03-103097City 617 Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STARKEY
Mechanical Permit #:03 -103097 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 2606 SW 323RD St' Parcel Number: 873180 0430
Project Description: In-kind replacement of gas furnace and 3 -ton A/C unit in existing residence.
Owner
Applicant
Contractor
Gilbert G Starkey Jr. & Gerald Starkey Jr.
AAA HTG REFRIGERATION INC
AAA HTG REFRIGERATION INC
2606 SW 323RD ST
11921 SE 212TH PL
11921 SE 212TH PL
FEDERAL WAY WA
KENT WA 98031
KENT WA 98031
98023-2521
(253) 630-9224
Mechanical Valuation..........................................3282.21
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Quanti Description IQuantity Description Quantity
Air Handling Units Furnaces
PERMIT EXPIRES January 24, 2004.
Permit issued on July 28, 2003
I hf.,reby 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
Owner or agent: Date:
y
. 15:: 1 0 14, 8 - / �C--n-:1
RECEIVED
LaS� CONSTRUCTION PERMIT APPLICATION
CITY OF �.� JUL. 2 S 2003 PPLICATION NUMBER: D.3 - l �.3 OCj' -W HLA
Federal Way PPLICATIONNUMBER: —
CITY
t) DAL
PPLICATION 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: �(E��(t s5 t ky '3a3 Fj S"
ASSESSOR'S TAX/PARCEL #:K731 v v -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
pit
03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING ''MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): K- (-A L. yA-
r v1 o -c -g. `` Ik l C. -,v--A (3'-7yA)
Z),:;43,b
PROJECT
:N PEOPLE INFORMATION _
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
--c q DAYTIME PHONE:
Le
;z t., u 1,, SL -3 32-3-=• ST
NAME:
DAYTIME PHONE:
;
MAILING ADDRESS (STREET AD SS; CITY, STA�ZIP): �� , r ��� �, j
/lto
W 5F 2l2 �h (L
.EVENING PHONE:
- '
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: q ;
& H 1 %2- 1 _7 / L GAJ
I EXPIRA ON DATE;
i � I
(copy or card required) f _`7
NAME: ! DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 1 EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR i
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ,
■ PR03ECT 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) _4 EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) 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)
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, bSkt only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informafidn suonlied is the cibMas a baMof this anolication.
NAME/TITLE:
❑ PROPERTY
/CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvoffederalway.com
Con ruction 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.
PLUS:
TABLE 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 $4.00 for each additional5100.00or
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 SIB.00 for each additions)SI.0W,,
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 S13.00 for each additional
SI.000 00 or fraction thereof, to and
Including $50,000.00
(5) $x1,001.00 to $100,000.00
(5) $829.00 for the first $50,000.00 plus S9.00 for each addNonal
S1,000.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 57.00 for each additional
51.000 Oo 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 56.00 for each addibbnal
S7.0010.AOor 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 54.50 for eadh
additional S7.000 00 or fraction thereof.
Bold number Is the base fee for the specMed Increment
Ilaflcked underflned number Is the fee ser o"Iffonaf mecIfied
fnoement
Add 6S percent of the base building permit fee for plan review fee.
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.S0 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 Fre Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
-�3ZR,2 . 2-1
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)___
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
PLUMBING
Base Fee Number of Fixtures
$26.00+( X $9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit fee
X .65=
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee
4" 0
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