04-103187 [6-Py of Federal Way
Community Development Services Mechanical Permit #:04 - 103187 - 00 - ME
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: BACKMAN
Project Address: 1207 SW 329TH PI Parcel Number: 926494 1140
Project Description: Install new gas furnace and 3.5ton a/c unit
Owner Applicant Contractor
John P Backman &Tammera L Backman PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
1207 SW 329TH PL 7649 S 180TH ST 7649 S 180TH ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-5211 (425)251-0356
Mechanical Valuation 6008 Over the Counter Permit Yes
Mechanical Fixtures
Description !Quantity Description [Quantity Description Quantity
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES February 6,2005.
Permit issued on August 10,2004
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: "'� 2 ^r �'.-' --.—~ Date: �6/�., .."
• THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection lteord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103187-00-ME •
Owner: JOHN P BACKMAN
Address: 1207 SW 329TH PL
FEDERAL WAY, WA 98023-5211
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 Appray.d
By Date By Date , By Cj Date 0,0
4
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• OA -
17
f ,Federal Way PERMIT --f- t
COMMUMTYDEVELOPMENT SERVICES SF MF CO EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718 TD
253-6FEDERAL WAY,WA 98063-9718 5 FAX 253 4129 APPLICATION / /
unuw.dt uofederalwa u.oom
The ollowin• is re•uired in ormation-an into •fete a.•lication will not be acce•ted. Please .rant le•ibi (in ink)or .
�PR�OPERTY INFORMATION
SITE ADDRESS /c907 s. ` q'" ' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# g a Lo 4 q 4 - -1. _L LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmprtou)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING p4I44ECHANICAL
0 DEMOLITION TRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
n, 6t.4 RZirmaC_ 4- 3.S +csirl A/C- uv7tr
PROJECT NAME(Name of Business or Owner Last Name) tg a Cr..MOO ---00S(\CP.1)ee__
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER
�1 r�114 6 a_V_kiinaui (ass) 5- - 4/43
MAILING ADDRESS CITY,STATE ZIP
<aoo s vel aaq'-'PL, federal \( t 4 4. btJ A- 4 B-oa3
CONTRACTOR COMPANY NAME APPLICANT NAME OFF CE PHONE
Per r7nwe tea/ 6-hhll� ailoday) (C'- �5/ - aceto
MAI LIN ADDC3 i /� CITY,i-11iE / 11i RO�V a (Jou) s) - CJ({o q'(
CITY ELL PHONE
/OOF�/JFEDE(FEDERAL WAY BUSINESS LICENSE NUMBER ( EXPIRATION DATE FAX NUMBER
4 q-6 5--0 Q U .D 4 a- B L / / X 57 -o '6
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
i6LevJ/ ,1I_ 5O ET4 ' gq ' ass
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRI ARY PHONE
TT cid .3 ( air g-51 - O r,, +M=' ' ,;• .(m.
LENDER Per RCW 19.27.095: Lender information is NAME ht. rna ca.(
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
r
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
~v�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 $ aeb b
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(commerr,al) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I _ FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS lorTub/Shower Combo} SHOWERS WATER CLOSETS froakq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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,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. n
NAME/TITLE DATE SI i-e/b4 _
(Slgnatur • (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? a YES ❑NO
•
Bulletin#100—March 30,2004 Page 2 of 4 k\handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
LI Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28 00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 801 1000 amp 405.50 169 50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 - 600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332 00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00 ❑ # of circuits to be added/altered
(1-5 circuits-$74 00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58 00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
Cl Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ # of service or feeders ❑ 101 - 200 74.00 51 00
(First service/feeder-$58 00,each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
G,, # of Thermostats ❑ #of Signs
list-$43 50;add'n-$13 50/ca) (First sign-$43.50;add'n sign$20.50/ea)
G Low Voltage //��T ❑ Swimming pool/hot tub.... .... ... . $87.00
Square Feet to be served by system(s) AfSOfV (Includes additional circuit,if required)
O Fire Alarm System ❑ Yard Pole meter loops. .... .. . . . . $58.00
❑ Security Alarm System ❑ Additional Plan Review $87 00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
III
(Per System(s) 1•,2500 ft2-$51.00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(14 66 u)
s_
w
Bulletin#100-March 30,2004 Page 3 of 4 k\i landouts-Revised\Permit Application
FEES
This is an 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)$30.50
(2)$501.00 to$2,000.00 (2)$30.50 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)$90.50 for the first$2,000.00 plus$18 00 for each additional$1,000 00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$504.50 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$829.50 for the first$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)$1,279.50 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)$4,279.50 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)$7,279.50 for the first$1,000,000.00 plus$4.50 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 $61.00/hour
PLUMBING PERMIT FEES
• $26.50 Permit Fee plus $9.50 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBBC) 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) $3,269.00/single family residence
$ 940.00/multi-family unit
• 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) 661-4115
8:00 am to 5:00 pm, Monday through Friday
•
Bulletin#100—March 30,2004 Page 4 of 4 k\Handouts—Revised\Permit Application