08-100020 * C..pofFederal Way f w
Electrical Pent #: 08-100020-00-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: REIERSGARD
Project Address: 28920 11TH PL S Parcel Number: 720570 0110
Project Description: Install L/V security system.
`
Owner Applicant Contractor
DENNIS REIERSGARD A D T SECURITY SERVICES INC A D T SECURITY SERVICES INC
DIANE REIERSGARD 11824 N CREEK PKWY N SUITE 105 ADTSESI032O5 9/25/09
28920 11TH PL S BOTHELL WA 98011 11824 N CREEK PKWY N SUITE 105
FEDERAL WAY WA BOTHELL WA 98011
98003-3706
Additional Permit Information
Service greater than 1000 Amps9 No
Electrical Fixtures
Low Voltage Burgler Alarm- Resi 2,710
PERMIT EXPIRES Sunday, December 28, 2008
Permit Issued on Thursday, January 3, 2008
I hereby certify that the above • formation is correct and that the construction on the above described property and
the occupancy and the use ��e in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 10 `%: Date: b O W
0 THIS CARD IS TO 11/MAIN ON-SITE
CITY OF E : Community Development Inspection . ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100020-00-EL
Owner: DENNIS REIERSGARD
Address: 28920 11TH PL S
FEDERAL WAY, WA 98003-3706
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) 0 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
0 Rough Electrical(4225) 0 Ceiling Cover(4020) .LI Final -Electrical(4055)
Approved Approved Approved
By Date By Date By Date /-7____-- --cel
•
0 UFER Ground (4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
E
Federal
` ,5„7,•,_
O 0, — t L 0 �l d -2 0
Federal Way RECEIVED PERMIT ,�
COMMUNITY DEVELOPMENT SERVICES SF MF CO MECD PL DE EN FP
33325 D AVENUE SOUTH•63 BOX 9718'A N 0 APPLICATION
A P P LI CATI O N
FEDERAL WAY,WA 98063-9718 3 �} TO /
253835-2607•FAX 253-835-2609 - 1 /- I o
www.citpo((ederalwati com ///
The following is regiiTi Atncom incomplete application will not be accepted. Pleaseprint legibly(in ink)or
P PP • P 9 y type.
• PROPERTY INFORMATION
SITE ADDRESS 2.459 20 i I+4'. A . S ce_8,e4'4..1 '-J I - f$003 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 2 0 S '7 0 - 0 , � 0 LOT SIZE(si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 2-6 Q,1(S .. .P...0 a'j'c-c..
(Attach separate page or ngthg legal descrlptCN
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION)KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work ii included on this permit onlu)
s 'i.,r,,,-i--c...._\\, e_,,,-,i,i'il-/ su i:),.k...„4,y....\
PROJECT NAME(Name of Business or Owner Last Name) g e..-14..rs Curci-
• PEOPLE INFORMATION
PROPERTY NAME ` PRIMARY PHONE
OWNER t)t.,ar11 C 4 LJ I�Y1r-,. K--•CJ ei S c,•ed- ( ) -
MAILING ADDRESS I ,STATE,ZIP E-MAIL ADDRESS
S0.1Mi c S S N. Ac-c--
CONTRACTOR
c-c-CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
1 ik24 4 C 1- tl✓►'1 hi F,oihea\ ice► eI SOJ ‘ (714 ) 22-2._- i 33
coy OF FEDERAL WAY BUSINESS LICENS NUMBER /EXPIRATION DATE FAX NUMBER
—(ocS(7 -0o p 2- - 3( - ®>J ( ) -
CONTRACTOR'S REGISTRATION ER EXPIRATION DATE E-MAIL ADDRESS
P<DT-SEs 3206 c1/2- /01
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
►'�� �S ccv'vt c_ ar ( . ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT N E iPRIMARY PHONE E-MAIL ADDRESS
CONTACT LT-_k ( 2-53) 1020 - SM 0 1
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING DRESS CnY.STATE,ZIP- PHQ�IE _
• DETAILED BUILDING INFORMATIONATl
EXISTING USE PROPOSED USE 4;153.9
Q a p
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ` O I. {Le
SPRINKLERED BUILDING? ❑ YES 0 NO F KUPPRESSIO SySJEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA D PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
! ♦ 4
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST Z
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING )POS® TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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
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)commerdao
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING I
BATHTUBS for Tub/Shower combo) LAYS(Bathroom Saks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSElb mower)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized 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 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, 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 oft ' application.
.mss-
SIGNATURE: „for
i ' - DATE , I Si'7D o
Property Ow r and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW c ADDITION o ALTERATION c REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES n NO BASIC PLAN? n YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES n NO
NEW ADDRESS REQUIRED? n YES n NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100–August 16,2007 Page 2 of 4 k\Handouts\Permit Application
l r
• •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CISingle Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ftz-$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
LI 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 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
❑ Service- 1,000 amps orgreater
LI Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
LI 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
CI401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 8 of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
24,14w Voltage T'� j� CI Swimming pool/hot tub $111.00
uare Feet to be served by system(s) 2 t 1 .) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ CIAutomation Fee on all Permits .. $5.00
15,2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC 296-46-910(5)(b)(i&iU
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application