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06-105414.4 4 City of Federal Way Community Development Services ` P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: KLAIBER Project Address: 33020 29TH AVE SW 1 1% w Mechanical Permit #: 06 -105414 -00 -ME Project Description: Replacement of gas furnace and gas water heater. Inspection Request Line: (253) 835-3050 Parcel Number: 894530 0070 Owner Applicant Contractor KERI D KLAIBER GENESEE FUEL&HTNG CO INC GENESEE FUEL&HTNG CO INC 37648 40TH AVE S PO BOX 18206 GENESFH37006 9/1/07 AUBURN WA SEATTLE WA 98118 PO BOX 18206 98001-8902 SEATTLE WA 98118 Additional Permit Information Mechanical Valuation............................................3521 Over the Counter Permit? ...................................... Yes Mechanical Fixtures THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105414 -00 -ME Owner: KERI D KLAIBER Address: 33020 29TH AVE SW FEDERAL WAY, WA 98023-2714 This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections are logged on the back of this card. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By Date By DateBy Date ""�*~ ECEIVE® Federalwa PERMIT OOAG 1 UI I U7Y DBVBLOPI BKr SERV! 333258TMAYENUE SOUIif • POIi7§ 2 3 ""APPLICATION FEDERAL WAY, WA 98062-97 453.835.2607• PAX ?53.835-2609 —A&ftd•mhimucN O�F(�FEDERAppLAY T.he following is re rrmatlon - an incomplete application will not be SF MFCE LPL DE EN FP ited. Please print legibly fin ink) or type. SITE ADDRESS .. J.� �� r� (� J SUITE/UNIT # ASSESSOR'S TAX/PARCEL # - ri _c� _ 3 b - 7 LOT SIZE (s,) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) avroa/b►I.aWarIVWa a"&4 PROJECT•- • TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed descnipt on of work included on this Permit only) PROJECT N AME (Name of Business or . C�e � PEOPLE INFORbIATION CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE MAILING ADDRESS CITY, ST , ZIP (, CO ANY NAME APPLICANT NAME a OFFICE PHONE ) e r\ e5 e 4Ae . MAMO ADDRESS , STATE, ZIP CP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE 1 F/UC NUMBER 73 k PAX NUMBER ❑ Architect o.Tenant ❑ Agent ❑ Other (Describe) CONTRACrOWS REGISTRATION NUMBER (copy o! car aegnlrad with arch application) + 3 EXPIRATION DATE l l ly . COMPANY GME NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE' RELATIONSHIP TG PROJECT PAX NUMBER ❑ Architect o.Tenant ❑ Agent ❑ Other (Describe) EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER O LAKEHAVEN ❑ SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ USE VALUE OF. PROPOSED WORK $ *ION SYSTEM PROPOSED/REQUIRED? Q YES ❑ NO o TACOMA ❑ PRIVATE (WELT:) ❑ PRIVATE (SEPTIC) r AREA DESCRIPTION EXISTING SQ. FT. PROPOSED TOTAL SQ. FT. 3 . FT. BASEMENT BBQS FANS FIRST WOODSTOVES BOILERS SECOND RANGES MISC (Describe) THIRD GAS WATER HEATERS FOURTH COMPRESSORS FURNACES ADDITIONAL FLOORS (DESCRIBE) DUCTS DECK(COVERED?) GARAGE ❑ CARPORT 0 NUMBER OF FLOORS =Rua rxoroem 7, **NEWHOMESONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type of facture to be installed or relocated.as part of this project. Do not include existing jixt"res to CSANICAL Value of Mechanical Work $ 3 S AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (co rcW► WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) GAS WATER HEATERS COMPRESSORS FURNACES DUCTS GAS PIPE OUTLETS BATHTUBS (or74b/sho combo SHOWERS WATER CLOSETS rr a q MISC{Describe) DISHWASHERS SINKS DRINKING FOUNTAINS OAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (BNhm*m Sk kO VACUUM BREAKERS ELECTRIC WATER HEATERS I cert(& under penalty of perjury that the irlfonnation furnished by me is true and correct to the best of my knowledge, and further, that I am authorised 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 tiny person, including the undersigned, and filen against the City of Federal Way, but only where such claim arises P t of the reiiancp�of the ejt including its o� and employees, upon the accuracy of the ir{formation supplied to t/u city as a part of this application. ; /Q7 / ) / TO PROJECT a Owner Agent 0 Contractor o Architect o' Other Ridletin #1 M — Isnuary 1. 2006 Page 2 of 4 Mandout0emlit Application RESIDENTIAL COMMERCIAL NEW RE ENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family quare Feet Service or Feed Each Add'n (First 1300 ftz- $1 7.50; Each add'n 500 ft2 - $34.50) ❑ 0 to 100 amp $117.00 $ 71.50 ❑ Detached outbuil ' g or garage ❑ 101.- 200 amp 145.00 91.50 (Inspected with rvice) $45.50 ❑ 201- 400 amp 272.00 107.50 ❑ Detached outbuildin or garage ❑ 401 - 600 amp 317.00 127.00 (Inspected separate) $71.50 ❑ 601- 800 amp 410.0 173.50 ❑ 801 - 1000, amp 500. 0 209.50 NEW MULTI-FAMILY (tiu•e 'ts or more) ❑ Over 1000 amp 54 .00 291.00 Se ' Feeder ❑ Up to 200 amp $117. $ 34.50 ❑ Over 600 volts sur arge $91.50 ❑ 201 - 400 amp 145.00 71.50 ❑ Mast or meter rep $99.00 ❑ 401 -.600 amp 198.50 ``� 99.00 Q 601 - 800 amp 254.00 36.00 ALTEREDCOMM CIAL INDUSTRIAL ❑ Over 800 amp 364.00 2 .00 Service or Feeders ❑ 0 to 200 p $117.00 ALTERED SINGLE/MULTI FAMII.Y ❑ 201 = amp 272.00 ❑ 601 = 00 amp 410.00 Service or Feeder ❑ 0 to 200 amp $ 89.50 ❑ ove 000 amp 456.50 ❑ 201 - 600 amp 145.00 13/ # of circuits to be added/altered (3 over 600 amp 218.50 (1-5 circuits - $91.50; Add n circuits, $7.00/ea) �/� 'COMMERCIAL/INDUSTRIAL PLAN REVIEW ❑# of circuits. to be added/altered (14 circuits-$71.50; Add'n circuits $7:00/ea) . ' $01.50 plus 35% of Permit Fee ❑ Service'- 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility. MOBILE HOMES ❑ Service or feeder only. $71.50 O Service and feeder $117.00. TEMPORARY SERVICE MOBILE HOME/RV PARK Residentiu uiti-Family $63.00 ❑ # of service or feeders (F1rat service/feeder-$71.50; each addh 50) Commerciai/1' ustriai Service or Feeder Ampacity ❑ 0 -100. s $ 71.50 ❑ 101- 200 6 91.50 ❑ 201 _ 400 amp 107.50 ' ❑ 401- 600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE/EQUIPMENT oTThermostats ❑ # of Signs (F9 irst -$53.50; add'n-$16.50/ea) (First sign-$53.50; add�.25.00/ea) -,O�iow Voltage ❑ Swimming pool/hot tub................ $107.50 Square Feet to be'served by system(s) (Includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $71.50 ❑ Security Alarm System ❑ Additional Plan Review $107.50/hour ❑ Voice Cabling (for modified submittals) Q Data Cabling ❑ Automation Fee on all Permits .. $5.00 tPer y stems ■ 2500 ft2-$63.00; Each add h 2500 ft2-16.50) ' Per WAC 296-46-916(5)(b)p & H) Bulletin #100 = January 1,'2006 Pase 3 of 4 k\HandoutsWennit Analication