07-103553 City o#Federal Way s Electrical Permi•: 07-103553-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WALLEN
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Project Address: 29622 20TH AVE SW Parcel Number: 012103 9020
Project Description: Installation of low voltage for security,stereo,camera&intercom system
Owner Applicant Contractor
TERRY WALLEN ASD SECURITY SYSTEMS ASD SECURITY SYSTEMS
29622 20TH PL SW 314 182ND AVE E SUITE B ASDSYI*077MJ(07/21/09)
FEDERAL WAY WA 98063 BONNEY LAKE WA 98391 314 182ND AVE E SUITE B
BONNEY LAKE WA 98391
Additional-Permit Infornietion
�, Jew ", �
Electrical Fixtures
Low VoltageeeBurgler Alarm-Resi 10,001
PERMIT EXPIRES Monday, June 23, 2008
t Issued on Frey f June 29 2007
f
1 hereby"' f 1 that ie!above inform •n ±o end fiat the ti do on above described o erty ,_
the occupant n the use will "" in acs• dance the aw, rules and ul a'of the of W s ikon
cr 'ayand
See An p ale atlOn Date:Owner or agent:
Z
- , - - THIS CARD IS TO AIN ON-SITE
CITY OF Pommuni Develo me t Inspection Record
tY P P
Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050
PERMIT#: 07-103553-00-EL
Owner: TERRY WALLEN
Address: 29622 20TH AVE SW .
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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) .❑ Final-Electrical(4055) •
Approved Approved Approved
By Date O.Ziteg, By bate ,By C,N,. ,, , Date _(���
❑ UFER Ground(4295)
Approved
By Date
•
Ii
For inspector reference only __
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED
Alk CITY OF JUN 2 9 2007 0 7 _ / 03 553
$ Federal Way PERMIT JUN 2 9 2064-- —
COMMUNITY DEVELOPMENT SERVICES SF MF CO M EL L DE EN FP
33325 8TH AVENUE LY,WPfH•PO9OX9718 APPLI CATI P(NQ OE PT?
A�
FEDERAL WAY,WA 98063-9718
2
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53-835-2607•FAX 253-835-2609
www.cituolfederalwau.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS, -1 it D L D® p L SL SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# 0 ( 2- 7' V'- 7 0 2-0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy Legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION IVELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT D iRIPTION(Provide detailed description of work included on r it onl
1 c 3 O t'Ciio g i Scc�, erto '' Cct iti i1�_ t lrt
0
PROJECT NAME(Name of Business or Owner Last Name) ()C dA CFI
• PEOPLE INFORMATION
PROPERTY NAME ,,1__ • ,, ],, PRIMARY PHONE
OWNER �C�ISCJ1� cC L JYLLC:II (`' 2$),**-7 -C7 SOD
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADD S
AD 1 5 ki elfsCui
CONTRACTOR CO NAME TPLICANT I E OFFICE PHONE
16
(a - 1`}x}0
MAIG ADDRESS ITY.STE,ZIP CELL PHONE
a v-L # V Q1.'`)'�' e% ( ( )
' �� V � �ERATION DATE FAX NUMBER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
c)0 - 00 ' (01-7 16 - CO IIa 3t/ OV'7 ( 5.5)SQLo - leiiS
card CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DA '�,q/� E-MAIL ADDRESS
COPY of with each application l./` tS1/4/ n��"7- `l -7/� t -ciV
APPLICANT COMPANY NAME V / I APPLICANT NAME OFFICE PHONE
afar ( )
1 G DRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE`- E-MAIL ADDRESS
CONTACT ■t+� '! i c "`S Gil ( ) t t -SLOSS
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TA C OMA ❑ PRIVATE(WE LL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
3- )i 7 7)3
i
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
VnluP of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLI.IS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUC IS GAS LOG SETS REFRIG.SYS I'ISMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE:IS tronct)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 reli 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 � DATE 1.0/.>"7/C1-7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 1'Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
-
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 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 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW 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 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
over 1000 am
ove
❑ amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
1 ❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101--200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
v(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 1°/0/13 (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
G'Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ voice Cabling - (for modified submittals)
❑ Data Cabling t0 ❑ Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-91 O(5)(b)(i&W *^
I51cl
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application