03-103991City of unfederal Way
mun
Comity Development Services Mechanical Permit #:03 -103991 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: CELEBRATION PARK APARTMENTS
Project Address: 32015 11THt�PBldgA Parcel Number: 172104 9061
Project Description: Install new exhaust fans in units 1, 3, 6 & 8.
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
98109-6222
98422
(253)943-0500
ValuationMechanical :1 •
PERMIT EXPIRES February 23, 2004.
Permit issued on August 27, 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: �� 6
14
01
i v, F
CONSTRUCTION PERMIT APPLICATION
CITY OF �� PPUCATION NUMBER: Ci - _ - - -
Federal Way PPLICATION NUMBER: _ _ - -
PPL.ICATION 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.
ff
SITE ADDRESS: ���/�J I / p/4C�'
'S TAX/PARCEL #: _ _ _ _ _ — -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING *ECHANICAL o DEMOLITION
�L o ENGINEERING o FIRE PREVENTION SYSTEM
./ / r
PROJECTESCRIPTION (Provide detailed description):
/ri
PROJECT NAME:
PROPERTY OWNER:
AA
CON'°TRACTOR:
NAME: _ i DAYTIME PHONE:
i
MAILING ADDRESS EET A R ; CITY, STATE. P): EVENING PHONE
CITY OF FNESStICENSE NUMBER: FAX NUMBER:
77
/�//��^•'•
CONTRACTOR'S REGISTRATION NUMBER:y• r 6: I T 7 F z N ul; EXPIRATION DATE:
L e
/
(ropy of card required) — — — —
APPLICANT:
NAME: /' DAYTIME PHONE:
� � i )
-
ash a Ql t_ -•OSI � crr
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
I
RELATIONSHIP TO PROJECT: i FAX NUMBER:
o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): )
j
E -MAI AD RESS:
/� /
6 4101. C41
C41T 1
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER o APPLICANT CONTRACTOR �l" �
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
o NO
•
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIALCONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SO. 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 UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COM PRESSOR(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) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
3iSC1LAIMER/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 sup liedo the d a art of this applicatio
D 3
NAME/TITLE: / e DATE:
❑ PROPERTY OW ER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvoffederalway.com
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 S4.00for each addidonl$100.00or
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 $18.00 for each additional
SI.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 513.00 for each additional
S1.000.00 or fraction thereof, to and
kxluding $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 adddiona/S1.000.00
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 S700for each addition/51.00000
or fraction thereof, to and
including $500,000.00
(7) $SO0,001.00 to $1,000,000.00
(7) $4,079.00 for the fist $500,000.00 plus 56.00 for each additional
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 54.50 for each
addition/ 51.000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
IYalldzed, underflned number Is Me lee ver addldonal smoWed
fnoemel? t
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)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
■ MECHANICAL
..•••VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee: (7)
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
N PLUMBING
Base Fee Number of F.*—
$26.00 +(
X $9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit fee
X .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
It a i, r,% or altered commercial service is 200 amps or
nerniit fee +$72.50. Add'I plan review for other subin
or a new or altered residential service is greater Man 4U0 amps, a pian review is required. 1•ce is 35% of
$85.50/hr.
! FIXTURE DESCRIPTION (A) I FIXTURE FEE FROU TABLE B (B) I NUMBER OF UNITS (C) I TOTAL (D) i
Total Column M)
Estimated Permit Fee: (12
Estimated Permit Fee from line 12 \
Estimated Plan Review Fee: $72.50 + ( X .35) _
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Miti•aation Fee: (18) (20)
SBCC Surcharge: (19) (21)
(22) \
(23)
TOM (Pages One &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Buller,,, n 100 - December 23, 2002
NEW RES!Vd SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Sir,_!e
_ Service or feeder only ... _.........._........
$57.00
_ a of Thermostats (First -$43.00; add'n-$13.00ca)
_
!i-irsi 185.50; Each add'n 500 ft'-S27.50)
Service and feeder................_ ....._.....
$93.00
p of Low voltage fire or burglar alarms
iquan: Fc_First
_
_
2500 W-$50.00: Each add'n 2500 ft'-$13.00
Lach oor garage ..........................
$35.50
MOBILE HOME/RV PARK
Square Fect:
_
(Inspecervice)
4 of service or feeders
' Per WAC 296-46-910(5)(b)(i R ii)
garage ...........................
$57.00
(First service/feeder-$57.00; Add'n service/
f< of Signs (First sign-$43.00; add'n sign
_l'ahuor
(inspecly)
feeder-$37 each)
$20.00 each)
_ Swimming pool, hot tub, spa ...............$85.50
Yard Pole meter loops ......... .......... ..... 557.0(:
NEW MULTI-FAMILY\$6ea)
COMMERCIAL/INDUSTRIAL
l
COMMERCIAL/INDUSTRIAL :
1 (Inc_. cs ilirec unit: ,r mo
Altered Service or Feeders
'ice
Feeder
Amps Service or
Add'n
_0 to 200.......... ..._........._..... .__....._3 93.i)U i
t, l io 20{) amp.._..... _.3. 0................
5 27.50
Feeder
_ 201 - 600............_.............__...... .... _216.-
2,'i-401)amp ....._.-15. ...................57.00
_0to100......... _..._......... t 93.00....._$
57.00
_601-1000........ ................._............ 326.50 I
11 ; - 600 amp .............58.5 ..................
78.50
- 101 - 200......._._............ 115.50...........
72.50
-over 1000.............................................363.00 j
_
nir i - 800 amp .............2.50.................
108.50
_ 201 -400 ......... .............. 216.50...........
85.50
_ k of circuits
_
-SOU amp. _...........89.50..... ...........
216.50
_ 401 -600....._...._....._._ 252.50.........
101.00
i 1-5 circuits-$72.50: Add'n circuits, $6 eal
ALTERED SINGLE/MULTIMILY
_601 -800........................ 326.50.........
138.00
(Whc-) in,p,xted separatelom the sery es.)
_ 801 - 1000...................... 399.00.........
166.50
TEMPORARY SERVICE
Scrxi,:c or Feeder_Over
1000...................... 434.50.........232.00
Residential/Multi-Family/Commercial/Industrial
0 (,, 200 amp........................................
71.50
Over 600 volts surcharge ......................
72.50
0-100 ................................................ $ 57.00
_
201 - 600 amp........................................
-_
15.50
_
_ Mast or meter repair..............................
78.50
_
_ 101 -200 ........................................ ....... 72.50
over 500 amp_......................................
1 .00
_ 201 - 400...................._..........................85.50
M.4 :i or meter repair................................
4 0
401 -600 ......................................._..115.50
-_
!s
over 600 ........ ............ ........._ ............ 125.00
I circuits-557.00; Adcircuits $6 ea)
i
It a i, r,% or altered commercial service is 200 amps or
nerniit fee +$72.50. Add'I plan review for other subin
or a new or altered residential service is greater Man 4U0 amps, a pian review is required. 1•ce is 35% of
$85.50/hr.
! FIXTURE DESCRIPTION (A) I FIXTURE FEE FROU TABLE B (B) I NUMBER OF UNITS (C) I TOTAL (D) i
Total Column M)
Estimated Permit Fee: (12
Estimated Permit Fee from line 12 \
Estimated Plan Review Fee: $72.50 + ( X .35) _
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Miti•aation Fee: (18) (20)
SBCC Surcharge: (19) (21)
(22) \
(23)
TOM (Pages One &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Buller,,, n 100 - December 23, 2002