04-101342 . 1
City of Federal Way
Community Development Services Electrical Permit #:04 - 101342 - 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: PYCIOR
Project Address: 644 SW 331ST PA'54" Parcel Number: 729803 0090
Project Description: Circuit for new 4-ton air conditioning unit.
Owner Applicant Contractor
Elizabeth Pycior ALL SEASONS INC(ELECTRICAL) ALL SEASONS INC(ELECTRICAL)
644 SW 331ST ST 5118 N HIGHLAND ST 5118 N HIGHLAND ST
FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407
98023-6173 (253)879-9144
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits-Residential 1
I I
PERMIT EXPIRES October 9,2004.
Permit issued on April 12,2004
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. //rr--
Owner or agent: IT Date:_ d`1'r 12-
2-004-
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FINALED
Cl 0S-e0 ou'c-
SGS
. RECEI'ED CO 04-101 54?... _
COMMUNITY DEVELOFAfENr SERVICES
•
ctry of�_J 33530 FIRST WAY SOUTH•po BOX 9718
FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253-661-4115•FAX 253-661129
� muwntnf•dert , mtAPR 1 20
04 TD
For Office live Only C�� ` ili TV - E. 0 ' 3 � 0 v -
VI- 1
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BUILDING DEPT.
The ollourin. is re.uired in ormation-art incom•tete a..lication will not be acce.ted. Please •Pint le•ibl (in ink)or .e.
■ -$ROPERTY II�iFORMATION
SITE ADDRESS: (p44 S(d.) 331.4' sr n SUITE/APT #
ASSESSOR'S TAX/PARCEL #: 3- 2 9 8 o 3 - O t) -1 U SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnptIon)
- ■ PROJECT Di RMATION -
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING (IY1VIECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only):
1 IJ ST-Pc ti— 4 -Ian -A-i 4 Ca Al 71 04.)E1c..
PROJECT NAME(Name of Business/Owner Last Name):
--•■ PEOPLE INFORMATION - .E •
•
PROPERTY NAME: PRIMARY PHONE: mac'
OWNER: el-1 V {714c,)oe (��0 )3 10 - 9TH
MAILING ADDRESS(STREET A DRESS;) CITY,STATE,ZIP
1044 SU) 331sr F lt-L_ u wA- 98o 2.3
CONTRACTOR: NAME COMPANY OFFICE PHONE:
ALL SScItsok. /A/Cd 0.53 )844 -9144
MAILING ADDRESS(STREET ADDRESS;) CITY,STATE,ZIP CELL PHONE:
S I i 3 i 14-/6 Sr TAca&4 A to/4- 9b103- ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER.
I (L-ci8_- I o 5 Z 6_ Z- 12/ 3l /24 (Zs3 )g--19 -9143
0 BL,
CONTRACTOR'S REGISTRATION NUMBER. ` EXPIRATION DATE.
(coPy of c /ard required with each application) A v L.- J e 1, )— Q 3 0 S S 12-/ / /7COS
LENDER: NAME: DAYTIME PHONE. �a•�+
(If Proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS,): CITY,STATE,ZIP
APPLICANT: NAE:
- COMPANY OFFICE PHONE
r'.131 S I C— ( )
MAILING ADDRESS(STREET ADDRESS) CITY,STATE,ZIP EVENING PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Other (Descnbej ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
•
- - ■ DETAILED BUILDING INFORMATION . - •
EXISTING USE: 12:W PROPOSED USE: I
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGIILINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ii LAKEHAVEN n HIGIILINE t I PRIVATE(SEPTIC)
- . - _ - . . - ; -- ■ •PROJECT FLOOR AREAS -
AREA DESCRIPTION
( EXISTING SQ. FT. PROPOSED SQ. FT. T TOTAL I
BASEMENT
FIRST -- - -- - i ---
SECOND
THIRD
— — —
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
I
DECK(COVERED?)
GARAGE/CARPORT
• HOW MANY FLOORS? TOT•L ExISTI‘G TOTAL Prop OS ED TOTAL E\ISTING AND PNOPOSED
"NEW HOMES ONLY'* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S
... [:: FI�LTUREs - -
Indicate number of each type of fixture that is to be Installed or relocated as part of this project Do not include existing fixtures to remain
MECHANICAL OU
Value of Mechanical Work .5
I AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS(Camm rc,Ai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
-COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS L,,Tul,'SI,„,.,.,co::,l„I ---- SHOWERS - WATER CLOSETS rio•i.0 MISC (Des(;11c)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS _____ RAIVWA"['E.R SIS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sank 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 fil . .•ainst the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officer- . . employees, upo the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: ay. i v P/ /},
`tel DATE: �4-l2--T 4
( lure) (Til.
RELATIONSHIP TO PROD•• : iPiopert\'Oo.arr C Applicant "ter ontractor ❑ Architect to
FOR OFFICE USE ONLY:
a NEW ❑ ADDITION I, ALTERATION ; REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? H YES n NO I BASIC PLAN? H YES c NO
ZONING DESIGNATION: I CHANGE OF USE? , YES 1. NO
NEW ADDRESS REQUIRED? YES NO UP/SLPA/SU? YES NO I
PLATTED LOT? --YES NO I DEMO PERMIT REQUIRED? YES -' NO
/
E -ELECTRICAL PERMIV INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(dist 1300 02- 557 00, Ea(h.calci n 500 ft :.2:-,00; ❑ 0 to 1(I(1 amp 5 91 5(1 S 58 00
i U I)etachetl outbuilding or gat age ❑ 101 --200 anrp 117 50 74 00
(Inspected with service) S.30 50 U 201 -400 amp 220 50 87-00
❑ Detached outbuilding of garage ❑ 4(11 - (i00 any 236 50 103 00
(Inspected separately) 8 58 00 ❑ 601 800 amp 332-00 I40 50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 105.50 169 50
Service Feeder ❑ Oyer 1000 amp 442 00 236 00
❑ Up to 200 amp S 94.50 S 28 00
❑ 201 -400 amp 117.50 58 00 U Over 600 volts surcharge S 74 00
❑ 401 - 600 amp 161.00 80 00 ❑ Mast or meter repair S 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 S 94.50
(Inspected separately from service)
U 201 - 600 amp 220 50
Service or Feeder ❑ 601 - 1000 amp 332 00
❑ 0 to 200 amp S 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/ea)
Z # of circuits to be added/altered
(1-4 circuits-S58.00;Add'n circuits$6 00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ Service o.cr 200 amps
U Mast or meter repair $43 50 U Medical/Educational/Institutional Facility
S 71 00 plus 35% of Permit Fee
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
U Service and feeder $94.50 Commercial Residential
O 0 - 100 55800 S51 00
MOBILE HOME/RV PARK
U 101 - 200 74.00 51 00
❑ # of service or feeders ❑ 201 - 400 87.00 n/
(First ser vice/feeder-$58 00,each add'n-537 50)
❑ 401 -600 1 1 7 50 n/a
U over 600 127 00 5/.)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ - # of Thermostats U # of Signs
j (First -S43 50,add'n-S13 50/ca) (First sign-S43 50, add'n sign $20 50/ca)
U Low Voltage U Swimming pool/hot tub 587 UII
Square Feet to be serretl b) systciu(s) (Inc) >)'",.td,litional circuit if rc,tan,r!!
D Fut.Alarm S.,terrt U Yard Pole meter loop', 558 00
❑ Siccant} ,11.itm S.:,tcr" ❑ Additional Plan Review 587 OU/hour
❑ N.otce Cablrnr (for modified submittals)
❑ D,it.e C.thlinr
❑ -- -- -(1), hs'.trnr('.1 1"2500 ft' 1151 ((0
l'.r h rrld'ii .1-001T- 1 ',i11 -f,,, , - .
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