09-101894 6 • Mechanical
City of Federal Way
Community Development Services Permit #: 09-101894-00-ME
P.O.Box 9718
Federal ay,WA 98063-9718 Inspection Request Line: (253) 835-3050
- Ph:(253}835-2607 Fax:(253)835-2609
4
Project Name: MARTIN
Project Address: 30247 1ST PL S Parcel Number: 339180 0111
Project Description: Replace gas furnace damaged in fire
Owner Applicant Contractor
MICHAEL AND JILL MARTIN MICHAEL AND JILL MARTIN MICHAEL AND JILL MARTIN
19445 EDGECLIFF DR SW 19445 EDGECLIFF DR SW 19445 EDGECLIFF DR SW
NORMANDY PARK WA 98166 NORMANDY PARK WA 98166 NORMANDY PARK WA 98166
` ;ditibniit Information
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Mechanical Valuation 2000 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Wednesday, November 18, 2009
Permit Issued on Friday, May 22, 2009
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: /'`t"'r�' Date: .x/407
F1 Nitta!) 10 q7/0/
4%11..
414444%., THIS CARD IS TO . MAIN ON-SITE
CITY OF tommunity Develo m nt Inspection Record
WayFederal IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 09-101894-00-ME
Owner: MICHAEL AND JILL MARTIN
Address: 30247 1ST PL S
FEDERAL WAY, WA 98003-4037
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in (4165) ❑ Gas Piping (4125) ❑ Final-Mechanical (4065)
Approved Approved to release test /j1 Approved f�
By �9 �/ Date 7,://- jp 1 By Date By .! "/ Date /(l 7 O .
r
For inspector reference only —4
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
A • � I 1/,.(y/^/I
7110
CITY Of s, 0 - e
Federal way: , PERMIT 1L�
COMMUNITY DEVELOPMENT SERVICES;61' SF MF CO .74
EL PL DE EN FP
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33325 8174 AVENUE SOUTH•PO BOX 9718
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FEDERAL WAY,WA 98063-9718 P P LI CATI O N TD
253-835-2607•FAX 253-835-2609 / /
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
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SITE ADDRESS - ` ` , a 1-4-c.k L4 -SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - _ __ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Att.,* P.39.1.>10.3thY legal deco pto,U
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name)
El PEOPLE INFORMATION
PROPERTY NAME / � PRIMARY PHONE
OWNER ''71G !c ` /-e Q�/C!-'1 ' - L7
MAILING ADDRESS J►,- CITY,STATE,ZIP E-MAIL ADDRESS
/,/,7,,_5 '�f -,, ,, , /4 ,:I,r'- `6 /-11c.44 e..1 -i fe:c„4 b I I
CONTRACTOR COMPANY NAME ('
APPLICANT NAME OFFICE PHONE
,"...zip ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
} PROJECT FLOOR AREAS. , t }
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
warmNUMBER OF FLOORS warm �m sPROPOSED
' TOTAL TOTAL sassrwosr TOTAL anoraacnsr TOTAL 37
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ �� C (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeeiaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS IroOeq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE'
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
SIGNATURE: v "mac DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT I
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
❑YES o.NC)
ZONING DESIGNATION CHANGE OF USE?
❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?
❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Perrlut Application
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ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500112-$39.00) U 0 to 100 amp $131.50 $80.00
U 101-200 amp 163.00 103.00
U Detached outbuilding or garage(w/service) $51.00
U 201-400 amp 305.50 120.50
U Detached outbuilding or garage(inspected separately) $80.00
❑ Swimming pool(w/service) $80.00 U 401-600 amp 356.00 142.50
U Swimming pool(inspected separately) $120.50 U 601-800 amp 460.50 195.00
La Hot tub/spa/sauna(w/service) U 801- 1000 amp 562.50 235.50
$51.00
U Hot tub/spa/sauna(inspected separately) $80.00 U
Over 1000 amp 613.00 327.00
❑ Septic pumping system(w/service) $51.00
U Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00
U Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
❑ Up to 200 amp $131.50 Service or Feeders
$39.00
U 0 to 200 amp $131.50
❑ 201 -400 amp 163.00 80.00
U 201 -600 amp 305.50
❑ 401 -600 amp 223.00 111.00
0 601 - 1000 amp 460.50
0 601 -800 amp 285.50 152.50
❑ Over 800 am U over 1000 amp 513.00
p 408.50 305.50
U #of circuits to be added/altered
ALTERED SINGLE/MIILTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
$103.00 plus 35%of Permit Fee
❑ 0 to 200 amp $100.50
U 201 -600 amp 163.00 U Service- 1,000 amps or greater
U Medical/Educational/Institutional Facility
U over 600 amp 245.50
❑ Additional plan review for
U - #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
U Mast or meter repair $60.50 TEMPORARY SERVICE
MANUFACTURED HOMES Service or Feeder Each Add'n
U 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00
U 61-100 amp 80.00 39.00
U Service and feeder $131.50
U 101-200 amp 103.50 51.00
U 201-400 amp 120.00 60.50
MOBILE ROME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ _ #of service or feeders U Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
U _ #of Thermostats
(First-$60.50;add'n-$18.50/ea) U #of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System
U Portable Generator(transfer equipment) $100.50
❑ Security Alarm System
El Voice Cabling El Ditch cover/inspection only $120.50
❑ Data Cabling
0
1.t 2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ft2-$18.50) 253-835-2607
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Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application