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03-105249City 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: COLVIN Project Address: 500 SW 333RD SJ' Project Description: Replace gas furnace. Mechanical Permit #:03 - 105249 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 729801 0210 Owner Applicant Contractor KIM & CLAUDIA COLVIN GATEWAY HEATING & AIR CONDITIO GATEWAY HEATING & AIR CONDITIO 500 SW 333RD ST 3802 AUBURN WAY N 3802 AUBURN WAY N FEDERAL WAY WA 98023 AUBURN WA 98002 AUBURN WA 98002 (253) 931-0610 Mechanical Valuation..........................................2000 Over the Counter Permit...................................... Yes Mechanical Fixtures Description Quanti Description Quantity Description Quantity Furnaces 1 PERMIT EXPIRES May 24, 2004. Fermin issued on November 26, 2003 I hereby certify that the above information is correct and that the construction on the above described propertyd 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 Wax. „ n Owner or agent: _ l �1 A.7 Date: Date: 1 -cal 01 A�6(m� ECEJF " CI R CONSTRUCTION PERMIT APPLICATION CITY OF Eo�.� PPLICATION NUMBER: Federal Way No 2 6 2003 — PPLICATION NUMBER: _ CITY ,RROttF FEDERAL WAY PLICATION NUMBER: *The follow ltt�i requiIIN9red information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. �^ O.ERTY O. MATION SITE ADDRESS: 5� SLAD 333raQ J ASSESSOR'S TAX/PARCEL #:� I 61j - LEGAL 1 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): o BUILDING o PLUMBING MECHANICAL o DEMOLITION ❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: V NAME' DAYTIME PHONE: ('3) i MAILING ADDRESS EET ADDRESS; CITY, STATE. ZIP): EVENING PHONE: I 3go2- I. m n CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 3 ) (,5_ F CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: 1 ©? O /0 S (ropy of card required)C71 a N DAYTIME ( 253)PHONE: I O�F-� L,.90, ,�'� -t-- � 0931 -OG 10 [6TON • -Ir-7 3,b l o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE)C-Dri CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER �-PPPLICANT CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: $ i FAX NUMBER: E-MAIL ADDRESS: I ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA o PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) "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) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) _% FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC JGAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ]iSCL�TMER/SIC,NATURE BLC 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 su Ito th ,ty as a matt f this application. NAME/TITLE: DATE: Z t� ❑ PROPERTY OWNERPPLICANTCONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-66114000 • FAX: 253-66114129 www.dtvoffederalway.com 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. 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 f9.00for each additional s1010 odor 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 $1.000.00 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 $13.00 for each additional S1.000 lXl 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 s9.02for each ad&i0nal51.000 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 SZ(22 for each additinn_al 11000 00 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 S6.Lbforeach add2%onal SI.00OrJor 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 14. t0 for each ad"nal SI 000 00 or fraction thereof. Bold number Is the base fee for the specified Increment Itaffezed underffned number Is Me fee per adMonafsvedfied fnvement Add 65 percent of the We 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 $4.50 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 Pian Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (ODMMERCTAL ONLY) ■ BUILDING (a) Base Fee: (b) Additional Increment Fee: X MECHANICAL PROPOSED VALUATION: Zoclo` ' FEE FACTOR FROM TABLE A: Number: '3 (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: ._ I . ■ FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (7) (a) Base Fee: (b) Additional Increment Fee: Base FeeNumber of Fbdures $26.00 + { X $9.00/fixture} _ (8) Estimated Permit Fee Estimated Pemet Fee X .65 = Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11) (9) Estimated Plan Review Fee DEPARTMENT OF LA$OR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST.CONT GENERAL _VL� _r :REGIST � # . EXP -.1!' -'DATE II CC01 GATEWHA025C7. 08/20/2005 $I EFFECTIVE'`DATE' 02/27/1998 GATEWAY HEATING & A/C INC 3802 AUBURN WAY N STE 301 AUBURN WA 98002 F625-052-000 (&97) Detach And Display Certificate — `CITY OF — Federal Way BUSINESS REGISTRATION License Number 19 -98 -105758 -00 -BL Non -Resident Business RECEI\;ED NOV 2` 6 003 CITY OF FED AL V1 BUILDING. EPT. Registered: GATEWAY HEATING & AIR CONDT 3802 AUBURN WAY N Suite301 AUBURN, WA 98002 Expires: 12/31/2003 Categorv: 1700 - Contractors- Special Trade Conditions: This license is non -transferable. Please notify the City Clerk's office of any change in your business such as a new }ocation or business name. ,. i 10; • � � v %moi G'• � s2. `GAG `�; � City Clerk, City of Federal Way This certifies that the above entity has been issued the registration or license listed_ City of Federal Way - Licensing (253) 6614072 33530 1st Way S., Federal Way, WA 98003-9718