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02-104220 • 0 City of Federal Way Community Development Services Building - Multi Family Permit #:02 -i 104220 - 00 - MF 335301st Way S SJE Federal SI Way,WA 98003-6210 M Ph:253.661.4000 Fax:253.661.4129 CT TO FI t' Inspection request line: 253.835.3050 ASP fC7ION. Project Name: MARIPOSA APARTMENT HOMES Project Address: 28120 18TH AVE S Bldg1711 Parcel Number: 332204 9039 Project Description: MF-Repair of dry rot condition removal and replacement of beam and framing per engineers direction.This is for Builiding#1711 Owner Applicant Contractor Lender COMMUNITY HOUSING ASSISTA CATAPULT COMMUNITY DEVEL( SIR CONSTRUCTION NONE 28120 18TH AVE S 3240 EASTLAKE AVE E SUITE 200 SIRCO**066OT(3/18/01) FEDERAL WAY WA SEATTLE WA 98102 11630 SLATER AVE NE SUITE 4 98003-3265 KIRKLAND WA NONE Includes: Census category: 434-Reside #1 #2 #4 Occupancy Group: 1.1111111111111111. Construction Type: Occupancy Load: Floor Area(Sq.Ft.): I Census Category 434-Residential alt/add-no, Mechanical No Plumbing No PERMIT EXPIRES March 29,2003,IF NO WORK IS STARTED. Permit issued on September 30,2002 I hereby certify that the above inf. ation is c,,.• t and that the construction on the above described property and the occupancy and the use wi -.e in . •:C with the laws,rules . d regulations of the State of Washington and the City of Federal Wa,...V„,, ,,,,,-:j.- _" ��'� Owner o01111111r Date: / /. • jiii • POS.IIS CARD ON THE FRONT OF BUILDI 4ECEIVED • • SEP 3 n 2002 CONSTRUCTION PERMIT APPLICATION ®Frzr-� Vv F{y CITY OF FEDERAL WAY APPLICATION NUMBER: Da - Q2.2 - BUILDING DEPT, APPLICATION NUMBER: - APPLICATION NUMBER: - - **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 2B I2a 18ru. 40C Sw,Ar. SITE ADDRESS: � -L. may, LuA- 9 Sac; ASSESSOR'S TAX/PARCEL#1q L !/ /y_f- te2 _ LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): "(BUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION o ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): (� g.. ©F DR•)/ F-oT C.AIL' -7 J t�F✓1/to U 64-1- i7-1E-eJG-A-C -`t t E,Q T ®F 12)<-4.44 ArvVG- _ . � .-z. its PROJECT NAME: v'.l/ice. • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: dEyv (7 I4)62 S -/4So 3°°: `e' .''%''+� ):v,Q, ,cff 9z869. CONTRACTOR: NAME: DAYTIME PHONE: �I]�y . C /S' t 7 X ti (• 2$ 3 I S-8748 Pin GY IoNIPW)a,E,rSe4r- ? u�.. 9°3 2-75 — EVENING PHONE: (/12$) 70 -d l6� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: o 2 O p FAX( NUMBER: -,� `rte ) - CONTRACTOR'S REGISTRATION NUMBER: �• EXPIRATION DATE: �• (copy of card required) •� _2".e. ` 0,66 r�`J r l l APPLICANT• NAME: DAYTIME PHONE: 4 Pi'GT' /".svi 77 elj5) 3 Z3 -Ii- MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENINGG PHON • c RELATION3 PPT C-/ �/ -/ FAX LZ NGMBR: -B S'S ❑ARCHITECT o TENANT OTHER(DESCRIBE): J42. (2A4) -3 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: ' J,671-/, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: *- ' PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 0 **NE RESIDENTIAL CONSTRUCTION ONLY** W/111 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 IV/A Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) 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 defens uch claim), . may be made by any person,including the undersigned,and filed against the City of Federal Wa b . , ...Ai,- • s • .t • 'ses out of the reliance of the city,including its officers and employees,upon the accuracy of .,ars . � � ,-:,, kation NAME/TIT • ,�%!f/ __ DATE: 9/ : O Z ❑ PROPE/)` 0 'E J<APPLICANT 0 CONTRACTOR FOR OFFICE USE ONLY: o NEW ii ADDITION cl ALTERATION a REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES: o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES 0i NO PLATTED LOT? . ;o YES o NO CHANGE OF USE? o YES ❑NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dNoffederalway.cam • • 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)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1.000.00 or fraction thereof,to and including$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus$8.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 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)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1.000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 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 ner 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** • BUILDING PROPOSED VALUATION: //L9j 6 3 FEE FACTOR FROM TABLE A: Number: (a)Base Fee: 7S. (b)Additional Increment Fee: /2 'd 0 Estimated Permit Fee: (1) �.I72 - 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 $22.50+{ X$8.00/fixture} = (8)Estimated Permit Fee Estimated Permit Fee X .65 = (9)Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) 7 . Sub Total (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) --'