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04-104728 • City of Federal Way Electrical Permit #: 04 - 104728 - 00 - EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: SUE'S RAGS QUILT SHOP Project Address: 1520 S DASH POINT Ra Parcel Number: 052104 9158 Project Description: Install low-voltage security alarm system. Owner Applicant Contractor Susan C Dissmore Susan C Dissmore SPOT SECURITY INC*CHUCK ROBERTS* 31051 51ST AVE SW 31051 51ST AVE SW 10818-B SE MAIN ST FEDERAL WAY WA FEDERAL WAY WA MILWAUKIE OR 97222 98023-2021 98023-2021 (503)412-6996 Electrical Fixtures Description [Quantity Description Quantity Description Quantity Low Voltage Burglar Alarm -Commt 1575 PERMIT EXPIRES May 18,2005. Permit issued on November 19,2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa,l Owner or agent: 4 / -G70yLIPIX Date: 1 1/ I 2O0 t/ Q" /4 NA 1/4 • l' - THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104728-00-EL Owner: SUSAN C DISSMORE Address: 1520 S DASH POINT RD FEDERAL WAY, WA 98003-3753 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) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date O Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved By Date By Date Bc Date `\Z , ©41 ❑ Under-slab groundwork(4295) Approved By Date N. RECEIVED be - 1o '{ Federal Way PERMITNOV 1 9 2004 COMMUNITY DEVELOPMENTSERVICES SF MF CO M EL L DE EN FP 33325 8TH AVENUE SOUTH• BOX 9718 A P P L I C ATI I N W �r FEDERAL WAY,WA 98063-9718 E D E RAL 253-835-2607•FAX 253-835-2609 1 d� N G DEPT, wwwatuo0'ederahtmu.com The following is required information-an incomplete a..lication will not be acce.ted. Please .rint legibly(in ink)or type. yy • • PROPERTY IN(FO�RpMAT�nIONJ ,� SITE ADDRESS 152O s [)ash Poi r 4 gad(rect inti j L Lot) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - Rgoo3 LOT SIZE(s.0 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desoiption( ■ PROJECT INFORMATION • TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION�(Provide detailed description of work included on this permit onlU) aAk PROJECT NAME(Name of Business or Owner Last Name) L) 'I (� e514-0P) I ki . ...y a Wr,L NI PEOPLE INFORMATION 11 PROPERTY NAME cam; I ) �,�� /� PRIMARY PHONE j ,Iy OWNER T(f� ts7Ci I- r'e- (23) 0✓�0 -2i/se MAILING ADDRESS CITY,STATE,ZIP 3Io4-51 Am W t MJ L12' t/, WA 'ig( O3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHODIE MAILING Io5ISB% ,�DDRESS ✓ M1CITY, 6I CELL PHONE 722`L( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATIOt1 DATE FAX NUMBER 01 0 -Qti - i 0 3 ‘5" (p- B L 1c -/ at '05— ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE A 14 1( / ) t. /a(, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT • FAX NUMBER ❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME O PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDERPerRCW 19 27 095: Lenderinformation is NAME requiredf project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP ... - ■ DETAILED BUILDING INFORMATION EXISTING USE PR• •: D USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ci YES ❑ NO . WATER SERVICE PROVIDER a L VEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELD,) SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT i FIRST OND THI', FOURT ADDITIONAL • 'ORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING l TOTAL P••POSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? **NEW HOMES ONLY" NUMBER OF BEDR•4 MS ESTIMATED SELLI PRICE $ FIXTURES Indicate number of each type offacture to be installed o -located asp' of this project. Do not include existing fixtures to remain. • MECHANICAL I Value of Mechanical Work $ EVAPORATIV OOLERS GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS BBQS FANS OODS(commucial) WOODSTOVES BOILERS FIREP E INSERTS • 'GES MISC(Describe) COMPRESSORS FU? 'ACES GAS t' TER HEATERS DUCTS 'AS PIPE OUTLETS PLUMBING MISC(Describe) BATHTUBS(or Tub/Showercom•. SHOWERS WATER CLOSETS trou<y DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTL K. SUMPS RAINWATER SYST WASHING M ' INES URINALS HOSE BIBBS LAVS(Bathroom mks) VACUUM BREAKERS ELECTRIC WATER HEATERS - DISCLAIMER/SIGNATURE/MOCK -' - _ 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 relic a of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. / NAME/TITLE ` f A.L— DATE 1 11 (G 1 0y ( tgnature) (Title) RELATIONS IP TO PROJECT y'caner ❑ Agent o Contractor ❑ Architect 0 Other FOR OFFICE USE ONLY ( a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO f Bulletin N 100•March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application ,, ELECTRICAL PERMIT INFORMATION r RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet 0 0 to 100 amp $ 94.50 $ 58.00 (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ Detached outbuilding or garage 0 101 -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 ❑ 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 0 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 0 over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 0 #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) $ 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 1 ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 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 Li 401 -600 117.50 n/a ❑ over 600 12'1.00 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) ❑ Low Voltage Swimming pool/hot tub $87.00 '� • Square Feet to be served by system(s) / f`✓ (Includes additional circuit,if required) D ire Alarm System ❑ Yard Pole meter loops $58.00 ecurity Alarm System CI Additional Plan Review $87.00/hour Voice Cabling (for modified submittals) ❑ Data Cabling 0 (Per System(s) 1•t 2500 ft2-$51.00; Each add'n 2500'[t2=13790) •Per WAC 29646-910(5)(6/(&Iij Bulletin#100-March 30,2004 Page 3 of 4 k\liandouts-Rev.ised\Pernlit Application