05-102497 • City of Federal Way Electrical Permit #: 05 - 102497 - 00 - EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: PARRISH
Project Address: 634 S 291ST $T Parcel Number: 515291 0030
Project Description: 1 thermostat
Owner Applicant Contractor
GAIL PARRISH PERFORMANCE HEATING&A/C INC PERFORMANCE HEATING&A/C INC
634 S 291ST ST 7649 S 180TH ST 7649 S 180TH ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
(425)251-0356
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
- 1
PERMIT EXPIRES November 22,2005.
Permit issued on May 26,2005
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: s� �ti— Date: /" 'G,- `_- / --)Ct:?.>"
` eO
fox
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102497-00-EL
Owner: GAIL PARRISH
Address: 634 S 291ST ST
FEDERAL WAY, WA 98003-3600
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date , By Date _ _____ By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date B4 5 Date �j--/D►
❑ Under-slab groundwork(4295)
Approved
By Date
., . .� Z /ly j
' Fedprai Way V i - / o2 { 7
cOMANM7YDEVELOPMElY SERVICES PERMIT SF MF CO ME PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
253EDERAL WAY,WA 98063-9718 115•FAX 253-661-/129 APPLICATION1,..
- unow.dtuolfederolwat,com /
The ollowin. is re.uired in ormation—an inco •fete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 6 31 S - Z 115100,16
0 It-J,K.'--t 1 I,I yit/ 9�f Ci3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 51 S Z_r 1 l va 1 O - -- LOT SIZE(si)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmpooa)
PROJECT INFORMATION _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 14IECHANICAL
0 DEMOLITION )(ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT I)ESCRIPTION(Provide detailed description of work included on this permit only)
C716 g' tJ'tWX �Lz_
(( .> FVV-YI4c z_ 41 r-..) A al, J� IxCoy.$ ti-,e4 ,,:i
Lav$ vol4-4 j-c f w Al c.
PROJECT NAME(Name of Business or Owner Last Name) ,e/)/2- 1S1, ,t .s .
PEOPLE INFORMATION
PROPERTY NAME /� +..-
PRIMARY PHONE
?VII OWNER (, Al L /'Ale -I,S k ( 2cirs) l i - l V l'
NIAAILING
l ADDRESS, 2/( Y _5(' . CITY,
F&&STATE,
<rcik t,,,0-- V✓A- 1 6 3
�j /
CONTRACTOR COMPANY NAME APPLICANT NAME ( OFFICE PHONE
p 4.lz-F-o C YiA irwc-E I erlp 7,...1-)p f,"„,� ( c/tc) 7$( - v's)-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
?i (.//Q`19 5 - /iCo ri k'c A 'r 1, 0- 13'031- ( L/t r) 2f( - afy a
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ICi_- 5_- •000 ti 2.- !jG - B L jZ / 3( /65 ( L/if ) 2f( - C,2 $o
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
j9�21=C> t�A fS� (Lei l7 / 2 /2,x- ?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Yr^ (G
14 j vt"1rct# - ( )
AILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect o Tenant 0 Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
f c )i) ,,c,",s ( car) 2t( - c3rL
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 ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
J 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 EtasTaa 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(commercial) 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 Roam) 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. .
7 tr( n/ 5 74-4c,.? _f-
NAME/TITLE — "'Gi��-- DATE
1 z1
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner(Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? 0 YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100–March 30,2004 Page 2 of 4 k\I-landouts–Revised\Permit Application
a•
`'
• . ELECTRICAL PERMIT INFORMATION
,
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(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) CI 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
❑ 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
❑ over 600 amp 177.00 ❑ # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6 00/ca)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRLAL 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
I # of Thermostats /'A P/C- ❑ # 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
O Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1"2500 ft2-$51 00,
Each add'n 2500 ft2-13 50) •Per WAC 296-46-910(5)(14&til
Bulletin#100-March 30,2004 Page 3 of 4 k\l landouts-Reviscd\Permit Application