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01-100814 City of Federal Way Community Development Services Mechanical Permit #:01 - 100814 - 00 - ME 33530 l st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph:253.661.4000 Fax:253.661.4129 _._ (3:30pm cut-off for next day inspections) Project Name: SCHUMACKER Project Address: 702 SW 328TH 5TParcel Number: 683782 0380 Project Description: MEC-Install gas piping for(2)gas post lights. Owner Applicant Contractor SCHUMACKER Y B TUBLESS Y B TUBLESS 702 SW 328TH ST 633 SW 148TH 633 SW 148TH FEDERAL WAY WA SEATTLE WA 98166 SEATTLE WA 98166 (206)244-7868 Mechanical Valuation 700 Over the Counter Permit Yes Mechanical Fixtures Description.a -Quantity Description Quantit J Description Quantity Number of Gas Outlets 2 PERMIT EXPIRES August 26,2001,IF NO WORK IS STARTED. Permit issued on February 27,2001 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 W . // 7 / Owner or agent: Date: Z—2 ?—&' 7 � rt rL( ‘PiG{, / 3 ' / - v/ G 3 cc/c. . r` k- ( �� } CIT.Of = CONSTRUCTION PERMIT APPLICATION uV FEY - FE-112 7 :',.:i,_1.1 APPLICATION NUMBER: (Di - to U 2 ( L -&t al. APPLICATION NUMBER: - - L+Ii y Ur i-`�_,-, •L vvNY APPLICATION NUMBER: BUILDING DEPT. - - **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention ystems and Engineering permits may require a separate application. rA PROPERTY INFORMATION - SITE ADDRESS: 2©4,2 s• W i 3„Z J/ c ASSESSOR'S TAX/PARCEL #:. - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1:1 PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING AMECHANICAL LI DEMOLITION ❑ ELECTRICALl ENGINEERING FIRE PREVENTION SYSTEM AL PROJECT DESCRIPTION(Provide detailed description): b 14- L,///7//i2 4 I 6ns pOsr L7f i PROJECT NAME: •� PEOPLE INFORMATION PROPERTY OWNER: NAME: /�� DAYTIME PHONE: (l/( S'� �e'�'g/C (2c3) aTr- 3sA6 MAILI G A DRESSC(STREET ADDRESS; 702 s. td. 3A STATEZIP): iffel wdy, CONTRACTOR: NAME: DAYTIM PHONE: B3• / q&css 0,4 )��y -75-y2- . MAILING DDRESS S(STREET ADDRESSS,CITY, STATE ZIP): /� /J�i ��// EV�EENING PHONE: CITY OFF RAI.WAY BUSINESS LICENSE NUT 1 g�,l///L / _��•/// /Il (GFAX 06)R-75'� CONTRACTOR'S REGISTRATION NUMBER: / ! D `C/ 1 - g 4 a ) DATE:2 f9 � ? EXPIRA (copy of card required) 7 � T1 L3 0 I �1 9 lodes 1 o APPLICANT: NAME: DAYTIME PHONE: ;- 8- 74 f(fics- vsv 2crl - 25-Y2-i MA E-5STREET ADDRESS;f,�T�TE, IP): Sce/�d/ w� I M 6 (20EVENINP)0NE:.251y- 7of �W I // iV,rr/ 6 RE TIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): C a //, a00 ) .20 - 457 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER cgAPPLICANT -CONTRACTOR j ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) L **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST -SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) „ BBQ(S) FAN(S) HOOD(S) WOODSTQVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( GTS 1Z) COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ ELECTRIC GAS DUCT(S) GAS PIPE OUTLET(S) PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( _ ) _ INTERCEPTOR(S) SUMP(S) in 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 part of this application. NAME/TITLE: f !G� '- ' DATE: 0 --27--e/ ❑ PROPERTY 0 R ❑ APPLICANT act CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3.27 for each additional$100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2000.00 plus$15.00 for each additional$1,000.00 or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10.82 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$7.50 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 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)$3,337.23 for the fist$500,000.00 plus$5.09 for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus$3.91 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council, plus$2.00 per unit for duplex&above. ** Electrical,plumbing,and mechanical fees are calculated separately** IN BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: 7H, FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) - • FIRE PREVENTION SYSTEM • PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) • ■ PLUMBING • - Base Fee Number of Fixtures $21.00+{ X$7.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65 = (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)