08-103070City of Federal Way
Community Development Services Electrical Per #: 08- 103070- 00 -El.
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8366 -30550
Project Name: SOUTH CAMPUS BIBLE SCHOOL LO "10
Project Address: 1979 SW 352ND ST
11*0 a L
Parcel Number: 787960 0100
Project Description: Installation of IN security system.
Owner
Applicant
Contractor
PARTLOW FAMILY TRUST
A D T SECURITY SERVICES INC
A D T SECURITY SERVICES INC
1979 SW 352ND ST
11824 N CREEK PKWY N SUITE 105
ADTSESI03205 (9/25/09)
FEDERAL WAY 98023
BOTHELL WA 98011
11824 N CREEK PKWY N SUITE 105
WA
BOTHELL WA 98011
Additional Permit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures
Low V,," e -Burglar Alarm (Res '1
` THIS CARD IS TO YVAIN ON -SITE
CITY OF Pommuni ty Development Inspection Record
d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103070 -00 -EL
Owner: PARTLOW FAMILY TRUST
Address: 1979 SW 352ND ST
FEDERAL WAY, WA 98023
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.
❑ UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
❑
❑
❑ Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
❑
❑ Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date 7 '
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cffy OF A Re
Federal Way 20 � PERMIT 7 - i - -
COMMUNITY DEVELOPMENT SERVICES JUN 5 y SF MF CO ME PL DE EN FP Po 93925BTM AVENUE
A. WA BoK �ICATION
FEDERAL WAY. WA 95063 -9718
253$35 -2607• PAX 253 -835 -2609 - -
iuwu!.c8a l edercd �
Tice following is required irlfol•Allitlon - an incomplete application will not be accepted, Please print legibly (in ink) or type.
PROPERTY • •
SITE ADDRESS 1 t/e�t r7 J J Z ��` . SUITE /UNIT #
ASSESSOR'S TAR /PARCEL # U I g �J O - Q 1 LOT SIZE (SI)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page forlergthy legal descriptioN
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ALECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlul
'T .� �- �-„ 1. � t� 1 0 . � � ... , ✓', .k � i � �s c_- -fir- -v w1
PROJECT NAME (Name of Business or Owner Last Namel 1
PROPERTY
OWNER
CONTRACTOR
( OMU"
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
OFFICE PHONE
(4-53) 2.0- 61lo
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
- s\.,J Z
-PA o 9B n7
CITY OF FEDERAL WAY BUSINESS LICENSE ER
COMPANY NAME -
1'
APPLICANT NAM
A Z
OFFICE PHONE
(4-53) 2.0- 61lo
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
f
MAILING ADDRESS -
CITY. STATE, ZIP
Q l ) 72Z -
CITY OF FEDERAL WAY BUSINESS LICENSE ER
T70 DATE
FAX NUMBER
C1,3 5' _I
2 o
( ) -
CONTRACTOR'S REGISTRATION NUMBER
ZXVIRATION TE
E -MAIL ADDRESS
A s,F- 3a-oS
0, 25
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
c. 4&S bx—k-0 Y,
PHONE
( ) "
MAILING ADDRESS -
CITY. STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
N PRIMARY PNE E-MAIL ADDRESS
AajAAM :j�¢. �C- (Z HO
) 2 5 C1 I
NAME
Per RCW 19.27.095:
Lender irtformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
89. FT.
BASEMENT
WOODSTOVES
BBgS
FANS
FIRST
MISC (Describe)
BOILERS
FIREPLACE INSERTS
SECOND
COMPRESSORS
FURNACES
THIRD
DUCTS
GAS LOG SETS
ADDITIONAL FLOORS (DESCRIBE)
PLUINBING
DECK (❑ COVERED OR ❑ UNCOVERED ?)
BATHTUBS for TLb /Shower Combo)
LAVS (Bathroom sink.)
GARAGE ❑ CARPORT ❑
MISC (Describe)
DISHWASHERS
RAINWATER SYST
NUMBER OF FLOORS
WMMM
rROraew
rdrw zmynra sr
mrAL MPOSID ar
MALW
"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 j%dures to remain.
Value of Medianical Work $
0 COPY OF BID OR ES I MA7E MUST BE INCLUDED WITH APPLICA77ON1
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBgS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (comme,daq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUINBING
BATHTUBS for TLb /Shower Combo)
LAVS (Bathroom sink.)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS "k,t)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I cert{fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I c,rtTy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 Rf Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense qr such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out q% the reliance of the city, including Its officers and employees, upon the accuracy of the information supplied to
the city as a part qr this application. /
f
SIGNATURE:
o NEW o ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
Bulletin #100 —January 1, 2008
❑ ALTERATION
❑ YES o NO
• YES ❑ NO
• YES o NO
cD /t)e::;, /10
❑ REPAIR ❑ TENANT IMPROVEMENT
BASIC PLAN? o YES ❑ NO
Page 2 of 4
CHANGE OF USE?
UP /SEPA/SU?
DEMO PERMIT RE
o YES ❑ NO
❑ YES ❑ NO'
❑ YES o NO
k\Handouts\Permit Application
. r
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 fta- $115.50; Each add'n 500 fta - $37.00) '
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERCIALANDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMII.Y
❑ 201 - 600 amp 291.00
13 601 - 1000 amp 439.00
Service or Feeder
El 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added /altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Add'n circuits. $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1-4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARS
Residential/Muld Family $67.50
❑ # of service or feeders
(First service/feeder - $76.50; each add'n - $50.00)
CommeraialAndustrial Service or Feeder ArFmpacity
❑ 0 - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
>(Zre t - $57.50; add'n- $17.50/ea)
Voltage
(First sign- $57.50; add'n sign $27.00 /ea)
❑ Swimming pool /hot tub ................ $115.00
Feet to be served by system(s)
(includes additional circuit, if required)
❑ Fire Alarm System "
❑ Yard Pole meter loops ..................... $76.50
❑ Security Alarm System
❑ Additional Plan Review $115.00 /hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.50
Pt 2500 ft2- $67.50;
Each add'n 2500 ft2 - $17.50) • Per WAC 296- 46- 910(5)(b)(i A W
Bulletin #100- January 1, 2008 Page 3 of 4 k\Handouts\Permit Application