08-104015 III
'`City of Federal Way Electrical Perm#: 08-104015-00-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: JACKSON
Project Address: 32529 24TH AVE SW "` Parcel Number: 638670 0360
Project Description: Installation of intrusion alarm ,
Owner Applicant Contractor
RONN JACKSON PROTECTION ONE ALARM PROTECTION ONE ALARM
32529 24TH AVE SW 7617 S 180Th ST PROTEOA033BP(1/17/09)
FEDERAL WAY WA 98023 KENT WA 98032 7617 S 180TH ST
KENT WA 98032
Additional Permit Information
Electrical Fixtures
Low Voltage-Burglar Alarm(Res 1
PERMIT EXPIRES Wednesday, August 26, 2009
Permit Issued on Tuesday, August 26, 2008
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 agents-lp Date: S-12.470f5
FtP0 (e 01) /61
,444, THIS CARD IS TO MAIN ON-SITE
CITY OF Community Developm -Tit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835--3050
PERMIT#: 08-104015-00-EL
Owner: RONN JACKSON
Address: 32529 24TH AVE SW
FEDERAL WAY, WA 98023-2507
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) 0 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 1f
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
AMUR
clrY aP /.5
- Federal Wa EIV ,, fr-
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COMMUNITY DEVELOPMENT SERVICES R M I T �� 4
33325 VH AVENUE SOUTH•PO BOX 9718AI'G 2. 20 8 �� SF MF CO ME •L DE EN FP
FEDERAL WAY,WA 98063-9 718 P P L I"CATION TO
.253-835-2607•FAX 253-835-2609 -/
lcauw.cihLfrederalwatceom /
�I1'Y OF FEDERAL WAY
The following is required ineF, ion-an incomplete application will not be accepted. Please print legibly(in ink)or. type.
■ PROPERTY INFORMATION • ' -
SITE ADDRESS <5 5;9 c.,W1-i\- A lo/e, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# &'3 v .7 v - C 3 D LOT SIZE(4)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
•
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ' ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this
permit ontr/)
v / ekArr-JZ .
PROJECT NAME(Name of Business or Owner Last Name) ��%5 -
• PEOPLE INFORMATION -
PROPERTY NA PRIMARY PHONE
OWNER (J 1 arl, _74,Ck•6- (coo 85.<°, - I 3
MAILING -AbDRESS I ', • CITY, TATE,ZIP
3 •�7L ��/l/llJ) ��0�?�� �9�J�' � � ��-Mof 61 5
IL ADDRESS
CON TOR MPA NAME & TE,Z
LNADDRES �le., �/ vi l� NE 34,
CELL HONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXP RATION DATE ( )
FAX NUMBER
105 .5 ! q 1(9-- ( 9 ,50 g14-2
COPY of card required
TRAC OR'S REGISTRATION NUMBER E PIRAT N DATE
with each application I > (i-re
ADDRESS
E oA . &P / 't9009
•
•
APPLICANTPA 'NSA APPLICANT NAME OFFICE PHONE
1 �%► /tin
1 �s ( )
MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE 1
RELATIONSHIP TO PROJECT ( )
•
❑ Architect o Tenant ❑Agent 0-Other FAX NUMBER
( ) -
PROJECTNAME I PRIMARY PHONE E-MAIL ADDRESS
CONTACT I. lI _ I
LENDER NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIPHONE
I• (P )
iii.:•DETAILED:BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ - VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
4 S'Rea V i •y:g4 4 v Mi:. aI z i ;4` i' : r.•. : ]'. a-r }•.".--'•::t'.-:• :'....:-:.....;'', •„;.,,,:,;;.--,.„—„ ,.- w., cn uo»�.A ...--,xa ..,n,m�.n,,..
'4 st.�,e �- ,v ., .-, EXIST
AREA DESC
ION IN PROPOSED TOTAL
SQ.F'I� SQ.FT. SQ.FT.
BASEMENT '
FIRST ' •
SECOND
THIRD ••
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR 0 UNCOVERED?) •
GARAGE 0 CARPORT ❑ •
EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED ST TOTAL ST
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 aspart of this project. Do not include existing fractures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercia)
COMPRESSORS • FURNACES RANGES
DUCTS, GAS LOG SETS •REFRIG.SYSTEMS
PLUMBING , ' •
BATHTUBS(or Tub/Shower Combo) LAVS-(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS , .
DRINKING FOUNTAINS . SHOWERS WATER CLOSETS(ro let)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
• ...•,• • r 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 reliance the city,includi - s • icers and employees,upon the accuracy of the information supplied to the city as a part of
this application. I
(Thu ',1 ) V DATE I/915/63
NAME/TITLE (Title)
•
(Signature))
RELATIONSHIP TO PROJECT 0 Owner ■ .gent tractor ❑ Architect 0 Other
a NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT. • .
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION • CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? •a YES a NO
PLATTED LOT? o YES o NO - DEMO PERMIT REQUIRED? -; o YES o NO
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Bulletin#100—January 1,2007 Page 2 of 4 IdlandoutsWerrnit Application
r). 7.--.-
• ---:,-:-'..------;:EI=z'CTRICAL PERMIT.INFORMATJVN
: RESIDENTIAL COMMERCIAL
'11,--=-:= NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet__12110 Service or Feeder Each Add'n
2-1 (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
0 Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
;� (Inspected with service) ; $47.00 0 201-400 amp 280.00 111.00
•
0 Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
: ❑(Inspected separately) $74.00
601 800 amp 423.00 179.00
I
`' 0 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder '
❑ lip to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 • '
-#0 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
0,401 -600 amp 205.00 102.00
ALTERED COMMERCIAL/INDUSTRIAL
0
t 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 amp 471.00
t❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 U 41 of circuits to be added/altered
❑ over 600 amp ,225..50 (1-5 circuits-$94.50;Add'n circuits,.$7.00/ea)
a*;
�❑ 41 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 -
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
iw
MANUFACTURED HOMES
i_❑ Service or feeder only $74.00
0 Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
4.❑ # of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/I'ndustrial 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
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MISCELLANEOUS SERVICE/EQUIPMENT - -
_ # of Thermostats ❑ 41 of Signs
Fust-$55.00;add'n-$17.00/ea) - (First sign-$55.00;add'n sign$26.00/ea)
1t,-;„�:' Low Voltage ❑ Swimming pool/hot tub $111.00
€ - Square Feet to be served by system(s) c ....i190 (Includes additional circuit,if required)
I. Fire Alarm System ❑ Yard Pole meter loops $74.00 •
Security Alarm System • ❑ Additional Plan Review $111.00/hour
Voice Cabling • (for modified submittals)
CI Data Cabling O ❑ Automation Fee on all Permits .. $5.00
1,,2500 ft2-$65.00;
Each add'n 2500 ft2417.00)'Per WAC 296.46-910(5)(b)fi 4 ii)
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letin 4100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application