04-101324City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BUNATA e\
Project Address: 28915 11TH�S
Methapical Permit #:04 - 101324 - 00 - ME
Project Description: Install new A/C unit on existing furnace.
Inspection request line: 253.835.3050
Parcel Number: 720570 0020
Owner
Applicant
Contractor
Richard J Bunata
PERFORMANCE HEATING & A/C INC
PERFORMANCE HEATING & A/C INC
28915 11TH PL S
7649 S 180TH ST
7649 S 180TH ST
FEDERAL WAY WA
KENT WA 98032
KENT WA 98032
98003-3706
(425) 251-0356
Mechanical Valuation..........................................4200 Over the Coant-.r Pennit...................................... Yes
Mechanical Fixtures
Description __ _ ]Quaniity _ Description JI(uantty� Description ;quantity
—Air Handling Units
PERMIT EXPIRES October 6, 2004.
Permit ".:ued on April 9, 2604
I hereby ca.-. _ r ti.2` `he al;ove info.-mation is correc,c and that the construction on thea (.ve de>-Iribc:i property and
the cccupar,-,,,/ d use , i?1 be in accordance with the laws, rules and regulations of th; St?.Le of Washingion and
the City of "t= .. rai `,',.y. G-
Omer or assent: _G l� /' Dqtr
RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF
=S'161 RECEIVED
PPLICATION NUMBER: 08 - 10_ -
Federal Way APR Q 9 29, 04 PPLICATION NUMBER:
PPLICATION NUMBER:
1OJT COF FEDERA yV�1Y
"The o loll pL� tRt ormation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 21:01S rr r- S' ASSESSOR'S TAX/PARCEL #: ?
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): A D b AIA -
PROJECT
I!L
PROJECT NAME: 13'j h A+ P, 9,-51 ( `I 'e" C --L—
N'PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
�t(���, � ; ( 2-53)
CONTRACTOR:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
f,) ""47 11f' ` P63
NAME: r
� �%.�—�,�,,.tr.�•L �.c�.•j-t..�
DAYTIME PHONE:
; (tJZs) 2S1
- U3Si
i MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
I. EVENING PHONE: (`
,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
U(a o q? C3) L
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
p C �o l� ► I� o �j
I EXPIRATION DATE:
/
( card required)
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES O NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTO E(S)
BOILERS)
THIRD
RANGE(S)
I MISC.
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
]1SCLOTMFR/STGNATl1RF 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 appapplication.[�
NAME/TITLE: iVii"`" CUµ J -
11 - ,S�/ 1 r DATE:
❑ PROPERTY OWNER ❑ APPLICANT peGONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cMLQfftderalway.com
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)
WOODSTO E(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
I 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)
]1SCLOTMFR/STGNATl1RF 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 appapplication.[�
NAME/TITLE: iVii"`" CUµ J -
11 - ,S�/ 1 r DATE:
❑ PROPERTY OWNER ❑ APPLICANT peGONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cMLQfftderalway.com
Construction Permit Fee Calculaticp Skeet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIORTO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building, mechanical, and fire prevention system fees are based on the following schedule.
PLUS:
TAB[ F A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 Plus 59.00 for each addition/ S100
00or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $90.00 for the first $2,000.00 plus $1600 for each addition/51.000
DO or fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $504.00 for the first $25,000.00 plus 513.00 for each additional
51000 Da or fraction thereof, to and
Including $50,000.00
(5) $50,001.00 to $100,000.00
(5) $829.00 for the first $50,000.00 plus $200 for each additional
SI OW 00 or fraction thereof, to and
including $100,000.00
(6) $100,001.00 to $500,000.00
(6) $1,279.00 for the first $100,000.00 plus S W for each addition/
SI 000 0Yl or fraction thereof, to and
Including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $4,079.00 for the fist $500,000.00 plus 56.012 for ead� additio17a1S10X
Ot7 or fraction thereof, to and
Including $1,000,000.00
(8) $1.000,001.00 and up
(8) $7,079.00 for the first $1,000,000.00 plus S9 0 for each
addbbnal $1000 00 or fraction thereof.
Bold number Is the base fee for the spedffed Increment
A.IA LC
Aa/kafzed underflned number is the fee peraddldona/ Wedfied1ficrement
i-- — u,c ua�c uunung pemuL lee rur pian review tee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base !wilding 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:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
MECHANICAL
PROPOSED VALUATION: Z Q rO
FEE FACTOR FROM TABLE A: Number: 3 (a) Base Fee: '? O . c3 c
(b) Additional Increment Fee:
Estimated Permit Fee:
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)_
PLUMBING
Base Fee Nunes of Fixtures
$26.00 + ( X $9.00/fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
.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
■ ELECTRICAL
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
Service or feeder only ............... _.......
$57.00
L a of Thermostats (First -$43.00; add'n-$13.00ca)
_
(First 1300 ft' -585.50. Each add'n 500 ft'
-S27,50)
_ Service and feeder -_.._........ ._.........
... $93.00
p of Low voltage fire or burglar alarms
iquare Feet. _
First 2500 (1'-$50.00; Each add'n 2500 ft` -513 00
Each outbuilding or garage.. ..... ..................
$35.50MOBILE
HOME RV / PARK
Square uare Feet:
_
(Inspected with service)
_ 4 of service or feeders-
` Per WAC 29646-910(5)(b)(i K ii)
Each outbuilding or garage ...........................
$57.00
(First service/feeder-$57.00; Add'n
service/
_ 4 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 ........._ .............657.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
I
COMMERCIAL/INDUSTRIAL
(Includes three units or mord
Altered Service or Feeders
Service
Feedcr
Amps Service or
Add'n
_ 0 to 200 ........... ..... ......... ... __ ........i 9+.:10 i
Up to 2(N) amp......... _ 5 93.00 ...... -.___..
$ 27.50
Feeder
_ 201 -600 ............................... _.....21650
_
201 -400 amp .... _..... . 115.50 ................
57.00
_0 to 100 ..... ................. ._1 93,00 .......
$ 57.00
_601 - 1000. ......... ..... ..... -_....... ..__....32650 1
_
401 600 amp ................ 158.50....................
78.50
_ 101 -200 ........................ 115.50 ...........
72.50
_over 1000 --- ........ .......... _.................... 363.00 j
_
601 - 800 amp ................ 202.50..................
108.50
_ 201 -400 ........................ 216.50...........
85.50
_ # of circuits
_
Over 800 amp ...-........... 289.50 ..................
216.50
_ 401 -600 ... _........... ...... 252.50.........
101.00
(1-5 circuits -$72.50; Add'n circuits, $6 eal
_
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-Famiiy/Conimerciai/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
I
_
over 600 amp ........ .......................................
174.00
_ 201 -400 ...... ....... ....... .................. 85.50
_
Mast or meter repair .....................................
43.00
_ 401 -600 ..................................... ........ i 15.50 i
_
#of circuits
_over 600 ...................... ........ ........... _.125.00 i
I (i-4 circuits -$57.00; Add'n circuits $6 ea)
It a new or altered commercial service is 2uU amps or greater, or a new or anerea resiaenuai service is greater man quu amps, a pian review is rcquuco. rcc is )Z,70 ui
ncmlit fee +$72.50. Add'[ plan review for other submissions is $85.50/hr.
Estimated Permit Fee: (1
Total Column tD)
Estimated Permit Fee from line 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)
SBCC Surcharge: (19)
(20)
(21)
■ 'DEMOLITION
OTHER FEES -
Total (Pagesone&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
Bulletin #100 - December 23, 2002