03-101768 • • ") �
City Federal Way
Community Development Services Fire Prevention System Permit #:03 - 101768 - 00 - FP
33530 I st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WASHINGTON MUTUAL HOME LOAN CENTER
Project Address: 31423 PACIFIC S Parcel Number: 082104 9013
Project Description: Installation of fire sprinkler system
Owner Applicant Contractor
KIMCO REALTY CORP ACE FIRE PROTECTION SYS INC ACE FIRE PROTECTION SYS INC
KIMCO REALTY CORP 23220 MAPLE VALLEY HWY SUITE 3D 23220 MAPLE VALLEY HWY SUITE 3D
5238 MANZANITA AVE MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
CARMICHAEL CA 95608 (425)432-4401
PERMIT EXPIRES November 12,2003.
Permit issued on May 16,2003
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
• PS
e2T"F RECEIVED CONSTRUCTION PERMIT APPLICATION
�7L_ APP C:ATiQN N,UMBLR' , il; i; iii; Q,O
Fre) . MAY 0 52003
CITY OF FEDERAL
p`
**The Information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
2 • PROPERTY INFORMATION
SITE ADDRESS: 14 Z3 FIf iC'k1 UJ i S ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): I S i LLIVri CN C t" f 1 L'E Viz, KL€ 1-1
PROJECT NAME: .1/vA514I16'.701J HUTUAL r' (..10t-'t LA)A, c JJTE-.
•
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP):
CONTRACTOR: NAM DAYTIME PHONE:
>a F-- p (wrEt-nu.) (A2c)-43 -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/ /yc-,I'/ S ) . AML
TTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card requIred)
APPLICANT: NAME: DAYTIME PHONE:
L5A-7 IC (S��il� -
MAILING ADDRESS(STREET ADDRESS;COT,STATE,SIP): EVENING PHONE:
chi (5/c ) -
RELATIONSHIP TO PROJECT: FAX NUMBIFR:
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): `>L',i2
E-MAIL ADDRESS; _
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT El CONTRACTOR 6P'0rF[IT&A E filet; /14.-
•
.■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ w I r
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? EA YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:in YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC)
11/15/01 TAU 14: 34 [TX/RX NO 6844]
•
• •
1 **NEW RESIDENTIAL CONSTRUCTION ONLY** -
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
M
• 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:
• FIXTURES '
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)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING '
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSE-T(S) MISC.( )
INTERCEPTOR(S) SUP-IP(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 city as a part of this application.
NAME/TITLE: ,72---4---^T --- U- f DATE: c-Z -c>S
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❑ PROPERTY OWNER .❑ APPLICANT .YN.CONTRACTOR
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' , ;i,:i!SCCtO Mi: O;WNHYR;',,,,..„,:RANGE;: ,;•6,,..... 'NEVLidbDRESS'REQUT1tED , ;6❑', KES:'..`"I NOr '
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718-FEDERAL WAY,WA 95063-9718•253-661-4000•FAX:253-661-4129 `.
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11/15/001 THU 14:34 [TX/RX NO 6844] ii
• •
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 BEACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule_
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1,00 to$500.00 (1)$24.75
(2)$501.00 Ts 52,000-00 (2)$24.25 for the first$500.00 plus 12,27 h>r a adclitioa2/.(100,00 or fraction thereof,to and Including$2,000.00
(3)$2,001.00 to 525,000.00 (3)$71.46 For the first$2,000.00 plus 315.0(7 fhr Pork odd/dpn5($4.QQQ,21 or fraction Thereof,to and Including
$25,000.00
(9)$21,001.00 to$50,000.00 (4)5403.61 fur the first$25,000.00 plus ii(7H /pp-P3t addldonal$7,PPO,QQ or fraction thereof to end Induding
$50,000.00.
(5)$50,001.00 tD$100,000.00 (0)$664.35 for the first$50,000.00 plus.1750 forrich additiortd(S1!mo.wQ or fraction thereof,to and Including
$100,000.00.
(6)5100,001-00 to$500,000.00 (6)$1,025.55 for the first$300,000.00 plus 0600 lbr rarh eddldon,l CL9,21Sil or fraction thecof,to and Including
$500.000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the flet$500,000.00 plus.}5.00(ar at5h additional LVVC.00 or f.a.tlon thereof,to and Including
$1,005,000.00.
(B)$1,000,001.00 and un (B)$5,758.23 for the rust 61,000,000.00 plus ii 91 Tre,sh eddldwgiis,o.QQ or fraction thereof,
Bpld number Is.the base Ice for the sperJfled InaCrecat
i •nurh ,,.: ,:_: _ adektiOM ..a I.'- IGTEMc14
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
• ■ BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Pian 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: 14 400 —
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: 7 4 1,-;
(b)Additional Increment Fee: l- /. "S
Estimated Permit Fee: (6) ' t•
Estimated Plan Review Fee: (7)
■ PLUMBING I
ease Fee Number of Fixhtres
$21.00+{ X$7.00/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)+(S)+(6)+(7)+(B)+(9)+(10) = (11)
11/15/01 THU 14: 34 TTX/RX NO 6844]