02-105639City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105639 - 00 - ME
Project Name: VALLEJO
Project Address: 2449 SW 326TH S4'
Project Description: Changeout gas furnace in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 896590 0100
Owner
Applicant
Contractor
Anrdew H Vallejo
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
2449 SW 326TH ST
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-2533
(253)931-0610
Mechanical Valuation..........................................1422.15 Over the Counter Permit...................................... Yes
Mechanical Fixtures
PERMIT EXPIRES June 16, 2003, IF NO WORK IS STARTED.
Permit issued on December 18, 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 Federal Wim+.
Owner or agent: Date: �' d
A
114
INfi RECEIVED
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: ' -L 0.5 jL, 3 L
APPLICATION NUMBER:
DEC 1 8 2002 PPLICATION NUMBER: _ _ - - - - - - - - - -
**The following is required information — Please print (in ink) or type**
CITY OF FEDERAL WAY
Please note: Electric8Uffi1 jR(* n ystems and Engineering permits may require a separate application. .
J �`� PROPERTY• •
SITE ADDRESS: —1qJ�JgML'gASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): 11 BUILDING El PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME:
�
l� IG
DAYTIME PHONE:
(a ) q r -
o
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /► , Q
`2!SOI'1p _
EVENING PHONE:
( -
CITYOF FEDERAL WAY BUSINESS LICENSE NUMBER. - L -
FAX NUMBER: -
O
CONTRACTOR'S REGISTRATION NUMBER:
^ � � O
/�G—/J`
EXPIRATION /ATE:
a a
o3
(CDPY of card required)
- - - - - ---T
APPLICANT: NAME: DAYTIME PHONE:
00!
MAILING ADD SS (STREET AODR • CITY, STATE, ZIP): EVENING PHONE:
LLr� v
RELATIONSHIP TO PROJECTFAX NUMBER:
❑ ARCHITECT TENANT OTHER ( DESCRIBE): v'53)hio4 04
-
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER .�6PPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATIOr 1
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: \$
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0'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: $
■ PR03ECT 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:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
■ ,FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
■ DISCLAIMER/SIGNATURE BLOCK
WATER HEATER(S)
C3ELECTRIC ❑ 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 informatioq supplied to the city as a part of this application.
NAME/TITLE:
❑ PROPERTY OWNER,,APPLICANT
FOR OFFICE USE ONLY:
NTRACTOR
DATE:
❑ 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
CO MNn iNrry r)FVF1 OPMENT SERVICES • 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661.4000 - FAX: 2SI-661-4129
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) $24.2S for the first $500.00 plus S3.27foreach additional 5100.00
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 51500 for each additional S1.000.00or
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 $1x82 for each additional
$1.000.00 or fraction thereof, to and including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus S7.50 for each additional S1,000,
or fraction thereof, 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 for earn additional51.000.00or
fracbm 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 additional51.000.00or
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 foreach additional
$1.000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized, underlined number is the fee Per additional saeciTed
increment
/+ao 0�0 percenT or me Dase ouuamg perms[ Tee Tor plan review Tee.
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)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
PROPOSED VALUATION: L `7 2 Z •IF
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4)
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
PLUMBING
Base Fee Number of Fixtures
$21.00+( X $7.00/fixture} _ (8) Estinyated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Suh Total (Pan,orwi: Line(,)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
(9) Estimated Plan Review Fee