03-104903 City of Federal Way
Community Development Services Electrical Permit #:03 - 104903 - 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: CARDA VI"
Project Address: 32616 36THiSW Parcel Number: 873195 0830
Project Description: Installing(1)30amp 240V circuit for A/C
Owner Applicant Contractor
Jean Carda INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
32616 36TH AVE SW 4501 KENNEDY RD NE 4501 KENNEDY RD NE
FEDERAL WAY WA TACOMA,WA TACOMA,WA
98023-2602 98422 (253)943-0500
Electrical Fixtures
Description ., Quantity Description 1Quantity Description Quantity
Circuits-Residential t
PERMIT EXPIRES April 26,2004.
Permit issued on October 29,2003
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: /0 c73
Addrit..6-)
C61
mak.-C,:ErvEa ��
OCT 2003CONSTRUCI ION PERMIT APPLICATION
CITY OF
,,„...._"N„. OCT
APPLICATION NUMBER: -/ 4 LO 3_ -0-0
Federal Way 011 OF FEDLFAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
APPLICATION NUMBER: - -
"'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.
'.PROPERTY INFORMATION
SITE ADDRESS: 3.2 '1‘.-
..7(D cre. Jlex.W ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION _ -
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING 0 MECHANICAL o DEMOLITION
X ELECTRICAL 0 ENGINEERING/ ❑ FIRE PREVENTION SYSTEMEM /
PROJECT DESCRIPTION(Provide detailed description): , ! / / ' , G/✓'C. - /T / .—. /4/6
vii, " 3® a 2 YOV
,.
PROJECT NAME: co_Wr otA
. <R-PEOPLE INFORMATION
PROPERTY OWNER: NAME: G ; DAYTIME PHONE
Jean
MAILING ADS(STREET ADDRESS; GST oP). I-( ) �36-OC'
.3.26-/ 36 Ave _Ca/ re li ey 71023
CONTRACTOR: NAME: ll // ; DAYTIME PHONE:
• / •
' Z7 r1 i E/eco c: " (25.x)Fla-o.1"o0
i MAILING ADDRESS iREET ADD SS;CITY, TE.ZIP i EVENING PHONE:
/- 7 75 t I CITY OF FEDERAL WAY BUSINESS LICENSE N MBER: FAX NUMBER:
�L/ ii - - (;Zss ) 95if-vrC2
CON'TRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) %IV T 61 z g e 2 LV w I 05 lo / 'Cif
APPLICANT: NAME: DAYTIME PHONE:
CO 111./".0 C.-10'.. ( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
� � (
RELATIONSHIP TO PROJECT: j FAX NUMBER:
0 ARCHITECT ❑ TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT 0 CONTRACTOR
- --■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE: $
• ■ PROSECT 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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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
furtjler 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 daim ari out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information suppl . • city of this application. `I �y
NAME/TITLE: / reJ c/f DATE: /V� -
2 7
❑ PROPERTY OWNER a APPLICANT 'CONTRACTOR
-FOR OFFICE.USE ONLY: 1
Ergeik.;> 7--i3ADDIT;ON aATERATIO�. ;®REPAI -cos03TENAtriNTIMz,zPn ROr VEM-,,,ENT
-n
CENSUS CODE Oe M: LOT SIZE'S ..; s A
ONING''DESIGNATION• * " `" 3Y `V
-..� _ _>,�•�: ,���;� �:. BUILDING SHED:;ONLY? ❑YE5�a NO ,_ 5 - -
COMP�PLAN DESIGNATION . , ;' > BASIC.PLAN? ❑YES ` ❑NO;'�
SECTION4i ._.;, TOWNSHIP, RANGE " NEW ADDRESS REQUIRED? _AYES i7 sN0 ,
PLATTED,LOT? > D YESY D NO CHANGE,OF,USE?:, "; -T]YES 'a NO
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
• ELECTRICAL .
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _ft of Thermostats(First-$43.00;add'n-S I3.00ca)
(First 1300 ft'-$85.50:Each add'n 500 ft`-527.50) _Service and(ceder $93.00 _f of Low voltage fire or burglar alarms
iquare Feet: _ First 2500 111-$50.00:Each add'n 2500 ft`-$13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _ft of service or feeders * Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00,Add'n service/ _ft of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa 185.50
_Yard Pole meter loops S57 00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) - Altered Service or Feeders
Service Feeder Amps Service or Add'n 0 to 200 5 93-00
Up to 200 amp $ 93.00 S 27.50 Feeder _201 -600 216.50
201 -400 amp 115.50 57.00 0 to 100 1 93.00 5 57.00 601 -1000 126.50
--401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 over 1000 363.00 1 ,
-601-800 amp 202.50 108.50 201 -400 216.50 85.50 4_b of circuits
Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50:Add'n circuits,16 ea)
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/CommerciaiAndustrial
=
0 to 200 amp $ 71.50 _Over 600 vola surcharge 72.50 _U-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
-d of circuits I _over 600 125.00
(1-4 circuits-$57.00:Add'n circuits$6 ea)
If 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'I 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 !
l � I
l
TOTAL COLUMN(D):
Total Column(0)
r
Estimated Permit Fee: (12) 1
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+ ( X.35)= (13)
■ DEMOLITION -
Estimated Permit Fee: (14)
Bond Amount:(15)
- _ - - .. ,■ ENGINEERING -. .: - -
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