03-104672City of Federal Way
Community Development Services
335301st WayS
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: KYUNG SUNG RESTAURANT
Project Address: 31140 PACIFIC S
Mechanical Permit #:03 -104672 - 00 - ME
Project Description: Revision/upgrade to existing commercial hood.
Inspection request line: 253.835.3050
Parcel Number: 785360 0185
Owner
Applicant
Contractor
KYUNG SUNG RESTAURANT *TIAN T. TAN
KYUNG SUNG RESTAURANT *TIAN T. TAN
KYUNG SUNG RESTAURANT *TIAN T. TAN
31140 PACIFIC HWY S
31140 PACIFIC HWY S
31140 PACIFIC HWY S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Mechanical Valuation..........................................280
Over the Counter Permit..(2.06).349.4365
......... No
PERMIT EXPIRES April 14, 2004.
Permit issued on October 17, 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 'll be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
anal
�^Yo. CONSTRUCIIQU LLM11 AP2LICATION
vv � C T 1 3 zQ03
'3
PPLICATION NUMBER: O 3 - 6_ -
; 1-ry OF FEC AL WAY- - - - - —
F30LDING DEPT APPLICATION NUMBER: -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.-
PROPERTY
MATION
• .
SITE ADDRESS: ���`f-� P� c��l� L' (� ASSESSOR'S TAX/PARCEL #:
.LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDINGPLUMBING ECHANICAL I] DEMOLITION
ElELECTRICAL ( ❑ ENGINEERIN RE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER: rr22
CONTRACTOR:
P
PEOPLE• •
NAME: DAYTIME PHONE:
MAILING Ai5DR 5 (SIRE SS; CITY, STATE, ZIPS): + Gam'`'
NAME:- DA ME ONE:
�20'9�9 tea;
MAILIr ADDRESS(STREET ADDRESS; CITY,, STATE, ZIP7..- - EVENING PHONE:
yy s > -
C OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: i
(copy of card required)
APPLICANT: / NAME: DAYTIME PHONE:
-
MAILIN ADD ESS (STREET A ESS; CITY, A , ZIP): �- EVENING PHONE:
tc-
RELATIONSHIP TO PROJECT: - FAX NUMBER: -
❑ ARCHITECT _ ❑ TENANT ❑ OTHER ( DESCRIBE): -
E-MAIL ADDRESS:.
CONTACT PERSON'FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR
EXISTING USE: /Kos7%it-,rrA-+f EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: &5 PROPOSED VALUATION FOR IMPROVEMENTS: $ 1
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/RE
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC)
0
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING sq. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
FIRST
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
.
SECOND
CHANGE OF USE? ❑ YES ❑ NO
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
2
DUCT(S)
Indicate nu er of each a of fixture
C�AL
EVA RATIVE COOLERS)
F (S)
IREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
H
LOG(S) REFRIG. SYSTEM(S)
D(S) WOODSTOVE(S)
6�(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
13LOCK
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 d as a part of this application.
NAME/TITLE: \-_. � DATE: -
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: I -
El NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
C(1MMI INITY IIFVFI OPMFNT SFRVICES - 33530 FIRST WAY SOUTH - P -O. BOX 9718 -FEDERAL WAY, WA 98063-9718 - 2S3-661-4000 -FAX: 253-661-4129
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.
\ TABLE A
TOTAL V UATION
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 5317/oreach additional 5100.000 fraction thereof, to and including $2,000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $15.00 for each additional $1.000. or fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus 10.81 ! each additional 000.00 or fraction thereof, to and including
$50,000.00. .
(5) ;50,001.00 to $100,000.00
(5);664.35 for the first $50,000.00 plus 7.5 for each addi a/ I o 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. ! aclr additrona/ 1 000. or fraction thereof, to and including
$500,000.00
(7) $500,001.00 to $1,000,000.00
( $3,337.23 for the fist $500,000.00 plus 5. ! ach additional 1 or fraction thereof, to and including
- -
1,000,000.00. _
(8) $1,000,OO.I.00 and up -
(8) $ 788.23 for the first $1;000,000.0 plus $3.91 for each addthrial'$1,000.00or fraction thereof.
Bold n ben is the base fee for the. ified increment
underlined number is't lee r additions/ s iced intremen
PLUS: Add 6'5 percent of the base building permit fe for plan revie' ee.
Add. 25 per'cent of the base. mechanical permit e for mech nical plan review fee.
Add 15 percent of the base building permit fee Fire Di rict #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, pl Ving,
0 per unit for duplex & above,
** Electrical, plu and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base
(b) Addil
Estimated Permit Fee: (1)
Estimated Plan Review Fee- (2)
Estimated FW Fire Depa ment Surcharge: (3)
(COMMERCIAL ONL
PROPOSED%
FEE FACTOR
Increment Fee:
TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number
Estimated Permit Fee: (6)_
Estimated Plan Review Fee:
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of Fixtures , `
$21-00+{ X $7.00/fixture) _ �'[ V( �S (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (t.,geon,): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
*