03-104418 1 w►.
City
uDevelopment Services eveWay
CommunityElectrical Permit #:03 - 104418 - 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: FREED
Project Address: 710 SW 358TH SI Parcel Number: 768390 0090
Project Description: Add circuit for air conditioner.
Owner Applicant Contractor
Glen W Freed INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
710 SW 358TH ST 4501 KENNEDY RD NE 4501 KENNEDY RD NE
FEDERAL WAY WA TACOMA,WA TACOMA,WA
98023-7257 98422 (253)943-0500
Electrical Fixtures
Description Quantity Description Quantity'r _ DescriptionJaantity
I Circuits-Residential 1
PERMIT EXPIRES March 23,2004.
Permit issued on September 25,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andthe use will be in accordance ith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ,! r " Date: ? 2J —0
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RECEIVED
�, CONSTRUC 1 ION PERMIT APPLICATION
CITY OF �� SEP2 5 Z003 APPLICATION NUMBER: v 3. - I O j �E._(..,
Federal Way APPLICATION NUMBER: - -
CITY OF FEDERAL WAY kPPLICATION NUMBER: -
-
BUILDING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
-L■ •PROPERTY INFORMATION
41
SITE ADDRESS: 7/0 5t&' 35io T ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
XELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM /
PROJECT DESCRIPTION (Provide detailed description): /q 0/ (,, /,--e. ' .1 fp.,-. , L- c j,,cilia' pi Ph
3d am 220 V0 11 . ,1f c f op,f, . Ire," e,cr
PROJECT NAME: C/e/1 i1 ic-eel
U PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
6/en Free (7S3) g7y-220g;
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,
7/d Scv g. .9.7"ZIP):
Bei k4 9cr(223
CONTRACTOR: NAME: I DAYTIME PHONE:
.
S ) 1 in ecr^,'-7 v f/e nn c �. h c -
( 7)q5'3 Osl o
i MAILING ADDR S EET Akenn
S;CITY,STATE, P): / I. EVENING PHONE:
S �-`'� eAUo- �f I ( )
�� I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER?' FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: _ 10"SJ)qy3-0502
(copy of card required) ... 1/ T r 6 e .T-E e.2W I EXPIRATION TATE: /
APPLICANT: NAME: DAYTIME PHONE:
i
coei71,acJ,� ( ) -
I
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
! (
RELATIONSHIP TO PROJECT: j FAX NUMBER:
O ARCHITECT O TENANT 0 OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ,CONTRACTOR
-
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES O NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL) i
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** —
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
_. ■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC a GAS
PLUMBING i
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),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 dty,induding its officers and employees,upon the accuracy
of the information sup! '•! o the d part of this application./ p �y
NAME/TITLE: j/ A?'e)fc CA / DATE: 0 / 7Y-03
o PROPERTY : N • ❑ PPLICANT CONTRACTOR
FOR.OFFICE.USEONLY: l
NEW.. p ADDII ION ,a ALTERATION.,_, a REPA R ' . ITTENANT IMPRbVEMENTt 3;
CENSUS;CODEA fI'. ':,:-.'.',--.•••;44vAre4Awiettvrois, OT SIZE;.. .?� ' - a ..:st..
ZONING}DESIGNATIONAUILDING SHELL:ONLY? ''D YES a NO%Vttit
COMP PLAN DE•SIGNATION 0 : ABASIC PLAN?�a"YES a NO'f `i
SECTION`. - TOWNSHIP ,ORANGE JNEW°ADDRESS RE UIRED? Y -
�;; "��._� Q �a YES���ioNO
5 ^P.L''ATTELI LOT? . as YES;;a NO .R t 'CHANGE OF USE?:=Via,, i .a YES" ?'-~a NO ,, .
1 COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000.FAX:253-661-4129
www.dtyoffederalway.mm
•
11�ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES '
_Single Family _Service or feeder only $57.00 _11 of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft2-$85.50;Each add'n 500 ft'-$27.50) Service and(ceder $93.00 _#of Low voltage fire or burglar alarms
iquarc Feet: _ First 2500 111-$50.00;Each add'n 2500 ft'-$13 0(;
_Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _d of service or feeders * Per WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-$37 each) $20.00 each)
Swimming pool,hot tub,spa £85.50
1 _Yard Pole meter loops $57.00
I i
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps SefVice or Add'm 0 to 200 5 93.00 i
_Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 5 93.00 $ 57.00 601 -1000 126.50
-401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.0011
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 4 of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-S circuits-$72.50;Add'n circuits,$6 eat
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
L Oto 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0- 100 $ 57.00
_201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp 174.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
_
#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
1 f a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of
permit fee+$72.50.Add'l plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(c) TOTAL(D)
i � I
I ` I
r {
1 ' 'TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
■ DEMOLITION -
Estimated Permit Fee: (14)
Bond Amount:(15)
■ EN.GINEERING ..... . ,
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES - • ,
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
.Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-December 23, 2002