03-100733City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
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Project Name: TAYLOR
Project Address: 30315 9TH S
Project Description: Install 3/4 imh gas` -piping for range
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Mechanical Permit #: 03 - 100733 - 00 - ME
Inspection requestline: 253.835.3050
_ __ -
Parcel Number: _-515365 0130
Owner
Applicant
Contractbr -
Evelyn Joyce Crust
J&K PLUMBING, INC.
J&K PLUMBING, INC.
30315 9TH AVE S
J&K PLUMBING, INC.
J&K PLUMBING, INC.
FEDERAL WAY WA
1710 S 341ST PL B #8
1710 S 341ST PL B #8
98003-4101
FEDERAL WAY WA 98003
(253) 838-1865
Mechanical Valuation..........................................1012
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES August 18, 2003.
Permit issued on February 19, 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.
Gx— CLQ .'s y , �� / oe
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R�vE� CONSTRUCTION PERMIT APPLICATION
CITY OF �•.,.� APPLICATION NUMBER:
Federal Way FEB 1 9 no', APPLICATION NUMBER:
APPLICATION NUMBER: - -
,ITYOFFEDERALWAY -- ------ --
**The I'd o%WU_Qj } Information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
L O.ERTY O.
SITE ADDRESS: -� % S T� t4YC• SZ) - ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING ,PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPPTITIION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
iNAME'r Ve rA �_ ee /I DAYTIME PHONE: -
id
NAME:
MAILING ADDRESS (STREET ADDRESS; CITY,
/7/0 ala. ?I -
CITY OF FEDERAL WAY BUSINESS LICENSE M
(copy of caro required) N! f5i L L L --t: ,.%-- T L --Z I
APPLICANT: NAME:
Z4 k /�L. U m 01.4<5 C --
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
1
RELATIONSHIP TO PROJECT:
o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
IN DETAILED BUILDING INFORMATION
EVENING PHONE,—
FAX NUMBER:
53 10 5-71
EXPIRATION DATE:
3 1 /' l' i
DAYTIME PHONE:
(EVENING PHONE:
l l
FAX NUMBER:
E-MAIL ADDRESS
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: ; loleg a�
o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**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)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S)
FAN(S) HOOD(S)
FIREPLACE INSERTS) RANGE(S)
FURNACE(S)
I GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
MISC. (_ )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
]ISC_LATMFR/Si[;N�TIIRF FPLC'.
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: T� / /_��/�� GATE: 1 /Q 7
❑ PROPERTY OWNER ❑ 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&jVgffederalway.00m
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALLFEES MUST BE ERIFIED BY CITY STAFF PRIORTO 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 addibvnat S100.G10
or fraction thereof, to and Including
$2000.00
(3) $2,001.00 to $25,000.00
(3) $90.00 for the first $2,000.00 plus 518.00 for each add4tions151.000.00
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 eadr additional
SLOW 00or 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 $9.00 for each additional51.000.00
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 57.010 for each additional
S1.0100.OY1 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 earn addiGonal
SI.0010.OtJ 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 $4.50 for each
addtional51.000.010 or fraction thereof,
Bold number 1s the base fee for the specified Increment
Ifa/ldzed ander!/ned number Is the fee Per add/t/ona/snedfred/norment
Aad 65 percent of the base buiiding permit tee for pian review tee.
Add 2S 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 Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(OJMMER(7AL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
■ MECHANICAL
PROPOSED • `•tet
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
Estimated Pian Review Fee: (7)
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
Base FeeN Fixtures
$26.00 + { X $9.00/fixture} _
Ewinated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
(a) Base Fee:
(b) Additional Increment Fee:
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)
(8) Estimated Permit Fee
(9) Estimated Plan Review Fee