06-102249 •
City of Federal Way Electrical Permit #: 06-102249-00-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: WOJNICZ
Project Address: 2309 S 304TH ST Parcel Number: 053700 0145
Project Description: Installation of Intrusion Alarm
Owner Applicant Contractor
HALINA WOJNICZ BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
2309 S 304TH ST 19115 WEST VALLEY HWY SUITE H-106 BRINKHSI48LE 3/31/08
FEDERAL WAY WA KENT WA 98032 19115 WEST VALLEY HWY SUITE H-106
98003-4872 KENT WA 98032
Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm-Rest 2,210
PERMIT EXPIRES Tuesday, October 31, 2006
Permit Issued on Thursday, May 4, 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 in accordance with the laws, rules and regulations of the State of Washington
and the Cit of Federal Way.
ern- �f `./ C1 /77'06
Owner or agent: t-I I `� w I Date:
A, THIS CARD IS TO REMAIN ON-SITE _ -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102249-00-EL
Owner: HALINA WOJNICZ
Address: 2309 S 304TH ST
FEDERAL WAY, WA 98003-4872
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) El Final-Electrical(4055)
Approved Approved ' Approved
,■By Date By Date B 111101111041/� i q k(f./.0 Date "6
❑ Under-slab groundwork(4295)
Approved
By Date
' A RECEIVED 0PERMIT� RECEIVED BY ( �2 G��
S CITY OF COMMUNITY DEVELOPMENT D NT-
FederalWTygy p 4 ZOO
s AY O 4 200E SF MF CO ME dr'L DE EN FP
COMMUNITY DEVELOPMENT SERVICE�S($
33325 8rs AVENUE SOI '�ef�4IBS D . 1 WAA p p L I C AT I O N TD I /
FEDERAL WAY,W 0 V
253-835-2607•FAX 253- DIN c•I=PTA
un■ru a hro/k de rnlw n u.corn
The ollowin• is re•uired in ormation-an incom•fete a••lication will not be acce•ted. Please •rint legibl. (in ink or ty•
(� •�f PROPERTY INFORMATION
SITE ADDRESS c/O q 3 �-° '" _ 9 ei- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it 05 -1 a 0 - _01 U LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION )(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT� ESCRIPTIQFT 5rovide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Narne) ta- w OJ i l L e Z
IN PEOPLE INFORMATION
PRIMARY PHONE
PROPERTY NAM b[2 LOo 69.A$09_ 0$31
OWNER •/�l�V/)�/'�/( .�) ��� � ! ��yy�'�, cox/ �)AA E,ZIP
MAILING(.( 'oD? SS 30(4 Si-- CI ST
( aia, 9&
CONTRACTOR MPANY NAME • 1 APPLICANT NAME ` OFFICE PHONE
nn 0 -O SeCL)t1n�Oiino b 1 LDIIr (L) 5c&I - 9707
MAILING ADDRESS _ p11% d U) v CITY,STA E,ZIP ,^ CELL PHONE
CI((TYYJ-��i3OF FEEEDDE i1VAWV]AY S SE NU BER �7 _ EXPIRATION DATE FAX NUMBER -
NTRACTOR'S REGISTRATION NUMB R(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(
LENDER r � a rPI:.- la NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=STING
PROPOSED TOTAL � '�. i•�e $� " - • yt
NUMBER OF FLOORS- �_
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECHANICAL
Value of Mechanical Work $
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
DIR.1S GAS PIPE OUTLETS
PLUMBING
BATHTUBS)orTmb/snosiarcomto) SHOWERS WATER CLOSETS iroaeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink.) BREAKERS Sin ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 authorised by the owner of the above premises to perform the work for which the permit application is made. !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. !1 ��I/� v ) j /D(
NAME/TITLE / y6 iL! �J �f DATE
(Signature) Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent XContractor ❑ Architect ❑ Other
''a 1 6 91 1®d.Et E {
ew f3 o s n . a a �JsK , '!r �rn d�
1
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a 7:. a .
Bulletin 4100—January I,2006 Page 2 of 4 k\Handouts\Permit Application
t
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-$107.50; Each add'n 500 112-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ 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 FAMILY ❑ 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)
LI #of circuits to be added/altered COMMERCIAL/INDUSTRIAL 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) Commercial/Industrial 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
,g (First-$53.50; add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
„vim Low Voltage 99 I® ❑ Swimming pool/hot tub $107.50
`Square Feet to be served by system(s) t2Cl I (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
jSecurity Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling for modified submittals
❑ Data Cabling 'i t � 5 f P �r y nt"°t6 i�l- ' [ � . 7 e�
❑ .
'.. (Per System(s) 1•,2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) "Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application