11-103959 • =•
n
` Mechanical
City of Federal Way �*
Community Development Seances rW Pertit #: 11-103959-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 11, 41 Inspection Request Line: 253
Ph:(253)835-2607 Fax (253)835-2609 p q ( )835-3050
Project Name: LEONARD
Project Address: 35611 11TH AVE SW Parcel Number: 440560 0016
Project Description: Installation of gas furnace.
Owner Applicant Contractor
AUSTIN&SARA LEONARD AUSTIN&SARA LEONARD OWNER IS CONTRACTOR
35611 11TH AVE SW 35611 11TH AVE SW
FEDERAL WAY WA 98023-7233 FEDERAL WAY WA 98023-7233
x .: :. ..�Y.V'.•""'akc; •� "�'":.,: ., KYR
Mechanical Valuation 1500 Is this an Online or O.T.C.application? Yes
Furnaces 1
PERMIT EXPIRES Tuesday, March 27, 2012
Permit Issued on Thursday, September 29, 2011
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: Y44:-/A., Yn R.en-tc•-Lti Date: cyaq/ ( 1
PI PAW) I D i,
• THIS CARD IS TOC MAIN ON-SITE .
CITY OF 11111rr! Construction i n In ection Record
Federal Way INSPEC TI REQU TS: (253)835-3050
PERMIT#: 11-103959-00-ME Address: 35611 11TH AVE SW
Project: AUSTIN & SARA LEONARD FEDERAL WAY, WA 98023-7233
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.
0 Mechanical Rough-in (4165) CI Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By�u/ Date/G '-2/-1/
❑ Rough ElectricalEl Final Electrical f El Right of Way
Approved Approved Approved
By Date By Date By Date
ti PTYederaEI, V E PERMIT •MF CO 0 PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES 1'''APPLICATION
253-835-2607•FAX 253-835-2619 C f 2.,
)WW eftyoffederaluvaa corn J L
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$ITE ADD S CDC SUITE/UNIT M
3S( 1) Hill -l:Jl/:
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITI 0 ENGINEERING 7❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
`(/
/f
..„4:2-x..62-t_ab
PROJECT DESCRIPTION
Detailed description of work to I n�a1 1 r1 q ilk' i,) 3 c 'f t f i'i 0S-"— _ c; 1-1z 6 i,,i Li .,
be included on this permit only `_�J V ��
CP I i hl ect'+ i via+0( ,� 8CIS,
NAME PRIMARY PHONE
vs
PROPERTY OWNER S( •
I,C IZ\ dt i-v�-,r) Leckl a trA '11c -30- o B
MAILING ADDRESS E-MAIL
3�% 11 I I-hi 6, 5t--- szrck ,(-et''vta.-rJa.)1v ; 1.(01-n
CITY STATE ZIP
¶E C\e/zcxi \-•4'aj W J1 18Oi3
NAMEPHONE
UL. J
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
/ /
NAME U'\--Th' PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT C (� 1 PHO
(The individual to receive and i r)vi L.LUY\u-"'2^f Z5 77 2 Z —c'iS -
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING --,`` 0 OWNER-FINANCED
Required value of$5,000 or more `�-
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE . PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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. C�
SIGNATURE: .S(e'2f'l L ii5c- ..<'(--Lic��/IDATE 1 -7 ` —
PRINT NAME: 3C(XCk V Y' Lto o a,r
Bulletin#100-January 1,2011 Page 1 of 3 k:)Handouts)Permit Application
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VALUE OF MECHANICAL ' .•' $_ O® . copy of bid or estimate must be provided)
Indicate how many of each type of :':- - .- e relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerocaq
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Handsndcs) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
I- NKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Etectrtc)
HO • BIBBS SUMPS WASHING MACHINES ?. : .',:".'1'b'it`Ate "�'
CRITICAL AREAS ON PROPER �' WATER PURVEYOR SEWER PURVEYOR VALUE OF EXIS I G IMPROVEMENTS
$
EXISTING/PREVIOUS USE •T SIZE IIn Square Feet) EXISTING FIRE SPRINKLER SYSTEM? P- •••SED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) IL STING PROPOSED TOAal FOR OFFICE USE
FIRST FLOOR(or Mobile Home) 1.11--
COVERED ENTRY PALM
t...: ... ..; , «.•_',; >•=="s`? ... '; ktr:r,•cxa .- •_ - ---- -------- ---------
GARAGE ❑ CARPORT ❑ 11.11 MEM '
_=STING !ROl06iD li
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
IMES Construction ! of
AREA DESCRIPTION , Occupancy Group(s) J•e �l es Additional Information
I?' n
ADDITION ,
AREA D -CRIPTION Area Occupancy Group(s) Construction of Additio.. Information
in S.uare Feet j.a Stories
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TENANT AREA ONLY _
.j+.. .>»,.r<� ;a- :°x�3. w �t!R'2'"^M' „ :'i"i;, c„>, <•-,ms's'••' �;' < :s .{>=*.' ^ ,
a xst,�.., .�:'".,£•�,•' -rc 't,g s ��?'a :��'t.•t?,•, i.' <,s';'< <.'� ,, �.t `4r " =''x:'•, ` <s
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
JEW RESIDENTIAL SERVICE JEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
` (First 1300 fts-$115.50;Each add%500 ft2-$37.00)
❑ Detached outbuilding or garage 0 0 to 100 amp $125.50 $76.50
Ef 0 101-200 amp 155.50 98.00
. (Inspected with service) $48.50 , 0 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage 0 401-600 amp 339.50 136.00
(Inspected separately) $76.50
0 601-800 amp 439.00 186.00
0 801 - 1000 amp 536.50 224.50
INEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 0 Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50FAMILY
76.50 ❑ Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00
❑ 601 -800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 SINOLE/MULTI 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED 0 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder 0 over 1000 amp 489.00
❑ 0 to 200 amp $96.00
O 201 600 amp 155.50
O #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add%circuits,$7.50/ea)
1 ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 0 Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Muiti-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Contmercia/lndustriai Service or Feeder Ampacity
❑ 0-100 amps $76.50
O 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;addh sign$27.00/ea) •
FrLowVoltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s)/66,0610 (Includes additional circuit,if required)
er Fire Alarm System /S-7,5 W U Yard Pole meter loops $76.50
6d Security Alarm System ❑ Additional Plan Review
lgr Voice Cabling � $115.00/hour •
Data Cabling �� o (for modified submittals)
��"'Wry;„ ``01 • v l 0 Automation Fee on all Permits .. $5.50
1 2 7.50; N.�
Each add'n 2500 fts-$17.50) Per WAC 29646910(5)(b)(&Ii)
A
IBulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application
FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
BUILDING,.MECHANICAL fa FIRE PREVENTION PERMIT FEES
-� Building,mechanical,and fire prevention system fees are calculated based on the following schedule.
- Project valuation for new construction or additions is based on a set cost per square foot as determined by the
Building Official.
-► Valuation for remodels,tenant improvements,alterations,etc.shall be provided by the applicant based on a
legitimate bid or cost estimate which reflects the fair market value of all elements of the project.
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$34.00
(2)$501.00 to$2,000.00 (2)$34.00 for the first$500.00 plus$4.50 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$101.50 for the first$2,000.00 plus$20.50 for each additional$1.000.00 or fraction thereof,to
and including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$573.00 for the first$25,000.00 plus$14.50 for each additional$1.000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$935.50 for the first$50,000.00 plus$10.00 for each additional$1.000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,435.50 for the first$100,000.00 plus$8.00 for each additional$1.000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,635.50 for the fist$500,000.00 plus$7.00 for each additional$1.000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$5,135.50 for the first$1,000,000.00 plus$5.50 for each additional$1.000.00 or fraction thereof.
Table A
PLAN REVIEW FEES
-4 Plan review fees are collected in addition to permit fees,based on a percentage of the associated permit fee
• Building Permit 65%of Building Permit Fees •
• Mechanical Permit 25% of Mechanical Permit Fees
• Plumbing Permit 65%of Plumbing Permit Fees
• Fire Prevention Permit 65%of Fire Permit Fees
• Fire review fees 15% of building permit fees
(Commercial building permits only)
• Additional Building Division Review $70.00/hour
•
PLUMBING PERMIT FEES
• $29.50 Permit Fee plus $10.00 per fixture •
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council(SBCC) Surcharge $4.50/issued permit
• Public Works review fees $130.00 for new single family
$782.00 for new commercial
• Zoning review fees $52.00(residential only)
• School District impact fees(new residential only) $4,077.00/single-family residence
$1.820.50/multi-family unit
• Automation fee on all permits $5.50
If you need assistance completing the permit application form, or have
• questions concerning the application process,please contact:
Community Development Customer Service Counter at (253) 835-2607
Bulletin#100-January 1,2008 Page 4 of 4 k\Handouts\Permit Application