00-1056020 i
Fire Prevention System Permit #:00 - 105602 - 00 - FP
Project Name: GARDEN TERRACE
Project Address: 491 S 338TH
Inspection request line: 253.835.3050
Parcel Number: 926480 0220
Project Description: FPS - Install undergound water system to fire sprinkler system within main building. Including one fire
department connection
Owner
City of Federal Way
Contractor
Community Development Services
l33530
Ist Way S
Federal Way, WA 98003-6210
e
Ph: 253.661.4000 Fax: 253.661.4129
31217 PACIFIC HWY S
0 i
Fire Prevention System Permit #:00 - 105602 - 00 - FP
Project Name: GARDEN TERRACE
Project Address: 491 S 338TH
Inspection request line: 253.835.3050
Parcel Number: 926480 0220
Project Description: FPS - Install undergound water system to fire sprinkler system within main building. Including one fire
department connection
Owner
Applicant
Contractor
FEDERAL WAY MEDICAL INVESTORS
GARDEN TERRACE
NORTHWEST INFRASTRUCTURE INC
490 S 338TH ST
31217 PACIFIC HWY S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
(253)838-7168
PERMIT EXPIRES May 14, 2002, IF NO WORK IS STARTED.
Permit issued on November 15, 2001
I hereby certify that the above info o s correct and that the construction on the above described property and
the occupancy and the use will be ' rdance with the laws, rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: Date: x'��
�.a * CONSOUMON PERMIT APPLICAT,`%-
ON,E=TY �EIVE� APPLICATION NUMBER:
APPLICATION NUMBER:
N O V APPLICATION NUMBER:
**The fo(lowjr � is: E � Q armaHon — Please print (in ink) or type**
Please note: Electrical, Fre Pre�fe'tiaon 5y`&e s and Engineering permits may require a separate application.
PROPERTY•• •
SITE ADDRESS:
494 S 338th Street
ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ LOT 2 #1279074 REC #800430-0837
LOT B #8908007 REC #891019-1985
F: •:<. ■ PR07ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• ❑ ELECTRICAL ❑ ENGINEERINGN FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Install underground water system to
Fire Sprinkler System within main building. Including one
Fire Department Connection.
PROJECT NAME, Garden Terrace
■ EOPLE INFORMATION _
PROPERTYOWNER: NAME:
Federal Way Medical Investors, LLC
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR:
APPLICANT:
DAY I1Mt PHUNt:
( 253) 943--9369
3750 Keith Street NW Cleveland, TN 37320-3480
NAME: -
DAYTIME PHONE:
NWI Northwest Infrastructure, Inc
(253)838-7168
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
31217 Pacific Highway South #223
(253)261-2537
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- - - - - - - -
(253)838-7175
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
/29 /01
CCOI NORTHII006DT
03
Advantage Construction Management LLC
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
491 S 338th Street Federal Way WA 98003
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): Owners Rep
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT IA CONTRACTOR
■ DETAILED. WILDING INFORMATION
PHONE:
( 2530 943 -
EVENING PHONE:
(253)653-0120
FAX NUMBER:
(253)943-9371
E-MAIL ADDRESS:
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ %?20!2
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O -YES ❑
WATER SERVICE PROVIDER: lQ tAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: GrLAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
r�7�
RESIDENTIAL CONST R — ON ONLY'
NUMBER OF BEDROO ESTIMATED SELL11WRICE:
■ PR03ECT FLOOR AREAS .
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
7,1 -z may; _ s Ky is t FIXTURES r ,
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(Si
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
1TSCI_11TMER/STGNATURE RLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, an
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 th
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City o
Federal Way, but only where such daim arises out of the reliance of the city, including its officers and employees, upon the aocurac
of the information supplied th as a pa this plication.
NAME/TITLE: WDATE:
❑ PROPERTY OW R ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DeiUOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDUfiL WAY, WA 98063.9718 • 253-661-4000 • FAX: 253-661-4129
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: & FEES MUST BE VERIFIED BY CITY SOF PRIOR TO ACCEPTANCE OF PAYME
_ 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
(1) $1.00 to $5W.00
(1) $2350
(2) $501.00 to $2,000.00
(2) $23.50 for the first $50a.0a Plus $3.05 foreadr addrb MIY100.07or
fraction tlmereof, to and k duding $2,000.00
(3) $2,001.00 to $25,000.00
(3) $69.25 for the first $2,000.00 plus $14.07 for eadr W,bona/
S1,Ob0.A7 or fiac'tion thereof, to and kxiuding
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $391.25 for the first $25,000.00 plus $10.10 /breadr 2ddb'ma/51.000.00or
fraction thereof, to and kxiudirg
$50.000.00-
(5) $50,001.00 to $100,000.00
(5) $643.75 (or the first $50,000.00 Plus $700 foreadr a0U16b-/.t1,007.000r
fraction tt>ereof, to and kmduding
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $993.75 for the first $100,0m.0a plus $5.60for eadrW76b
h aft1,007.00or fraction thereof, to and kiduding
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,233.75 for the fist $Sa0,000.00 plus $4.75freadr
ao(A6ya/tf,000.00or fraction thereof, to and imcWN
$1,000,000.00.
(8) $1,000,001.00 and up
(8) $5,608.75 for the first $1,000,000.00 plus $3.65 for each
add0ona/SI,000.00or fraction thereof.
eold number is the base fee for the specified increment
rt3/lcrzed. ande&ned number Is the fee Oer addWoaaf soeo'fied
Increment
PLUS: 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:
Estimated Plan Review Fee- (2)
Estimated FW Fre Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4)
Estimated Plan Review Fee:
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
.... _ , 1. _ 2 FIRE PREVENTION -SYSTEM -
PROPOSED VALUATION: sh%O
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: ZS
(b) Additional Increment Fee: 112
Estimated Permit Fee: (6) G 7. Z S
Estimated Pian Review Fee:
Base Fee Number of f-,xtur s
$21.00+( X $7.00/fixture} _ (8) Estimated Permit Fee
EsbimaW Permit Fee
X .65 =
Miscellaneous FXture Charge: (10)
Sub Total (Pageone): Line(s) (1)+(2)+(3)+(4)+{5)+(6)+(7)+(8)+{9)+(10) = (11)
(9) Estimated Plan Review Fee