03-104822 4111
City or Federal Way
Community Development Services Plumbing Permit #:03 - 104822 - 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: THE COVE APARTMENTS
Project Address: 123 SW 330TH\ Parcel Number: 182104 9035
Project Description: Install washer/dryer unit in Apt.1808.
Owner Applicant Contractor
PROMETHEUS MGT GROUP THORNBERG CONSTRUCTION THORNBERG CONSTRUCTION
PROMETHEUS MGT GROUP 4809 242ND AVE SE 4809 242ND AVE SE
12011 NE 1ST ST SUITE 207
BELLEVUE WA 98005 \ISSAQUAH WA 98027 (425)462-1139
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Laundry Washer Outlets 1
PERMIT EXPIRES May 5,2004.
Permit issued on November 7,2003
I hereby certify that the above informatio is correct and that the construction on the above described,property and
the occupancy and the use will be in acc dance with the,laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Ofir Date: _2—0
////.3/03 ) /4C "14,26//2
tipt App.-TAD
�o � S
THORNBERG CONST 4255579059 10? 0J03 04:09pm P. 005
•
PL
CITY OK
��- CONSTRUCTION PERMIT APPLICATION
Federal Way APPt1CATION NUMBER: 3 U
__..22:2.-•' 9
,___________APPLICATION NUMBER: _
PPLICA' ION NUMBER:,..,.,,. _ 7._ - _ _-11
"`The following is required information -Please print(in ink) type',
or 1
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
,:,:;;;,... 7•2E. ,.,.;.:,'__--;,..,-;.!,-.::.:'.,;.-.., ,,":_:--, I.'.PROPERTY INFORMATION
0�
-
f
SITE, ADDRESS: 3� � � st • . - •
I.. .A114..
114....9-�• ASSESSOR'S TAX/PARCEL tr: - 6
1 fid _.( ' � Q3b
LEGAL DESCRIPTION OF$UJEC7 PROPERTY(ATTACH RATE DESCRIPTION IF LENGTHY).
'; .v t ,. y .i + .■ PROJECT.INFORMATION - _ ._-
-. :C
,., --. --
TYPE OF PROJECT (This application .'•••_'-'... ..::,, .,�;� „ _ _. -
a BUILDING XPL.UMBING O MECHANICAL a DEMOLITION
0 ELECTRICAL, n ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
4_,:tZa.. 1- sLy,"-Eclif __Aljt
PROJECT NAME: —
. i:r PEOPLE INFORMATION. - __.
PROPERTY OWNER: rirt;r- 4.1 juaz
C1err 1 IINC A ADDRT5... 1 1riz+eirt.•
�/L.� `i r) � 4.6 - /�
JJJJ •oo,S ,STATE,ZIP): t iJ � ..SJ=1
‘Lj
ft
CONTRACTOR: [ c_-_.- _ �V��.
I1±bege +_ . eit ill u t 0-0. .,__ 0.3_,__. • (OA M�`D�kO5 ..__t __,;
MAI NG ADDRESS($T,g1EEl D SS:CITv.STATE i3'): —..—. I �/ �V� i
1-TVENING RHONE-
16
el
CITY P FEDERAL WAY BUSINESS LICE NUMBER:
,. 5-'--tt'• -)`-=!„� i i
O - 0 3 I e L� A tt,VA�)fN-UM�Y^B}E`)R: (� �j C�
COPTfRA(TORS RF,(,ISTRATION d _. a�-I I `-'r" 5 1 - -l05 J '
NUMBER +
.� / 1 EXPIRATION DATE° I
APPLICANT: y 3 �:�: g� �.-l ��
NAME ,_ I v
n. , (1Q. /- � ` �_..�—AY'TiMt PHONE: - ..
-MNL LNG ADDRESS(STREET ADORRF5SS:C`ITYY,,STATE,ZIP): ►(JT ——
I
_,. EvENING PHONE: -- f
I REIATTQNSHIP TO PRojrcr"- - -- ..—,_ —_ _ 1
1 a ARCHITECT U TENANT Tax NUMeEK: —
_- a OTHER ( DC DESCRIBE): — I
)
CONTACT PERSON FOR THIS PROJECT; ❑ PROPERTY OWNERAPPLICANT — -- i F•MAIL ADDRrSS: "—"
u t7 CONTRACTOR f j
`:2- :•E DETAILED'BUIL -
- � - ` .•_ - DING INFORMATION� _
EXISTING USE: � •
-.�- t
� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ^`
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUDDING? ❑ YES 0 NO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES 0 NO
WATER SERVICE PROVIDER: U LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE n PRIVATE(SEPTIC)
THORNBERG CONST 4255579059 10t 0103 04:09pm P. 006
110)
IP
NEW kr-smarm!.coftSTRUCTION ONLY4,=
+
NUMBER OF BEDROOMS_ ___________
ESTIMATED SELLING PRICE: s
._ 1. PROJECT �'��
FLOOR ARi=As
FLOOR_ EX�_
DASFMENT` j___— _NG 5(�Fr_ PROD
POSED 50. FT_
TO7A1_
FIRST ---- -� -- — —_
SECOND — --1------- ----
THIRD — -- ---- __ _ --.. —
FOURTH - -..-_—I — — -- --- ---- -- -
OTHER FLOORS(DESCRIBE) -- iiiI
— _ ----
DECK ---_— — —— —
GARAGE -- - _— ------- —____
HOW MANY FLOORS? _ — —_—
TOTAL: L—� --- — —___
- a - rums ,1-,•` --
Indicate number of each type of fixture
MECHANICAL
AIR HAN DUNG uNrr(s)
DBQ(S) E</APQRATIVE COOLER(S)
GAS LOG(S)
BOILER(S) FAN(S) -�_ RFFRIG.SYSTEM(S)
--�__ COMPRESSOR(S) —�-- FIREPLACE INSERT(S)
HOOD(S) _
DUCT(S)
FURNACE(S) RANGE(S) — WooDSTovE(5)
GAS PIPE OUTLET(S) ��— MISC.
HEAT SOURCE: a ELECTRIC a GAS
PLUMBING
BATHTUB(S)
DISHWASHER(S) WATER SYS,
LAVATORY(S) URINAL(S)
DRINKING FOUNTAIN(S) —~— RAIN �` VACUUM ELE WATER HEATER(S)
GAS PIPE OUTLET(S) SINKS)
SHOWER(S) WASH MACHINE OUTLET
a ELECTRIC 0 GAS
INTERCEPTOR(S) WATER CLOSET(S))
MISC,
SUMP(S) {
I certify a. DISCLAIMER/SIGNATURE BLOCK
further, �under penalty of perjury that the Information
rther, I that I am rider rized byfurnished
further agree to hold harmless the owner of the above premises toperformby me Is tale and cpm to the
Invests e,Ss the Gty of Federal Way as to any daim(n ding cose work,
which of my knowledge,and
investigation and defense of such claim),W the permit aPP1lCation Is made. I
Federal Way,butOnlywhere such hich may be made byexpenses,and attorneys'fees incurred Int the
Foederal the Information nu daim arises out of the reliance of the person,including g the undersand e, pIo filed against the a City of
pA d tc a dty as a part of this application.
city, Including its officers and employees,
NAME ��-�- �upon accuracy
/TITLE: N A[ LW. E t �—'
O PROPERTyOWNER ❑ APPLICANT DATE: . '0-ao-oB
CONTRACTOR
-FOR USE ONLY
TIONS , t "i4LiE
=CENSU Fee-"• ~` i❑ RATION'S dt >.,---- ---
S.:COb �:� gs _!. �wu�H .y+,: "O�_FLEP ? ',i,.. �.��
:K_ tiT �R..
`ZOIYxPtG D. �. �. `���%y" �'LOT� ,,.-.1fN; EN�4N7"{xMPIROVEI'%1 as -_^•�i
- ESI(�NATIO�(� �+ - -STXE:c•^.�.r-.".b. -�,.:?;y,... �•.
z0 >;PLA1V D r �:=�". •x.,..,'�s�•?71r�s• N�RtIILDING SI i �-, ,..-��. -
.LAN IYAYION;:;r :wd � r IVL1' : ❑ a`NO:, —`.:
• �;;-- '�—�? ,11�INtiHId. �+ ��• •c.,, U1is;O YES o' ,:z.::�:., ,;• �
ATT L077+ i. ';; �. ViR . 11fV'ADI�I2FS§.R =fifOR =`".e.' ':'.
.O�NA�.� � ^+ t�RCD?� �n; +- ;a-.:. .
� ;CHANGE ONO:'..,..;.:.
1:�:rf�srifr._'LJ rYE$*,"•,C�� NO .�p."'.���� � ;.
�MMUNiI Y D •� ; *,.K--
�ELOPMENT SERVICES•33530 FIRST WAY sown•Pp 8pX 9718• :+
WAY,WA 98063.9718.253 661-4000.fAX 253.661-4 129
THORNBER6 CONST 42E9679099 10/20103 04:09pm P. 007
-
ion �' r�'+it Fee
****x* Calculat
*****.,**PLEASE NOTE: AL1. F S MUST BE VE heet
CHECKS FOR INCORRECT VERIFIED BY CITY STAFF p
aCKSg,OR INC a RECT AMOUNTS WILL NOT BE PRIOR TOED ACCEPTANCE OF p
—— --- and Fire prevention systern fees are based on thefollowing schedule. PAYMENT.
To,n! vi;.ij,�T!pri TABLE A
CI)S11p0 of s��0.r11 —._,.— -- — ——__—_---
(1)s30,(70----— FI t.rAC7GR —_
())$30.00/or the Or:t$500.00 I --o aryl
j '----
(7)5).00t.(xt to �.. $?.,000.00 plus S�p7jnrtJ
5..,,r,r.i.'x) CA17SIL1/ClnJI Si::)L�'Or fraG^.ion th..,.
•x.91,(p drvl rrti<�h✓]uw)
(J)570.00(or the nest$2,000.00 Ow;11?.(t7 j,(C./Cy_JC/%!r„„r
('t)$7:.07l.d)t9 S' r..)f U inchrdin9$2,,007.00
Si.:;"e.1ur!,.fr�'On IJ,,.,r41,to.$1,•
(1)5504.00 for the tiro$25,000.00 plus s1).119.6"r e.:C/ 4Jgl n,/ ,
(�)%50,001,00 t0 SP./J.000.00
Ire.iuding%50.0(.0.00
1. S..Jr:Y{�(r:or frnet incl thClCp(,20 4,,,,I
(5)562.9.00 for the firs]$50,000.00 ploy;57 /ftLCJca v<fJ.,l :J/.Sl.C.(;),
;,;,;,q,!e7 0) Inr,hrdakl$100.000.00
(G)S tuO,iX)I.G)I
�:Of frJr,:hn thereof,to and
(G)St,279.00 for the nr t$100,000.00 1,
(7)S',00.001.00 rr,S:.r!,)7n!).t 7 inducing S500,000.60 (+ $I.GM(rtC.riry ,:�'
Il:Y,7J/f1.N:l�Or fracfy�n(}�,r .
,til/,t,0;,,,,t
(7)54,079,00 for the fist f500,000,00 I
(P)S1.tX?U.Ml.ry1 e,1J,q� in,.fudino 51,000.000.00 p�r'sat. l.'Pi1'y7C%ld!:V:r.
�J
1 _f/,•(Y �.cY1 Or/nr-Uon thereof,to;To
(B)$7,079.00(or the Rryt$1,000,000.00
(8)$number Is the base f plus:tt.521'LCJCU.JS'=1%P r' h
fee for the IncrementCJ/SL:�_h.'>or fraction thereof.
van r �a:anea
.PLUS: Add 6$---�`__ -- �Y�'r-L,^d��/1CJS.ICY_mr��.Qh�./Cy: r
Peccant of lfrw base building pnrmK rex_for• =1= d-dd rQna/ f
Add 25 percent of the Wan review fes. _ ��5e7/na�rnenl
Add I5 pO(:he base mediartIeal permit r,•_r„for mechanical plan review(re. — —
Add I5 pQ for percent c 'Lhe bat huildln0 poring:fee for Fire District 039 sur
Butldln0 Code Council,plus$2.00 por unitChar e, Crc_ia!poly
y eWnrn
(or duplex&aprr,,..
"Electrical,plumbing,and meehlnlQl fees are Calculated=naoritcry
PROPOSED VALUATION: BUILDING
FEE FACTOR FROM TABLE A: Number:
----� (a)Base Fee:
Estimated Permit Fee, (t) (b)Additional Increment Fee:
Estimated Ptan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VA ■ MECHANICAL r .
LUATION•
FEE FACTOR FROM TABLE A: Number: �
(a)Base Fee:
Estimated Permit (b)Additional Increment Fie:
Fee: (q)
Estimated Ptan Review Fee: (5
■ FIRE PREVENTION SY
PROPOSED VALUATION:_
FEE FACTOR FROM TABLE A: Number:
_ (a) Base Fee: _
Estimated Permit Fee (6) (b)Additional Increment Fee: _--— ,—. .
•
Estimated Plan Review Fee: (7) -
B,iy_Fn Number pf Fixtures
$76,00+ ( 1 _ X$g.Ot)/fixtr
ue) •- ,Cr
_D r�>++de rt.c sv U
---.. --. X .65 = (g) Estimated—_(8) Estimated Permit Fee
FS
Miscellaneous Fixture Charge:(10) Estimated Plan Review Fee
Sub Total (Page Doc): tine(s)(I)-i.(2)+(3)+(4)/-(5)+(6)+(7)-1-(8)+(9)+—___0.0)
i•(2)+(3)+(q)/-(,)+ +
F + 7 •g + 9 +~_��
•
-• .�.