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04-103624 City of Federal Way Community Development Services Electrical Permit #:04 - 103624 - 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: FRENK Project Address: 31014 39THiSM Parcel Number: 758200 0040 Project Description: Install/alter(9)circuits for remodel Owner Applicant Contractor Joel William Frenk ELECTRI-CITY INC ELECTRI-CITY INC 31014 39TH PL SW 23008 56TH AVE 23008 56TH AVE FEDERAL WAY WA MOUNTLAKE TERRACE WA 98043 MOUNTLAKE TERRACE WA 98043 98023-2179 (425)672-6797 Electrical Fixtures Description Quantity[_ Description Quantity Description Quantity Circuits-Residential 9 L L PERMIT EXPIRES March 8,2005. Permit issued on September 9,2004 I hereby certify that the above information is core- ®•' at the construction on the above described property and the occupancy and the use will .e in acc. .• , e wi e laws,rules and regulations of the State of Was gton d the City of Federal Way. • Owner or agent: Date: 313IoS CeeZL.e.-ILS 41t THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103624-00-EL Owner: JOEL WILLIAM FRENK Address: 31014 39TH PL SW FEDERAL WAY, WA 98023-2179 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) i❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date a El Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date •Ein Rough Electrical(4225) • ❑ Ceiling Cover(4020) , Final-Electrical(4055) Approved Approved Approved Ii% k `By 1 A Date Q `� Q By Date By �v\i Date S\/ ciS------ .❑ Under-slab groundwork(4295) Approved By Date COMMUNITY DEVELOPMENT SERVICES 42--1-3/--"V 33530 FIRST WAY SOUTH•PO BOX 9718 r art Of^.� FEDERAL WAY,WA 98063-9718 1 Federal Way PERMIT APPLICATION 253-661-4115.FAX53-661ati -4129 unow.citunffederalFor OHiro Use Only: 9 - / 0 & / _ (4 - /� a TD: / FW File Number: -il. '1rj/•J -�L/�/ / — The ollowin. is re•uired in ormation-an inco •lete a.•lication will not be acce.ted. Please •rint le.ibI (in ink)or .e. n 'a� PROPERTY INFORMATION SITE ADDRESS: 3 I D 1 4 34).A pi el,e, so SUITE/APT# ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) SI(Nei\'e yarn;)V r e 1 (Ione 0 (Attach eparate page for lengthy legal description) is PROJECT INFORMATION • TYPE OF PERMIT(This application): 0 B ILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SY TEM PROJECT DESCRIPT ON(Provide detailed descripti n of work include on this permit onlu): e Q J ,a i i,'41_0 425A.� 1>< �GZ.1rniY -I-Lk,l� V include wii`1 ofn 119, �'� ) n PROJECT NAME(Name of Business/Owner Last Name): Fr e n i ) JO el i I�C.>�re U PEOPLE INFORMATION PROPERTY NAME: PRIMARY PHONE: OWNER r e t c ( ) - MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CONTRACTOR NAME COMPA.Ny OFFICE PHONE: iegP2.EC.Tie/—efTr r),e Poii-e.rCo Ajuol ton ( 5) 87g-6797 MAILING ADDRESS(STREET ADDRESS;): ,CITY,STATE,ZIP y_ CELL PHONE:/ Q 0t3�S'C',0t> f/Pu'4'Y ,& •� A 7 EXPIRATION vT e, (aa{f/)49 ( -g330- CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: aQ-g Q-2. e E S 7 op-/3z- /? / 3 / /b5' ( ) - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required with each application) / LENDER NAME: DAYTIME PHONE: (If Proposed Value>$5,000) ( ) - MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: ( ) MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 Architect 0 Tenant ❑ Other(Describe): ( ) - CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ❑ Contractor 0 Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 9 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • 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 EXISTING AND PROPOSED **NEW HOMES ONLY*" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ FIXTURES 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 Value of Mechanical Work $ --AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerdal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS j DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(ro;kq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sink 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 officer d employees,upon the accuracy of the information supplied to the city as a part of this application. • NAME/TITLE• .0 � �L/k) Y �© �1 I W" YEA 644) DATE: 9,9,g+ 1 (Signature (Title) RELATIONSHIP TO P4€OJECT: 0 Property Owner ❑ Applicant E Contractor ❑ Architect 0 FOR OFFICE,USE ONLY: '. ❑NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING,SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION• CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Rulieirti,t tl; .;<3.::... i Page 2 • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet: Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) LI 0 to 100 amp $ 94.50 $ 58.00 LI Detached outbuilding or garage LI 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 LI 201-400 amp 220.50 87.00 LI Detached outbuilding or garage LI 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 LI 601 -800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) LI 801 - 1000 amp 405.50 169.50 Service Feeder LI Over 1000 amp 442.00 236.00 LI Up to 200 amp $ 94.50 $ 28.00 LI 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 LI 401 -600 amp 161.00 80.00 LI 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 LI 0 to 200 amp $ 94.50 (Ins.- ted separately from service) ❑ 201 -600 amp 220.50 Service or Feeder LI 601 - 1000 amp 332.00 1°/0 : 01 • • $ 7 .: ❑ over 1000 amp 369.50 ❑ 201 -600 amp 17.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) - LI Service over 200 amps ❑ Mast or meter repair $43.50 LI Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW LI Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00 LI #of service or feeders LI 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) ❑ 401 -600 117.50 n/a LI over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) LI Low Voltage LI Swimming pool/hot tub $87.00 Square Feet to be served by system(s): (Includes additional circuit,if required) ❑ Fire Alarm System LI Yard Pole meter loops $58.00 ❑ Security Alarm System LI Additional Plan Review $87.00/hour O Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s): 1•t 2500 ft2-$51.00; Each add'n 2500 ft2-13.50) *Per WAC 29646910(5)(b)(i&ii) i. .:;;u; Page 3 e