05-104009 City of Federal Way Mechanical Permit#: 05 - 104009 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BISSEGGER
Project Address: 30100 21ST S We 5 Parcel Number: 798300 0040
Project Description: Install of new furnace,heat pump coil,and heat pump
Owner Applicant Contractor
M S Bissegger HERITAGE ENTERPRISES INC HERITAGE ENTERPRISES INC
30100 21ST AVE S 9001 PACIFIC AVE 9001 PACIFIC AVE
FEDERAL WAY WA TACOMA WA 98444 TACOMA WA 98444
98003-4260 (253)539-8709
Mechanical Valuation 8000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity' Description Quantity Description 7Quantityi
Air Handling Units 1 Compressors 1 Furnaces 1
PERMIT EXPIRES February 6,2006.
Permit issued on August 10,2005
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: 134" / Date: 71e4
A°, J
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104009-00-ME
Owner: M S BISSEGGER
Address: 30100 21ST AVE S
FEDERAL WAY, WA 98003-4260
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) Es Final-Mechanical(4065)
Approved Approved to release test Approved
'
[BY Date By Date By 16`� Date kktt --
,
RECEIVED .
:.,� A116 1 0 2005 i
Federal Vtia�/ b � �' �—t
�wwtvRrrroEra( 6-11 Y OF FEDERAL WAY PERMIT SF MF C• :L PL DE EN FP
33325 S' A'RRUEs01m1•M rDING DEPT
PRINIRAL APPLICATION
4534.15.2607•PAX 253435.4609 •
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The ollo • is -• tried ormatlon-an Moo •fete • ••Heat/on will not be acce•ted. Please •tint le,ibl ' or p
■ PROPERTY INFORMATION
SITE ADDRESS 2)aJQ6 /(I 4rQiG`4•' / . SUITE/UNIT f
LOT SIZE(s�
ASSESSOR'S TAX/PARCEL — — — —
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
ma sh« n
r. arwl&kr kW"!Will /
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
• ❑ DEMOLITION4LELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT
�DESCRIPTION(Provide detaile14.0144ge.
description
�o�f�w��orrk included
on .�__ y.ri.c .,,
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IL2si - 1 ,,�i .rr,�,� �(lr
6412dP447C4 � - Aa,� �et.I. -etd,VielgCO2 1:94•44M .
PROJECT NAME(Name of Business or Owner Last Name) ; CN
v ,
PEOPLE INFORMATION
i PROPERTY B `PRIMARY PHONE
!! OWNER y WS'3 )83? -Nilo
..,7 41144121r; ,STATE,ZIP
39/Dd ;i / wh 9goo 3
CONTRACTOR InitCOMPANY NAME ZCZ
OPPICE PHONE
� ' ` , STA (;S3) PA -;-a a
CELL PHONE
9061. i ,ie kth:.•1 S Wig (AS-3i 377 /016
art mew • WA 1533 LICRIISE NUMBER 3EXPIRATION DATE 'RAX N�IMBER
CONTRACTORS REGISTRATION NUMBER foggy.fmut ralaicM with each appU.aWa$ EXPIRATION DATE
lie. �. .rrEzI & tMk. ?/a4 /ob _
APPLICANT •• PANT NAMEOFFICE PHONE
4
STATE, CELL PHONE
Esiode. Avc....
PA ONSHIel1(4 PROJBCT 1.4-601i�t{ui, /al 9(1/11 7 (616-319172 /d6 7
FAX NUMBER
a Architect a Tenant ❑Agent tr6ther(Describe) feet,elat.it4so (?S3)S3 Z - /00,
CZt PRIMARY PHONE
(.10149?-?--- as E-MAIL ADDRESS
_.
LENDER -
MAILING ADD• • CITY.STATE.ZIP .
. • • • • ■ DETAILED BUILDING INFORMATION •
•
EXISTING USE ` PROPOSED USE
. EXISTING ASSESSED/APPRAISED VALUE $ _____V, "' o • •*POSED WORK $
SPRINELERFD BUILDING? a YES O • I.4' SUPPRESSION SYS -. • • •POSED/REQUIRED? a YES ❑ NO
WA ER SERVICE a c s •" = ' • LAKEHAVEN a HIGHLINE 0 TACOMA a P• • • ^ :i L)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE . 0 PRIVATE(SEPTIC)
. PROJECT FLOOR AREAS '
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST • •
SECOND
THIRD _
ADDITIONAL Fre. •.. i. CRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0 `
mogroNUMBER OF FLOORS ��� _;; ,,%�c''' .�.- 5;—I 1m,,Ft.t.
"NEW HOMES ONLY:2 ER OF BEDROOMS ESTIMATED SELLING PRICE $
. FIXTURES -
Indicate number of each type of fixture to be installed or relocated ds part of this project. Do not include existing fixtures to remain.
(---`MECIMNICAL
Value of Mechanical Work $ IA/ ago 60 '
•
1 AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRI).SYSTEMS
BBQS FANS HOODScanad° WOODSTOVES
BOILERS ±... FIREPLACE INSERTS RANGES ' .'i..., MISC(Describe)
COMPRESSORS t.- FURNACES OAS WAT 1 HL`ATEk3'
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS siersi/36a.ar Combo) SHOWERS WATER CLOSETS Ira ke MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS Madmen'*Idol VACUUM BREAKERS ELECTRIC WATER HEATERS
C""' DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of pe jury that the information 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 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. /Q
' NAME/TITLE J (/ " . / 46.0.. �.ew DATE 7jo/OS
(Signature)- ie (Title)
RELATIONSHIP TO PROJECT O Owner U Agent O Contractor O Architect O Other
PJ1':r .`ut)!)t (c1 I ', i,' ;,* - , r
- = 1:�.Ce.1;@ Cd 'zv,t�;+', t',�h torr :, ?;Yet.o ,, �Ai`.
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Bulletin#100—January T,2005 Page 2 of 4 k\Handouts\Pertnit Application
l..11ws:.
II
ELECTRICAL PERMIT INFORMATION
- RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
0 Single Family Square Feet Service or Feeder Each Add'h
(First 1300 ft2-$104.50;Each add'n 500 IV-$33.50) 0 0 to 100 amp . $113.50 $69.50'
O Detached outbniltling or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
0 Detached outbuilding or garage 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 amp 398.50 . 168.50
O 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) • 0 Over 1000 amp 530.50 283.00
Service Feeder _
O Up to 200 amp $113.50 $33.50 0 Over 600 volts surcharge $89.00
O 201 -400 amp 141.00 69.50 0 Mast or meter repair $96.00
❑ 401 -600 amp 193+00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00 -
O Over 800 amp 353.50 264.50 Service or Feeders
O 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 264.50
O 601- 1000 amp 398.50
• Service or Feeder
❑ 0 to 200 amp $87,00 0 over 1000 amp 443.50
• 0 201 -600 amp 141.00 -7t #of circuits to be added/altered
0 over 600 amp 212.50 (1-5 circuits-$89.00;Addh circuits,$7.00/ea)
M 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 Pee
O Service- 1,000 amps or greater
0 Mast or meter repair $52.00 - 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑•Service and feeder $113.50
TEMPORARY SERVICE
• MOBILE HOME/RV PARK Residentiai(MulU-Family $61.00
0 • #of service or feeders
(First service/feedek-$69.50;each add'n-$45.00) Commercial'/Industrial Service or Feeder Ampaclty
❑ 0-100 amps ._ $69.50
O I01-200 amps 89.00
O 201-400 amps 104.50
O 401-600 amps •- 141.00 ,
O over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O It of Thermostats Cl A of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'nsign$24.50/ea)
O Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $104.50
❑ Security Alum System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ 0 Automation Fee on all Permits .. $5.00
(Per System(s)-1k 2500 ft2-$61.00; •
Each add'n 2500 ft2-16.00)•Per WAC 29646.910(PXbkl&al
)
Bulletin#100-January 7,2005 Page 3 01'4 k\HandoutsTennit Application
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•
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)$31.00 •
(2)$501.00 to$2,000.00 (2)01.00 for the first 000.00 plus$4.00 for each additional 5100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$91.00 for the first$2,000.00 plus$18.50 for each additional$1.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$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)$354.00 for the first$50,000.00 plus$9.00 for each additional 51.000.00 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)$4,204.00 fir the fist$500.000.00 plus$6.00 for each additional 51.000.00 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 51.000.00 or fraction thereof.
• I
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 klHandouts\Permit Application