12-101048w,t
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City of Federal Way Permit #. 12- 101048 -bb -E L
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: BRIGHTON PARK LOT 26
Project Address: 911 SW 365TH PL Parcel Number: 111263 0260
Project Description: Install security alarm system, phone /data/voice cabling
Owne
AR12lican
Contractor
BRIGHTON MING LLC
PREMIER SOUND & COMMUNICATION INC
PREMIER SOUND & COMMUNICATION
2053 FABEN DR
218 MAIN ST SUITE 564
INC
MERCER ISLAND WA 98040
KIRKLAND WA 98033 -6108
PREMISC9811`2 (10/22/12)
218 MAIN ST SUITE 564
KIRKLAND WA 98033 -6108
Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Low Voltage - Other (Residential). 1
PERMIT EXPIRES Sunday, September 2, 2012
Permit Issued on Tuesday, March 6, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' in accord a laws, rules and regulations of the State of Washington
AWdthe eral Way.
Owner or agent. Date: '71611.,
CITY OF 4A!!�
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON -SITE
Construction I ection Record
INSPECTION REQ TS: (253) 835 -3050
12- 101048 -00 -EL
Address: 911 SW 365TH PL
Project: BRIGHTON MING LLC FEDERAL WAY, WA 98023
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.
0
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
❑
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By C
Date .3._ t
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this pp1 * tii
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SIGNATURE:
PRINT NAME: />% %!`� /,�! /� <� ✓i✓
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application
CITY OF
Federal Way
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ELECTRICAL RECEIVED
PERMIT APPLICATION
MAR 0 F ..,,
"Most electrical permits may be obtained on -line at www.cit
SITE ADDRESS: C
SUITE /UNIT /SPACE N
ASSESSOR'S TAX /PARCEL N
CURRENT /PROPOSED USE
PROJECT NAME
Lo Z�p
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
V_-7:7:.7_
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
y/ "
b ✓sRi
( _
NAME
PRIMARY PHONE
ZZ-4 - -3z1:.<
MAILING ADDRESS
E -MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
f�4 - ;—,
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
( FAX
l
PROJECT CONTACT
NAME
PRIMARY PHONE
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this pp1 * tii
z � /�
SIGNATURE:
PRINT NAME: />% %!`� /,�! /� <� ✓i✓
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 1 of 2 k:\Handouts \Electrical Permit Application
w•N"rvice /Feeder Additional Feeders
ALTERED SINGLE or MULTI FAMILY
251 Service /Feeder
W16 .. ,M�
Added or Altered Circuits ..
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
801 tXi�fam.. , ... 3€$65 at> x$236:54
!?ver "i00 volts sttriiarge "„ x $:103:50
ALTERED COMMERCIAL
1s1 Service /Feeder Additional Feeders
10v
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS SERVICE /EOUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
0 Security Alarm System
0 Voice /Data Cabling
❑ Other ZL�G
Area to be served by system:
1312,500 ft2- $71.00; each additional 2,500 ft2- $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
TEMPORARY SERVICE
151 Service /Feeder Additional Feeders
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8" Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 2 of 2 k:\llandouts \Electrical Permit Application