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08-102222r I r City of Federal Way Community Development Services Electrical Permit 008 -102222 -00 -EL 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: MENARD Project Address: 32109 33RD AVE SW Parcel Number: 873190 0650 Project Description: Installation of intrusion alarm Owner Applicant Contractor MARY F MENARD BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC 32109 33RD AVE SW PO BOX 39300 BRINKHS148LE 3/31/2010 FEDERAL WAY WA 98023-2275 LAKEWOOD WA 98496 PO BOX 39300 LAKEWOOD WA 98496 .Additional Permit Information Service greater than 1000 Amps?...........................No Electrical Fixtures Low Voltage Burglar Alarm - Resi 1 PERMIT EXPIRES • - ` THIS CARD IS TO MAIN ON-SITE CITY OF *community Develop nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08 -102222 -00 -EL Owner: MARY F MENARD Address: 32109 33RD AVE SW FEDERAL WAY, WA 98023-2275 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) 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 (2�Date 7 •lF For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date 1 RECEIVED G� Off" _ / 0 Z �2 Z r / !'FNe;�eral \..,.:.... ,:r.P Rl C' Y ©EVLLOE TT DDEPARTMMT — COMMUNnYDEVELOPMENT SERVICES SF MF CO ME �L DE EN FP 33325 FEDERAL UE SOUf 806390X�.AY 0 6 Z"'AP P LI CATI CT1° FEDERAL WAY, WA 98063.971 n � 253-835-2607• FAX 253-835.2609 www (moffederalwmi om COF FEDERAL WA ITY The jbllo Ing is requirec(4gfar nation - an incomplete applica-driolrmiti not be acre r� 'tease print legibly (in ink) or type. SITE ADDRESS LAT I U i ---'-2'- (AZ, Lel /l /1 • SUITE/UNIT # IL I ASSESSOR'S TAX/PARCEL # A �! - SL � LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal dewrlpdoal PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) .Tn-h-IA516r7 a/b/0,077 PROJECT NAME (Name of Business or Owner Last Name) PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE NAMEI/y/� PRIMARYPHONE - . (1 ~( �JJ MAILING PS CrrYSTATE, ZIP E- DRESS Jj ,( �1� �✓ Mp APPLICANT NAME OFFICE PHONE 0 �j 7��/,n �I" —e U l/ MAILING ADDRESS APPLICANT NAME CELL PHONE OFFICE PHONE 00)-59a �d / / ❑ Architect ❑ Tenant ❑ Agent ❑ Other ( ) - - ING ArPRESS0 //�� yy rIY. "AAT�E�,�ZIP /'' CELL PHONE CrrY OF FED WAY BUSINESS LICENSE NUMBER q EXPIRATION DATE y 1� FAX NUMBER ( - - - 1 057-V _00. '� c0 OR'S REGISTRATION NUMBER Z'I �' EMnRATIOS 5 -2)) DATE E-bWL ADDRESS ro/__I — QoID CO tl NAMEK� APPLICANT NAME OFFICE PHONE 0 �j 7��/,n �I" —e U l/ MAILING ADDRESS CrIY. STATE. ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other ( ) - N PRWARY PHONE E-MAIL ADDRESS NAME Per CW 19.27.095: Lender ir{formation is required (f project value exceeds $5,000 MAILING ADDRESS cn Y, STATE. ZIP PHONE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT ❑ YES ❑ NO BASIC PLAN? ❑ YES FIRST ZONING DESIGNATION CHANGE OF USE? SECOND ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO THIRD ❑ YES ❑ NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? ❑ YES ❑ NO DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS MSTING PROPOSED TOTAL TOTAL E8IST/WO 1111 ToreL PROP09ID 8F TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or1Lb/Shower Combo( DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAYS (Bathroom Shiks) RAINWATER SYST SHOWERS SINKS SUMPS GAS PIPE OUTLETS GAS WATER HEATERS HOODS (commercW RANGES REFRIG. SYSTEMS URINALS VACUUM BREAKERS WATER CLOSETS (rooeo WASHING MACHINES WOODSTOVES MISC (Describe) MISC (Describe) I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(jy that to the best of my knowledge, the irtformation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance 4f 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. Ifurther 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 clairry, 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 irtformation supplied to the city as apart of this application. A y��I%1Z- ✓�� //i�r SIGNATURE: DATE 10q Property Owner and/or Authorized Agent ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application 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 ❑ 401 - 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL El601 - 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 13601 - 1000 amp 439.00 Service or Feeder ❑over 1000 amp 489.00 L1 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 (First -$57.50; add'n-$17.50/ea) (First sign -$57.50; add'n sign $27.00/ea) Low Voltage T ❑ 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 ❑ Additional Plan Review $115.00/hour ❑ voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50 13 1•L 2500 ft2-$67.50; Each add'n 2500 ft2 - $17.50) * Per WAC 296-46-910(5)(b)(t & W Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application