01-100826 City of Federal Way
Community Development Services Mechanical Permit #:01 - 100826 - 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: VALMET CORPORATION
Project Address: 34320 PACIFIC*I+VJV. Parcel Number: 202104 9093
Project Description: HVAC-Install new boiler and accessories
Owner Applicant Contractor
BELOIT MANHATTAN INC VALMET INC,FEDERAL WAY SERVICE CE HURLEY ENGINEERING OF TACOMA
P.O.BOX 3027 302 E 26TH
FEDERAL WAY WA 98003 TACOMA,WA
(253)272-9389
Mechanical Valuation 125000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description tQuantity y Description !Quantity
Boilers 1 Gas Piping 1
PERMIT EXPIRES September 8,2001,IF NO WORK IS STARTED.
Permit issued on March 12,2001
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: •�� Date:
' 1
VEDCONSTRUCTION PERMIT APPLICATION nn
Fes — APPLICATION NUMBER: 0 0 V
APPLICATION NUMBER: - -
:4+M.WAYAPPLICATION NUMBER: - -
GIN tiLC71w:DEPT.
BU **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.
• PROPERTY INFORMATION
SITE ADDRESS: 34-13,2c) F3 c-i p-Irw ASSESSOR'S TAX/PARCEL #:. -
,: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r• • ■ PROJECT INFORMATION
,r
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I 0 5141A, kI \v' EID I Lb I'4- AT-40 ArCL o?
ingOJECT NAME: VEL f L-I 110 I L --K
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
1 v.4U11 ck vlt-5" C4.Ite�- • (• ) -
i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
3`'1320 17444 I4-rs.)`f c F, D , v/A- Q oc.3- 302 ;
CONTRACTOR: NAME: DAYTIME
P"\/HONE:
MI ILING ADDRES (STREET 15i-I E TIE Z L i 4C (' PHONE:
-�1
3O�- VA-51 2-0) th le>c-Fz.j ( ) -
CITY OF FEDERAL AY BUSINESS LICENSE N1-O.�02 - 1 g 0 4L - 0 o FAX
2g 2 =q5�
CON RACTOR'S REGISTRATION NUMBER: �/ EXPIRATION DATE:
(copy of card required) a LJ I.. 1. i.•'‹--- 1- 14-1 I 4, 0 07-/ o Z/ 01
APPLICANT: NAME: DAYTIME PHONE:
LI(,2 -1_ MCL1 (300) BZS -oci,ooh
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
ISIS K 161..E T.. •4v e UMcU4Nv, WA j8022 (36 o ) 6 04 00
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): 1301Ci F- (? 0)82y� -Q(p(p q
E-MAIL ADDRESS: ,1
CONTACT PERSON FOR THIS PROJECT: CIF PROPERTY OWNER ❑ APPLICANT CONTRACTOR AC.( . -Q 1-4E-tc -1
■ DETAILED BUILDING INFORMATION
EXISTING USE: L N DUSIg 1A L- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: I HDU STS 1A-L_ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• . ■ 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
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 L
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 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: Lar-f. kC _t DATE: "U212b-l''( 0 I
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
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 0 NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY 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 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$10.81 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$50,000.00 plus$Z50 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 53.91 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicised,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.
1111 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,plumbin., . . mechanical fees are calculated separately**
-_ /: BUILDING
PROPOSED VALUATION: Iwo`
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)
1
PROPOSED VALUATIO •I Z'
;fts5tD
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:
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 (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)