04-102993 •
City Federalof Way
CommunityunityDevelopment Services Electrical Permit #:04 - 102993 - 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 39TlIkSpli Parcel Number: 758200 0040
Project Description: Installing new thermostat for new heat pump
Owner Applicant Contractor
Joel William Frenk WEST SEATTLE FRNC SALES CO INC WEST SEATTLE FRNC SALES CO INC
31014 39TH PL SW 4619 37TH AVE SW 4619 37TH AVE SW
FEDERAL WAY WA SEATTLE WA 98126-2719 SEATTLE WA 98126-2719
98023-2179 (206)935-5454
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat 1
PERMIT EXPIRES January 24,2005.
Permit issued on July 28,2004
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 age . Date: z 7 `r>
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PtesCCEII
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Federal Way 0. 2, % PERMIT
COMMUNITY DEVELOPMENT SERVICES t�I�OwA�' SF MF CO M� .'L DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718 E.��1,f'+
FEDERAL WAY,WA 9806. �Qi ANG DEA P P L I C AT I O N . 0
253-661-4115•FAX 253-6 U
WWu atuo(Tederalwou.COm
The ollowin• is re•uired in ormation-an inco •fete a••lication will not be acce•ted. Please •rint le•ibl in ink or •e.
PROPERTY INFORMATION
SITE ADDRESS 3 (1 q ' Cr r-- pc__ r,(..& -- /�+� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 e 9 0 TTV - `! 0__ t f l^J LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING {Q MECHANICAL --
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
e Ce4-1 ,C -Ca,--i-c, Fu/./4i 4 . c..J i t//4- —P4#fl0 f1-fa. FIAa7i.�G0,sr
PROJECT NAME(Name of Business or Owner Last Name) LJicc r fri.-4-7-124L l�ce?Z4v4c/1'_ . .4.? eft)
PEOPLE INFORMATION
PROPERTY NAME ^ _ PRIMARY PHONE
OWNER J Val t. heicw/t. ( ) -
MAILING ADDRESS CITY,STATE,ZIP
510 /y 3y Pc, f - fit:W-41014
- Atl d /i WA'_ rr'oOPd z-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ll.)iirsr, 1.44i r-e0_c-K-L € d4-u-,_ (sz 0 5sd—-,s,J-l`O'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
46 t?— 3 7. --` /c- -ad. f _ C,d,g 9-® (2436 1 57( -l3 S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B L / / (241(... ) '3,j-----0?5,J�'
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
IQ Esr-S-E��2.,6 _ — - - - / 7-4/ /a Co
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
!N(LSfT:Cfrz -02..01, Z, (2-.C,. )55 —
MAILILING ADDRESS �J �• CITY,STATE,ZIP Cs/2,4
' 9 CELL PHONE
LL( et
7O OJECT � e) ,A. �.(�_ /s/ 2( FNUMBER) j -f!1/
RELATI❑Architect 0 Tenant 0 Agent 0 Other(Describe) (�� ) j -677j- -_
CONTACT N1F l(d/
� o t/YK PRIMARY tSY -
HONE _ 9 E-MAIL ADDRESS
(S/'
LENDER Per RCW 1927095 :Lender In ormation4ia NAME
required if pr#0iue exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ia
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? Torn mosrao Tarn pRoraszo ?raw,EXISTINGANDertoeos
**NEW HOMES ONLY** NUMBER OF BEDROOMS •- ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL Cb
Value of Mechanical Work $ g)66----
(
)61`---1 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)Commem 1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower Combo) SHOWERS WATER CLOSETS(roses) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS)Bathroom Sinks) 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 . city,including its offic rs and e •loyees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TIT If,, - `� __. ✓ s �, /� DATE >,2�`/
nat i e) (Title)
RELATIONSHIP TO PROJECT a Owner 0 Agent RiContractor 0 Architect 0 Other
a NEW' _a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION ,CHANQrE OF SSE?; a YEP o NO
NEW ADDRESS REQUIRED? o YES o NO ; TP/SEPAL/,SU r3 YES; a-NO
PLATTED LOT? o YES a NO DEMO PERMITFREQUIRED? a YES. a NO.
i
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pernut Application
l'(((0191/13
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00
0 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801- 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ 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 ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 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)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑.Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
U Service or feeder only $ 58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
U 401 -600 117.50 n/a
U 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)
U Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)`Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application