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03-101551City or Federal Way Community Development Services Mechanical Permit #:03 -101551 - 00 - ME 33530 1st Way S Federal Way, WA 98003-6210 Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: CALVARY LUTHERAN CHURCH Project Address: 2415 S 320TH 9 Parcel Number: 797820 0525 Project Description: Install (2) furnace, grills/diffusers, and associated ductwork/piping thoughout two story classroom addition to church. Owner Applicant Contractor CALVARY EVANGELICAL LUTHE *CALVA SUNSET AIR INC (GENERAL CONTRACTOR SUNSET AIR INC (GENERAL CONTRACTOR 2415 S 320TH ST 5210 LACEY BLVD SE 5210 LACEY BLVD SE FEDERAL WAY WA 98003-5442 LACEY WA 98503 LACEY WA 98503 (360) 4564956 Mechanical Valuation..........................................25869 Over the Counter Permit......................................No Mechanical Fixtures i �4r Ducts 12 I PERMIT EXPIRES November 9, 2003. Permit issued on May 13, 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: Date: S—, 3' U 3 J�) w c.4 s Wyooe.-l- 4-- -5 e..0,#'vL se-cJ's 0 /K 6 - 3 --- 0 3 e- cJ 716 RECEIVEDAh -"0'R CONSTRU ON PERMIT APPLICATION VV � App 12003 APPLICATION NUMBER: Q,? - 1 D 1 S-45/ - vol M t: APPLICATION NUMBER: -______-__ CIT BUILDING DEPT* AY 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. ERTY MATION O. O. SITE ADDRESS: ,c L S— S. 3ZG`4-4I S ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): L4 ■ PROIECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING F-1 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER: CONTRACTOR: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): O -�-Uce d',�Z��3 EVENING PHONE: (-'6 o) - ! CITY OF FEDERAL WAY BUSINESS LICENSEBER: /A �CL C L S< FAX /NUMBER: 4 V ,,6 ) - /� pQ ( ✓ A O CONTRACTOR'S REGISTRATION NUMBER: (� A- C EXPIRATION DATE: / l (copy of card required) ,,� ,a C1 / ' APPLICANT: NAME: MAILING ADDRESS (STREET RESS; CITY, RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT FAX NU � E-MAIL 2 CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC) 9 **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: • ESTIMATED SELLING PRICE: $, 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 LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO 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 INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S)FURNACE(S) �._ DUCT(S) _ GAS PIP Wr(s �,"Q HEAT SOURCE: ❑ ELECTRIC GAS .. I( .. PLUMBING BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) U RINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS BLOCK 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 city as a part of this application. NAME/TITLE: T of DATE: 3 ❑ PROPERTY OWNERPPLI CONTRACTOR nr.."—Iv f VRVJL VIa... ❑ 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 LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 • Construction r--rriit�t-ee 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. TABLE A TOTAL VALUATION FEE FACTOR (1) $1.00 to $500.00 (1)$24.2S (2) $501.00 to $2,000.00 (2) $24.25 for the first $500.00 plus $3,27 for each additi29di $]Go 010 or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $71.46 for the first $2,000.00 plus $15.00 for each addiGGVW/ 51.000.00 or fraction thereof, to and including $25,000.00 (4) $25,001.00 to $50,000.00 (4) $403.61 for the first $25,000.00 plus S10.82 for each additional S1.000. or fraction thereof, to and including $50,000.00. (5) $50,001.00 to $100,000.00 (5) $664.3S for the first $50,000.00 plus $750 for each addi0iana157.000.00 or fraction thereof, to and induding $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,02S.SS for the first $100,000.00 plus $6.010 for each additional51.000.00 or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,337.23 for the fist $500,000.00 plus $5.09 for each additional $1.000.00or fraction thereof, to and including $1,000,000.00. (8) $1,000,001.00 and up (8) $5,788.23 for the first $1,000,000.00 plus $3.91 for each additkyial $1.000, or fraction thereof. Sold number is the base fee for the specified increment Italicized underlined number is the lee per additional scecifred increment PLUS: Add 65 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 $4.50 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 Fre Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: (4 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: Base Fee Number of Fixtures $21.00+( X $7.00/fixture) _ (8) Estimated Permit Fee Estimated Permit Fee X .65 = _ (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) SERVICES MOBILE HOMES (ISC EQUIPMENT/TEMP SERV ES y _ Service or fccder only ........................ $44.25 �L# of Thermostats (First -$33.50; dd'n-$10.50ca) FTIAL ft' -$67.00; Each add'n 500 ft' -$2150) Scrvice and fccder..................... _....... $72.25 a of Low voltage fire or burglar ]arms First 2500 11''-$38.75; Each add'n 2 00 ft' -$10.50 dingor garage .......................... $28.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ # of service or feeders 'Per WAC 29646-910(5)( (i R ii) Each outbuildingor garage_ ......................... $44.25 (First service/fccdcr-$44.25; dd'n service/ _ of Signs (First sign -$33.50; dd'n sign _ (Inspected separately) fccdcr-$28 each) $16.00 .each) _ Progress inspection per 1/2 ......... ....$33.50 _ Swimming pool, hot tub, pa ..... ..........67.00 Yard Pole meter loops ........ ...............44.25 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/ D TRIAL (Includes three units or more) Alter vice or Feeders Service Feeder Amps Service or Add, _ 0 to 200 ...........................................$ 72.25 Up to 200 amp ............... $ 72.25................. $ 21.50 Feeder _ 201 - 0............................................169.00 _ 201 - 400 amp ................. 89.75.................... 44.25 _ 0 to 100..........................$72.25 ........ $ 5 - 10 ............................................254.50 _ 401 - 600 amp ................ 123.25.................... 61.50 _ 101-200 .......................... 89.75........... 56.25 —over 1 0.............................................282.75 _ 601 - 800 amp ................ 158.00.................... 84.25 _ 201-400 ........................ 169.00........... 67.00 _ N o ircuits _ Over 800 amp ................. 225.25.................. 169.00 _ 401-600 ........................ 197.00........... 78.75 (I-- ircuits-$56.25; Add'n circuits. $5 ea) _ ALTERED SINGLE/MULTI FAMILY _ 601-800 ........................ 254.50......... 107.25 (When inspected separately from the services.) _801- 1000 ...................... 310.75......... 129.75 Temporary Service Service or Feeder _ Over 1000 ...................... 339.00......... 181.00 _ 0 to 60..................................................$38.75 0 to 200 amp ................................................ $ 61.50 _ Over 600 volts surcharge ...................... 56. _ 61 - 100..................................................44.25 _ 201 - 600 amp ................................................ 89.75 _ Mast or meter repair.............................. 6 . 0 _ 101-200 ................................................ 56.25 _ over 600 amp ................................................ 135.25 — 201 -400 ................................................ 67.00 _ Mast or meter repair ....................................... 33.50 _ 401-600 .................. ............................. 89.75 _ R of circuits _ over 600 .................................................97.75 _ (14 circuits -$44.25; Add'a circuits $5 ea) 11 service is greater man wv amp, a pian review is rcq u. i-ce is »7o of permit icc a I'-' ­ .. .,. .11 »1— ,. FIXTURE DESCRIPTION(A) FEE FROM TABLE B (B) / NUMBER OF UNITS (C) TOTALJD)_ Estimated Permit Fee: (1 Estimated Plan Review Fee: $56.25 Estimated Permit Fee: (14 Bond Amount: (15) Estimated Permit Fee: Bond Amount: (17) Mitigation Fee: (18) – SBCC Surcharge: (19) Total Column (D) Estimated Permit Fee from line 12 COLUMN X .35 = (13) (20) (22) (21) (23) Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24 Bulletin #100 – January 3, 2001