03-104675 •
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City of Federal Way p �' #•03 - 104675 - 00 - PL
Community Development Services Plumbing Permit _
33530 1st Way S t
Federal Way,WA 98003-6210
Ph:253.661 4000 Fax:253.661.4129 Inspection request line: 253.8353050
Project Name: KYUNG SUNG RESTAURANT
Project Address: 31140 PACIFIC S Parcel Number: 785360 0185
A
Project Description: Relocate kitchen sink. Install utility sink(rough in existing). 1 /
Owner Applicant Contractor
KYUNG SUNG RESTAURANT*TIAN T.TAN KYUNG SUNG RESTAURANT*TIAN T.TAN KYUNG SUNG RESTAURANT*TIAN T.TAN
31140 PACIFIC HWY S 31140 PACIFIC HWY S 31140 PACIFIC HWY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(206)349-4365
Plumbing Fixtures
xYi'f i!:,,':, t. a • rii.rs: \$ »72 ,76iIM s 131T L_�2
.4
Sinks 2
PERMIT EXPIRES April 14,2004.
Permit issued on October 17,2003
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 accordanc with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: l - / Date: /0 �3
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OECEIVED •
CITYOF .
_ , CONSTRUCTION PERMIT APPLICATION
�//ErZFIL OCT 1 3 2003 1.ra",uw�■c��►■►laula■:��i._- i 0 .7 , - 1•�I,
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CITY OF FEDERAL WAY l+�-+ ;rt.., -,.
BUILDING DEPT. •PPLI •TION 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.-
'/,� • /� ■ PROPERTY/ INFORMATION
SITE ADDRESS: //`�-0 / c-,-4( 4._ c r ASSESSOR'S TAX/PARCEL#: 7,1-5.4 _c) - _,i25
/
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION - ' .
TYPE OF PROJECT(This application): ❑ BUILDINGPLUMBING r� ECHANICAL 1:1 DEMOLITION
CI ELECTRICAL!!/❑ ENGINEERIN ' -+ RE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
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New T pe--II kc( L`'/clikedLEArc r ve ktc •
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PROJECT NAME: ' . _. - - — /eQ,[ cLciari••
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE: 1
FW at, ( ; - , _ - (- , fr) 9os-if_t)All" 4 _
RING A..• S(STRE i.• SS;CITY,STATE,ZIP): i
0-t3 a //
3 -=. /04�; 'c• /4.y .s: 1"�-.-e./ 7,2-003
CONTRACTOR: DA ME,PHONE
MAIL' ADDR S K RE ADDRESS;CITY,STATE,ZIP: y�/�' / EVENING PHONE:
�//,g0 ' 'CC rc�%C- /7�Y-••f , It-4/ 4+ ) -
C OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: (-NAME: �— DAYTIME PHONE'
`+ . 1. a ( ) 9A"P--rteMAILIN ADD ESS(STREET A ESS;CITYA710(1
): (E`VENING P"`/HONE:
3// "1e', � /7Rt ys. TZ"....... .--y FAX NUMBER:
RELATIONSHIP TO PROJECT: /
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS.
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• ■ DETAILED BUILDING INFORMATION
EXISTING USE: Clr •-11- EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: as�� PROPOSED VALUATION FOR IMPROVEMENTS: $ CI::
DZsLSPRINKLERED BUILDING? 41101110CINO FIRE SUPPRESSION SYSTEM PROPOSED/REYE NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• 4110
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• • ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FD CURES
Indicate nu .er of each 'e of fixture
I AIR HANDLING UNIT(S) EVA••RATIVE COOLER(S) •S LOG(S) REFRIG.SYSTEM(S)
BBQ(S) F• (S) H• 'D(S) WOODSTOVE(S)
BOILER(S) REPLACE INSERT(S) RAN (S) MISC.( )
COMPRESSOR(S) FURNACE(S)
2 DUCT(S) - GAS PIPE OUTLET(S) HEAT OURCE: ❑ 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) Z- SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• ■ DISCLAIMER/SIGNATURE BLOCK •
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 supplied to the ci as a part of this application.
NAME/TITLE: \__ DATE: l . /3 . s
❑ PROPERTY OWNER (APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? ❑ YES ❑ NO
COMMS iNrry nFVFI OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
•
Construction Permit lee 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.
TABLE A
TOTAL V• DATION FEE FACTOR
(1)$1.00 to$500 00 (1)$24.25
(2)$501-00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100 00 or fraction thereof,to and including$2,000.00
(3)$2,001 00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$1500 for each additional31.000.00 or fraction thereof,to and including
$25,000 00
(4)$25,001 00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$1082 for each additional .000.00 or fraction thereof,to and including
$50,000 00.
(5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$750 for each add-. al 31,000.00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 fpr-ach additional 31,000 00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 ( $3,337.23 for the fist$500,000.00 plus .,•for each additional 51,00000 or fraction thereof,to and including
1,000,000.00.
(8)$1,000,001.00 and up (8)$ 788.23 for the first$1,000,000.0, plus$3.91 for each additional 31.000.00 or fraction thereof.
Bold n ber is the base fee for the .- ified increment
Ita/iciz underlined number is t fee per additional specified increment
PLUS: Add 65 percent of the base building permit re: for plan revie ee.
Add 25 percent of the base mechanical permit -e for mech, ical plan review fee.
Add 15 percent of the base building permit fee Fire Di: rict#39 surcharge,commercial only.
Add$4.50 for WA State Building Code Council,pl . $2 50 per unit for duplex&above.
** Electrical,plu ming,and mechanical fees are calculated separately**
• BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base ee:
(b)Additio al Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee• (2)
Estimated FW Fire Depa• ment Surcharge: (3)
(COMMERCIAL ONL
• MECHANICAL
PROPOSED VALUA ON:
FEE FACTOR FR• TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated •ermit Fee: (4)
i
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: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fixtures
$21.00+{ X$7.00/fixture} = 71 _ • (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Pageone): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)