04-101878 F=tyayElectrical Permit #:04 - 101878 - 00 - EL
evelopment Services SA 98003-621000 Fax:253 661 4129 Inspection request line: 253.835.3050
Project Name: PHENGPHACHANH
Project Address: 2416 SW 332ND Si" Parcel Number: 894500 0350
Project Description: Adding 1 circuit for remodel of carport to family room conversion
Owner Applicant Contractor
Pranom P Phengphachanh &Tane Phengphach; Pranom P Phengphachanh INTEGRITY ELECTRIC INC
2416 SW 332ND ST 2416 SW 332ND ST 4501 KENNEDY RD NE
FEDERAL WAY WA FEDERAL WAY WA TACOMA,WA
98023-2835 98023-2835 (253)943-0500
Electrical Fixtures
Description Quantity Description ,Quantity r Description Quantity
Circuits-Residential 1
PERMIT EXPIRES November 10,2004.
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: t e A s 1 lication Date: Q S- 1 1 - 0 n
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City ueveWay
Community
Development Services Electrical Permit #:04 - 101878 - 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: PHENGPHACHANH
Project Address: 2416 SW 332ND Parcel Number: 894500 0350
Project Description: Adding 1 circuit for remodel of carport to family room conversion
Owner Applicant Contractor
Pranom P Phengphachanh &Tane Phengphach; Pranom P Phengphachanh Pranom P Phengphachanh
2416 SW 332ND ST 2416 SW 332ND ST 2416 SW 332ND ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2835 98023-2835
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
PERMIT EXPIRES November 10,2004.
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: Date: '/ c4
' ��ayr b4 - ( 0 1 '3 .73 .
COMMUNITY DEVELOPMENT SEDC E IV E D PERMIT
SF MF CO M ®pL DE EN FP
33530 FIRSTWAY 5011171.POBOX 9718
FEDERAL WAY,WA 98063-9718 P P L I C AT I O N
U
253-661-4115.FAX 253661419DI A� 1 4 200.t �`
'VW.atyof ederalway corn I
The ollowin. '., -i.city• .itf,• - '.A•man into .fete a..lication will not be acce.ted. Please •rant le.ibl (in ink)or
Q f PROPERTY INFORMATION •
SITE ADDRESS t t (s 3 32Aki .s"'�
C� A SUITE/UNIT M
ASSESSOR'S TAX/PARCEL # L `- SE:' C, - '3 LOT SIZE(sJ)
I
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpeoni
- - - • PROJECT INFORMATION
TYPE OF PERMIT o BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PRO ECT D CRIPTION (Provide detailed description of wor included on this permit onl
el.c_ezedr � � � � 6.
K
PROJECT NAME(Name of Business or Owner Last Name) Pkv • ka GL-c-i(tiL
4 PEOPLE INFORMATION .
PROPERTYE
OWNER rra_lelzwy, pl-teili.v-Icr,....c_.\,„ PRIMAR
PHONE
QMAILING ADDRESS J •
CITY,ST E,ZIP ��
Z* S 33Z S-� )-2. ))) - X23
CONTRACTOR COMPANY NAME APPLICANT NAME PRONE
MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) /
EXPIRATION DATE
— — — — — — — — —
APPLICANT
—APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP 1
CELLPHONE
RELATIONSHIP TO PROJECT .
FAX NUMBER
0 Architect 0 Tenant ❑Agent o Other(Describe)
CONTACT ME NP l "" PRIMARY PHONE
' /,^�1� E-MAIL ADDRESS
CI A �.�( �� 6% -5.2'&,3
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? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
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 of fixture 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
BBQS FANS HOODS(Commerool) WOODSTOVES
BOILERS _ FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShouerCombo) SHOWERS WATER CLOSETS(-roue) 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.
NAME/TITLE S-k-re\:\I\oftie--__Ame,y.f6c‘flouflt /I Cir DATE S r /
-Or
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? a YES ❑NO
•
Bulletin#100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Permit Application
• ' r
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87 00, Each add'n 500 ft,-$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
Li 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 LI 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
. ❑ 201 -600 amp 220 50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ■ over 1000 amp 369 50
❑ 201 -600 amp 117 50 rialll -
0
over 600 amp 177-00 / -5 tsr$74 00,Add'to be n
d circuitstered
,$6 00/ea)
# of circuits to be added/altered
(1-4 circuits-$58 00,Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$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
Li 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
i MOBILE HOME/RV PARK ❑ 0- 100 $58 00 $51 00
❑ #of service or feeders 0 101 -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 ❑ # 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)
III Data Cabling
li
(Per System(s) l.2500 ft2-$51 00,
Each add'n 2500 ft2-13 50) •Per WAC 296 46-910(5)(b)(i&III
Bulletin 11100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application