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01-101266 City of Federal Way Mechanical Permit #:01 - 101266 - 00 - ME Conununity Development Services 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: TERIYAKI MASTER Project Address: 28849 MILITARY lti l2d S Parcel Number: 042104 9037 Project Description: HVAC-Installing new 3-ton rooftop HVAC unit,diffusers and associated duct work Owner Applicant Contractor Rodney W Snyder TERIYAKI MASTER CHANG-DUK YOUNG CONSTRUCTION 28815 PACIFIC HWY S#10A 28849 MILITARY RD S 1717 S 341ST PL SUITE 117 FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 98003-3905 (206)229-3557 Mechanical Valuation 5000 Over the Counter Permit No Mechanical Fixtures Description !Quantity Descfiptidn= 'Quantity Description Quantity Compressors 1 PERMIT EXPIRES October 3,2001,IF NO WORK IS STARTED. Permit issued on April 6,2001 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: �� ,' _ i Date: T #14 \ pAtib� 441 U..O r~r? "r_' CONSTRUCTION PERMIT APPLICATION � L' APPLICATION NUMBER: ( 1 - L D L Z C l0 - n< FlY APR 0 ? (MP APPLICATION NUMBER: -III - Y Ui t* ,,• ,--0- ..vv"i APPLICATION NUMBER: - - V"BVII,•DINa DST' **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: :� 1 LLT/{)Z __Q,Q ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): r- ■ PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING Of MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): (� 1 �'"�IMA.�T)- i fl , -LA) .V -CDP irk Az- ail' PROJECT NAME: IL► r �� Am a, ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: cult DAYTIME PHONE: ( ) MAILING ADDRESS(ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME:'. DAYTIME PHONE: L . - . k - 4 w4,4 & ( ) - MAI G•i DR •EET ADDRESS;CITY,STA Z •): EVENING PHONE: T t-i (1 S - 3Y/`" /'l *C ( ) - CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: C 1-/ - - ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) n�O " / S` nVZ1 04 5 / Z}Z /1/ APPLICANT: NAME: DAYTIME PHONE: �I�j� ` , ().o6) ..z MAILINGADDRE��ETT DDRESSDITY,ATE,ZIP):b SYN ��� EVENING PHONE: �Q ��� i S-'�' . L _, ,� ,o ! 1 '�` 7 ) 6V- t d o r RELATIS • IP 0 PROJECT: FAX NUMBER: ❑ ARCHITECT El TENANT ❑ OTHER(DESCRIBE): ()-,-t- ) - C cj o6 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT El CONTRACTOR • ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT —FIRST f • SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • ■ FIXTURES Indicate number of each type of fixture MECHANICAL JAIR 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) Zj-17)(J &tV C— DUCT(S) 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 ❑ 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: s'- 1O/0174 S CF-LANL\. DATE: 6 ❑ PROPERTY OWNER li! APPLICANT &CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? El 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 COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 _ 00'" Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. pi 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$1500 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 I (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. f 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 Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL . PROPOSED VALUATION: 1 ,DO(2��= 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) 1 Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)