02-104732City or Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -104732 - 00 - ME
Inspection request line: 253.835.3050
Project Name: SALMOLUX
Project Address: 34100 9TH �SAJ� 1 a� Parcel Number: 132180 0020
Project Description: HVAC - Installing refrigeration piping for freezer & cooler walk-ins.
Owner
Applicant
Contractor
K R S Holdings Llc
K R S Holdings Llc
LAKERIDGE RFRG & A/C CO
34100 9TH AVE S
34100 9TH AVE S
3904 B ST NW SUITE A
FEDERAL WAY WA 98003-6710
FEDERAL WAY WA 98003-6710
AUBURN WA 98001-2420
(253) 735-6383
Mechanical Valuation..........................................6000 Over the Counter Permit ...................................... No
Mechanical Fixtures
ViiD " td�� �'tic`iil
v
Air Handling Units 3 Compressors 2 Refrigeration Systems
PERMIT EXPIRES May 18, 2003, IF NO WORK IS STARTED.
Permit issued on November 19, 2002
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. l
Owner or agent: IX4 Date: /
enAPPLICATION
°r oL 2002
RC1 2 6 CONSTRUCTION PERMIT APPLICATION
NUMBER:
C,n•-
Y OF FEDERALV�AY
BUILDING DEPT• PPLICATION NUMBER:
APPLICATION NUMBER:.
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application:
SITE ADDRESS:, 010
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH
\o
ASSESSOR'S TAX/PARCEL #:�
)ESCRI/PTION IF LENGTHY):
• • •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING IR MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 0Ce flZi eW(4410/1 I Inc-�� .�2 e� ZG�
�c 0'g 11 rzS in 111)We -ion /,Ji m,
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
/ DAYTIME PHON
1 ♦ ►-j�
NAME: LO
r-4
v
&en
DAYTIME PHONE:)
IHONE: -
MAILING ADDRESS (SIRE
DL/
ADDRESS; CITY, STA , ZIP`
. , -�- / U •S A6 4 1� #1
EVE E.
(a3S3) N 3S- - X383
CrrY9PrFEDERAI WAXVSIN
LICENSE NUMBER:
FAX NUMBER:
CO RS REGISTRA
(�required)
N NUMBER:
EXPIRATION DATE:
NAME:
nirub r s EVENING 16 ) r -@3X23.
MAIt'N3S/ �A���C�WJ �e1EL
❑ ARCHITECT )<yENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER LI -APPLICANT El CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
E-MAIL ADORESSA
5eq404 esq )t,70
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
ttttSION=SYSTEMtPROPOSffED/REQLUI:R:ED:
❑ YES ❑ NO : ❑ YES
AKEHAVEN El HIGHLINE F-1 TACOMA El PRIVATE (WELL)
,I-
LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
❑ NO
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ.- FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT.
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
_i REFRIG. SYSTEM(S)
_
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
T COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
'ITCCLSTMER/CTGNOTURE 13LC
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 uch claim)'
which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only =her such clai arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information suppC to thas att of tom. application.
NAME/TITLE: &23A
ROPERTY OWNER ❑
#& &V DATE:
❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 980639718 -253-661-4000 - FAX: 253-661-4129
wwww. cb9ffe dera lwav_com
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
_i REFRIG. SYSTEM(S)
_
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
T COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHERS)
RAINWATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
'ITCCLSTMER/CTGNOTURE 13LC
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 uch claim)'
which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only =her such clai arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information suppC to thas att of tom. application.
NAME/TITLE: &23A
ROPERTY OWNER ❑
#& &V DATE:
❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 980639718 -253-661-4000 - FAX: 253-661-4129
wwww. cb9ffe dera lwav_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 prwention system fees are based on the following schedule..
TABLE A
PLUS:
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to 1500.00
(1) $26.00
(2) $501.00 to $2,000.00
(2) $26.00 for the first $500.00 plus S3.50 for each adi i bad
tI010.Q0or fraction thereof, to and Including
$2000.00
(3) $2,001.00 to $25,000.00
(3) $78.50 for the first $2,000.00 phrs 515.50 for each additional51.0010.010or
fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4)'$435.00 for the first $25,000.00 plus SILAO for each adddional51.01710.00or
fraction thereof, to and
including $50,000.00.
(5) $50,001.00 to $100,000.00
(5) $710.00 for the first $50,000.00 plus 58.00 for each additional51,000.00
or fraction thereof, to and
including $100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,110.00 for the first $100,000.00 plus $6.00 for each
additional51.000.00 or fraction thereof, to and
including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,510.00 for the fist $500,000.00 plus $5.50 for each adddional
$1.0100.00 or fraction thereof, to and
Including $1,000,000.00.
(8) $1,000,001.00 and up
(8) $6,260.00 for the first $1,000,000.00 plus $4.00 for each
additional51.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italidred underlined number Is Me fee Peraddifional smciW
d increment
Add 65 nercent of the hate huildinn nennit fee for nlan 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 Coundl, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (
Estimated Plan Review Fee: (2)
Estimated FW Fre Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: J t�
�(b) Additional Increment Fee:
Estimated Permit Fee: (4) /gcLj.'y7\
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)
0 PLUMBING
Base Fee Number of Fixt"" s
$22.50+( X $8.00/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
1