01-101929City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name: GARCIA P�
Project Address: 33227 32NDi SW
Project Description: PL - replace electric water heater
Plumbing Permit #:01 - 101929 - 00 - PL
Inspection request line: 253.835.3050
Parcel Number: 954280 0120
Owner
Applicant
Contractor
SHERWOOD ALTA GARCIA
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
33227 32ND PL SW
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
FEDERAL WAY WA 98023
12704 NE 124TH ST SUITE 43
12704 NE 124TH ST SUITE 43
KIRKLAND WA 98034
(425) 820-8848
Plumbing Fixtures
goon Quanti Description Quanti Descri Lion Quan#i
Water Heaters 1
PERMIT EXPIRES November 11, 2001, IF NO WORK IS STARTED.
Permit issued on May 15, 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 Way.
Owner or agent: /Oz
6/ll/Ol No A cte-"
61 It 1311 /
Date:j
�raF -rT� p CONSTRUCTION PERMIT APPLICATION
uV FfY ".��An�nl lnnry R -��T n=���nw�rha�-nn APPLICATION NUMBER: -
PPLICATION NUMBER:-
g4'�.°:'I APPLICATION N('TROV-W
**The following is required information—,P)ea'se pnn(,( ij;ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: .3' 3 Z 2— -1 3 2-,j d /" l S �L-% ASSESSOR'S TAX/PARCEL #:. � S5 / 2 8-0 - 0 % 2 G
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PRO]ECT INFORMATION
TYPE OF PROJECT (This application): 0 BUILDING 4 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ze~ C y L.>
PROJECT NAME:
PEOPLE.
PROPERTY OWNER: NAME: DAYTIME PHONE: _
Z) Al.-l-"IL -614IW411 1(2%-3) Cn /-OS
CONTRACTOR:
APPLICANT:
CONTACT PERSON
MAILING ADDRESS (STR(--,ET ADDRESS; CITY, STATE, ZIP): I
332,'2-7 -31.» Pt -�'w I
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE ZIP):
EVENING, PFME:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: — � � � / —
FAX NUMBER: �2L�
CONTRACTOR'S REGISTRATION NUMBER:
C—
EXPIRATION DATE:
(copy of card required)
NAME:
�e-14
DAYTIME PHONE:
ekv r 3
MAILING AADDrR�EppSS (STREET ADDRESS; CITY, STATE, ZIP): 4�f
EVENING PHONE:
/` //)),�� JJpa nj"'7
I �F
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT Gd OTHER ( DESCRIBE):`�t &,-"'C w--
FAX NUMBER:
(�/2 I k2;3
E-MAIL ADDRESS:
:OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETIULED 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 ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Z� ��
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 $S00.00
(1).$24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus f
or fraction thereof, to and including $2,000 00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $15rw r¢rC>3CL 1R L `�. 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 1L I
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 IZ5V jfE Wh ddiHiCi0rk71
f1.0�2m7or fraction thereof, to and including
$100,D00.00.
(6) $100,001.00 to $5D0,000.00
(6) $1,025.55 for the first $100,000.00 plus 16.00fix
or fraction thereof, to and including
$500,0oo.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus 11aZ&rAnjQtadAjk6aLjLj222dWor
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 LZ91 IDr Ce7rl+arJFIN
WI SLOOO OYJ or fraction thereof.
Bold number is the base fee for the specified increment
- -- dejftcd numbers fhe fee peraddItAokaal sMCrtl
.Intrcment
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 **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number
Estimated Permit Fee: (
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number
Estimated Permit Fee: (6)
Estimated Plan Review Fee:
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM '" . ' ...
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of Fixtures
$21.00 + { I 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) = G1) Z8'0 ✓
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ __
FLOOR
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
EXISTING SQ. FT. PROPOSED SQ: FT. TOTAL
TOTAL:
. 'FUTURES
_ AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
_ FAN(S) _ HOOD(S) _ WOODSTOVE(S)
_ FIREPLACE INSERT(S) RANGE(S) MISC. { }
_ FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
_ WASH MACHINE OUTLET
WATER CLOSET(S)
ITCC -ALMPRISTGNATURE BLC
I WATER HEATER(S)
01 ELECTRIC ❑ GAS
MISC. (-)
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: wa f DATE:
❑ PROPERTY OWNER 91-APPLICANT l-1l CONTRACTOR
❑ 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