03-102776City of Federal Way
Community Development Services Mechanical Permit #: 03 -102776 - 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: ARTHUR MURRAY DANCE STUDIO
Project Address: 32724 PACIFIC S Parcel Number: 162104 9054
Project Description: Remove and replace 2 existing rooftop HVAC units systems and associated ducting
Owner
Applicant
Contractor
CLARK VENTURES LLC
AIRE PRO INC
AIRE PRO INC
CLARK VENTURES LLC
1112 S 344TH ST SUITE 303
1112 S 344TH ST SUITE 303
1414 SW 324TH ST SUITE B102
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
(253) 942-7028
I hereby certify that the above
the occupancy and the use v�I
the City of Federal Way.
Owner or agent:
PERMIT EXPIRES February 17, 2004.
Permit issued on August 21, 2003
cation is correct and that the construction on the above described property and
accordance with the laws, rules and regulations of the State of Washington and
Date: d'- ?I - 49,-!>
17 -!n -v3<=4'J
G�.'J
� M.Ec q
CONSTRUCTION PERMIT APPLICATION
CITY OF �� PPLICKHON NUMBER: - _ -
Federal Way PPLICATION NUMBER:
PPLICATION 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.
SITE ADDRESS: �Zi ZL) %�%�(o I iZ1(i t•'/ Ki��. ASSESSOR'1 0rLV F-? � Z, L (2
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF6NHrz-03
TYPE OF PROJECT (This application): o BUILDING o PLUMBING �'MECHANICAL o DEMOLITION
o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM / I_
PROJECT DESCRIPTION (Provide detailed description): Ra,,,0 e
i-L'
PROJECT NAME:
PROPERTY OWNER: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�lJ'111Wim. x9 CL,� 'USE
CONTRACTOR: NAME:
� &e rw � w,-
i MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(mpy of card Tequked)
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE): .l✓ ir//L/Y%/I/
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT *1CO
DAYTIME P,y�E'
( y zs)'
DAYTIME PHONE:
( 70 99gy- -
EVENING PHONE:
FAX NUMBER:
( � 4;A111 i
DAYTIME PHONE:
lei .
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS
I
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENT Z � W
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
s*
ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR -EXISTING
SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECQNIT •..
THIRD
FOURTH
OTHER FLOORS (DESCRIBE
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COQLkR(S) ',T GAS LOG(,�S) JtEFRIG. SYSTEM(S)
FAN(S) HOOD(S) ='Y ; WdODSTOVE(S I` I
FIREPLACE INSERTS) RANGE(S)misc. 199
FURNACES) AC (44,
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC XGAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
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, induding 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: �Lli��l +1��['.�I ►y — V- Y, �lft -"
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
t
DATE: / - 01 -61�Z
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvofederalway.com
All -
Construction Permit Fee CalculatiollilSheet
*******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 VALUATION FEE FACTOR
(i);1.00 to $
PLUS: Add 65 percent of the base building permit fee for plan review fee. y
Add 25 percent of the base mechanical permit fee for mechanical plan review fdeti
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 yrdE for duplex & above.
** Electric*,; plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABt
Estimated Pe Fee: (1)
Estima Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FA $ABI
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE F`AE: O ROMMTTABBLE A: Number:
Estimated Permit Fee: (6)_
Estimated Pian Review Fee:
Base Fee
X $9.00/fixture) _
X .65 =
(a) Base Fee:
(b) Additional Increment Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
Miscellaneous Fixture Charge: (10)
Sub Total (rage one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(8) Estimated Permit Fee ---
(9)
(9) Estimated Plan Review Fee
J,
500.00
(1) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 plus 54.00 for each addMkm1
S100.g7or fraction thereof, to and including
<
$2,000.00
(3) $x,001.00 to $25,000.00
(3) $90.00 for the first $2,000.00 plus S1B.00 for each additional
S1.000.00or fraction thereof, to
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
51.000.00 or fractio reof, 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 eadr additional
$1.007.00 or ction 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 d&U2na/SI.00000or
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 56.07 for wo iidditional
S1.000. AO or fraction thereof, to and
kcludirig $1,000,000.00
(8) $1,000,001.00 and up
�
(8) $7,079.00 for tt�e first $1,000,000.00 plus ASO for ead�
additional S1.000.Q7or fraction thereof.
Bold number Is the bAse fee for the spedf� Increment
rrallazed, undeyined ad;Pfflonalspectfied
Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee. y
Add 25 percent of the base mechanical permit fee for mechanical plan review fdeti
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 yrdE for duplex & above.
** Electric*,; plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABt
Estimated Pe Fee: (1)
Estima Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FA $ABI
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE F`AE: O ROMMTTABBLE A: Number:
Estimated Permit Fee: (6)_
Estimated Pian Review Fee:
Base Fee
X $9.00/fixture) _
X .65 =
(a) Base Fee:
(b) Additional Increment Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
Miscellaneous Fixture Charge: (10)
Sub Total (rage one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(8) Estimated Permit Fee ---
(9)
(9) Estimated Plan Review Fee
J,