02-103265City 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: LEISHMAN
Project Address: 35721 6TH SW
Project Description: ELE - Adding 1 circuit for a furnace
Electrical Permit #: 02 - 103265 - 00 - EL
Inspection request line: 253.835.3050
Parcel Number: 302104 9091
Owner
Applicant
Contractor
Matthew J & Leslie E Leishman
BRENNAN HEATING CO INC
BRENNAN HEATING CO INC
35721 6TH AVE SW
4601 S 134TH PL
4601 S 134TH PL
FEDERAL WAY WA
TUKWILA WA 98168
TUKWILA WA 98168
98023-7210
(206)248-7900
Electrical Fixtures
110itili
Circuits - Residential I
�..-i06scri tion -_ t.w
QllaCltl.
PERMIT EXPIRES January 27, 2003, IF NO WORK IS STARTED.
Permit issued on July 31, 2002
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
Owner or agent: Date: l ��
h ZRECEIVED BY � .•��''Er) 8Y !�
COMMUNITY DEVELOPMENT DEPARTMENY'"""- "'TC0I�ISTRUCTION PERMIT APPLICATION
,) U I_ 2 2002, APPLICATION NUMBER: Z -
0f PPLICATION NUMBER: _ _ - _ _ _ -
PPLICATION 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.
INF
-PR//-- O. O.
NATIO
SITE ADDRESS: �� r7"Zi &M (a\lc�'�t,J ASSESSOR'S TAX/ PARCEL #: I ' ` I Oct i
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
4�f�e__
PR07ECT FORMATION "
TYPE OF PROJECT (This application): ❑ BUILDING yPLUMBING )dMECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: L E ISH w✓ 3
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
EXISTING USE:
PROPOSED USE:
'' ■{. QEOPLE"Z111FORMATIOW:
NAME: LCIS (414 A O
FOR
DAYTIME PHONE:
(aS3)
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
�)SV70 t Ce -To %%\J�
Fcoce- +L tli-�
'SO
NAME:�YTIME
�C_t AMA i��H 1 l 0(�,
PHONE:
\ACXf-�) C7C�0
- J'1(.b
MAILING ADDRCE�S-S (STREET ADDRESS; C.rTY, STATE, ZIP):
4(ooi S l� 1 -FL
(u LJtIA Q$10
EVENING PHONE:
( ) fiS
- ri`(�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
a�
- c� i o i C�� OCA
FAX NUMBER:
( )a4$
-?CLOS'
CONTRACTOR'S REGISTRATION NUMBER:
�f '\ ^
' C v
EXPIRATION DATE:
/ (
/
(copy of card required)
` `
NAME:
'B1 Cc1,j ! 4� ( kCg t i tiC
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; C , STATE, ZIP):
�(c�l S CsT14i''�
T�'rCc,.�iLA ib1�6
EVENING PHONE:
(�) a
- �Ccuv
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE).Q� jTkACTC)P—
FAX NUMBER:
(�) ca +
- �cic'S
E-MAIL ADDRESS:
THIS PROJECT: ❑ PROPERTY OWNER
❑ APPLICANT CONTRACTOR
E'.DE 'q I;E0, BUILD ING,INFO RMATION;
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 11'�
PROPOSED VALUATION FOR IMPROVEMENTS: $ : 44o,). QV
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPR:SSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
.0-
NUMBER
i-
ESTIMATED SELLING PRICE: $
PR07ECTILOOR AREAS:!,.,
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
COOLER
GAS LOG(S) ( )
REFRIG. SYSTEM(S)
FIRST
FAN(S)
HOOD(S)
WOODSTOVE(S)
SECOND
FIREPLACE INSERT(S)
RANGE(S)
MISC.( )
THIRD
I FURNACE(S)
FOURTH
�_ GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
OTHER FLOORS (DESCRIBE)
PLUMBING
DECK
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
GARAGE
HOW MANY FLOORS?
SYS. RAIN WATER
VACUUM BREAKER(S)
❑ ELECTRIC GAS
TOTAL:
SHOWER(S) (S) OUTLET
WASH MACHINE
Indicate nunkbeoor each type of fixture
MECHANICAL
AIR HANDLING
EVAPORATIVE
CENSUS CODE:
LOT SIZE:
UNIT(S)
COOLER
GAS LOG(S) ( )
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
MISC.( )
COMPRESSOR(S)
I FURNACE(S)
DUCT(S)
�_ GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DIStiWASHER(S)
SYS. RAIN WATER
VACUUM BREAKER(S)
❑ ELECTRIC GAS
DRINKING
SHOWER(S) (S) OUTLET
WASH MACHINE
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
mSCLAIMER•ISIGNOTIIRE R1 e
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.
NAMEITITLE: 1) DATE:
❑ PROPERTY OWNER ❑ APPLICANT ` 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? 0 YES 0 NO
CHANGE OF USE? ❑ YES ❑ NO
C
Estimated Plan Review Fee: (7)
PLUMBING
Base Fee Number of Fixtures
$21.00 +(
1 X $7.00/fixture} _ 'JC�r. J�ttr (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
10) = (11
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_ Single Family
_ Service or feeder only...........................$48.00
_ # of Thermostats (First -$36.00; add'n-$I 1.00ca)
(First 1300 ft2-$72.00; Each add'n 500 ft2-$23.00)
Service and feeder .................................
$78.00_
# of Low voltage fire or burglar alarms
Square Feet:
_
First 2500 R2-$42.00; Each add'n 2500 ft' -S 11.00
_ Each outbuilding or garage ............................
$30.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected with service)
# of service or feeders
* Per WAC 296-46-910(5)(b)(i &1:0
_ Each outbuilding or garage ............................
S48.00
_
(First service/fecdcr-$48.00; Add'n service/
_ It of Signs (First sign -$36.00; add'n sign
(Inspected separately)
fccdcr43I each)
$17.00 each)
_ Swimming pool, hot tub, spa..................72.00
Yard Pole meter loops ............................48.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Fccdcrs
Service
Fccdcr
Amps Service or
Add'n
0 to 200 ...............................................$ 78.00
_ Up to 200 amp ............... $ 78.00 .................
S 23.00
Feeder
_
_ 201 -600 ............................................... 182.00
201 - 400 amp ................... 97.00 .....................
48.00
_ 0 to 100 ......................... $ 78.00........
S 48.00
_ 601 - 1000 .............................................274.00
_ 401 - 600 amp .................133.00.....................
66.00
_ 101-200 .......................... 97.00
............ 61.00
_ ovcr 1000 ..............................................305.00
_ 601 - 800 amp .................170.00.....................
91.00
_ 201 -400 ........................ 182.00............72.00
_ # of circuits
Over
_ Over 800 amp..................243.00...................
182.00
_ 401 -600 ........................ 212.00............85.00
(1-5 circuits -$61.00; Add=n circuits, $5 ca)
SINGLE/MULTI FAMILY
_ 601 -800 ........................ 274.00
.......... 116.00
(When inspected separately from the services.)
_ 801 - 1000 ...................... 335.00
.......... 140.00
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 365.00
.......... 195.00
Residential/Multi-Family/Commercial/Industrial
_ 0 to 200 amp ..................................................
$ 66.00
_ Over 600 volts surcharge ........................
61.00
100 .....................................................48.00
_ 201 - 600 amp ..................................................
97.00
_ Mast or meter repair ................................
66.00
-0-
101-200 ................................................. 61.00
over 600 amp ..................................................
146.00
_
_ 201 -400 ................................................. 72.00
t or r repair .........................................
36.00
401 -600 .................................................97.00
1 # of circuits
_
over 600 ................................................105.00
$48.00; Add'n circuits $5 ca)
_
11 service is greater than 2UU amp, a plan review is req'd. Fec is 3MA of permit tee +561.00. Add=1 plan review for other submissions is $72.00/hr.
FIXTURE DESCRIPTION A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D
Fu U ' S
Q
TOTAL COLUMN D
Estimated Permit Fee: (1
Total Column (D)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $61.00 + ( X .35) = (13)
Estimated Permit Fee: (14
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount; (17)
■ DEMOLITION
F625-052-000 (8/97)
REGISTERED AS PROVIDED BY LAW AS
CONST CONT 'GENERAL
1. REGIST. # EXP. DATE
CC01 BRENNHC077NC!03/01/2004
EFFECTIVE_ DATE;. ,,08/03/1993
BRENNAN HEATING CO INC'.
4601 S 134TH :PL",,
TUKWIL1/A WA' 98168-3240.
1' nI
Signature
Issued by 6EKARTMENT OF LABORND INDUSTRIES
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
;.'.,,REGIS DATE
CC01 B9ENNHCO3,77NC;03/01/2004
EFFECTIVE{;'DATE,� � �4 ,•�08/03/T993
BRENNAN,HEATING CO INC..-,.;..
4.601 S 134TH PL, ...:
TUKWILA WA 98168-3240
I certify this is a true and cpprrect copy of the original
document as presented to me on(� byJ4wec of iu)9-1
J a Gey- C O J -z6 -c- -
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