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03-104064City 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 #:03 -104064 - 00 - ME Project Name: CELEBRATION PARK APARTMENTS Project Address: 32023 11TH1SS B1dgD Project Description: Install 1 exha's'ust fan in each of units 1, 2, 3 & 4. Inspection request line: 253.835.3050 Parcel Number: 172104 9061 Owner Applicant Contractor EVERGREEN VILLAGE ASSOCIA INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC 1750 DEXTER AVE N 4501 KENNEDY RD NE 4501 KENNEDY RD NE SEATTLE WA TACOMA, WA TACOMA, WA 98109-3021 98422 1 (253)943-0500 Mechanical Valuation..........................................480 Over the Counter Permit ...................................... Yes Mechanical Fixtures PERMIT EXPIRES February 29, 2004. Permit issued on September 2, 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: Date: ® � �� 4 necA r4 ®a EcEIVED CONSTRUCTION PERMIT APPLICATION CITY Of PPLICATION NUMBER: o3 - - Federal Way SEP 0 2 2003 1APPLICATION NUMBER: _ _ PPLICATION NUMBER: _ - - T-fY' _ — — — — - — — — **T'tif�tpi�6F.FEDERAL WAY )03 iKed information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS. -3-20,23 1/ A r4Ce — ;y VMR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PR03ECT INFORMATION TYPE OF PROJECT (This application): o BUILDING o PLUMBING ECHANICAL o DEMOLITION �jELECTRICAL ❑ENGINEERING FIRE PREVENTION SYSTEM PROJECT NAME: PROPERTY OWNER: A CONTRACTOR: I NAME: MAILING ADDREStkSTREET A R CITY. STATE, P): EVENING PHONE! CITY OF FEDERAL WAY BUSINESSAKENSE NUMBER: FAX NUMBER: I 3) -oso CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (copy acard required) T/1(T• C G 1" .T 7,F.7- N Gv ©fl ! 4S / OOil APPLICANT: NAME: i DAYTIME PHONE: a/h c QJ (//'�oh 7[C - L -7,0 - MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: o ARCHITECT ❑ TENANT o OTHER ( DESCRIBE): c -MAI' AD RESS: % I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR �i r,f�► P em/ • co,! • • •INFORMATION�� EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL) , SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY* * NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS LOOR EXISTING SO. FT. PROPOSED SQ. FT. TOTAL n 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 LOGS) REFRIG. SYSTEM(S) 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 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) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ]TSCLAIMER/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. 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 o the ci a art of this application. NAME TITLE: Z DATE: ! cr ❑ PROPERTY O ER ❑ APPLICANT /61 CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www moffederalway.mm Construction Permit Fee Calculation 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 S4,W for each additional 1100. 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 518,00 for each additional51.000.00or 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 $1.000.A0 or fraction thereof, to and Including $50,000.00 (5) $50,001.00 to ;100,000.00 (5) $829.00 for the first $S0,000.00 plus $9.010 for eadr additional $1.000.00 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 5700 for each additional S1,00.ob 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 $6,00 for each additional S1.000.00 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 19.50 for each additional 51.000.00 or fraction thereof. Bold number Is the base fee for the specified Increment A,alldzed under//ned number Is Me fee per adWOMal smcffled lnarment 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 Dlstrld #39 surcharge, commerdal only. Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Elechtcal, 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 Fre Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (6) Estimated Pian Review Fee: (7) ■ BUILDING (a) Base Fee: (b) Additional Increment Fee: (a) Base Fee: (b) Additional Increment Fee: ■ FIRE PREVENTION SYSTEM (a) Base Fee: (b) Additional Increment Fee: PLUMBING Base Fee Number of Fbtwes $26.00+( X $9.00/fixture) _ (8) Estimated Permit Fee Estimated Permit Re X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)