04-101798 City or Federal Way
Community Development Services Electrical Permit #:04 - 101798 - 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: MATSUMOTO
Project Address: 32340 19THISParcel Number: 010454 0630
Project Description: Adding circuitW or new A/C
Owner Applicant Contractor
Eric D Matsumoto BRENNAN HEATING&A/C LLC BRENNAN HEATING&A/C LLC
32340 19TH CT SW 4601 S 134TH PL 4601 S 134TH PL
FEDERAL WAY WA TUKWILA WA 98168 TUKWILA WA 98168
98023-5446 (206)248-7900
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
Circuits-Residential 1
PERMIT EXPIRES November 6,2004.
Permit issued on May 10,2004
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: See Application Date: c (f01.4
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORKk"--I
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Rough-in inspection:
Date
FINAL inspection: -k--T,s-CL ., t` 0
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1 EL�PMFNT ARTA,33530 FIRST WAY SOUTH•Po DOX 9718 4. v DEP 'v/ EDE ,.WAY,WA 9606.9716 1
CITY or
Federal Way PERMIT APPLICA'T'Mb ""-I."'"`"' lw
200 „.,...,,)_,..,-,
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The ollowinq is rc.uircd in ormation-an incorn letc a lication will not be accc)ted. Please .rint Iegibly(in ink)or ty c. 1
.__._::,:„.1"..7 . ; . .. . . ., :.;;_:::r•:.:PROPERTY•INFORAIATION .. . _, . . . . .
SITE ADDRESS: 3A.540 Ichu GTS ASSESSOR'S TAX/PARCEL (I: __ _ __ _ -- -
LEGAL DESCRIPTION (cg: Acme Estates, Lot 1)
(Attach sc])aratc page for lengthy legal de:.ety)hoa(
SQUARE FOOTAGE OF LOT:
TYPE OF PERMIT (This application): 0 BUILDING F) PLUMBING 0 MECHANICAL rl DEMOLITION
ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed descriphort of work included on this permit only):
erlAtOLT' reSk2., A/C.
PROJECT NAME(Name O/'Business/Owner Last Name):
'. ' - '- '• ■ PEOPLE INFORMATION. . - - ' '. :1- • .'
PROPERTY NAME*
PRIMARY 1'1105E:OWNER: eJC MATS VKV- -V
( 55) 3 ' -5t7-511'7,
MAILING ADDRESS(STREET AIiDRI:SS,). CITY.ST TE,ZIP
3a340 19.1. Cr 5. ) Fair-). ' 8C23
CONTRACTOR: NAME. COMPANY O1'1.1Cr PUONE:
13RKILtAk, lAgAn kl6r V. A,/G (euh[&le -'71 DO
MAILING ADDRESS(STREET ADDRESS.[: CITY,STATE,ZII' CELL['HONE'
4141, 8 t34 Tw IPL- /��`TUK A)l LA ( NU��) Q I�Q
CITY0 FEDERAL WAY IfUSINQES'LICFIQNS NUMBER: OO15L 1 �I�•.hl'/,TION D:,31 1d4 FAX
a`JWi,La4p - (-{D5
1.5
CONTRACTOR'S card ti REGISTRATION each
app1 c•t �1k E.'11.1.)....114, Alv` A' SEXPIRATION. D I I:Dee(copy o[cud required with each•pplie•tioulir�l _ — — (^J
LENDER: NAME: n.WriME PHONE*
pr r..r..<a Value>65,0001 ( ) -
MAILING ADDRESS(STREET ADDRESS;[: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE.PHONE:
15•REM ►tet gEA— tI4 «-Afc (atcd atig 71160
MAILING ADDRESS(STREET ADDRESS(' CITY,STATE.ZIP EVENING I'(IONE:
REIATIONSIIII•TO PROJECT: FAX NUMIJEI4g R� p ^C
0 Architect 0 Tenant 0 Othcr(Dcscrlbc): — ( p -1165-
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner )(Contractor 0 Applicant I MAIL ADDRESS:
.. . •- .,•• . --..1;,;:•: 1111,-`DETAILED BUILDING INFORMATION '•• ' , . ' . • .- ._- I
EXISTING USE: PROPOSED USE: ��/� �,1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ Ow`�•w
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 IiIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER: II LAKEHAVEN 0 IIIGIiLINE rI PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS , .
AREA DESCRIPTION
EXISTING S•. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
•
THIRD
FOURTH '
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT •
TOTAL EXISTINGTOTAL PROPOSED TOTAL WSTING AND PROPO'..ED
HOW MANY FLOORS?
"NEW HOMES ONLY"` NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
I
:' ■ FIXTURES • .
Indicate number of each type of facture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
GAS LOGS REFRIG.SYSTEMS
_
BBQS FANS
AIR HANDLING UNITS EVAPORATIVE COOLERS ROODS K...64K...64WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS
FURNACES GAS WATER IIEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(orTub/5b.werCombol SHOWERS
WATER CLOSETS(rwkQ MISC(Describe)
SINKS DRINKING FOUNTAINS
•
DISHWASHERS SUMPS RAINWATER SYS
GAS PIPE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS HOSEELECTRIC WATER HEATERS
LAVS(D.Uv..m Sink
. '•■ 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. 'further agree to hold harmless the City of Federal Way
as o any
made byclaim(incanyluding
persco sts,i cludpen the and
attorneys'fees incurred in the investigation and defense of such claim),
which J
undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officcr and employees, up• the accuracy of the information supplied to the city as a part of this ap lication.
41
"AP ` ) •
DATE: 44
NAME/TITLE: At.---,6%. ' lircritic)(•isnalure(
RELATIONSHIP TO PROJECT: O Property Owner 0 Applicant , Contractor 0 Architect 0
FOR OFFICE;USE•ONLY:,:
o NEW o ADDITION o ALTERATION o REPAIR o TENANT BASIC PLAN? IMPROVEMENTo YES o NO
BUILDING SHELL ONLY? o YES o NO •
CHANGE OF USE? o YES o NO 1
ZONING DESIGNATION: UP/SEPA/SU? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
h , L _ ,
•
■' ELECTRICAL PERMIT INFO - A.. ON- - . . .
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
O Single Family Square Feet: ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft2-$87.00;Each add'n S00 ft2•$28.00)
❑ Detached outbuilding or garage 0 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 0 601 -800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00 0 Over 600 volts surcharge $74.00
❑ 201 -400 amp 1 17.50 58.00 0 Mast or meter repair $80.00
O 401 -600 amp 161.00 80.00
❑ 601 - 800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
0 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 220.50
(Inspected separately from service)
Service or Feeder ❑ 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
O over 600 amp 177.00 0 II of circuits to be added/altered
1
II of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ca)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ca) ❑ Service over 200 amps
O Mast or meter repair $43.50 0 Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fcc
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE `
❑ Service or feeder only $58.00
O Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00 I
MOBILE HOME/RV PARK 0 101 -200 74.00 51.00
❑ N of service or feeders 0 201 -400 87.00 n/a
(First service/fcedcr-$58.00;each add'n•$37.50) ❑ 401 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
O 11 of Thermostats 0 tl of Signs
(First-$43.50;add'n-$13.50/ca) (First sign-$43.50;add'n sign$20.50/ca)
❑ Low Voltage ❑ Swimming pool/hot tub •
$87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Firc Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System 0 Additional Plan Rcvicw $87.00/hour
❑•Voice Cabling (for modified submiltals)
❑ Data Cabling
0
(Per System(s): 1•'2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Pcr WAC 29616-910(501(i&u)
•
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