05-100681 City of Federal Way Mechanical Permit #: 05 - 100681 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax•(253)835-2609 41, Inspection request line: (253)835-305C
Project Name: MOORE we,
Project Address: 34456 20TH SW Parcel Number: 189545 0070
Project Description: Install 3ton air conditioner
Owner Applicant Contractor
JANELLE MOORE ALL SEASONS,INC. ALL SEASONS,INC.
34456 20TH AVE SW 5001 N 28TH ST 5001 N 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98407 TACOMA WA 98407
(253)278-9344
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 1
PERMIT EXPIRES August 13,2005.
Permit issued on February 14,2005
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: Z/( y /C2f
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100681-00-ME
Owner: JANELLE MOORE
Address: 34456 20TH AVE SW
FEDERAL WAY, WA 98023
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 Date By g...,
Date �/23 a,�
r ,
A 1) I 5- —'F—'
Federal Way PERMIT jy( 11
SF MF C0410, L PL DE EN FP
OOMA(UN17Y DEVELOPMENT SERVICES
33325 Sr"AVENUE SWATH• 9718
FEDERAL WAY,WA 94063-9714 APPLICATION
TD /
253-835-2607•FAX 253.435-2609 /
www.cityoffederalway Com
The ollouti • is re•aired in ormation-an Inco •tete • ••lication will not be acre•ted. Please •rint le• •1 (in in or • .
I. PROPERTY INFORMAT,ION
SITE ADDRESS J 14 (4_AS- 2-a/, )02- -- vV SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s,f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach ate page for lengthy legal description)
li PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PL ING tjLM HANICAL
0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
61 1.-- ( ( 3 7-4' '7 o• ^r c o�•ca.'7---:,.0,,7 ,e/
PROJECT NAME(Name of Business or Owner Last Name) /10P r'e---
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE �
OWNER 7- IA ii .e (. filo,,,_ (43 ) pl32- lb^
s
MAILING ADDRESS CITY,STATE,Zip
CONTRACTOR COMPANY NAME APPLICANT NA OFFICE PHONE
Ir C- �DAf 1/7 c ; Pits ,,etn q w (tis;) L 931`-i
MAILING ADDRESS /�J– CITY,STATE,ZIP CELL PHONE
55,61 ( /" �0 C OHI R P V�/O —J ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / ( )-s3) Fly -q/y3
CONTRACTORS REGISTRATION NUMBER(co of card required with each application) VPIRATION DATE
A-1I Sete 1 a3osf (/ie%iv?S/i/-5 T72.5/0 5/ If 141705
APPLICANT COMPANY NAME APPLICANT N OFFICE PHONE
17-(l 'ts"7J /77C � c q w (I–S3) -2-71P-- ?At
MAILING ADDRESS CITY,STATE,ZIP – CELL PHONE
5'6',( N 2-d 7<6 n?-4(07 ( r-) - -...--------
RELATIONSHIP TO PROJECT FAX NUMBER �.�{
CI Architect a Tenant ❑Agent a Other(Describe) ",S 3 ) *?9' - (P�3
CONTACTNAM PRIMARY PHONE E-MAIL ADDRESS
/4 ,•� 4�rt ( 2)) z?--- 73yr
LENDER *XeRNP,Zeigl
9nffo art0NAME
, Po ecFaue 0
MAILING ADDRESS CITY,STATE,ZIP
•
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAK-HAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH ••;•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTIRG PROPOSED TOTAL TOTAL WSTD(O it TOTAL PRA!. Sr 1ii', ,"'TOTAL SF ,
NUMBER OF FLOORS "=
**NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
/ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS - REFRIG.SYSTEMS
BBQS FANS HOODS(commrd I) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
AL- COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/show<rCombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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,1nclu•• , e undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includi its of and employees,upon the accuracy of the information supplied to the city as a part of
this application. 44
/ /
NAME/TITLE DATE 2-4-
j 7 --
(Signature) (Title)
RELATIONSHIP TO PROJECT a Owner 0 Agent • Contractor ❑Architect 0 Other
1. +''k- ski a DITION T' r iAITERATION ❑REPAIR`R F= , p I ENANT IMPROVEMENT:
#► l` ► ► G Frii, NLY?y £NO` " ••. BASIC PLAN? ;yea: •a YES
..a i 3►„MIa ATION 3 ,"-"ader '-'•/5' " ._ CHANGE OF.FUSE? a:1 i 4U YES, �TiO s='' `•
O •.D_,RESSIEQUIRED?-' '. YES' NO UP/SEPAJSU?=) r _ r ,: o YES;,t:;[1 NO
iib ►
a ►' ,. = AYES*NO 4 ` 0EMOPERMIT y AIRED? f !'YES O
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
k ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
El -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps - 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
Cl Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabli❑ ng ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•e 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-91 o(5)(6Xi&ii)
' Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application
FEES
This is art overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
PERMIT FEES
Building,mechanical,and fire prevention system fees are based on the following schedule.
"Electrical and plumbing fees are calculated separately"
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$31.00 .�
(2)$501.00 to$2,000.00 (2)$31.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and
including $2,000.00
•
(3)$2,001.00 to$25,000.00 (3)$91.00 for the fust$2,000.00 plus$18.50 for each additional$I.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$516.50 for the first$25,000.00 plus$13.50 for each additional$1,000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$854.00 for the fust$50,000.00 plus$9.00 for each additional$1.000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,304.00 for the first$100,000.00 plus$7.50 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)$4,304.00 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$7,304.00 for the first$1,000,000.00 plus$5.00 for each additional$1.000.00 or fraction thereof.
Table A
PLAN REVIEW FEES
• Building Permit 65% of Building Permit Fees
• Mechanical Permit • 25% of Mechanical Permit Fees
• Plumbing Permit 65% of Plumbing Permit Fees
• Additional Building Division Review $63.50/hour
PLUMBING PERMIT FEES
• $26.50 Permit Fee plus $9.00 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBCC) Surcharge $4.50/issued permit
• Fire District #39 review fees (commercial only) 15% of building permit fees
• Public Works review fees Hourly/varies by project
• School District impact Fees (new residential only) $3,011.50/single-family residence
$950.50/multi-family unit
• Automation fee on all permits $5.00
• Demolition permit fees
• Required bond(s)/deposits
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
8:00 am to 5:00 pm, Monday through Friday
Bulletin#100—January 7,2005 Page 4 of 4 k\Handouts\Permit Application