04-100431City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 -100431 - 00 - ME
Inspection request line: 253.835.3050
Project Name: GERRARD aw
Project Address: 30022 10TWSW Parcel Number: 515320 0540
Project Description: Replacement of gas water heater
Owner
Applicant
Contractor
William T Gerard Jr.
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
30022 10TH AVE SW
12704 NE 124TH ST SUITE 43
12704 NE 124TH ST SUITE 43
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-8207
(425)820-8848
Mechanical Valuation..........................................987.50 Over the Counter Permit...................................... Yes
PERMIT EXPIRES August 4, 2004.
Permit issued on February 6, 2004
. 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: See Application Date: -21 &-Oti
Mechanical rough -in:
FINAL MECHANICAL: l(�f
Date
Date
F2EC EIVED BY
CITY OF •
Federal Way FB 0 6 REC
CONSTRUCTION PEM APP • CATION
PPLICATION NUMBER: - -
APPLICATION NUMBER: _ _ - _ _ _ _ _ _ -
PPLICATION NUMBER: _ _ - -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
PROPERTY ., O.
MATION
SITE ADDRESS: cc) .2 a /(D60 A V4 —S O ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application):
❑ BUILDING
❑ ELECTRICAL
VUMBING 911ifEkHANICAL ❑ DEMOLITION
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Cs74-�
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PROJECT INFORMATION
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
—SUS S- 10 moi, -11/'C' S Vj 0c,,;A` 1 9�S
NAME:
C 0 W- l tG -� k-6-97 �•`,-.(A J6DFME-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): (�/ 2-'0 O'U --9,F �/r
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
■ ELECTRICAL
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_ Single Family
_ Service or feeder only .........................
$57.00
_ # of Thermostats (First 443.00; add'n-$13.00ea)
(First 1300 ft -$85.50; Each add'n 500 ft
-$27.50)
_ Service and feeder ...............................
$93.00
_ # of Low voltage fire or burglar alarms
Square Feet:
First 2500 ft -$50.00; Each add'n 2500 W413.00
_ Each outbuilding or garage ...........................
$35.50
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
* Per WAC 296-46-910(5)(b)(i & ii)
_ Each outbuilding or garage ...........................
$57.00
_
(First service/feeder-$57.00; Add'n service/
_ # of Signs (First sign -$43.00; add'n sign
(Inspected separately)
feeder -$37 each)
$20.00 each)
_ Swimming pool, hot tub, spa...............$85.50
Yard Pole meter loops ......................... $57.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200 ..............................................$ 93.00
_ Up to 200 amp .............. $ 93.00 ................
$ 27.50
Feeder
_ 201-600 .............................................. 216.50
_ 201 - 400 amp ................ 115.50 ....................
57.00
_ 0 to 100.........................$ 93.00.......
$ 57.00
_ 601-1000 ............................................ 326.50
_ 401 - 600 amp ................ 158.50 ....................
78.50
_ 101-200 ........................ 115.50 ...........
72.50
-over 1000 ............................................. 363.00
_ 601 - 800 amp ................ 202.50..................
108.50
_ 201-400 ........................ 216.50 ...........
85.50
_ # of circuits
_ Over 800 amp ................. 289,50 ..................
216.50
_ 401-600 ............ ........... 25150 .........
101.00
(1-5 circuits -$72.50; Add=n circuits, $6 ea)
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 326.50.........
138.00
(When inspected separately from the services.)
_ 801-1000 ...................... 399.00.........
166.50
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 434.50.........
232.00
Residential/Multi-Family/Commercial/Industrial
_ 0 to 200 amp ...............................................
$ 71.50
_ Over 600 volts surcharge ......................
72.50
0-100 ................................................ $ 57.00
201 - 600 amp ..............................................
115.50
_ Mast or meter repair..............................
78.50
_
_ 101-200 ................................................ 72.50
over 600 amp ................................................
174.00
201-400 ................................................ 85.50
Mast or meter repair .......................................
43.00
_
401-600 .............................................. 115.50
_ # of circuits
_
over 600 ...............................................125.00
(1-4 circuits -$57.00; Add'n circuits $6 ea)
_
If a new or altered commercial service is 200 amps or greater, or a new or altered residential service is greater than 400 amps, a plan review is required. Fee is 35% of
permit fee +$72.50. Add=1 plan review for other submissions is $85.50/hr.
FIXTURE DESCRIPTION A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
F-_
TOTAL COLUMN D
Estimated Permit Fee: (12)
Total Column (D)
Estimated Permit Fee from Hne 12
Estimated Plan Review Fee: $72.50 + ( X.35) = (13)
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
(20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
i
**NEW RES TENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT7 ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
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)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC 04i's
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 -"e city, including its officers and employees, upon the accuracy
of the information supplied to the ' as a part of this application.
NAME/TITLE: DATE: i-" AD
❑ PROPERTY OWNER ❑ APPLICANT p c6NTRACTOR
FOR OFFICE USE ONLY:
❑ 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 LOT7 ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY. WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129