01-103628 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103628 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 SUBJECT TO FIELD INSPECTION.Inspection request line: 253.835.3050
Project Name: GENGHIS KHAN MONGOLIAN GRILL
Project Address: 1948 S A L CO PYA rno n S Parcel Number: 762240 0025
Project Description: MEC-Move 2 existing refrigeration condensing units from roof to top of existing walk in cooler. Repipe
approx 20' refrigeration pipe.
Owner Applicant Contractor
H M A ENTERPRISES-SEA-TAC ALL COMMERCIAL APPLIANCE&REFRIGI ALL COMMERCIAL APPLIANCE&REFRIGI
249 E OCEAN BLVD#3RD 34402 38TH AVE S 34402 38TH AVE S
LONG BEACH CA AUBURN WA 98001 AUBURN WA 98001
90802-4849 (206)679-3101
Mechanical Valuation 1800 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity M Description Quantity " Description Quantity
Evaporative Coolers 2 Gas Piping 20
PERMIT EXPIRES March 16,2002,IF NO WORK IS STARTED.
Permit issued on September 17,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' ;e in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: -74‘
` 1 ` `/\ Cis- L l`- I r 2 O ( �.
«ro G_ CONSTRUCTION PERMIT APPLICATION
�� Fn. – APPLICATION NUMBER: 0 I - LQ '2 a -/5
CP/FDRE
APPLICATION NUMBER: _ _ _ _ -
APPLICATION NUMBER: _
**The SFerwiig,t r ljred information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention S -tems and Engineering permits may require a separate application.
,UI lYOr-Frz '=' ,, 1 ,
-- %+ PROPERTY INFORMATION
aG i .
SITE ADDRESS: /41428 S • 10431 T ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I ' , R. PRO3ECT INFORMATION
I
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ,MECHANICAL ❑ DEMOLITION
I ❑ ELECTRICAL ❑ ENGINEERINIG❑ FIRE PREVENTION SYSTEM
PROJECT
DESCRIPTION(Provide detailed description): [tet-c7� A-,&1S?1T U Y �-��.e}^ey-6.0t-Pn
Com' s t1 Ll41.-�� �' t vQ r"P — -6)/2,e,t� ��C! V,'f^ .�1D/��?�
P>e . r—p;p ?oma p;p�.
,
.
PROJECT NAME: , .•�4 0 _ 1. ,al
■ PEOPLE INFORMATION
•OPERTY OWNER: NAME: DAYTIME PHONE:
s.e-Jit_ Tae A/ - ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/q S, „7-t. sT 1 F r.1 ,) ' i - 9<3 •
CONTRACTOR: NAME:
/���/ n��Z � DAYTIME PHONE:
MA]ILING ADDRESS(STREET AOOR �STATE,ZIP): 1 L W�71 - `>0147EVENING PHON 9 - i'O
QTY OF o RALWAY BUSINESS N NUMBER:41/ ...< FAX )/1/ b ,
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DAT/ -.)-S/ L'
(copy of card required) f L Sc C e /J itD L L 1C ., / /
APPLICANT: NAME: DAYTIME PHONE:?cud
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP): )HONtE 9 -I
E' -P► 4Y , AltAll, , L 4( )r l C1)- 5'I
I RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): 42)&/ /
i
E-MAIL DRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
•DETAILED BUILDING INFORMATION
i EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ / P'" ' - _
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 ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _
BASEMENT
FIRST
SECOND
THIRD
FOURTH 1
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
Q- MECHANICAL
AIR HANDLING UNIT(S) v 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)
DUCT(S) GAS PIPE OUTLET(S) Op..1HEAT SOURCE: ❑ ELECTRIC ❑ GASPLUMBING `
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)
N 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 toperform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred int the
investigation and defense of succi claim),which may be made by any person,induding the undersigned,and filed against the Cityof
Federal Way,but only wher- uch daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppl'•: . the city as a p rt of this applica 'on.
NAME/TITLE: DATE: #<Grat. / '� / 1
i
❑ PROPERTY OWNER ❑ APPLICANT )ONTRACTOR 1
FOR OFFICE USE ONLY:
NEW,? ;❑ADDITION ❑ ALTERATION ❑;REPAIR ?❑TENANT IMPROVEMENT • ;
;LOT SIZE .. ... {
CENSUS'CODE:
ZONINGDESIGNATION BUILDING SHELL ONLY? -;_❑ YES- ❑ NO
COMPPLAN DESIGNATION BASIC PLAN? ' ❑YES ❑'NO'
SECTION TOWNSHIP RANGE • NEW ADDRESS REQUIRED? El YES El NO
PLATTED"LOT? I. ❑ YES ❑ NO CHANGE.OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO 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 53.27 far each additional$100.00 or fraction thereof,to and induding$2,000.00
(3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$15.00 foreadr additional$1.000.00 or fraction thereof,to and induding
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus 510.82 for each additional$./.000.00 or fraction thereof,to and induding
$50,000.00.
(S)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus 5Z50 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 56.00 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 55.09 for each additional$1,000.0Qor 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$1.000.00or fraction thereof.
Bold number is the base fee for the specified increment
jtallcized undefined number Is the fee per additional specified Increment
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**
■ BUILDING
r2OPOSED 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:
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)