01-100765 City of Federal Way Mechanical Permit #:01 - 100765 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 ns Iection request line: 253.661.4140 •
l�
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: HAIR MASTERS#6808
Project Address: 1400 S 312TH 5f Parcel Number: 082104 9090
Project Description: HVAC-Replace of 5 ton pkg heat pump with new 5 ton heat pump
Owner Applicant Contractor
Max D&Linda E Cook HAIR MASTER SALON COMFORT MECHANICAL INC(GENERAL L
6617 S 193RD PL SUITE P-105
KENT WA
(425)251-9840
Mechanical Valuation 8000 Over the Counter Permit Yes
Mechanical Fixtures
140,§1scription: lQuan 1/0§,,,, •tion IQuantittd ::, ,?- Description. ..,, ... 000, t
Air Handling Units 1
PERMIT EXPIRES August 22,2001,IF NO WORK IS STARTED.
Permit issued on February 23,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: j /� Date: c9 -p3
V
Mechanical rough-in: Date:
Gas pipe: Date:
FINAL MECHANICAL: C� Date:%_Oj\
��, G CONSTRUCTIONE/RM T APPL CATION �
� APPLICATION NUMBER: (9 1 - _ � ci- J/J�
APPLICATION NUMBER: -FEB 2 3 ! °Y i APPLICATION NUMBER: - -
1,;11'Y ur 'rL ,'�e�iF�L 4YA *The following is required information-Please print(in ink)or type**
BUILDING DEPT.
ease note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• ■ PROPERTY INFORMATION -
SITE ADDRESS: ) ``IOD S j)att., 5+ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 11414ECHANICAL ❑ DEMOLITION
❑ ELECTRICAL El ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provideydetailed description): ,Q12p)ae mn--�-- , S peo-
#Ct.Y" Y
1.7) [AI LG% A 40-Y•. po/C6Y -Ctr lou/y',Q.
PROJECT NAME: /,/,',1)-, "11,S,rrs
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
cvr /14.15-45
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/'/ov S r5/7Z /4;4-Nai7 Ga
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
4/7 5 /X1rc/p2 su,k 'WS (4a5) e i5 -7E-V )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
Do - Q ! 75 - oo-61- ) -
CONTRACTOR'S REGISTRATION NUMBER: F G EXPIRATION DATE:
(copy of card required) C Q M 0 N1 0 2 5 e,3 06 / o/ / 1v o /
APPLICANT: NAME: ��/ DAYTIME PHONE:
4D u (ya5 ) 15/ 9Y1 0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
�G/7 $ / 93rd ," 5-cAle.. "7/OS ( > 440,..e
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT El TENANT C OTHER(DESCRIBE): (1rIfrcf )
,S.w.,.c as o b ü.rr
,�._,�- E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER L�J'APPLICANT El CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PR• •OSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAV. ❑ H HLINE El TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: El LAKE •VEN ❑ HIGHL 0 PRIVATE(SEPTIC)
• -
4 **NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• . ■ PRO]ECT FLOOR AREAS
FLOOR EXIST G SQ.FT. PROPOSED S•. . 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) EV• •ORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN( HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLA E INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE
DUCT(S) GAS PIPE 0 ' LET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
• U : NG
BATHTUB(S) LAVATORY - URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAI •TER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) •WER(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 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: / " is /�re,tic i/ltirav�e ) DATE: 02! 9/f a I
❑ PROPERTY OWNER ISAPPLICANT ❑ CONTRACTOR OO
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
COMMI INITV fFVFI OPMFNT 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$2000.00 plus$15.00 for each additional$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: - 'ee:
•.ditional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surc :rge: (3)
(COMMERCIAL ONLY)
• MECHANICAL •
PROPOSED VALUATION: &ICS• cre-
FEE FACTOR FROM TABLE A: Number: .3 (a)Base Fee: 71-14
`, (b)Additional Increment Fee: yo, c o
Estimated Permit Fee: (4) /(D/ , 4 6
Estimated Plan Review Fee: (5)
• FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: _ a)Base Fee:
Increment Fee:
Estimated Permit Fee: (6)
(b)Additional
Estimated Plan Review Fe-: (7)
• • PLUMBING
Base Fee Number of Factures
$21.00+{ •7.00/fixture (8)Estimated Permit Fee
Estimated Permit Fee
X .6" — (9)Estimated Plan Review Fee
Miscellaneous Fixture Char. (10)
Sub Total (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)