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02-101015City of Federal Way Community Development Services 33530 1 sL Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:02 - 101015 - 00 - ME Inspection request line: 253.835.3050 Project Name: TANG ��V I Project Address: 34914 23RD SW Parcel Number: 242103 9119 Project Description: MECH - Change out gas furnace Owner Applicant Contractor Fei Tang THURMAN'S HEATING AND AIR THURMAN'S HEATING AND AIR 34914 33RD AVE SW 110 179TH ST E 110 179TH ST E FEDERAL WAY WA SPANWAY WA 98387 SPANWAY WA 98387 98023 (253)875-0094 Mechanical Valuation..........................................600 . Descrlptionl ',� ,� lh�„' , Qtiartti Furnaces 1 0 Over the Counter Permit ...................................... Yes Mechanical Fixtures PERMIT EXPIRES September 3, 2002, IF NO WORK IS STARTED. Permit issued on March 7, 2002 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: Date: V-\ 4 - Iz- 1 r SITE ADDRESS: =J` (1 L� �J� �11C� J, 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 DESCRIPTION (Provide detailed description): PROJECT NAME: Pkv. .:TY OWNER: CONTRACTOR: APPLICANT: CONTACT PERSON NAME: DAYTIME PHONE: Own,5 3) I - �5 MAILING ADDRESS "'ADD ; QTY, STATE, ZIP): 9b o a NAM,q 1 u.r mc�>ns 1�2a�-�'n z 'r •� DAYTIME PHONE: (a� ��s- OC��iy MNG ADDRESS (STREET ADDRESS; QTY`ST ZIP): /,iJ !vim ,fix �3 `� S a� 3 EVENING PHONE: ( ) . - QTY OF FEDERAL WAY BUSINESS LICENSE NUM R: 1 -L Q 06 FAX NUMBER: (a5�> B4(v CONTRACTORS REGISTRATION NUMBER: (copy 0(card -q-ed) T 04 U f- 0) 1+ S3 B EXPIRATION DATE: NAM S -1hu� n�GiS Q e, I��►- -C' DAYTIME PHONE: (253)- MAILING ADDRESS (STREET ADDRESS; Q]TY,,4TIM, ZIP): I&D KIn/x, .) n EVENING PHONE: RELATIONSHIP TO PROJECT: I VFAX ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): NUMBER: (-c- ,c 3) - 4� 4� V -OR THIS PROJECT: A PROPERTY OWNER El APPLICANT ❑ CONTRACTOR E-MAIL ADDRESS: 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: SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) s w **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: FLOOR EXISTING SQ. FT. PROPOSED SO. FT. TOTAL BASEMENT -, FIRST s SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL Indicate number of each type of fixture .. MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS) . BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S), ` RANGE(S) MISC. ( ) COMPRESSOR(S) 1 FURNACE(S) r=_ DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS . PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) - WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) BLOCK? DISCLAIMER/SIGNATURE 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 sup lied to the city s a part of this application. NAME/TITLE: DATE: (�d ❑ PROPERTY OWNER ❑ APPLICANT ;_ ❑ CONTRACTOR kw UFFIGE;USE ONL11( COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253`661-4000 • FAX: 253-661-4129 s 40 z 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 $S00.00 (1)$24.25 (2) $501.00 to $2,000.00 (2) $24.25 for the first $500.00 plus 53.17foreadrd additbnal510000or fraction thereof, to and Including32000.00 (3) $2.001.00 to $25,000.00 (3) $7L46 for the first $2,000.00 plus 515.00 far rade addMb a1SL000 door fraction lhereo(, to and indudtry $25,000.00 (4) $25,001.00 to $50,000.00 (4) $403.61 for the first $25,000.00 plus 510.82 far each add7bb 1 S1,0X.00or fraction thereof, to and ind icraV $50,000.00. (S) $50,001.00 to $100,000.00 (5) $664.35 for the first $50,000.00 plus 57.50 for ead! additional SI 000 00 or fraction thereof, to and kxWng $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,025.SS for the first $100,000.00 plus 16.001br ead1 adMiy al S1.Lb0.00or fraction ttwea to and Ind„c„V $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,337.23 for the fist $500,000.00 plus 5509 far &'M armband 51.000 4b or traction thereror, to and r W $1,000,000.00. (8) 51,000,001.00 and up (8) $5,788.23 for the first $1,000,000.00 plus 13.916 edr aaUbonal S1-00000or fraction thereof. eotd number is the base fee for the specified increment ftaAc red underfi'ned number Is fhe fee Per a&Mina/ saediled Immmens PLUS: Add 65 percent of the base building permit fee.for plan review fee. Add 25 percent of time 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 ** 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 0NLY) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number. i ►) (a) Base Fee: r� t15 (b) Additional Inaement Fee: Estimated Permit Fee: (4)- r� ` 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) Base Fee Number of Fodums $21.00+( X $7.00/fixture) _ (8) Estimated Permit Fee Estimates Pernwt Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (?ageone): tune(s).(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11) �� , aS C _0 ELEC RICAL NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _ Single Family - ,_ Service or feeder only . $48.00 _ It of Thermostats (First -536.00; add'n-S 11.00ca) (First 1300 ft= -S72.00; Each add'n 500 W -523.00) _ Service and (ceder ................................ $78.00 _ N of Low voltage fire or burglar alarms Square Feel' First 2500 fe-542.00; Each add'n 2500 W -S 11.00 _Eachoutbuildingorgarage .... _ ....................:$30.00 MOBILE HOME/RV PARK Square Feet: (inspected with service) N of service or feeders • Per WAC 296-46-910(5)(b)(i & ii) Each outbuildingor garage .......................... S48.00 _ (First service/feeder-548.00; Add'n service/ _ N of Signs (First sign -536.00; add'n sign _ (Inspected separately) feeder -S31 each) $17.00 each) Swimming pool, hot tub, Spa.................72.00 Yard Pole meter loops ...........................48.00 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 ..............................................S 78.00 Up to 200 amp .............. S 78.00 ................ S 23.00 Feeder _ 201-600 .............................................. 182.00 _ amp .................. 97.00 ..... .............. 48.00 -0 to LOO ......................... $ 78.00....... S 48.00 _ 601-1000 ............................................ 274.00 _201-400 _ 401- 600 amp ......»........ 133.00 .................... 66.00 _ 101-200 .......................... 97.00........... 61.00 _ over (000.........................................._305.00 601- 800 amp ................ 170.00 .................... 91.00. _ 201-400 ........................ 182.00 ........... 72.00 _ # of circuits _Ova 800 amp ................. 243.00 .................. 182.00 _ 401-600 ........................ 21200............ 85.00 (1-5 circuits -561.00; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _601- 800 ........................ 274.00......... 116.00 (When inspected separately from the services.) _ 801-1000 ......:............... 335.00......... 140.00 TEMPORARY SERVICE Service or Feeder _Over1000......................365.00.........195.00 Residential/Multi-Family/CommerciaMndustiral 0 to 200 amp ................. ..... _........ ... ......... .. $ 66.00 _ Over 600 volts surcharge ...................... 61.00 _ 0-100 .................................... . ......... . ... 48.00 _ 201- 600 amp ................................................ 97.00 _Mast or meter repair.............................. 66.00 _ 101-200 ............................................ _61.00 -over 600 amp._.._._..._._» .................... 146.00 _ 201-400 ............. ....... .. ._.72 00 Mastor meter repair ............................ _......... 36.00 _ 401- 600................................................97.00 _ 0 of circuits _ over 600 ...............................................105.00 (14 circuits -548.00; Add'n circuits $5 ea) LL iU Vlw u 61 Ga Luau - muN, a prau &GV MW a MLI U. l -cc u» ro ul permIL LCC T,vl.vv. nuu l pian MV16w Lul uulcr wurnusrum 15 a, ILxvinr. Total Column (D) Estimated Permit Fee: (12) Estlmataa Permit fee from ine 12 Estimated Plan Review Fee: $56.25 + _ `' X .35 _ (13) Estimated Permit Fee: (14) Bond Amount: (15) E ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) 0 OTHER FEES Mitigation Fee: (18) (20) - (22) SBOC Surcharge: (19) (21) (23) Total (Pages one &Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)' L{ a Bulletin # 100 - August 20, 2001