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02-102736 • • City of Federal Way Community Development Services Plumbing Permit #:02 - 102736 - 00 - PL 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: SPRING VALLEY MONTESSORI SCHOOL Project Address: 36605 PACIFIC S Parcel Number: 292104 9074 Project Description: PL-Add(2)sinks,(1)dishwasher,(1) lavatory,&(1) hot water heater. Owner Applicant Contractor George R Credit Justus AMERICAN MECHANICAL CORP AMERICAN MECHANICAL CORP 36475 PACIFIC HWY S 12311 227TH AVE SE 12311 227TH AVE SE FEDERAL WAY WA MONROE WA 98272 MONROE WA 98272 98003 (206)467-6407 Plumbing Fixtures Description Quantity Description !Quantity ;.Description Quantity — - Dishwashers 1 Lavatories 1 Water Heaters [ Sinks — 2 PERMIT EXPIRES December 28,2002, IF NO WORK IS STARTED. Permit issued on July 1,2002 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. Owner or agent: Date: 744./4.11 vaLA.3It (A, p (u446 , s ,,, 4 7 -z z jD , i'kLa / o/< _ cl 4 CITY Of �-- • CONSTR.-ION PERMIT APPLICATION � FW L APPLICATION NUMBER: d j Q a....? 31- 0 D APPLICATION NUMBER: - - APPLICATION 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. .. _ • ►1/ PROPERTY INFORMATION SITE ADDRESS: 366.C:75 Pez_ ASSESSOR'S TAX/PARCEL #:2 5 2.. L of - 9 Q 7Y LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH EPARATE DESCRIPTION IF LENGTHY): :01 PROJECT INFORMATION-. TYPE OF PROJECT(This application): ❑ BUILDING X PLUMBING ❑ MECHANICAL ❑ DEMOLITION Cl ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM� PROJECT DESCRIPTION (Provide detailed description): /WO a sjH�s / e. ) / / '7L /4tC4 Agen6 PROJECT NAME: 43 r(n I Val f " y 1-0,...%4Y-i • . . .. i.1 PEOPLE INFORMATION r:. PROPERTY OWNER: NAMe�/'f, c4/� r�vfl 2 / DAYTIME PHONE: GGNG o!'J'7��`�7 MAILING ADDRESS(STRE DRESS; STATE,ZIP)://3 ..lett) Lr (j�-/(./J_ 4-14 5$ i.y CONTRACTOR: NAME: DAYTIME PHONE: Ar1V�yme , ��, YR_IMVG ? 4'07 MAILING ADDRESS(STREETADDRES;CITY, ZIP): �$ EVENPHONE:3/ 921 e ( ) CITY OFL BUSINESS LICENSE NM6E UR� d O - V t 1 eC / ( /t /' 5 CONTRACTOR'S REGISTRATION NUMBER: A '/ /� EXPIRATION DATE: (copy of card required) A ,S/ i/ -i 4 - , �` 1 gil / l APPLICANT: NA y�eno �� / (A )Z�� - /�Z / MAILING ADDRESS(STR(:EFADD/RESP ,STA ZIP)AI���� U� 7 Z EVENING PHONE: RELATIONSHIP T PROJECT: S f FAX NUMBEER. ❑ ARCHITECT ❑ TENANT AOTHER(DESCRIBE): F/Liy ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT I�CONTRACTOR • ■ DETAILED BUILDING INFORMATION/ • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION J) PROPO SE: PROPOSED VALUATIO► : - MPROVEMENTS: $ (; 0 SPRINKLERED BUILDING? ❑ YES • `• • - : SSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ • - • EN ❑ HIGHLINE ❑ TACOMA 5 PRIVATE(WELL) SEWER SERVICE •. • • . •. ❑ LAKEHAVEN 0 HIGH LINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIALCONSTRUCTIO"OILY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. L BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: :..;,.•.._....o-.a...t.p,e.•:v[,w:,.-:.,a-s:.,.'s: w..,.",,.•-•.:v.ia3Sawrssittler+fuv:aiw�.i§as:!rI•L'4:f aA�VRES3.�rK`aw++ai5+.*t+i..+..+r:.t..:...�eiiri+:r•feb,-,i•is°?S+%wwiv4ri:M>o:N�..+onktia.:w!ke'o.tia.. Indicate number of each type of fixture MECHANICAL 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) I LAVATORY(S) URINAL(S) ) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) je ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) a., SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) 1VA .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 city as a part of this appl" tion. NAME/TITLE: DATE: 1'/1)7/ ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR°OFFICEUSE ONLY: ....-........_..__...-._.... :=!.❑.ADDITION .. -:❑ ALTERATION REPAIR:.,A .D:TENANT IMPROVEMENT >; LOT>SIZE 4x .-.. . frtS4- ;. ZOINING ESIGNATION B I „SH ;t .� ��� � ,� �BUxLDING SHELL ONLY? HCl YES ,x fl No ; COMP ,LAN DESIGNATION � BASIC•�U11'hex. ._..._ES ® 0 ' • SECTION �k TOWNSHIP „RANGE ;, sNEWADDRESS REQUIRED? '(ES -#_`,O'NO < ' a,PL TIED LOT? ❑ YES ❑ NO ,CHANGE OF USE?_.,` • D YES ._©NO ; " ... COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffedera Iway.com TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$I I.50ea) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft2-$I 1.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 81.00 Up to 200 amp $ 81.00 $ 24.00 Feeder _201 -600 189.00 _201-400 amp 101.00 50.00 0 to 100 $ 81.00 $ 50.00 _601 -1000 284.50 401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 0-100 $ 50.00 201-600 amp 101.00 Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 _#of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION (A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35) _(13) • DEMOLITION • Estimated Permit Fee: (14) Bond Amount:(15) • ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) • OTHER FEES Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) Total(Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002 •