03-103270y r ,
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FLOWERS BY CHI
Project Address: 1748 S 312TH 51
Project Description: Installing walk in cooler
Mechanical Permit #: 03 -103270 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 785360 0181
Owner
Applicant
Contractor
Tien T Tran
Tien T Tran
AIRE PRO INC
1748 S 312TH ST
1748 S 312TH ST
1112 S 344TH ST SUITE 303
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA 98003
98003-4973
98003-4973
(253)942-7028
Mechanical Valuation..........................................1000 Over the Counter Permit ...................................... No
Mechanical Fixtures
Descn tit rt Quanti Descriptioi [Q—uarjtjtyl pescrl tion Quanti
Evaporative Coolers
PERMIT EXPIRES February 17, 2004.
Permit issued on August 21, 2003
I hereby certify that the e ' formation is correct and that the construction on the above described property and
the occupancy and the s i e in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: Date:
RECEIVED�C
CONSTRUCTION PERMIT APPLICATION
CITY OF �� 1
AUG 1 2003 PPIICATION NUMBER:
Federal Way PPLICATIONNUMBER:
��T15UIL E)ING DEPT. OF FEDERAL AY PLICATION NUMBER:
—The following is required information — Please print (in ink) or type*
Please note: Electrical, Fire Prevention Syltems and Engineering permits may require a separate application.
SITE ADDRESS:_ ()�) //► �� ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)-
PRO3ECT I14FORMATION
TYPE OF PROJECT (This application): IXBUILDING O PLUMBING `yi(MECHANICAL ❑ DEMOLITION
O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION (Provide detailed description): AXI )c 7
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a rI t/ Y
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:-
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r6qe4ttv-
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DAYTIME PHONE:
'G,'5,3) 61(q
t r -p— -,7(- o77
i 76"dI
MAILI G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
1. EVENINGPHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
T p 3 �-
v — — — - _
FAX NUMBER:
i ca5 5.6 5- 0i651
CO CTOR'S REGISTRATION NUMBER:
EXPIRATION GATE:
(Dopy M cardrequired)J
APPLICANT:
NAME:/
i DAYTIME PHONE
;
C
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: i
I )
RELATIONSHIP TO PROJECT:
I FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
I
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PR ERTY OWNER ❑APPLICANT ❑CONTRACTOR
I
DETAILED BUILDING
INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: Ai (l-'U"1,E ✓-PROPOSED VALUATION FOR IMPROVEMENTS:-
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES ❑ ,10
WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
I
"NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT 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) I EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
T— DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
I certify under penalty of perjury that ttie 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
1Hww.c1tvoPfedera1way.com
Con�t�ion Permit Fee Caituidtion 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 14.00 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 518.00 for each additional 51,000.00
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 $13.00 for each addition/
51.000.00 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 $200 for each adddanl S10A0
OYI or fraction thereof, to and
Including $100,000.00
(6) $100,001.00 to $500,000.00
(6) $4279.00 for the first $100,000.00 plus $ZOO for each additional
SLOX.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 S& A0 for each addition/
SI,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 $4.50 for each additional
$1.000. or fraction thereof.
Bold number Is the base fee for the specified Increment
Mffdxed undertfned number Is the fee mraddfdonal saedfied
Increment
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.S0 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)
PROPOSED VALUATION:
Li ti r�
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
Base Fee Number of Flxt s
$26.00+( X $9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee