUMBING /MECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
I
PROJECT DESCRIPTION (Provide detailed description): M-MlaTALL -7 - C
• i 'r i
M -PEOPLE INFORMATION.
PROPERTYOWNER: NAME:
wILL I kf\,\ f\tof--F-�S
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
R5 -50 TR -M O I A '
CONTRACTOR:
APPLICANT:
T STSYIN
-iZpi
(`ZS)697-1
55
NAME:
( M -3371 C
MAILING ADDRESS (STREET ADDRESS; CITY, STATE ZIP):
13gZc� S.g". 21Igi sr
9MT w,q �g y�
EVENING PHONE:
; (�)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER: l
CONTRACTORS REGISTRATION NUMBER:
(ropy of card required)
fZ 1� erA 0 9 G
l EXPIRATION DATE:
m 3 ; l of a s
v v -Le-- SZUfc>) 7`73 -
MAILING ADDRESS (STREETESS; � EVENING'
'33LO 2t4:0--Jl �M-F U,/R VO'rL 1(263/-`
RELATIONSHIP TO PRO)ECT:1 FAX NUMBER:
❑ ARCHITECT ❑ TENANT BOTHER ( DESCRIBE): S(Jgj C'UkL7Rjje7D I (
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
DETAILED BUILDING INFARMOTTC
EXISTING USE: QE EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
p / - O®
PROPOSED USE:y� 6Ce-t-( smE 4J Ai ! (301 r PROPOSED VALUATION FOR IMPR,QVEMENTS: $ j0Q0, �//_
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: k ES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
�L
"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:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. (_
COMPRESSOR(S) FURNACE(S)
DUCT(S) 7 GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER 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)
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 (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 suMed to tile)dty as a part of this application.
NAME/TITLE:
❑ PROPERTYgWNER f`APPLICANT OfCONTRACTOR
O Co– M- er-6W c4k/ , tJ
ca xt iZIC DATE: DULY Z:!�; Z C 0
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 Calcibillation 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) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 plus $4,010 for each additional
$100.DOor 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 SI8,00 for each additional
Sl,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.A2 for each additional
$1.000, 0 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 59.00 foreach adddional
$1,00I.t7YJor 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 5700 for each
additional SLOfXl.00 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 addit0na1
SI.000 OO 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 59.50 for ead�
additional SI,000.IX1 or fraction thereof.
Bold number Is the base fee for the specified Increment
1YRAc red underf/ned number /S the fee Per add/t/ona/smcfffed
Moement
.,uu of I,elrxnc w uie udse uumiing permit fee for pian review fee.
Add 2S 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:
Estimated Permit Fee:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
PROPOSED VALUATION: 7-066-777
c C * iI10Cd
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: - 0 GA5
(b) Add'ti IT t Fee ( r
1 Ona nCremen
o a'
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5) JT �• SO
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base FeeNumber of Fixtures
$26.00 + { X $9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit nee
.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