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01-103017City c f Federal Way Community Development Services 33530 1sl Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Project Name: QUIZNO'S CLASSIC SUBS Project Address: 106 SW CAMPUS D►' Plumbing Permit #:01 - 103017 - 00 - PL Project Description: PLUMB - Adding plumbing fixtures for new tenant. Inspection request line: 253.835.3050 Parcel Number: 415920 0710 Owner Applicant Contractor WINCO FOODS B J MECHANICAL CO INC B J MECHANICAL CO INC 400 S WOODLAND AVE 1542 1 OTH PL N. 1542 1 OTH PL N. PO BOX 400 EDMONDS WA 98020 EDMONDS WA 98020 WOODBURN OR 97071-0400 (425) 776-0035 Plumbing Fixtures Description ]QuantitA I Description JQuandtA I Description lQuanfity Lavatories 3 Sinks 4 Water Heaters Water Closets 2 PERMIT EXPIRES January 30, 2002, IF NO WORK IS STARTED. Permit issued on August 3, 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 Owner or agent: Date: 45 - 3 10/ is - $ -- O 1 G -J prr nr r---• ,�� .=•°-�Sj'%f CONSTRUCTION PERMIT APPLICATION NIP j 4PPLICATION NUMBER: Q I = L 0-3 O I - DO 4PPLICATION NUMBER: G1�Y ,G, i D fiiG / 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. .fQ--ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ®PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT NAME: _L 1___ rMd .5 PROPERTY OWNER: CONTRACTOR: APPLICANT: CONTACT PERSON ', STATE, ZIP): /DAYTIME PHONE: MAILING�y DRLEf�S+('S�TREET ADDRESS; , STATE [PI: EVENING PHONE: j CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REG[STRAT� NIJt'iB6R� � � � � ` � ^ � � (copy of card required] (J��J JJ ` -'ll EXPIRATION DATE: / / 2-00 0 NAME.A, V-"'-L DAYTIME PHONE: MAILINNGG J}p,DORR�'M (STREET ADDRESS; C STATE, ZIP): { • "--4- (EV(�E,NNING PHONE: J I RELATIONSHIP TO PROJECT,,:�- ElL"J ARCHITECT TENANT ❑ OTHER( DESCRIBE): FOR THIS PROJECT. ElPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FAX NUMBER: - E-MAIL ADDRESS: EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ r PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: - 6 r SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) i:�o 1-tz **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: !. - :` '';:.= ..- ■ PROJECTFLOORAREAS FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) R ' FWURES Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. { ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. ��--- SHOWER(S) SINKS) SUMP(S) URINALS) [ WATER HEATER(S) VACUUM BREAKER(S) 91-%LECTRIC ❑ GAS WASH MACHINE OUTLET WATEP,CLOSETS) MISC. ( _} 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 informatioR;aupplied to the city as a park, of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT !� CONTRACTOR FOR OFFICE USE ONLY: DATE: K L ❑ 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 COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-1000 - FAX: 2S3-661-4129 TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Faintly — Service or fccdcr only ......................... $44.25 - _ # of Thermostats (First-$33-50; add'n-$10.50ca) (First L300 I` C-$67.00; Each add'n 500 ft' -$21.50) _ Service and feeder ............................... $72.25 _ N of Low voltage [ire or burglar alamts 2438.75; First 2500 f Each add'n 2500 ft'-$10.50 Square FccC Each outbuilding or garap...... ... —............. $28.00 MOBILE HOME/RV PARK Square Feet: _ (Inspected with service) it of service or (ceders ` Per WAC 296-46-9 1 0(5)(b)(i & ii) I:acl, outbuildingor garage ........................... $44.25 (First service/fccdcr-$44.25; Add'n service/ _ 17 of Signs (First sign-$33.50; add'n sign _ (Inspected separately) fccdcr-$28 each) $16-00 .each) _ Progress inspection per hr............... $33.50 _ swinunina pool. hot tub, spa ............ ..... 67-00 Yard Pole meter loops...........................44.25 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200............................................... $ 72.25 Up to 200 amp ............... $ 72.25................. $ 21.50 Feeder — 201 - 600..........._:........:..............._........169.00 _ 201 - 400 amp .................. 89.75.................... 44.25 ____ 0 to 100.......................... $ 72.25--....-- $ 44-25 _ 601 - 1000........................... ._........... .... 254.50 �_ 401 - 600 amp ................ 123.25.................... 61.50 _ 101 - 200.......................... 89.75........... 56425 —over 1000 ............................................. 282.75 601 - 800 amp ................ 158.00........... ......... 84.25 _ 201- 400.....-.................. 169.00......-.... 67.00 _ tl of circuits Over 800 am 225.25.................. 169.00 — 401 -600 ........................ 197.00........... 78-75 (1-5 circuits-$5625; Add'n circuits. $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601 -800 ........................ 254.50......... 107.25 (When inspected separately from the services) — 801 - 1000...................... 310.75......... 129.75 Temporary Service Service or Feeder `Over 1000 ...................... 339.00......... 181.00 _ 0 to 60.................................................. $38-75 0 to 200 amp ................................................ $ 61.50 _ Over 600 volts surcharge.. ..... .............. 56.25 ^ 61 - 100..--......... ................. ................... 44.25 _ 201 - 600 amp --........., .............. I..................... 89.75 — Mast or meter repair.................... .............................. 61.50 _ 101 - 200............................. ___ ............. 56,25 .-. over600 amp ................................................ 135.25 201 - 400......._.................._.....................67.00 �401 — Mast or meter repair .:..................................... 33.50 -600 ............ _ ............ ........ __ ......... 89.75 # of circuits _ over 600.................................................97.75 (14 circuits-$4425; Add'n circuits $5 ea) If service E greater than 200 amp, a plan review is rcq'd. Ircc is 33% of permit Fee +$56.25. Add'I plan rcvic v for other submissions is $67.00/hr. Total Column (D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25 + X .35 = (13) Estimated Permit Fee: (1 Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) ■ DEMOLITION ■ ENGINEERING (20) (21) ■ OTHER FEES 9 (22) (23) Total (pages one&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) _ Bulletin #100 - January 3, 2001 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.()0 to $500.00 (1) $24.25 (2) $501.00 to $2,000.00 (2) $24.25 for the first $500.00 plus $3,27,.&r-ea h sdffi iar+a13100.00or 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 S15,0.QAr each addififyW S1.00.OD or fraction thereof, to and including $25,000.00 (1) $25,001.00 to $50,000.00 (4) $403.61 for the first $25,000.00 plus 510,8? torearlt ar*RkyW D.WaMor 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 $450 for gach arldri)dul Sl.LY1i 0.tlO or fraction thereof, to and including $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,025.ss for the first $100,000.00 plus ljrkOBJG'exh arkff1kW-0.0X, or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,0&00 (7) $3,337.23 for the fist $500,000.00 plus $5-09 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 1191 kreach ad3�tlmaf SLOW 00or fraction thereof. Bold number is the base fee for the specified increment It kited. underlined number & the Ice perAddiflunal saccirsied 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: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: ( Estimated Plan Review Fee: (5 PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (a) Base Fee: (b) Additional Increment Fee: ■ - FIRE PREVENTION SYSTEM-7 - (a) Base Fee: (b) Additional Increment Fee: Base Fee Number of Fixtures $21.00 + { 2- X $7.00/fixture} _ (8) Estimated Permit Fee Estimated Permit Fee .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sb1h Total (Parts tine): IinP(g) (1)+(7)+(1)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)