03-100592Jr
e 1
City or Federal Way
Community Development Services Mechanical Permit #:03 -100592 - 00 - ME
33530 1st Way S
Federal `Nay, WA 98003-6210
Ph- 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: KANZLER 9%
1'toject Address: 32208 7TH SW Parcel Number: 926492 0300
Project Description: Install (1) gas insert, (1) gas log, and associated gas piping in existing residence.
Owner
Applicant
Contractor
DENNIS & LESLIE KANZLER.
DENNIS & LESLIE KANZLER
AQUA REC INC
32208 7TH PL SW
32208 7TH PL SW
1221 REGENTS BLVD
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FIRCREST WA 98466
(253) 565-4763
Mechanical Valuation..........................................2780 Over the Counter Pen -nit ...................................... Yes
Mechanical Fixtures
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.�t`llrpfi#o�
.�x� a�:«z"
Fireplace Inserts
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Gas Logs..:
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Gas Piping �
20
PERMIT EXPIRES August 9, 2003.
Permit issued on February 10, 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: !- O
v�D CONSTRUCTION PERMIT APPLICATION
CITY OF �+.� PPLICATION NUMBER: - Z&#Z2w2 -
Federal Way APPLICATION NUMBER: _ _ - — — — — — _ -
FEB 1 9 PPLICATION NUMBER: - - — -
-- ------ --
* 1 BiI'ad information — Please print (in ink) or type**
SV
ING
Please note: Electrica , Ire revention S stems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: .3220 % 7 f %lace S•Q . ASSESSOR'S TAX/PARCEL #: �v� r �� O✓
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- I�
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION (Provide detailed d
❑ BUILDING E) PLUMBING A MECHANICAL 0 DEMOLITION
0 ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
O,,tac � p
escription): 7v , -' / 0 U-0-4 I'& F,'r� Co �u OIA I'd o eA
PROJECT NAME: A QZ ✓1 `i
PROPERTY OWNER: NAME: ,
Deem Is t S�t�� r
QT
MAILING ADDRESS (STREET ADDRESS; Y, STATE, ZIP):
1 3L20�, ?01 PI&C� .S•CJ., F�dercL_�
CONTRACTOR:
APPLICANT:
DAYTIME PHONE'
( Z S3 ) $ /S - Ogg,
I
NAME:
A 4 o R --C, , TY7C .
DAYTIME PHONE: i
(Z.5-3 9 y / - 7Sp 7
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
fj Z9/30 'P"-TI'c ffwy • .So . Feder.- WaY Cc�/9 9900 3
I EVENING PHONE:
;
QfY OF FEDERAL WAY BUSINESS LICENSE IRWIS R:
i FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
e
(copy of card required) % Q /i IC/� I 1 I Q
p
D Z l /! i z a o 3
NAME: DAYTIME PHONE:
SQwLc_ 1 ( ) - 1
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: i
I ( �
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE):
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR EXISTING SQ. FT. PROPOSED . FT. TOT
EMENT
d
FIRST
SECOND
THIRD
FOURTH rr
OTHER FLOORS (DESCRIBE)
DECK
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERLOG
(S)
GAS LOS)
FAN(S) HOOD(S)
FIREPLACE INSERT(S) RANGE(S)
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE:
PLUMBING
LAVATORY(S) URINAL(S)
RAIN WATER SYS. VACUUM BREAKER(S)
SHOWER(S) WASH MACHINE OUTLET
SII�IK(S) WATER CLOSET(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
ShLe MISC. ( )
P�Pu
o ELECTRI o GAS
WATER HEATER(S)
o ELECTRIC o GAS
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 application.
NAME/TITLE: DATE: Z10�.3
PROPERTY OWNER o APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cboffederalway.com
GARAGE
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERLOG
(S)
GAS LOS)
FAN(S) HOOD(S)
FIREPLACE INSERT(S) RANGE(S)
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE:
PLUMBING
LAVATORY(S) URINAL(S)
RAIN WATER SYS. VACUUM BREAKER(S)
SHOWER(S) WASH MACHINE OUTLET
SII�IK(S) WATER CLOSET(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
ShLe MISC. ( )
P�Pu
o ELECTRI o GAS
WATER HEATER(S)
o ELECTRIC o GAS
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 application.
NAME/TITLE: DATE: Z10�.3
PROPERTY OWNER o APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cboffederalway.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:
IrAl-19-910
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 earn addibtona/ S1010.00or
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 518,00 for each addibbw1
SI.Q40.IXI 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 $13.00 for each addtiona/$I.000.OrJ
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 59.00 for each addfebna/
$1.000.Or1 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 S7.Gb for each additiona/1I.000
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 $6.00 for each adddona/
$1.0012010 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 54.50 for each addition/
S1,000.LIO or fraction thereof.
Bold number Is the base fee for the specified Increment
1b11dzed undevf red number Is the tee mratfoWfonal svedfied
Increment
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 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 **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Pian Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION: Z 2 20 - o c
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
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: (6)
Estimated Plan Review Fee: (7)
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
N PLUMBING
Base Fee Number of F xhm
$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