03-104990City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BAGNUK
Project Address: 3305 SW 327TH St
Project Description: Install new furnace
Mechanical Permit #:03 -104990 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 951090 0170
Owner
Applicant
Contractor
Bagnuk
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
3305 SW 327TH ST
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2543
1
1 (253) 931-0610
Mechanical Valuation..........................................1500 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quanti Description Quanti Description J1Quantity
Furnaces 1
PERMIT EXPIRES May 3, 2004. .
Permit issued on November 5, 2003
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: //-5- D 3
CONSTRUCTION PERMIT APPLICATION
CITY OF �/ PPLICATION NUMBER:
Federal Way PPLICATION NUMBER: - -
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.
PROPERTY INFORMATION
SITE ADDRESS- 3 S � S . ASSESSOR'S TAXIPARCEL #t: l ��Q - L 70
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL o DEMOLITION
❑ ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
11'\S-,a�tl TA -ft -e-- XV -4Q Fi t,cn A -c -L
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTYOWNER: NAME: /
MAILING
ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
it_ -o 'Rx—u& 5� -
LK•P►f1LL�it•1;�
APPLICANT:
DAYTI PHON D
( 3)
�s- -7� 9
N
DAYTIME PHO ;
' MAILING A15DRESS ADDRESS; CITY, STATE IP): EVENING PHONE:
�Jff
944
CITY OF FEDERAL WAY BUSINESS LICENSE NUER:
I _ - 0001: u_-�_
FAX NUMBER:
i (o ) �oK- DY�o
CONTRACTOR'S REGISTRATION NUMBER: �" s�
(copy a card required) SO & 49 _ Oma`' � 7
I EXPIRATION DATE:
In bON_ / ,�,o los I
NAM t: DAYTIME PHONE:
OSB) � \ �o l C�
MAILING ADORE EET AO E S; CITY, STATE, ZIP): j EVENING PHONE: i
RELATIONSHIP TO RO)ECT: FAX NUMBER:
O ARCHITECT ❑TENANTOTHER (DESCRIBE) \-�Tr �) 9'Cy -C4(po
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT p4ONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES
O LAKEHAVEN O HIGHLINE o TACOMA O PRIVATE (WELL)
o LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
O NO
**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:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC p 6s
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) SINKS)
INTERCEPTORS) SUMP(S)
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 attomeys' 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 dalari out of the reliance of the city, including its officers and employees, upon the accuracy
of the Information syppW to the city �s rt ofAIs application.
NAME/TITLE: (`� _/� 6111V-- DATE: I ` I !�- 0
v
❑ PROPERTY OWNER ❑APPLICANT KONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvQMeralway.com
Construction Permit Fee Calculation-Shedt
*******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 M.00
(1) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 plus $4.00 for each additional
S1000bor 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 $18,00 for each additional
11.000.00 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 ewd addi'ona111.000
00 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 59.010 for each additional
SI.000 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 $7.00 for eadr additional
SI 000 00 or fraction thereof, to and
including $500,000.00
m $500,001.00 to $1,000,000.00
(7) $4,079.00 for the fist $500,000.00 plus S6.A0 for eadi adOWW111.0710
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 S4 0 for each
additional s1.000.Or1 or fraction thereof.
Bold number Is the base fee for the specified Increment
AWldzed undefflned numberfs the lee neradd![iona/snedfied
Inarment
Aad 65 percent or the base wowing 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 Fre 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 * *
■ BUILDING
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 ONLY)
PROPOSED VALUATION: ►ySno�^111
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: V 3 O OD
(b) Additional Increment Fee:
Estimated Permit Fee: (4
Estimated Plan Review Fee: (S)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of FAchmes
$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