04-101884 Ikt
om of Federal Way
Community Development Services Electrical Permit #:04 - 101884 - 00 - EL
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: ROPPEL
Project Address: 905 SW 344TH P I Parcel Number: 132171 0430
Project Description: Install circuit for new HVAC system.
Owner Applicant Contractor
Paul Sloan &Scarlette Sloan INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
905 SW 344TH PL 4501 KENNEDY RD NE 4501 KENNEDY RD NE
FEDERAL WAY WA TACOMA,WA TACOMA,WA
98023-8419 98422 (253)943-0500
Electrical Fixtures
Description Quantity Description ;Quantity Description iQuantity
[Circuits Residential 1
PERMIT EXPIRES November 10,2004.
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Permit issued on May 14,2004
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: A �.� 5 Date: -14 - 0 9
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COMMtet8YDEVELOPMENTSERVICES MAY 004 PERMIT SF MF CO M� D PL DE EN FP
33530 FIRST WAY S011771•PO BOX 9718
WA .97 TY OF FEDER PLI CATI 0 N D /
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www.atuofederalwacom BUILDING DE
The ollowin• is re.uired in ormation-an inco •fete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS q 0 S Si"-) 3 9 4 f' pi •
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deso peo')
PROJECT INFORMATION
' TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING o MECHANICAL
❑ DEMOLITION 7#1 ELECTRICAL o ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1x-5 -11 NA/c -L. r,, v-c v I'+- C 30c r—p c rw:0
i PROJECT NAME(Name of Business or Owner Last Name) 12-0 e I
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER (2 (A' - i
MAILING ADDRESS �(� ��� ) ���� ���3
CITY,STATE,ZIP
9OS Si') 3i4 j4"' PI • l w Pi. w vt
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1 r , (i CL'et hr ►-,I C.. Co-�F'S (2-53) o 93 -0 5 0 0
MAILING AD ESS CITY,STATE,El CELL PHONE
1-1 50( v--"dd P Ma0.;.,: i„n4 q.i't 7a- ( ) -
CITY OF FEDERAL WAY BUSINESS ENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / (ZS3 ) 9t43 -o60D
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application( EXPIRATION DATE
1 N i L vc_ act 2N v.) ce/ ko / ot4
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ih ' • `rh Ca-tic- ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
SG.yr•C c:_} CtiP` r-c 1.r„,„ ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant o Agent ❑ Other(Describe) ( ) -
CONTACT NAM PRIMARY PHONE E-MAIL ADDRESS
'n") CI?"--S-I a—S 0-5 2-21 - "158'
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 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. 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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS i
BBQS FANS HOODS(Commormal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or tub/sho.. ,combo) SHOWERS WATER CLOSETS troakq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) 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. ^c
NAME/TITLE �/ DATE 5- '13-04
(Sig 4,e) (Title)
RELATIONSHIP TO PROJEC 0 0 er 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PEP MIT 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) Cl 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
LI
-600 amp 220.50
Service or Feeder LI 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
LI over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74 00;Add'n circuits,$6.00/ea)
❑ V #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
O Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
O 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
1 ❑ 401 -600 117 50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #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 0 Additional Plan Review $87.00/hour
El Voice Cabling (for modified submittals)
❑ Data Cabling
. ❑
(Per System(s) I' 2500 ft2-$51 00,
Each add'n 2500 ft2-13.50) *Per WAC 296-46-970(5)(6)(&1,1
4.
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Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Revised\Permit Application