02-104821V
City unur ty Development
Way Mechanical Permit #: 02 -104821 - 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: BILYEN
Project Address: 35817 2ND S Parcel Number: 292104 9147
Project Description: MECH - changeout of gas furnace in existing residence.
Owner
Applicant
Contractor
David Bilyeu
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
35817 2ND AVE S
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98003-8615
(253)931-0610
Mechanical Valuation..........................................3359
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
� = Descrl wtio pkv Q'e Qu6 it'►t Description `Quandt'
Furnaces 1
PERMIT EXPIRES April 28, 2003, IF NO WORK IS STARTED.
Permit issued on October 30, 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 al Way.
Owner or agent: 2 Date:
1' �s
crrr or �—
RECEIVED CONSTRUCTION PERMIT APPLICATION
VV T ZOOZ PPLICATION NUMBER: Z - L� Z- F - Z6-
i — — —
APPLICATION NUMBER:
CITY OF FEDERAL WAV APPLICATION NUMBER: - -
BUILDING DEPT — — — — — — — — — —
**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 INFORMATION
SITE ADDRESS: ASSESSOR'S TAX/PARCEL #:
N) i
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 DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAM
DAYTIME PHONE:
-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): Q/
ENING PHONE: '
O
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER.
FAX NUMBER.
— —
Q
CONTRACTOR'S REGISTRATION NUMBER:
(Copy Q � T c'.a 4 o a5 C
EXPIRATION DATE:
�" /
Of Card reqW.ed)
acs/ o
APPLICANT: NAME: ) DAYTIME PHONE:
M
'WLING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: -
GZi 2 A L) g ( >
RELATIONSHIP TO PROJECT: /1 FAX NUMBER: n
C3ARCHITECT C1TENANT L�THER( DESCRIBE): �1 Q_>}C- � (PS3 gy-) -
(1 E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: C1PROPERTY OWNER ElAPPLICANT OCONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
Jit I-ALLED BUILDING INFORMATIC
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS: $ 1 1 �J
FIRE SUPPRESSION SYSTEM PROPOSED/ REQU RED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
0 r
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRomer 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. SYSTEMS)
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 FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]LSCtATMFV J4%= 11ATl1RF BlLc
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 information supplied to the city as(a, part of this application. /�
NAME/TITLE: (� �c DATE: - V
❑ PROPERTY OWNER ❑ APPLICANT XCONTRACrOR
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
rnninm iNFTY nFVFi OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY. WA 98063-9718 - 253-661-4000 - FAX: 753-661-4129
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) 5501.00 to $2,000.00
(2) $24,25 for the first $500.00 plus S3.27foreach additional5100.00or
fraction thereof, to and including 52,000.00
(3) 52,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus 515.00 for each additional 51.000
00or fraction thereof, to and including
$25,000.00
(+) 525,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus S1a82 foreach 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 $750 foreach aoldi66nal
$1.000.00or fraction thereof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,02S.SS for the first $100,000.00 plus $6.00foreadt iiddihprial
Sl 000.00 or fraction 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 55.09foreach additianal
51.000.00pr 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 foreach additriai
51.000.00or fraction thereof.
Bold number is the base fee for the specified increment
Italicized, underlined number is the fee per additional specified
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 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:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (S)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base FeeNumber Of F'atllftS
$21.00+( X $7.00/fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
.65 =
Miscellaneous Fixture Charge: (10)
Stlh Total (r+.,,,.nn,.): Line(,) (1)+(2)-,.(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) _ (11)
(9) Estimated Plan Review Fee