02-103297City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
t 1%
Electrical Permit #:02 - 103297 - 00 - EL
Project Name: CHANG
Project Address: 923 SW 344TH
Project Description: ELE - Install low voltage security alarm
Owner Applicant
KEEN CHANG BRINKS HOME SECURITY INC ,
923 SW 344TH PL 19115 WEST VALLEY HWY SUITE
FEDERAL WAY WA 98023 KENT WA 98032
that the abovM
Ircy and the use will
Federal Way.
Owner
Inspection reques1JjN01&5,3.835.3050
71
wntr � r BNR10 URITY
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19115 ALLEY HW I -106
KEN�A 98032
(4151-9727 A
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V
IT EXPIRES January 28, 2003, IF NO WORK IS STARTED.
Permit issued on August 1, 2002
mation is correct and that the construction on the above described property and
in accordance with the laws, rules and regulations of the State of Washington and
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Date: / U 2
aryor G 5,60
CONSTRUCTION PERMIT APPLICATION
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SITE ADDRESS
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**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ASSESSOR'S TAX/PARCEL *: _ _ _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
[ ILECTRICAL ❑ ENGINEERING ❑/�FIIREE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): -Tn+ro�lon Q ((�-c ri �
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: (DAME PHON
MAILING ADDRESS (STREET ADDDR�ESS; C . ATE, Z
' /' / /GU�
NAME:
i n
e�'
DAYTIME PHONE:
(a5) a51
- g7a7
MAILING ADDRESS (STREET ADDRESS; C , STATE, P):
0
`0Z
EVENING PHONE:
O
-�a1��
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTR,4CTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
MAILING ADDRESS (STREET ADDRESS; CrrY, STATE, ZIP): EVENING PHONE:
)
RELATIONSHIP TO PRO)ECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): )
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT rXCONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC)
+fABLE,B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES ---
"—_Single
-SingleFamily
_ Service or feeder only .................. $50.00
# of Thermostats (First -$37.50; add'n-
(First 1300 e-$75.00; Each add'n 500 ft2-
_ Service and feeder ....................... $81.00
_
$11.50ea)
$24.00)
# of Low voltage fire or burglar alarms
Square Feet:
MOBILE HOME/RV PARK
First 2500 fe-$43.50; Each add'n 2500 ftZ-
_ Each outbuilding or garage .................. $31.00
(Inspected with service)
_ # of service or feeders
(First service/feeder-$50.00; Add'n
$11.50
Square Feet:,—_q
_ Each outbuilding or garage .................. $50.00
service/
* Per WAC 296-46-910(5)(b)(i & ii)
(Inspected separately)
feeder -$32 each)
_ # of Signs (First sign -$37.50; add'n sign
$17.50 each)
_ Swimming pool, hot tub, spa ........$75.00
_ Yard Pole meter loops..................$50.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
_ 0 to 200 .................................... $ 81.00
_ Up to 200 amp........ $ 81.00 ............. $ 24.00
Feeder_601-
201 - 600 ....................................189.00
_ 201 - 400 amp .......... 101.00 ................. 50.00
—0 to 100.................. $ 81.00..... $ 50.00
601 - 1000 ..................................284.50
_ 401 - 600 amp.......... 138.00 .................68.50
_ 101-200 ................. 101.00 ......... 63.50
_
1000 .................................... 317.00
_ 601 - 800 amp .......... 176.50 .................94.50
_ 201-400 ................. 189.00 ......... 75.00
—over
# of circuits
_ Over 800 amp........... 252.50 ............... 189.00
__401-600 ................. 220.50.........88.50
_
(1-5 circuits -$63.50; Add'n circuits, $5 ea)
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ................. 284.50....... 120.50
(When inspected separately from the services.)
_801- 1000 ............... 348.00....... 145.50
TEMPORARY SERVICE
Service or Feeder
_ Over 1000 ................ 379.00....... 202.50
Residential/Multi-
- 0 to 200 amp .................................... $ 68.50
_ Over 600 volts surcharge ............... 63.50
Family/Commercial/Industrial
_ 201 - 600 amp .................................... 101.00
_ Mast or meter repair ...................... 68.50
—0- 100...................................... $ 50.00
_ over 600 amp ..................................... 151.50
_101- 200 ......................................63.50
_ Mast or meter repair ............................. 37.50201-400_
......................................75.00
_ # of circuits
401-600 ....................................101.00
(1-4 circuits -$50.00; Add'n circuits $5 ea)
_
_ over 600 .....................................109.00
If a new or altered commercial service Is 200 amps or greater, or a new or altered residential service is greater than 400 amps, a plan review is required. Fee is
35% of permit fee +$63.50. Add'I plan review for other submissions is $75.00/hr.
Estimated Permit Fee: (1
Total Column (0)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X.35) _ (13)
7ISCLAIMER/SIGNATLIRF RI C
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,
that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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 applica Iti7_ �j
NAME/TITLE: k ,IO?1/I%7lyL %/d vG � DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cotvoffederwway.com