08-101150 •
•
City of Federal Way Electrical Permit #. J8-101150-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 /0
6 I Inspection Request Line: (253) 835-3050
Project Name: JOHNSON
Project Address: 3826 SW 313TH ST Parcel Number: 873198 1200
Project Description: Install low-voltage security alarm system.
Owner Applicant Contractor
FORRESTER&CHERYL JOHNSON CHUBB SECURITY NW.,INC dba SECURE CHUBB SECURITY NW.,INC dba SECURE
3826 SW 313TH ST SERVICES SERVICES
FEDERAL WAY WA 98023-2143 18026 72ND AVE S CHUBBSN995J3 4/23/09
KENT WA 98032 18026 72ND AVE S
KENT WA 98032
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Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Low Voltage Burgler Alarm-Resi 2,500
PERMIT EXPIRES Monday, March 2, 2009
Permit Issued on Friday, March 7, 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
gewer/
andthe City of Federal `Way.
Owner or agent: /; .�" Date: 3 / 7 /zoo $�
FflALED
-44„,......... • THIS CARD IS TSEMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101150-00-EL
Owner: FORRESTER & CHERYL JOHNSON
Address: 3826 SW 313TH ST
FEDERAL WAY, WA 98023-2143
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) 0 Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date y t e•� Date .3�i-
❑ UFER Ground(4295)
Approved
By . Date ,
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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Federal Way R 07 2008 PERMIT - - -
COMMUNITY DEVELOPMENT SERVICES SF MF CO DE EN FP
3332FEDERAAVENUE SOUTH 98063BOX9718 o ICATION
FEDERAL WAY,WA 98063-9718 c
253-835-2607•FAX 25 • 9 OF F LriliffilrAl
luww.ciWofleder.io•,W. ®S
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
f •t PROPERTY INFORMATION
SITE ADDRESS 3i 2-(-4;2-(-4; J 31 3 `r- 1-e eAc-r7, j` 1/175(4) 1 1^/A d1en 2-`-' SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# _- __ __ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
LI DEMOLITION -k ELECTRICAL LI ENGINEERING LI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) 3 kS/�S (51^---'
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Pyrrei,lec d- ( e-,-b, I JOhnd (2,5-3 )t1 y - (e 33J
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3p-?-to £1•1 313 f* i=ede-iJ We 4.y) k/lA 91-0 Z
CONTRACTOR COMPANY NAM APPLICANT NAME OFFICE PHONE
Ckwbb lee,tivi
f 41 /v W ii'ie Am 'Jt/Iev�.r�i (UG ) Sze - she*-S/
MAILINGPt G074- (�_/ 1 1 i > Sea44, v, A l Q ��!CITY,STATE,ZIP CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2-o-00 /03 24 9 _ok.> _ (y L_ !2.,,3!. of (7,1t� ) sZ) -S3L(o
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
C OVO cffn/'q, s-T 3 y.2'3 ,D e
APPLICANT COMPANY NAME - APPLICANT NAME , OFFICE PHONE
( tib l0 .1:p- .v 1/s) eei f/eats (166 ) s z( - s-4.4-p
MAILING ADDRESS CITY,MATE,ZIP CELL PHONE
120 LOk 9I(I S _Ceei' e, KiA 'P'// I ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent ,Other Se-a/1;1417 CO . (N10 ) Sz I - S.❑(0
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
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? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
c • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑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
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.SYS1'I!..MS
PLUMBING
BATHTUBS(or Tub/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 ofthe property the,
g p p y 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 of this applic n. (/
SIGNATURE: DATE 5'3. 0
`�
operty Owner and/or Authorized Agent
FOR OFFICE WAXILY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
1 0 •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(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
U 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
U 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 U 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
U Oto 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
U 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 U #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
Low Voltage /it) U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) \/ )Lk.) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System U Additional Plan Review $115.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
lat 2500 2-$67.50;
Each add'n I I t2-$17.50)'Per WAC 296-46-910(5)@1(1&ii
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application