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02-103985City of Federal Way Cormmmity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 r Mechanical Permit #:02 - 103985 - 00 - ME Project Name: STENERSEN Project Address: 31205 41ST W 1 Project Description: MECH - Gas furnace changeout in existing residence. Inspection request line: 253.835.3050 Parcel Number: 873199 0100 Owner Applicant Contractor Stanley G & Sharon Stenersen HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC 31205 41ST PL SW 9001 PACIFIC AVE 9001 PACIFIC AVE FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422 98023-2113 1 (253) 539-8709 Mechanical Valuation..........................................2200 ©es Furnaces Over the Counter Permit......................................Yes Mechanical Fixtures PERMIT EXPIRES March 16, 2003, IF NO WORK IS STARTED. Permit issued on September 17, 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 Way. Owner or agent: Date: �ra� Sep 12 02 08:47a Heritage Enterprises (253)539-8709 p.3 ECO N ED �4v CONSTRUCTION PERMIT APPLICATION �.m,, SEP 1 3 2002 . t' �v tM6E- + y G V •1 YY CITY OF FEDERAL WAY 4.Al, ,P. BUILDING DEPT.'T?�1'il£t(?lI;; • •Tke following is required Informatlon — Pleave print (in ink) or type' a Please nate; Electrical, Fire Prevention Systame and Engineering pannits May require a separate application. SITE ADDRESS: i © S+ \ • S 1 l�V , ASSESSOR'S TAX/PARCEL +Il: __ _ _ _ LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): — T ` TYPE OF PROJECT (This application): o BUILDING C PLUMBING MECHANICAL o DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING L7 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): vl _4 0 GGt �(i rYl ('1 PRWECT NAME: 1 r --(Y D `— S C'r l C', (—Stlf i -PEOPLE•- • PROPERTY OWNER: I NAMC:r,,'j CONTRACTOR: APPLICANT: NAME � c r� Jn r DAYTIME PMON : rL 053 .1-11 KQU AD S (S'I fETAO ; CRY. STATE, ZIP): EVENING PHONE: 07Y OF FEDERAL WAY BUSINESS LICENSE NUMBER; -/ - - F NU BER; COMn+nCTOR'S kEGISTPwTSON NUMBER: Ji (Copy ofawdrequlmd) 1. 'L\ p `�:/nn�non Oa<TIL: l /f&(D 1' �p�y to fdCo~ NAME: MAILING ADDRESS (SRiEET ADmms; oTy, STATE.- II ): EVENING PHONE: ONE:--- RELATIONSHIP PkWEcr. TAX NUMBER. o ARCHITECT ❑ TENANT o MER ( DESCRIBE):. _ ( CONTACT PERSON FOR THIS PROJECT: o PRoPERTV OWNER o APPLICANT O CONTRACTOR DETAILED PUILDING-INFORMATION EXISTING USE: "ISTING BUILDING ASSESSED/APPRAISED VALUATION s PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINIO_ERED BUILDING? U YES o NO PIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED. 0 YES O No WATER SERVICE PROVIDERi ❑ LAKEHAVEN o HIONLINE o TACOMA o PRIVATE (WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE a PRIVATE (SEP77C) Sep 12 02 08:48a Heritage Enterprises (253)539-8709 p.4 Construction Permit Fee Calculation Sheet * * * * * * *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CnY STAFF PRIOR TO ACCEPTANCE OF PAYMENT, CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical, and Fire prevention system fps are based on the Following schedule. (2) $Sg1.Dtl ro SZ 000,00 (2) $2.4,26 for the first 9500.00 aluc $2,000.00 f elan erco W and Including (3) S2,D01.00 W 925,000.00 (3) 67`1.46 for tht $x,000.00 s t (4) 425,001,00 to ;50,000.00 ctbn regi to and Including $25, D.uo (4) $403.611 IF e tst 25,000 las or fredbrt therw/, !o and (5) 550,001.00 to 5100,000.00 fodudinp 0. ' (5) $66435 e $ ,0 O p or fraction thereof, to and (0 S1n0,091.00 to 5500,000.00 Including 1 ,000. (6) $14,9Y5.5 f t rust $10 1000100 plus Qar earh apWiObna/ J oW poor fraction thereof, to and (7) 9500,001.00 m 91,000,000.D0 Including 9 D0 (7)$3p337.23fortherat$sae,oao.66awc (0) SI,DDO,ODl.t)iland up Including 11,000,000,00, M 9=,798.23 far the RrAt $3,000,000.00 Plus Bold number is the base Ike for the spes(frld dsAtobed dnelr.IilveMns...w.• - //,, PLUS: Acid 65 percent of file base building perridtfee for plan review fee. I w Add ZS percent of the base mechanical permit fee for mechanical Plan review fee. Add 15 percent of the base building permit fee for Fire Dlst7tct a39 surcharge, commerdal Add ¢4.50 for WA State Building Cade Council, plus $2.00 per unit for duplex & above. • a Electr1ral, plumbing, and mechanical tees a 4 — PROPOSED VALUATION. a FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Addltlonai Increment Fee Estimated Permit Fee: (1) Estimated Plan Review Fee: (z) Estimated FW Fire Departnteet Suftharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: 42 FEE FACTOR FROM TABLE A: Number, (a) Base Fee. (b) pddltlonal Increment Fee Estimated Permit Feer (q) Estimated Plan Review Fee: (S) PREVENTIONN FIRE PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number; (a) Buse Fee: (b) Additional increment fee: Estimated Permit Feet (6)__, Estimated Plan Review Fee: (7) z Brae Fee Number of ritturo $21.00 + ( X 17,00/ftxtvre) _ Pae (8) Estimated Permit Fee Fstunatea Wnnl[ X .65 - (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(Z)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11) Sep 12 02 08:48a Heritage Enterprises (2531539-8709 p.5 "`NEW RESIDENTIAL cONsmucnoW ONLY*a NUMBER OF BEDROOMS: ESTIMATED SELLING PRICs: Indicate number of each type of frxtore MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) - SYSTEM(5)Beq(S) FAN(S) HOOD(S) FIREPLACE INSERT(S) NODSfOVE(S) COMPRESSOR(s) FURNACE(S) ,E ( ) DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: O ELECTRIC o GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS, VACUUM BREAKER(S) n ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S)MISC. ( ) 1NTERCEPTOR(S) SUMP(S) DISCLAIMER/SIGNATURE 6LOCK I certify under penalty of perjury that the information furnished by me Is true and eofteet to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the We& for which the permit application is made. I further agree to hold harmless the City of Federal Way es to any Claim (including Costs, expanses, and attorneya' fame Incurred in the investigation and defense of 84th 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 pdrt cof this application. NAME/TITLE: V �Vir� i� n C L�C'L' DATE: C� 0 -2- 0 Z0 PROPERTY OWNER 11 APPLICANT iONTRACrOR <`IWksa . 19UseYuve'vt>• • :D:NE1tY.' ri;AIIb13IpN ' D.biTB1�T,I'ilk,';'' ; ,ly`31EPAI �""':+`•';r�`� 1i«7, E�'.; ' :CENSt1S:CODEr:S•. S. r •1.iy,TcS�i::' SCOMP' r � > BAIL'DiMQ�Fl6LL,�lIiICY�'ratT»'ytiS Ci 1Y0 , : PiAf1E DE AT ; ; <' ";ii Csii �!i�41A "'J,1 5� w 3 1r1�0 1 56C [all] TO�IfN5Ft7l7�t: 11M1G5 i A11Gf7O.tiSiE"t COMMUNITY DEVELOPMENT SERVICES -33530 FIRST WAY SQVTH • PO 6OX 4716 • FEDERAL WAY, WA 95063-9716 • 253-661.4000 • FAX: 253.661.4129