01-104570 City of Federal Way Mechanical Permit #:01 - 104570 - 00 - ME
Community Development Services
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: JAMES ol/
Project Address: 31717 32ND'SW Parcel Number: 438800 0200
Project Description: MEC-Replace existing gas furnace.
Owner Applicant Contractor
Jimmie A&Alice F James THURMAN'S HEATING AND AIR THURMAN'S HEATING AND AIR
31717 32ND AVE SW THURMAN'S HEATING AND AIR THURMAN'S HEATING AND AIR
FEDERAL WAY WA 110 179TH ST E 110 179TH ST E
98023-2253 SPANWAY WA 98387 (253)875-0094
/2AJI/,55
Mechanical Valuation 625 Over the Counter Permit Yes
Mechanical Fixtures
Desai ty p (Quantity Des'c`ri:t on 't Quantity
ption IQuanti ' � ��'��i� ,,Descr tion - '
Furnaces 1
r
PERMIT EXPIRES May 28,2002,IF NO WORK IS STARTED.
Permit issued on November 29,2001
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
th,s City of Fedetrgy.
Owner or agen. Date: //'Z rp
/
RECEIVED CONSTRUCTION PERMIT APPLICATION
• APPLICATION NUMBER: , .L - to_6-70-mg,
vv n, Nnv29 2001
APPLICATION NUMBER: - -
Cl BOFDINE DEPT AY APPLICATION NUMBER: - - - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
(f ■ PROPERTY INFORMATION
SITE ADDRESS: 319-1-3 3D' V'P, S.k). ASSESSOR'S TAX/PARCEL_#: 5F 3 E 0 Q- 0,2 CYO
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1
■ PROJECT INFORMATION •
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING Zg MECHANICAL 0 DEMOLITION
• 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 'ktL i J 4 14 / .i t
11_a mmpre 9svo o %3 To v.,1) N 0
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAM , DAYTIME PHONE:
mc►l { J a w► e''
MAI ( 3) t,oC>1 - acs i
iADDRESSNG `3�ApDJU5s ZIP: + gal wae.� . �JY Q�o�-3
CONTRACTOR: NAME: DAYTIME PHONE:
2► to rrna vis 41,(4
n.Y `L t- ( 3) 87--cam
MAILING ADDRESS(STREET ADDRESS;CITY,SAONE,ZIP): EVENING PHONE:
F'O. x 52;4:3- (asp E33 r -ooay
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: . e.. FAX NUMBER:
a- ° - 0i _I QVC( - g (2 (0;44 .3)t We - a88
CONTRACTOR'S REGISTRATION NUMBER: � � � � � � � � � � � � EXPIRATION DATE: I / (:).. -
APPLICANT: NAM : , DAYTIME PHONE:
MAILING ADDRESS(STREET c4erA,C-irl,ADDR STATE,�[P R l l , �� (�EVENING 035
-oV 1
9.o.RELATIONSHIP JE 5 t3 a-7---, V J N, `au)oj IA)A--- qi 33 v�' ( 3)NUMBER:(a3ti 0021`f
❑ ARCHITECT ❑ TENANT Si OTHER(DESCRIBE):CA"nfrl~ ✓ ().5; q(, -ga-VCL
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
' EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ `Ee o�J -
CO
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**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:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) / FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
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)
■ DISCLAIMER/SIGNATURE BLOCK j
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and I
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplies).,,_
th dty as a part of this application.
NAME/TITLE•',,
6J‘C, DATE: C) (
❑ PROPERTY OWNER ❑ APP NT ❑ CONTRACTOR
FOR OFFICEr:USE ONLY: :I.
❑ NEW . - 0 ADDITION ❑ ALTERATION :REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: <. LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0I YES >!❑ NO
COMP:PLAN DESIGNATION ";BASIC;PLAN? ❑ YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES ! ❑ NO .
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 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)$23.50
(2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 for each additional$100.00 or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for each additional$1.000.00 or fraction thereof,to and including
$25,000.00 -
(4)$25,001.00 to$50,000.00 (4)$391.25 for the first$25,000.00 plus$10.10 for each additional.0.000.000r fraction thereof,to and including
$50,000.00.
(5)$50,001.00 to$100,000.00 (5)$643.75 for the first$50,000.00 plus$.7.00 for each additional$1.000.00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$993.75 for the first$100,000.00 plus$560 for each additional 0,000.000r fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,233.75 for the fist$500,000.00 plus$4.75 for each additional$1,000.00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,608.75 for the first$1,000,000.00 plus$3.65 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 her additional saeolfred 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,commerdal 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**
• • 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 FIN Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
IV MECHANICAL
PROPOSED VALUATION: CP a
FEE FACTOR FROM TABLE A: Number: i f�' (a)Base Fee: ',7,) ?v
(b)Additional Increment Fee: (p . I()
Estimated Permit Fee: (4) pi d
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) P-9 •