02-104153City of Federal Way
Community Development Services Mechanical Permit #: 02 -104153 - 00 - ME
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: KINLEY
Project Address: 3201 SW 313TH 51' Parcel Number: 438801 0240
Project Description: MECH - Change out gas furnace and hot water tank
Owner
Applicant
Contractor
James J Kinley
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
3201 SW 313TH ST
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-7864
1 (253) 931-0610
Mechanical Valuation..........................................3664
Over the Counter Permit......................................Yes
Mechanical Fixtures
PERMIT EXPIRES March 24, 2003, IF NO WORK IS STARTED.
Permit issued on September 25, 2002
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 Fede Q
Owner or agent: Date:
�, CA�, SA
I ���/
'°`� CONSTRUCTION PERMIT APPLICATION
VV FAYAPPLICATION NUMBER: Iota - EJ _ -
PPLICATION NUMBER:
APPLICATION 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• • -,Q
SITE ADDRESS: _��77 7-77
.� ►ASSESSOR'S TAX/PARCEL #: �C�g� -�- —D
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
(Provide detailed description):
■ PEOPLE INFORMATION
NAME:
DAYTIMEPHONE:
(9 53 ) 9 31
- O G 10
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
3802 A4,Lfux f-) AD -V'3 0
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FA.)X NUMBER:
cc
CONTRACTOR'S REGISTRATION NUMBER:
(�Yofcab rte) top ® a S c -;L _
EXPIRATION DATE:
lav
/03
APPLICANT: NAME:
CJrT/
❑ ARCHITECT ❑ TENANT
DAYTIME PHONE:
/C c)s3)qSj-
STATE, ZIP): EVENING PHONE:
FAX NUMBER:
❑ OTHER( DESCRIBE): ( 3) &)L/ - p
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATIO
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS:
N § '
7T_
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ 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
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)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) �— FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
nTCrt ATMODICTIMMAn1QF Al C
f_ WATER HEATER(S)
❑ ELECTRIC ❑ 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 info rmatio pled to he 'ty as a,,.
part of this application.
NAM E/TITLE: DATE:
❑ PROPERTY OWNER ❑ APPLICANT >6CON CTOR
FOR OFFICE USE ONLY:
❑ 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
rr)MNv iNITY r)FVFI OPMENT SFRVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 - FEDERAL WAY. WA 98063-9718 • 253-661-4000 • FAX: 2SI-661-4129
+F •Y
t
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);24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus S3.27for each additional S100.00or
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 51500 for each additional $L000.00or
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 additpnal
S1.000, A9 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 S7.50foreach addib'on:l
S/.000.00or fraction ptKeof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,025.55 for the first $100,000.00 plus S6.00 far eadr aoloWtAxW
St 000.00or fraction thereof, to and including
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the rest $500,000.00 plus S5.09foreach addibona/S1.00IO.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 53.91 fcr e_xh addiliax:,/
S1.00b.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italkired. underlined number is the fee per addWonaf pwif7ed
i en f
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 * *
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
■ 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:
IN PLUMBING
Base fee Number of Fixtures
$21.00+( X $7.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
.65 =
Miscellaneous Fixture Charge: (10)
Sub Total (r,r,,.0—): Line(s) (1)+(2)+(3)+(4)+(S)+(61+(7)+(B)+(9)+(10) = (11)
(9) Estimated Plan Review Fee