03-103233City 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: QUIZNO'S SUB
Project Address: 31653 PACIFIC S SuiteA
Mechanical Permit #:03 -103233 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 082104 9196
Project Description: Install new ductwork to existing rooftop unit with 9 supply diffusers, 3 return grills mand 2 bathroom
exhaust fans.
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES LLC
ELECTROMATIC SALES & SERVICE INC *L
ELECTROMATIC SALES & SERVICE INC *L
HARSCH INVESTMENT PROPERTIES LLC
2791 152ND AVE NE BLDG 7E
2791 152ND AVE NE BLDG 7E
1121 SW SALMON ST
REDMOND WA 98052
REDMOND WA 98052
PORTLAND OR 97205
(425) 216-1601
Mechanical Valuation..........................................6500
Over the Counter Permit......................................No
PERMIT EXPIRES February 10, 2004.
Permit issued on August 14, 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 wi accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
>11000"
A4e c.J.., . C D (L.. 0-/ S- o .3 G -C6 J
RECEIV CONSTRUCTION PERMIT APPLICATION
CITY OF V....� ��APPLICATION NUMBER: 05- —M
Federal
-
Federal Way AUG 0 6 2003 APPLICATION NUMBER:
CITY OF PPLICATIONNUMBER:
"The follo%t*i j�aDI M"ation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems Engineering permits may require a separate application.
PROPERTY• •
SITE ADDRESS: cJ`�(,a� ") �QC�'C•G ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING AMECHANICAL O DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
��!A �,AS
• s
■ PEOPLE INFORMATION
PROPERTY OWNER:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
5a
CONTRACTOR:
NAME:
I �lf4 oq)64it, -E `)e vals
DAYTIME PHONE:
(Zab) lv2'i
;
- 33 0
i MAILING (STREET ADDRESS (STRDDRESS; CITY, STATE. ZIP):
EVENING PHONE:
` ��
1k19-4�)0Z
i ( )
-
CI Y OF FEDERAL WAY BUSINESS LICENSE NUMBER:
QO - 030 5 5 -
i FAX NUMBER:
(u7,5) -7,t6
CONTRACTORS REGISTRATION NUMBER: ff ,`
(SPY of card required) � G
L � 1 N�
i EXPIRATION Ob /ATEZ
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APPLICANT:
NAME: G
c�c��� 5v�L�2.
DAYTIME PHONE:
1 (-ZCb) (b24
-7 D
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
d �
EVENING PHONE:
2�d MUA, o5z
(
RELATIONSHIP TO PROJECT:FAX
ARCHITECT
NUMBER:
O ❑TENANT OTHER (DESCRIBE):(g�_
; (L(7,5) Z16
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CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
E-MAIL ADDRESS:
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE O PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
0 FIXTURES
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)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCTS) 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 supplied to the city as a part of this application.
NAME/TITLE: c--re&u ccv&��
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DATE: ob—OC4 - 03
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-6661-4129
www.dD1 ffederalway.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:
TABLE A
TOTAL VAU TION
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 54.00 for eadi ad"nal $".00or
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 $IB.00 for eadi additnal
11.000. 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 513.00 for each additi2n/!1.000.00
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 59.00 for each additional
S1,000.0r1 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 57.00 for each additional
51000 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 addition/SI.0Q0,
Dor 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 thread) addf
bw1 51.000 Gl! or fraction thereof.
Bold number Is the base fee for the specified Increment
1[a//dzed 0162//ned number/s the fee arradMwa/ m
ad /nrnement
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 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: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
■ MECHANICAL
PROPOSED VALUATION: Cri
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Pennit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
N PLUMBING
Base Fee Number of Fixtures
$26.00 + { X $9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
.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