98-103342 98vl 7 /
CITY OF FEDERAL WAY p ,,,.,, d p pp.•, .,,,,,,. ,w, . bb PERMIT NO: SGN98-0223
33530 First Way South u�,ry:i' .Jt.. tt,�::ii (I4'�I, il""'� ....iF"''ILti ll .JI.. II ISSUED: 09/18/98
Federal Way, WA 98003 Sign Inspection Requests 2.53-661-4140 BY: FC
253-661-4000 EXPIRES : 03/17/99
ADDRESS:31140 PACIFIC HWY S
NO. : 785360-0185
PROJECT DESCRIPTION:INSTALLING NEW FIS MONUMENT SIGN
SA(A): 78 SQ FT HEIGHT(A):11.25"
;= OWNER --T- CONTRACTOR -.----- - GENERAL INFORMATION ___ _-_------== ---- - FE
_.__-----.-- �
SHOGUN RESTAURANT SIGN GUYS CORP BUS LISC#: 004132 I SIGN PLAN CHECK....* $ 0.00
31140 PACIFIC HWY S 29050 REDONDO WAY
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 VALUATION..: 11000 ZONING...: BC I
PROP AREA..: 78.00 COMP PLAN: BC
941-5058 253-942-3688 ALLOW AREA.: 80.00 CATEGORY : ?
SIGNGC*024J2 ST FRONT...: 150.02 COMP SITE: ?
CODE CIT...: 22-1601(B) l TOTAL FEES:$ 0.00
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
FREE STAND SIGN 1 =====T== SIGN 2 SIGN 3 SIGN 4 WALL SIGNS SIGN 1 ---- SIGN 2 7 SIGN 3 T SIGN 4
REGISTRATION 98-0223 1 REGISTRATION i '!
TYPE OF SIGN Monument , SIGN TYPE
ILLUMINATION ; Internal Cab I I ILLUMINATION
SIGN AREA 78.00 0.00 0.00 0.00 ' EXPOSED FACE AREA 0.00 0.00 0.00 0.00
HEIGHT 11.25 0.00 j 0.00 0.00 PROPOSED AREA 0.00 0.00 0.00 0.00
LANDSCAPE AREA I 84.00 0,00 0.00 ` 0.00 SIGN DIMENSIONS
AREA OF FACE 0.00 0.00 0.00 0.00 �
SIGN BASE 2.75 0.00 ! 0.00 0.00iiiii
BACK I 4.00 0.00 0.00 0.00
MINN DIMENSIONS
Footing/foundation inspectionDate Electrical inspection Date
Final inspection Date Electrical inspection Date
NOTE: ALL ELECTRICAL SIGNS REQUIRE A PERMIT AND APPROVAL BY THE CITY OF FEDERAL WAY
** ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. **
I CERTIFY THAT THE INFORMATION FURNI 'ED BY METRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
1:17?
OWNER OR AGENT , _.. DATE 34 ___q_i3 .
ru r ALTA/
T
1
CITY OF GIll DEPARTMENT OFOAMIJNITY DEVELOPMENT SERVICES
• 33530 First Way South
F13Federal Way,WA 98003 k
````
Y Y Ay (253)6614000 v: M
Fax(253)661-4129 b
G r
SIGN PERMIT# 56098-N-2,5 y
RE' - ell
Ct EIN V D Registration# (A) V,7/ Registration# \ t�
Registration# Registration# •
iU 3 11998
I,E�-i. SIGN PERMIT APPLICATION
This application must be submitted to the Building Division and a sign permit must be issued prior to displaying
any sign,except as expressly allowed in Federal Way City Code Section 22-1599(c),Permit Exceptions,whether
or not the proposed sign requires construction or structural alteration.
WARNING: Do not construct or order a sign until a permit has been issued. The installation permit
will expire 180 days after issuance.
Owner of Property / Phone
Address ',1 I 'PIM - �--5, 1--eed't�-cri A. . a e ct l
Owner of Sign(if different than above) C`-i'< (0`4( 4 Phone 2-5) 6/4-( x-505-8
Address ?(Utc P& t-t-ov S , r-er� '`y (,..,14 , cid 6\:.3
Name of Business Sto)U.A.1 -eJ/3)tfrtf--. Business Lic.# 00 )3 A
Parcel Number —7 8 S 3 b 0 -- o185 1 SingleTenant Multi-Tenant 0
Address of Sign n.� 0-4 O�JAbIre ,
Sign Contractor S l(71.) Cc U(S CDT- +�•Phone--1-5)) R({2—3(5 E5
Contractor's Address (� 5 • 3 4-19f-- f t- - W c�)-- Kegistration# (Csl&)�Lr CA' t 4 D-'
ss3)ir___3be ti
Contact ,E-... . CL("--51— Phone o3 --7 557 k.
1. Number of tenants,or available business spaces,on property r
2. Does the parcel have a comprehensive sign plan approved by the city?
If yes,what is the file number?
3. List type and size of all existing signs associated with the business (locate on plot plan).
ti� R:k$1 %.% & �6LIND
4. List type and size of all other existing signs on the parcel.
5. Are any signs part of a Center Identification Sign? `tis
1 ,
Free Standindibn Buildineounted Sign -
Type of Sign: LI Monument IIIPLI Pole Type of Sign: ❑Wall LI Projec g
LI Pedestal ❑Other LI Marquee ❑ Ot -
Illumination: LI Internal(Cabinet) Illumination: LI Internal(Cabinet)
❑Internal(Letters Only) ❑Internal(Letter •nly)
❑ External ❑External
❑Non-Illuminated ❑Non-Ill •.nated
❑ Other(Describe) Cl Other Describe)
Total Sign Area(Sq. Ft.) i lD % Building Facade(a)
Total Sign Area per Face • o S. I Proposed Sign Are a)
Sign Height I'.—' Base Height' g.S ` Building Facad- .)
Sign Face Dimensions V C 6�5 ( Proposed Sip Area(b)
Total Street Frontage Cif ` °-)- f Building .cade(c)
Landscape Area 6C. s4r4) ProposAl Sign Area(c)
Set Back from Property Line 4=i 'Note: Sign Dimensions,Section,&Bldg.Facade must be
shown on the elevation plans
Total Estimated Project Cost 4 ( 1 5 D
I certify,under penalty of perjury,that the information furnished by me is true and correct to the best of
my knowledge."I further certify,under penalty of perjury,that I am the owner of the sign and/or the above
premises,and in consideration of participation in the Sign Removal Incentive Program,that I will comply
with and will not assert the invalidity of any provision of the Federal Way Sign Code(FWCC 22-335 and
22-1596-22-1629).
)<Property Owner(Required)(signature) Date
(Print Name)
Sign Owner(Required if different than above)(signature) Date
(Print Name)
Agent(Optional) (Signature) Date e / f7.
(Print Name) Q `(� C LINA-
-0FFICIAL USE ONLY(Please do not write below this line.) �y D�y
Land Use Section Approval:' Date '//FJ/i
Building Mounted- Sign Area Permitted(sq.ft.) Sign Area Proposed(sq.ft.)
Largest Building Facade Number of Building Mounted Signs Allowed
Free Standing- Sign Area Permitted(sq.ft.) 80 Sign Area Proposed(sq.ft.) 7-Al
Street Frontage 1 .6. O L Number of Free Standing Signs Allowed I
Citation Which Allows This Sign LI HPS gMPS ❑LPS ❑ FWCC Zone /2- (---•
Remarks: 'reQ, V(.� tt(zt S �
f (014L1
Building Section Approval- Date
' Valuation $ 11 eie' Total Fee $
Permit Fee $ / Planning Surcharge $
Plan Check Fee $ ' "
Remarks
'Any department initiating disapproval is to contact the applicant and building section within 24 hours
indicating the reasons for disapproval. SIGNPER APP REVISED 5/20/98
Free Standing illb Building anted Sign
Type of Sign: ❑ Monument MiPole Type of Sign: ❑Wall ❑ Projec ' g JCki T'g OZZ j
❑ Pedestal ❑Other ❑ Marquee ❑ Otl , .
Illumination: ❑ Internal (Cabinet) Illumination: ❑Internal(Cabinet)
❑ Internal(Letters Only) ❑Internal(Letter •my)RECEIVED DEARTMENT
❑ External ❑ External r,OMMUNITY DEVEWPME
❑Non-Illuminated ❑Non-Ill ..nated
❑ Other(Describe) ❑Other Describe)
SEP 'Jr
-
LI
Sign Area(Sq. Ft.) 1'1.0 • it Building Facade(a)
Total Sign Area per Face 4`o se a Proposed Sign Are, a)
Sign Height I'--( Base Height' g fS ( Building Facad• .)
Sign Face Dimensions V ( X 6,S r Proposed Sip Area(b)
Total Street Frontage (moo i 0)- 1 Building .cade(c)
Landscape Area w S —&- Propo •d Sign Area(c)
Set Back from Property Line if I `Note:•Sign Dimensions,Section,&Bldg.Facade must be
shown on the elevation plans
Total Estimated Project Cost i ( ( (5- 0
I certify,under penalty of perjury,that the information furnished by me is true and correct to the best of
my knowledge. I further certify,under penalty of perjury,that I am the owner of the sign and/or the above
premises; and in consideration of participation in the Sign Removal Incentive Program,that I will comply
with and will not assert the invalidity of any provision of the Federal Way Sign Code(FWCC 22-335 and
22-1596-22-1629).
) roperty Owner(Required)(signamre) „./&(--,,) / Date /G l/q,
(Print Name) � /e/4 i( /' ie ✓0 F ik-as - Ifs S _'tll i 40C,
Sign Owner(Required if different than above)(signature) - .. 74 fa Date
(Print Name)
'744Agent(Optional) (Signature) /' / -/ Date e/q/ e
a
(Print Name)
Q �C , C(- C
OFFICIAL USE ONLY(Please do not write below this line.)
Land Use Section Approval:- Date
Building Mounted- Sign Area Permitted(sq. ft.) Sign Area Proposed(sq.ft.)
Largest Building Facade Number of Building Mounted Signs Allowed
Free Standing- Sign Area Permitted(sq. ft.) Sign Area Proposed(sq.ft.)
Street Frontage Number of Free Standing Signs Allowed
Citation Which Allows This Sign ❑ HPS Li MPS ❑ LPS ❑ FWCC Zone
Remarks:
Building Section Approval Date
Valuation $ ' Total Fee $
Permit Fee $ Planning Surcharge $
Plan Check Fee $
Remarks
'Any department initiating disapproval is to contact the applicant and building section within 24 hours
indicating the reasons for disapproval. SIONPER APP REvtsm 5/20/98
t I 1 1 if I LLSE:RA1_ WAY y';:a HERMIT NO: SGN9S--0223
• s 3ti,; o f t- WaySouthSIGN ER T ISSUED: 09/10/91
federal Way, WA 98003 Sign -inspection Requests 232-661-4140 IJY: FC
253- c,61.--4000 EXPIRES: 02/11/99
ADDRESS:31140 PACIFIC 1HW`r' ..i
NO. : 785360--0183
PROJECT DESCR I P r ION:INSTALL ITC NEW F/S MONUMENT SIGN
SA(A) 78 SQ FT HEIGHT(A):11.25'
SHOGUN RESTAURANT SIGN GUYS CORP BUS LCSCI: O 4 32
SIGN PLAN CHECK....' $ 0.00
31140 PACIFIC HWY 'S 29050 REDONDO WAY WAY WA 48003 FEDERAL WAY WA n003 BUS
11000 ZONING...: BC
.I + PROP AREA ,: 78.00 COMP PLAN: B+.
-5058 1 253.942-3688 ALLOW ARES.: 0.00 CATEGORY :
I 1 SIGHGC*024J2 ST FRONT"...: 0.02 COMP SITE: ?
tig1 CODE CIT...: -1601(8) TOTAL FEES:$ 0.00
:` ..s .... r..t` _:a.ect_:.:.:::.saasas»�r�m w®ssaessaa:ceccss.aama;.zx xxec.:.x:..za:::rmmcax:a. aessaamx.:z:zssaxcs:.mzs:aseassmuasx.:...,.:....I
us CONTRACTORS, Pt(ASI IS LOCAL r .':v , , SALES TAX FOR PR IS MAIM IME CITY OF FEDERAL MAY. TAX RATE : 8.2% us
r- FREE STAND w.-...;max SIGN 1 -----1---41,0# 2 S4A ^ - WAIL SIGNS =a-= SIGN 1 =�aam. SIGN 2 .xm.=Y�s SIGN 3 =ni-uz7.-i SIGN 4 w..�:»=- -.7
I mac- i �a �� a
�e
r.
REGISTRATION 9$ Oi 3' ,:,.: �` ,--V
,-. 4'"5 , '¢ yyG3 t'' : ?.a' '
1 TYPE OF SIGN Nanusel t ,�r: ' ,. _ ! I=-Trp ;, �d�r•�
1p d
ILLUMINATION Internal Cab 1 ? Pai. aw ., n 1. ' ',1 _ C . g`
SIGN AREA 18 0 .°9-,A=:=:,.,-,,- OXPOSED FACE AREA 0.00 0.00 0.00 0.00
2 � �, 0� „���' �„ PROPOSED AREA 0.00 0.00 0.00 0.00
HEIGHT 11. 5 � � �M� �� �,A� .-
a�` -, "dam �? a er 'n�\\",°.' d . r
LANDSCAPE AREA 84.00 1 ' t ;� 0.17"," SIGH DIMENSIONS i
AREA OF FACE 0.00 " , �� 0.L+1 . G 1 !
t SIGN BASE 2.75 i.00 '4,':-.'-= 0.00 0.00
I
f SETBACK 1 4.00 0.00 0.00 0.00 M
fffeN DIMENSIONS I eI
iC;,ti•S:xv6iy:...,.w:.iCtta.:S�a$C:+i.:x:.a.,:yl:a:w.;:.:54::1:.1:...:s..:u.e:::SSSnL6aoLS:.y:aw.i:a..ac;.::sa�a�..»s.»:,.a:a.�c:.:CxS.a z:LCa'm:.x5s.caAe�.aa nl�:rx:xxcicL.lCixlu ltmGiw:r Xl.'.:t,.L tw Y:'wLa.7lfi JiA$2�.G.aRCY=9S4.S4SSb0�CYS:�IESY a.s:eunMt:4*aR tt .ma:inmr.c:
Footing/foundation inspection. Date Electrical inspection ___ ________.__..__..__ Date
Final inspection D _....._ _.___...-. Date .. 7,t- Electrical inspection gip_
-----____.------- Dated � /
fI NOTE: ALL ELECTRICAL SIGNS REQUIRE A PERMIT AND APPROVAL BY TRE CITY OF FEDERAL WAY
It ALL PERMITS EXPIRE 190 DAYS AFTER ISSUANCE IF NOWOK IS STARTED. sit
I CERTIFY THAI INE INFOKNAT1ON FURNISRLD BY ME IS TRUE AND CORRECT 10 THE BEST OF NY KNOMLEDGE AND TE APPLICABLE CITY Of URAL WAY REQUIRTJIENTS WILL BE NET.
OWNER OR AGENT /I / i'-.- L‹.- Ci / /
DATE y it3/qt
, v..- -
, . .
, .
FIELD COPY
- - _ _ 1, _,
•
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CITY OF FEDERAL WAY
DEPT. OF COMMUNITY DEVELOPMENT
PERMIT NUMBER S G� �-OZZ3FILE .
ADDRESS 31 I y o Pae • .
PLANS FOR I Sy-��
OWNER 0
DATE SUBMITTED rt par gppRPIFr / 4� IC1
APPROVED BY
i 1/15/q
sb00-14.-n. Sh= (z )(0(4,5)
�?ESTAU1WJT �`- � _ 7 j
-41111° 41AV <S1 iA
6.5'
).:<41„,
APANESE CUISINE
03\LN kia,j/
6' X 6.5' ieAan plastic face
design as above
AMAL INSPECTION
REQUIRED FILE
UPON COMPLETION RECEIVED
OF WORK AUG 3 1 1999
CITY OF FEDERAL WAY
BUILDING DEPT.
• • • .
1
6'
1 kt:=' : 41. Fixture (Japanese traditional shape
- - " "°�- make out of sheet metal
2' and attach on top of the sign
w:svN
t fix". N, w „ , ° s use 3/8”x 2" bolt to attach (4 pieces)
Zai'/, RY)/.».ni .__ / ik �'[.' w f :• �`}C'-%/
'z= SHL IL! N ---
_
1,, 2 — b existing pole
:«. RESTAURANT-
,.f,,, ,:::
L
•i !,..,,k,:::,.,...0
01
p c.,::;:!.:ii!:
E 6.5 Q
w:.!.
004.i.3 kim ..( _ .;„
.., . --, ..44'•• •
,:.. ..,...„ kao
,:,1:::: e el 14
or 0*.f3 ,v_\ c,::: pe: q.....4.
_ , .
.„f' w0 ._,Ic .
hissigiclumNo ,,i.g.::-,:,7 0On\q_/
4, .��.� ru........... ...... .......... ...... `':k3sFAA':91,.'Q37 3J' l',
.. _
;51:5 , :,. , ,:ii,,, ... (same color as building)
' ...
A.
r.1� — � by 4
• / V i
SS /l�. AV
y' s= }'16 VIr51 10/6 , c
Vp
v,' ( `) 1Dw .
ISP
btH� bloc +
�S t4 14 f rddi
Use 3"x3"x6" ngles(1/4' hickn61.7
)
Wind load calculation weld on the existing poles and use
P= Ce Cq Qs I 3/4"x2" bolts to attach sign to
angles (each corners)
Design wind pressure = 1 .39 x 1 .4 x 16.4 x 1
P= 31 .91 RECEIVED
bj,Thj- _ i l , 28 ' AUG 3 11998
LI�Y Or FEDERAL WAY
2 ( 53') BUILDING DEPT.
. _
Shogun Restaurant
31140 pacific hwy. S
70'Federal Way, WA, 98003
278.
Scale 1"=75'
— (Cietki
S ee4 tso. z
150.02"
Pac hwy. S
zit e,4•10etet 441'
bier 1-0 prl
oPm/11-1-
A 36' from building
Property line ZS 1 .Ced ce-fwee
(23' prop (.V4 1 bAlg)
•
'White side linebv1 Gad ehl.
PaLd'ic 4dc
RECEIVED
Z AUG 3 1 1998
FL,h.:11AL
BUILDING DEPT.
• •
( (a�' Landscape area
"
�\ cover with bark and
plant bushes
' -" and place some rocks
' will cutout the existing
'
asphalt and fill with topsoil
4,',} 14' will place curbs around
0 11$ ' , landscape area
',t,------- 7-s3R- aidot-564-PAN-
y i
Proposed sign (top view) V e// btae,4 . Ll41 I
f
C_J I
01 dad/ a, w . 6f
solo valthaticpyt)
l 7c property TO
O
Scale 1/4' =1'
thwww 7-eS
rvtGt,bi- be,
J
i, \w
RECEPVED
White side line AI.U3 3 1 1998
+• y
CITY OF- F cu,_1iisL -
ZSb 1 Z56 I > OL. f 3 Y BUILDING DEPT.
F PS
CONSTRUCTIIN PERMIT APPLICATION
CITY OF � 2 7003 APPLICATION NUMBER:
Federal WayocT 9� �Q���= �
OF FEDERA�Wp`�` APPLICATION NUMBER:
CIT gOF FE G DEPT. APPLICATION NUMBER: 1
**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: J // VO MOT-/2 ` J ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MM CHANICAL ❑ DEMOLITION
0 ELECTRICAL 0 ENGINEERING VfIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �2e�z,BG(; bz_D )a-t- /21 h C.-
$V T w/Th A/rl k' c..)2..- 0V
PROJECT NAME: `5/J (r-O/V at;S�.AUBay'
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): l I
CONTRACTOR: NAME: i DAYTIME PHONE:
A/<i k?PSuiv"S , /k& L: �/�Y�tal f C� - ' (,,Z66)‘6-0 -6067
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
' /'° 636 gc'X1f�, �,0s� ��(J G-6 ; (ci/ ),39'y
C OF FEDERAL WAY INESS LICENSE NUMBER: FAX NUMBER:
ec)a� �ri�rh - - - ( 24-15K -//-//3
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) I f7/ 0 /' /z c 5 , L2 9 ; / / / / 06---
APPLICANT:
5APPLICANT: NAME: DAYTIME PHONE:
(i- 6' C a,` 7,4,.•'1PS (odG) 4 5b God;
rM9iING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
ra lS „)‘3d-gc9f Ay 9e0 -1 ! (web ) 6n
RELATIONSHIP TO PROJECT: O�Y/,��� FAX NUMBER:
❑ ARCHITECT ❑TENANT *drHER ( DESCRIBE): (tioz 39 '-//J C
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR I /Y,-sfrv-Qi
■ DETAILED.BUILDING INFORMATION - . -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ Z
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA r I PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O.* •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ `PROTECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL _
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
f\N/
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 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 daim (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,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: � `off DATE: /L1 '.:9 'C-'
❑ PROPERTY OWNER ❑ APPLICANT ErCoNTRACTOR
FOR.OFFICE USE ONLY , f
FlEW ,�.�a ADDITION; ^ q,ALTERATION' ? o.REPAIR ;s e TENANT,IMPROVEMENT - ='
CENSUS:CODE M; ;R.
4 MMS .LOTSIZE: x., . =
;ZONING DESIGNATIONGvSHELL'ONLY? a YES ,-❑NO
COMP PLAN DESIGNATIONS .�' � �. . ABASIC PLAN? --�YES �O.NOS=�"- -•
'SECTION :4j - TOWNSHIP_ ', RANGE NEW ADDRESS REQUIRED? = ' ❑ YES ❑ NO
,PLATTED LOT?. ' ❑YES 13 NO CHANGE OF USE? ❑YES- -o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citY0ffederalw0Y.com
Constion Permit Fee Calculation et
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOl"sE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on r,e following schedule.
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$4.00 for each additional$100.00 or 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$1B.00for each additional$1,000.00or 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 113.00 for each additional$1.000.00 or fraction thereof,to and
Including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9,00 for each additional$1,000,00 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$7.00 for each additional 51000.00 or 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$6,00 for each additional$1,000.00 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$9.50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Ito/ldzed,vnderflnedrrfm4erIsthef p5r fdltf nalsv4'IfiedIncrement
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,commerdal 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**
r:.■ BUILDING. •.._: :. .. ,; _. .
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
•
■ MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION: r2 c 0 • 6 n-'
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
;, • ■ PLUMBING ..
Base Fee Number of Fixtures
$26.00 +{ X$9.00/fixture}= (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)