02-102937City on tyDevelopment Services FederalWay
Community DMechanical Permit #: 02 -102937 - 00 - ME
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: SCHERRER
Project Address: 29200 7TH tS
Project Description: j P MECH - Change out ;;as furnace
Parcel Number: 515270 0170
Owner
Applicant
Contractor
Matthew G & Judy K Scherrer
THURMAN'S HEATING AND AIR LLC
THURMAN'S HEATING AND AIR LLC
29200 7TH PL S
110 179TH ST E
110 179TH ST E
FEDERAL WAY WA
SPANWAY WA 98387
SPANWAY WA 98387
980033608
(253) 875-0094
Mechanical Valuation..........................................750
Futnaces 1
Over the Counter Permit......................................Yes
Mechanical Fixtures
Descri lion, ,2uijfi '
PERMIT EXPIRES January 7, 2003, IF NO WORK IS STARTED.
Permit issued on July 11, 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:i Date:
-7
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CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER:
APPLICATION NUMBER:
PPLICA- ION'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.
SITE ADDRESS: pq aO 0 / � 01 . S , ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
mum
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING A MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ENG FIRE PREVENTION SYSST�E�M�IPROJECT DESCRIPTION (Provide detailed description): &"IV �.E � ��R► t l Ov" +b 0—
I
•
r_ �> �_ M` ' 1 ■PROJECT NAME:
PEOPLEINFORNIATION
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MCG4 c61errer cam) qq& ��--
MAICI G ADDRESS �VO (STREET AD; CITY, STATE-, ZIP): -----
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NAME.
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DAYTIME PHONE:
(s3) DC7y
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP)
P. D. OX �3 ow
LATNING PHONE:
3) 9=6 004°
CITY OF FEDERAL WAY BUSINESS LICENSE NUM ER:FAX
2.00 - t 04U4:1. Ct - 0(_2,e_�--
NUMBER:
(as3) SqL" -Sa q a]I
CONTRACTOR'S REGISTRATION NUM6ER: L
(copy o(card required)U IL- (<T
EXPIRATION DATE: j
O
NAMt' DAYTIME PtiONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP) --- NxI�G PHONE:- D
If
0.
RELATIONSHIP TO PROJECT:,,,,��F0,NUMBER:El❑ O
ARCHITECT TENANT GTHER ( DESCRIBE): (I f ( ?J) 1b1(o- RaS8
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 7 3_0 _
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- . . ■ PROSECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
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. 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) SINKS) WATER CLOSET(S) misc.( )
INTERCEPTORS) SUMP(S)
ucm ATMCQ/eiPNAT1IRE RLC
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 supplied to the city as a part of this application.
NAME/TITLE: 0 1, II �O^^ U 1�1�1i��'� DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
IN
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-6661-4129
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.
1120—k
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 S3.17foreadh additiahal510000or
fraction diereof, to and including $1.000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus !75.07 hr eadh adfifiona/51.000.00or
fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus 510.81 for each addif aa/
51.000 CO or fraction thereof, boand including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus 5750 for each addidate/
$1.000 07 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 acV7bone/
$1.000 00 or fraction thereof, to and including
$500,000.00
m $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus SS.09 far earn addioQV151.000.00
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 S3.91 /x each addidon,31$1
070 CO or fraction thereof.
Botd number Is the base fee for the spedited increment
Lgr, , rred underlined number 1s the fee mr additional soed6ed
increment
r uv uj ur urc uo. uuuuury Ncuhuk hcc-huh troll hcvhcvv hoc.
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 * *
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4
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:
(a) Base Fee: a2
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of FoRures
$21.00+( X $7.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee
3b, ':�H
**NEW RESIDENTIAL CONSTRUCTION ONLY"
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:
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 INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) I_ FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 11ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
]iCCI_ATMERIATCNATHRE RLC
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 supplied to the city as a part of this application.
NAME/TITLE: �!DATE:
❑ PROPERTY OWNER ❑ APP CANT )� CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-66111000 • FAX: 253-661-4129