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01-100511
• c , City of Federal Way Community Development Services Mechanical Permit #:01 - 100511 - 00 - ME 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: TACO BELL Project Address: 2031 SW CAMPUS Df Parcel Number: 242103 9102 Project Description: MEC-Install a new type I hood w/duct&fire wrap; new exhaust fan for same; outside MUA vent; install new Pizza Hut equipment to add to existing Taco Bell Owner Applicant Contractor NORTHWESTERN RESTAURANTS,INC. NONE MASTER CONSTRUCTION CORP 31919 1ST AVE S#206 5307 4TH AVE S,STE B184 FEDERAL WAY,WA SEATTLE WA 98108 98003 NONE (206)763-4290 Mechanical Valuation 7000 Over the Counter Permit No Mechanical Fixtures Description Quantity Description Quantity Description Quantity Ducts 1 Fans I Gas Piping 25 Hoods 1 CONDITIONS: 1. Rooftop mechanical equipment must be surrounded by a solid,sight obscuring screen that is integrated into the architecture of the building.so that the equipment is not visible from adjacent properties or rights-of-way. PERMIT EXPIRES September 17,2001,IF NO WORK IS STARTED. Permit issued on March 21,2001 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wi_1 be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. k Owner or agent: � �� Date: ''5/7 /� / SI • cert/OF G REI 77 34 D CONSTRUCTION PERMIT APPLICATION ----- E.E3 FJZFiL_ APPLICATION NUMBER: O - LOO ' L t_ -Ate N).\> Y FEB 0 6 2001 APPLICATION NUMBER: - - APPLICATION NUMBER: - - VI I t OF t-IDL AL WAY **The followingsq` Tinformation-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 72Z73 Gq Q /OLS bnn % ' ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING $MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM • PROJECT DESCRIPTION(Provide detailed description): Z A AL �cv� �✓' i ( J-/4S' 7k� o u// 1c- F #c 1N/3.0410Al e w Fan- e j 0c/TS = AA v A — tie w ?12z A A/7 &k/r A iIpm r T f}Do 7 ) r 1-14 PROJECT NAME: —rile., / ?)22A /-J'r ■ PEOPLE INFORMATION • PROPERTY OWNER: NAME: DAYTIME PHONE: X1944.74wG5-7-p P5773/4vA/Msrs .7""i t (5 )S2ci -? C6 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): citG1 - IsTAve , arrR ° t cDF, +L •,ivay WA cb oc,3 CONTRACTOR: NAME:1� _, DAYTIME PHONE: M,i— - C_;VAt "/.u�r/�,+1 c�•1-fa (07a4; ) 9b3 - -12*) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 5. 1) � ' A F �v, -1 SF��-7z u/q /ob (.2v4 )-4'b -44.6"S CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - (,) ) `J'9b - - yo CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: / IA S T * 2- 1 0M F' 9 / / /aea/ (copy of card req�uir/e�d'){/J/�, `1J�] e}y" �]��"jJ�/►�- /j APPLICANT: NAME: C •' � T i T Gv I DAYTIME PHONE: Ak j�''t �G "7/1-e./C.---7-7 cs�... (0.2/' (vi) ) 963 -42 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: !, S x'') - .4714iW So. .3`I bet 5N z _ `� /06 (.206 )47E -4455 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT yl OTHER(DESCRIBE): 7_rr (2 j6 )Y?b 4 7 yp E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR Co - 51"L$©L, c641 ■ DETAILED BUILDING INFORMATION EXISTING USE: .. E;57-14(.1 4 s?-1 i EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 4e..0/UC>U PROPOSED USE: ResrA✓A./;M, PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES gi.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: YES ❑ NO WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) " SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) C — �� ;.2... at **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ - ■ PRO]ECT 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) I FAN(S) -1-- HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) X DUCT(S) Z 1 GAS PIPE a ETf3j'-- HEAT SOURCE: ❑ ELECTRIC X 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 furnis,ed 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 p•rform he work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim(in lu Ing costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any .erg, ,•ncluding the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance oft e ci , cluding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. '' / i li NAME/TITLE: k-tt.NA,2'/3 • 3IFLS'iO T I 1 A DATE: 0/,,/ ❑ PROPERTY OWNER ❑ APPLICANT A.CONTRACTOR k 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 ❑ NO CHANGE OF USE? ❑ YES ❑ NO c71MMI INITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 • 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 BE ACCEPTED!******* 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)$24.25 (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$15.00 for each addition/$1,000.00 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$10.82 for each additional$1,000.00 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$7.50 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including $500,000.00 (7)$500,001.00 to$1,000,000.00 (7);3,337.23 for the fist$500,000.00 plus$5.09 for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment 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** IN 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) PROPOSED VALUATION: ' C'Uo 4� FEE FACTOR FROM TABLE A: Number: 3 (a)Base Fee: /� (b)Additional Increment Fee: ( Estimated Permit Fee: (4) 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) • • PLUMBING Base Fee Number of Fixtures $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 (Panenne): Line(sl(11+(21+(31+(41+(51+(61+(71+(81+(91+(101 = (11)