07-100998 City of Federal Way Electrical Permit #: 07-100998-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: RYBACHOK
Project Address: 36002 11TH AVE SW Parcel Number: 202100 0070
Project Description: Install intrusion alarm;
Owner Applicant Contractor
NIKOLAY&RUSIANA RYBACHOK A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
36002 11TH AVE SW 11824 NORTHCREEK PKWY N SUITE 105 ADTSESI03205 9/25/07
FEDERAL WAY WA 98023 BOTHELL WA 98055-2910 11824 NORTHCREEK PKWY N SUITE 105
BOTHELL WA 98055-2910
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Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm-Rest 2,500
PERMIT EXPIRES Saturday, August 25, 2007
Permit Issued on Monday, February 26, 2007
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 agent: Date: 2.--Zf9 `01—
FIB*ALL'D
. THIS CARD IS TO REMAIN ON-SITE . .
CITY OF � '' Community Development Inspection Record
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Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100998-00-EL -
Owner: NIKOLAY & RUSIANA RYBACHOK
Address: 36002 11TH AVE SW
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.
❑ 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) 1❑ Final -Electrical (4055)
Approved Approved Approved
By Date By Date B Date3_cr..Qt>
,❑ Under-slab groundwork(4295)
Approved
By Date
02/26/2007 00: 19 4254885288 PAGE 01/04
c,rt Of RECEIVED D 00
Federal Way n�, PERMIT
coMMUNnv DIMLOPMENT.5ErvEjB G6,. 2007 . 5F MF CO MECEDDL DE EN FP
sssaPsTH AVENUE
WAY. ARi.PD 90X)1718 , PLACATION
FBOOI7AL NrAY,WA 9.0063-9718 TO
arals.a6or r•Axass� �9 pp FEDERAL
APPLICATION
BUILDING DEPT,
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type,
r PROPERTY INFORMATION
SITE ADDRESS 6(000 Z I 1-11‘.• ( J L fit, SUITE/UNIT#
ASSESSOR'S TAR/PARCEL# Z D 2- 1 O 0 - 0 0 '}" LOT SIZE(sj)
LEGAL DESCRIPTION(e.g,Acme Estates,Lot 1)-
MfN1 Arr.!,ponc.far Inngihu 1Wo1 eenerirdw9
PROJECT, INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING C MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(1'mvide detailed description of work included on this permit orllll)
�N Sl�zt, Sty Gt c 2 i-ty SY S J 71 l
PROJECT NAME(Name of,$usiness or Owner Ids ame /3/8. (4O/- QL31 000C-�
a PEOPLE INFORMATION
PROPERTY NAME . P1+ONE
OWNER /2u /A-0-4 (6,4-C-N# (23"31 83 - (eF-r
MAII.INO ADDRESS /� CITY,STATE.za, fir, EMAIL ADDRESS
2 OO Z 0/ 4 '1 v t S(ti.) /um/ l4./4 7L/o
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A $musty 5saVCCE5 — 'Ro$ BOY 1413') 8 -5ayq
qa
MAILING ADDRESS CITY.STA7T,7,TP CELL PFONP.
It137.4 N•EPEE c eltwy N. *tDS serntat wcy; (zSa ) 3R. -. 1164
CITY OF FEDERAL WAY BUSINESS LICENSE.NUMBER ESWIRATION DATE FAX NUMBER
jQ 't ' IOS6(p1-11L- ( )
COPY Menril required ��JJ�� CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL.ADDRESS
with ppp.l R./Mention �I Ayer 'E 5Z f5 4 3q oS
APPLICANT �COMMP�ANYYYriAME APPLICANTNAAME . OFFICE PHONE
SOME Ab CO 1R4t,'TDR ( ) -
MARdNG ADDRESS CITY,STATE.ZIP CELL PHONE
( )
RELATIONSHIP'TO PROJECT FAXNUMBER
❑ Architect ❑Tenant ❑Agent r> Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDS P.S$
CONTACT AlS C O$STO AeATpQ ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information Is required(f project value exceeds$5,000
MAa.ING ADDRESS CITY,STATT ZIP PFI ONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE P >�A
EXISTING ASSESSED/APPRAISED VALUE $. VALUE OF PROPOSED WORK $ 8OO v 0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ No
WATER SERVICE PROVIDER ❑ LA.NEIIAVEN n IUGHLINE ci TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKERAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
02/25/2557 50: 19 4254885288 PAGE 02/04
A PROJECT FLOOR AREAS
/11, AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sq.FT. S9.FT. S9. FT.
BASEMENT
FIRST
SECOND -
THIRD
ADDITIONAL FLOORS(Dr-SCRIBE)
DECK(El COVERED OR ID UNCOVERED?)
GARAGE Cl CARPORT a1
NUMBER OF FLOORS "'10°1"0 rROro"co J toTAL TnrAL=wpm,Pr rMSALrmorose*P1" mrnr.ar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ES71MATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project., Do not include existing fixtures to remain,
MECXLANXCAL
Value of Mechanical Work $ IA COPX OF STD OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
5505 - PANS GAS WATER HEATERS MISC(Describe)
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BOILERS FIREPLACE INSERTS HOODS(COmm,xlNl
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG SYSTEMS
PLUMBING
BATHTUBS(sr-rtsysnowercombo) I.AVS a3nthroumSlnknl URINALS - MISC(Deseibc)
DISHWASI•IERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS masa
ELECTRIC WATER FIEATERS SINES WASHING MACHINES
HOSE BIBBS SUMPS. SIGNATURE
_ ..._. ......,. . , - JRE
I certify under penalty of perfury that the ir(formation furnished by me is true and correct to the best of my knowledge, and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. Ifurther 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 Wag,but only where such claim
arises out of the reliance of the city, including its officers and employees,upon the accuracy of the irtfbrmation supplied to the city as a part of
this application.
NAME/TITLE �-- _DATE Z-'Z'�P -
rl
fSIgnatureJ (7nu
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 'Ft antractor ra Architect ❑ Other
❑NEW ❑ADDITION ❑ALTERATION c REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES a NO BASIC PLAN? 0 YES n NO
ZONING DESIGNATION CHANGE OF USE? ❑TES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPAJSU? ❑YES ❑NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
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Bulletin 41.00-January 1.,2.007 Page 2 of 4 k\Handane.,s\Perrnir Application
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02/26/2007 00: 19 4254885288 PAGE 03/04
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
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NEW 1L2ESJDENTIAL SEAVICE ,1!',W COMMERCIALjI!PUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each.II dd'n
(First 1300 ftr-$1 11,00;Each add'n 5O0 fr,2..$85,50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94,50
(Inspected with.service) $47.00 ❑ 201 -400 amp 280,00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-SOD amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
,>;IEW MULTI-FAMILY(three units or more) ❑ over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35,50 ❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 •
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMIV[EIiCL1L11 IPVAITRIA,L
❑ Over 800 amp 375.50 280.50
Service or.8-eders
ALTERED SINOLEJNIUJLTI FAMILY ❑ 0 200 amp $1,80.50
❑ 201 - 600 amp 280.50
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Service or Feeder ❑ 601 - 1000 amp 423.00
❑ 0 1.0 200 a.mp S 92,50 ❑ over 1.000 amp 471.00
❑ 201 -600 amp 149,50 ❑ -4 of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50:Add'.n circuits,$7,00/r4 •
❑ 4 o circuits to he added/altered COMMERCW/11VDUSTRIAL PLAN REVIEW
(1,-4 Circuits-$74.00;Add'n circuits®7.00/cal - $94.50 plus 3545 of Permit Fee
❑ Service- 1.000 amps or greater
❑ Mast or meter repair $55.00 • ❑ Medical/Educattonal/lnstttuttonal Facility
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MANi1PACTl1RF.D IIOMF-S
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
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TEMPORARY SERVICE
MOBILE IiO/gE,[,Ety 4:Ws Residential/Murti-Famiiy $65.00
❑ #of service or feeders
(First service/fccdcr-$74,00;each add'n-448.00) Commercial/industrial Service or,Feeder.4mpacity
❑ 0-100 snipe $74.00 •
❑ 1.OI--200 amps 94.50 .
❑ 201-400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps 1.62.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #ofTherrnostata ❑ #of Signs
(First-$55.00: add'n-$17.00/Ca) (First slut-$55,00; add'n sign 1$26.00/ca)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s)_a '''VD (includes additional circuit,if required)
0 Fire Airirm Sygtcm ❑ 'rard Pole meter loops $74.00
security Alarm System ❑ Additional Plan Review $111.00/hour
0 voter Cabling
Data Cabling (for modified submittals)
r
0
CI - ❑ Automation Fee on all Fermata „ $5.00
1'..2.500 10-$65.00:
Each add'n 2500 ft2-17.00) Per WAG 2P 6-46-910r31rbWr 8.u1
Bulletin#100-January 1,2007 Page 3 of 4 16llanclouts1Permit Application