08-100647 L •
4 • �
City of Federal Way Electrical Permit#• 08-100647-00-EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax.(253)835-2609 25 7 Inspection Request Line: (253) 835-3050
Project Name: COLLINS - °
Project Address: 3209 SW 323RD ST y Parcel Number: 873190 0940
Project Description: Installing a LN security alarm system.
Owner Applicant Contractor
ROGER&VICKIE COLLINS CHUBB SECURITY NW.,INC dba SECURE CHUBB SECURITY NW.,INC dba SECURE
VICKIE COLLINS SERVICES SERVICES
3209 SW 323RD ST 18026 72ND AVE S CHUBBSN995J3 4/23/09
FEDERAL WAY WA KENT WA 98032 18026 72ND AVE S
98023-2524 KENT WA 98032
Additional Permit Information
Service greater than 1000 Amps" No
Electrical Fixtures
Low Voltage BurglerAlarm-Resi 2,500
PERMIT EXPIRES Thursday, February 5, 2009
Permit Issued on Monday, February 11, 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 agent: _ Date: Z-//-O
411116
• THIS CARD IS T' EMAIN ON-SITE
CITY OF "'' "
Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100647-00-EL
Owner: ROGER & VICKIE COLLINS
Address: 3209 SW 323RD ST
FEDERAL WAY, WA 98023-2524
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
— 0 Temporary Power (4275) ❑ Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final -Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ UFER Ground (4295)
Approved
By Date
•
•
•
For inspector reference only
Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By ,( ), Date 9�5 -c)
RECEIVE •
CITU OF FEB-1 1 200
10 Oei4-7
Federal Way r 1 P RM IT
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33325 8TH AVENUE SI. '•1• -97 9 ,Pp T T C /� TT O N / '
FEDERAL WAY, � 8 63-9718 Y Ll CATT JI T.
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253-835-2607•FAX 253-835-2609 CDS 1
www.dBoffedenilwa4.tnrn
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
',�/ 3 • PROPERTY INFORMATION
SITE ADDRESS_-'" / J 1 " L 3 -1+- 1---e' d ect 0/0- . q(f1) 2'3 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s-�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description,{
I. '• • r • . Tr • '
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION, ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inc .•d on this permit onlu)
j�vi B-7111 lhC, �ti ) o�✓ Vv j -174,, b9La, �,t�,-1� J 1�
�1 y�c
PROJECT NAME(Name of Business or Owner Last Name) Op . 1 I 1 S
• PEOPLE INFPRMATION
PROPERTY NAME PRIMARY PHONE
OWNER /Zo e7- + Vl r •le. CoL /I,nJ (LI 3) s---/9- - t 9'o
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
z.-0`� 1v✓ 323 J--)-- )-'de co e (Ala 1, w 93123
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
C(��h b le cvo N i./ 111 e cis J 1/l� ( 2 ) S / fly s
MAILING DRESS CITY, ATE,ZIP I'll CELL PHONE
Po ox `?I 1 1 3 Ceu 1 wA ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2-0 00 /o'3 -Co 9 0° L1_ (2,1" ) S2-/ - S-3o
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
CIi+)6t� -c"/ ctS-J 3 /Lr3i. v/
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C( job cn.J Nvki /Mie u,r, J[l'et/ (2) ) s-74 -1-) ,}
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Po o X11(( 3 „k2,0-1-4, Iwo 9J'/I / ( ) -
RELATIONSHIP TO PROJECT )(OtherFAX NUMBER
0 Architect 0 Tenant ❑Agent Other Jct (Z i ) .-Z/ - 5 4°
PROJECT NAME �// 9- \ PRIMARY PHONE E-MAIL ADDRESS
CONTACT Mee Jv) e-6,. - (, ),I-I - n' J
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
1 ( )
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ 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(O COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑ I )
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
Vail P 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(Commerdal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orThb/Shower combo) LAVS)Bathroom Sinks) URINALS M1SC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSILIS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or a thorized agent of the property owner.I certifiy that to the best of my
knowledge, the information submitted in support of this permit applicat .n is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by t e issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,stat or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to a _ 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 applicatlo
SIGNATURE: DATE Z` 0/
•... Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW c ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
—, _.._
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NOUP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100-January 1,2008 Page 2 of 4 lalandouts\Permit Application
1110
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 U 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
L 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
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 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
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
U #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 n0 U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
„a Security Alarm System U Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling -
El / U Automation Fee on all Permits .. $5.50
1sc 2500 ff2-$67.5
Each add'n-2N36 17.50)*Per WAC 296-46-910(51(b)(1&iU
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application