10-102544 Electrical
City of Federal Way FILE
Community Development Seryices Permit #: 1 0-10254400-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: FIRST ROUND BOXING
Project Address: 27211 PACIFIC HWY S Parcel Number: 332204 9055
Project Description: Install L//V burglar alarm system
Owner Applicant Contractor
TOM SAWYER ENTERPRISE NORTHWEST PERMIT A D T SECURITY SERVICES INC
PO BOX 8345 1574 GULF RD SUITE 1512 ADTSESI032O5(9/25/11)
FEDERAL WAY WA PT ROBERTS WA 98281 11824 N CREEK PKWY N SUITE 105
98003 BOTHELL WA 98011
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
'+
3
Low Voltage-Burglar Alarm(Cor 1
PERMIT EXPIRES Friday, June 17, 2011
Permit Issued on Thursday, June 17, 2010
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.
I --7 \ (
Owner o -•-• : � �� ,- �.� ����•� Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF ; �
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-102544-00-EL Address: 27211 PACIFIC HWY S
Owner: TOM SAWYER ENTERPRISE FEDERAL WAY, WA 98003
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
0 Final-Electrical(4055)
Approved
By Date
E Rough ElectricalCI Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
CEW
ctrY ac u� ED 7 D _ Z2I?4_
3UN 17 'PERMIT SF MF CO MEaPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES LLQ`---��
33325 D AVENUE SOUTH PO 63BOX 9718 re
r It/ATI O N TD
FEDERAL WAY,WA 98063-9778 OF , B / /
253-835-2607.FAX 253-835-260C1V
COS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDREss_ 27211 Pacific Hwy S SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 3322049055 _ LOT SIZE(sfl
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 VE ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM
PROJECT NAME(Name of Business or Owner Last Name) First Round Boxing
• PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER First Round Boxing (206 ) 694 - 3137
MAILING ADDRESS ' CITY,STATE,ZIP E-MAIL ADDRESS
27211 Pacific Hwy S Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ADT SECURITY SVCS ( 360 ) 945 - 2787
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
11824 NORTH CREEK PKWY#105 BOTHELL WA 98011 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-98-105567-00-BL 12/31/10 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE - E-MAIL ADDRESS
ADTSESI032O5 09/25/11
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest PermitInc. Naida Khan ( 360 ) 945 2787
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1345 Gulf Road Point Roberts, WA ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant vi Agent o Other (360 ) 945-2091
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit.com
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE COMMERCIAL PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 225.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture 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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or-nm/shower combo) LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
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 Nut 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 is pplication.
SIGNA T �\ a \ -- DATE ( 1 ( t �'ä
rope r : :n. or ,.i . .gent
FOR OFFICE USE:ONLY'
D NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES D NO
ZONING DESIGNATION CHANGE OF USE? ❑YES D NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES D NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES D NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
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-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(F st-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
w Voltage /�� Li Swimming pool/hot tub $115.00
Square Feet to be served by system(s) V J (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
ecurity Alarm System U Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
El ❑ Automation Fee on all Permits . $5.50
1.2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) *Per WAC 296-46-910(5)(6J(i&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application