06-101342City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CORDRY
Project Address: 31021 39TH AVE SW
Electrical Permit #: 06- 101342 -00 -EL
Project Description: Install low - voltage security alarm system.
Inspection Request Line: (253)835 -3050
Parcel Number: 758200 0170
Owner
Applicant
Contractor
MICHAEL & NANCY CORDRY
CHUBB SECURITY NW., INC dba SECURE
CHUBB SECURITY NW., INC dba SECURE
31021 39TH AVE SW
SERVICES
SERVICES
FEDERAL WAY WA 98023
150 12TH AVE
CHUBBSN995J3 4/23/07
SEATTLE WA 98122
150 12TH AVE
SEATTLE WA 98122
Alarm - Resi 4,000
Additional Permit Information
Electrical Fixtures
PERMIT EXPIRES Sunday, September 17, 2006
Permit Issued on Tuesday, March 21, 2006
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 inApcordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:+,
Q'L e 0-,q 3 -a,q o(0
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101342 -00 -EL
Owner: MICHAEL & NANCY CORDRY
Address: 31021 39TH AVE 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)
❑
Ditch cover (4030)
❑ Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
By
Date
By Date
❑ Temporary Power (4275)
❑
Service (4235)
❑ Feeders /Sub - panels (4045)
Approved
Approved
Approved
By Date
By
Date
By Date
❑ Rough Electrical (4225)
❑
Ceiling Cover (4020)
rW Final - Electrical (4055)
Approved
Approved
Approved
By Date
By
Date
ByQ.�N,,� Date Q 3 -CF -4
❑ Under -slab groundwork (4295)
Approved
By Date
Federal WaPECEIVED PERMIT
' COMM SERVICES
33325 8- AVENUE SOU TH - PO
FEDERAL WAY. WA 9806397 1
253835 -2607• FAX 253- 835 -2609 XPPLICATION
FEDERALWAY
CITY OF
The following is recMff d �M -an incomplete application will not be
SITE ADDRESS 3� V 2 \
ASSESSOR'S TAR /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page ./or Lengthy legal descripHori)
C�- 3
SF MF CO ME ,EL L DE EN FP
SUITE /UNIT #
LOT SIZE (sj)
or
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu)
PROJECT NAME (Name of Business or Owner Last Name) c cy `4
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER,
EXISTING USE
NAME
MZlice + 14A?1tC C04- DQ-,
kzf3J90 RIMARY PHONE
��73
MAILING ADDRESS /
0 / \v 4-- '5
CITY. STATE. 1 { '
V
COMPANY NAME
CKu4b 5eru.2t
APPLICANT NAME
KX- 9O�.o�C-
FFICE PHONE
(204. ) x,52-
MAILING ADDRESS
r o 1 ZN d A J. 5
CITY, STATE. ZIP
^,'& �J A a
CELL PHONE
lr - --- -•.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2r(2_ -D b- t b 3 2 (Q2 -B L (L /3l /O(,
FAX NUMBER
V64 ) 511 - 53YO
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
CK U_ E Q S Rar v 3 oc/0 /WO-
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT �- '
❑ Architect 11 Tenant El Agent Other (Describe) Ct "'
FAX NUMBER
( ) -
NAME
PRIMARY PHONE
E -MAIL ADDRESS
PerRCW 29.27.09& Lender i/y'ormaiion is
required if project value exceeds $$,000
NAME
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? YES NO
WATER SERVICE PROVIDER LAKEHAVEN
SEWER SERVICE PROVIDER _ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? YES NO
C HIGHLINE -TACOMA C PRIVATE (WELL)
HIGHLINE PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED SQ. FT. SQ FT. i
SD. FT. I
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
ER[STINO PROPOSED TOTAL TOTAL EE-Maisr v- WTAio PROPOSEDST TOTAL a'r
NUMBER OF FLOORS
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furtures to remain.
MECHANICAL
a ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT' ,
Value of Mechanical Work $
0 YES "`a NO
BASIC PLAN? :
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS Commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
c YES ❑ NO
DUCTS
GAS PIPE OUTLETS
❑ YES
o NO
PLVAIBING
BATHTUBS (orTnb /Sh- 1Combo)
SHOWERS
WATER CLOSETS rroueq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE i1 ! C
___7____DATE
�[S—ignaturc) Mdc)
RELATIONSHIP TO PR ECT ❑Owner :D Agent `Contractor Architect ❑Other
o NEW,, o ADDITION
a ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT' ,
BUILDING SHELL ONLY?
0 YES "`a NO
BASIC PLAN? :
o YES
6 NO.
ZONING DESIGNATION
CHANGE OF USE?
q YES
o NO '
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP /SEPA /SU?
o YES
❑ NO
PLATTED LOT?
c YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 — January 1, 2006 Pate 2 o1' 4 k\Handouts�Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
Service or Feeder Each Add'n
• Single Family Square Feet
❑ 0 to 100 amp $117.00 $ 71.50
(First 1300 ft2- $107.50; Each add'n 500 112 - $34.50)
• Detached outbuilding or garage
❑ 101 - 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 198.50 99.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ 601 - 800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE /MULTI FAMII.Y
❑ 201 - 600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ # of circuits to be added /altered
❑ over 600 amp 218.50
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
❑ # of circuits to be added /altered
COMMERCIALANDUSTRIAL PLAN REVIEW
(1 -4 circuits- $71.50; Add'n circuits $7.00 /ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/Multi- Family $63.00
❑ # of service or feeders
(First service /feeder- $71.50; each add'n - $46.50)
CommercialAndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
❑ 201 - 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $53.50; add'n- $16.50/ea)
(First sign- $53.50; add'n sign $25.00 /ea)
Low Voltage LA r
y��
$107.50
❑ Swimming pool/hot l tub ................ required)
(Includes additional circuit, if required)
l� uare Feet to be served by system(s)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $71.50
❑ Security Alarm System
❑ Voice Cabling
❑ Additional Plan Review $107.50 /hour
(for modified submittals)
❑ Data Cabling
Automation Fee on all Permits .. $5.00
❑
`
(Per System(s) l -11 2500 ft2- $63.00:
Each add'n 2500 ft2- 16.50) ' Per WAC 296- 46- 910(5)(b)ti & W
Bulletin #100 - January 1, 2006 Page 3 of 4 klHandoutsTernut Application