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04-101234 Plumbing t City of Federal Way Community Development Services Permit #: 04-101234-00-PL P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: Ph:(253) 115x12 07 Fax:(253)8 1:2609 p Q (253) 835-3050 Project Name: MARMON Project Address: 33409 43RD AVE SW Parcel Number: 142103 9060 Project Description: Moving kitchen sink Owner Applicant Contractor BOB MARMON BOB MARMON BOB MARMON 2622 S 276TH PL 2622 S 276TH PL 2622 S 276TH PL FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Plumbing Fixtures Sinks 1 PERMIT EXPIRES Wednesday, September 29, 2004 Permit Issued on Friday, April 2, 2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and th- .se will be in accordance with the laws, rules and regulations of the State of Washington • — and thhyofF eralWay. x Owner or agent: /_�� A"--- -'_PX _ l'IfisI- Date: V yCvogvaoy CRY Federal Way PER O f - / D 1 2 q C JJ Lj 2r a VELOPMEM'SERVICES PERMIT SF MF CO ME E PL E EN FP 33530 FIRST WAY SOUTH•PO BOX 9718 APPLICATION FEDERAL WAY,WAA 98 98063-9718 TD / 253-661-4115•FAX 253-6614129 / .1111[11.at Ito/Iederal wa tt corn ) The o llowin• is re.uired in ormation-an inco .(eta a..lication will not be acce.ted. Please .rint le.ibl (in ink)or 3 PROPER ' . -i i I. . SITE ADDRESS Q Y ( A-.,Q 5400 SUITE/UNIT# ------__ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate p page for lengthy legal deso prion) PROJECT INFORMATION • TYPE OF PERMIT ❑ BUILDING jPLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRI ON (Provide detailed description of work included on this permit only) _/ 4d�(' L�f t 1N Jk s [444, r f C - PROJECT NAME(Name of Business or Owner Last Name) IA M1 NAM PEOPLE INFORMATION PROPERTY NAME f-, PRIMARY PHONE OWNER /J e�f t(G(.v 14.'k'''''‘ ()• 7 ) 9 4-( -0Lf MAILING ADDRESS CITY,SIVE,ZIP ? .22 5 -7�' e( f' e � V '&,y V/f fro '7 CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE — CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER / / ( ) B L CONTRACTOR'S REGISTRATION NUMBER(copy of card regnued with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT ( ) FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) LENDER Per RCW 19.27.095: Lender information is NAME 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 $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • • • PROJECT FLOOR AREAS AREA DESCRIPTION _ EXISTING SQ. FT. PROPOSED SQ.P' 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 Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.W� MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS • PLUMBING BATHTUBS(or Tob/Shom Combo) SHOWERS WATER CLOSETS frothy 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,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. NAME/TITLE DATE Q (Signs ure) (Title) ��77 RELATIONSHIP TO PROJECT 0 Owner n Agent ❑ Contractor 0 Architect 0 Other FOR OFFICE USE ONLY a NEW o ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO • Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Rcvised\Permit Application Alir . 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-$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) ❑ 801 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 U 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 600 amp 161.00 80.00 U Mast or meter repair $80.00 ❑ 601 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL U 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 V 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ 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 ❑ #of Thermostats U It of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling (Per System(s) 1,,2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5y/40&a) Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application