04-100638of
City
nonnyFederal
vel Way Mechanical Permit #:04 — 100638 — 00 — ME
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 • . Inspection request line: 253.835.3050
Project Name: GREENE
Project Address: 3744 SW 332ND P' Parcel Number: 109961 0120
Project Description: Remove and replace gas furnace.
Owner
Applicant
Contractor
William B Greene & Karen A Greene
THURMAN'S HEATING & AIR, LLC.
THURMAN'S HEATING & AIR, LLC.
3744 SW 332ND PL
THURMAN'S HEATING & AIR, LLC.
THURMAN'S HEATING & AIR, LLC.
FEDERAL WAY WA
P.O. BOX 5377
P.O. BOX 5377
98023-2922
SPANAWAY WA 98387
(253) 875-0094
Mechanical Valuation..........................................575 Over the Counter Pelmit...................................... Yes
Mechanical Fixtures
Description Quanti Descri` tion Quantity Description Quantity
Furnaces
PERMIT EXPIRES August 22, 2004.
Permit issued on February 24, 2004
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:
o A
Date: O;q2 Y-0 C/
C'�A
`j —\ °t — o t-1
MW
1%
CITY OF
fisderatWay
CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: C2 - L Q l- -
PPUCATIONNUMBER:
PLICATION NUMBER:
FEB 2 4 2004 ==The o owing is required information - Please print (in ink) or type**
CITY OF FlE@Ef dk-*- hYctrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: [qSco9& ASSESSOR'S TAX/PARCEL #: U 9 C( -G L - D 1 2- Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PIZOJECTI14FORMATION
TYPE OF PROJECT (This application): ❑ BUILDING o PLUMBING MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)(:+ &,H,,,p1}•Q, aj replam Q�CII`0�►^4k q�g kr•wba—
W 1 �� Q W Q,w � o) . Cm PKLk GGA b K�-cilL ' u
PROJECT NAME:
PROPERTYOWNER: NAME: 1DAYTIME PHONE: W - 53 Mlk a
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: NAME: S+ r V
1' y s qee-Ai)n& f
i MAILING ADDRESS (STREET ADDRESS; CITY. ST . ZIP):
o. buy, rJ`m Ismrawe8z IWA
CITY OF FEDERAL WAY BUSINESS LICENSE N BER:
CONTRACTORS REGISTRATION NUMBER:
(copy of card required) 1A U 1 l
APPLICANT: NAME: ' -
V�-•Qi C�4 � 2•Q.tUY
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE:
(963 )g`lJ - oclq(
EVENING PHONE:
FA^^XNNU22MBER: J/ Q�Q�
EXPIRATION DATE:
DAYTIME PHONE:
EVENING PHONE:
( )
FAX NUMBER:
E-MAIL ADDRESS
PROPOSED VALUATION FOR IMPROVEMENTS: $ M5-0111
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY" r
NUMBER OF BEDROOMS_ ESTIMATED SELLING PRICE: $
■ PR07ECT 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)
_ BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
_ COMPRESSOR(S) _[_ FURNACE(S)
_ DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC bGAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
■ DISCLAIMER/SIGNATURE 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 a d as a part of this application.
NAME/TITLE: 1/G /I -f a � �V DATE:
❑ PROPERTY OWNER o APPLICANT s&ONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
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.
TABLE A
II TOTAL VALUATION I FEE FACTOR II
(1) $1.00 to $500.00 1 (1) $30.00
j;.
DEPARTMENT <OF LABOR AND INDUSTRIES
;
REGISTERED AS PROVIDED BYLAW AS
,CONST CONT GE E_ L
I; EGIS e " `EXP3 DA Ex'
EFFECTIVE DATE;; 01/31/2001
THURMAN=;'HEATING ,& AIR LLC?
PO BOX 5377
SPANAWAY.WA 98387
Add 15 percent of the base building permit fee for Fire District #39 su acommercial
rge, on
Add $4. so 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: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
MECHANICAL
PROPOSED VALUATION: J 75
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
PREVENTIONFIRE
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
(a) Base Fee:
(b) Additional Increment Fee:
Estimated Plan Review Fee: (7)
PLUMBING
Base Fee Number of Fixtures
$26.00+f X $9.00/fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee