02-103298City or Federal Way
Community Development Services Electrical Permit #: 02 - 103298 - 00 - EL
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: LACEFIELD
Project Address: 28903 28TH S Parcel Number: 029450 0020
Project Description: ELE - Install low voltage intrusion alarm
Owner
Applicant
Contractor
Scott Alan Lacefield
BRINKS HOME SECURITY INC
BRINKS HOME SECURITY INC
28903 28TH PL S
19115 WEST VALLEY HWY SUITE H-106
19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA
KENT WA 98032
KENT WA 98032
98003-7902
1
1 (425)251-9727
Electrical Fixtures
1112"11- 11 Descri tiara Q . cri; do Quantity .. Decri > i "°;w . e' Qlaanti
Low Voltage Burgler Alarm - ResiK 1100
PERMIT EXPIRES January 28, 2003, IF NO WORK IS STARTED.
Permit issued on August 1, 2002
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:
SITE ADDRESS: U l (1 J 7" �6!C ASSESSOR'S TAX/PARCEL #: i� q �O - co Z(
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
[ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 14ro6ion Q `c.t.c / 1
F] Ze}rzy*zI_IwT#1
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON F
EXISTING USE
PROPOSED USE:
■ PEOPLE INFORMATION
NAME: lql
DAYTIME PHO :
MAILING ADDRESS (STREET ADD; CITY �ATrE, ZIP): ` I
'If Z9 Am 14'e!Iwl
��,/ f //
/, 5? v
NAME:
�n� � 5
ME PHONE: 7
lA a5) a51 - g7c?t
MAILING ADDRESS (STREET ADDRESS; C STATE, P):
j 0
&'5Z
EVENING PHONE:
c ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTR4CTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPIRATION DATE:
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT:
o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
FAX NUMBER:
( ) -
:OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT
CONTRACTOR
E-MAIL ADDRESS:
0 DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
_ Single Family .:
_ Service or feeder only .................. $50.00
_ # of Thermostats (First -$37.50; add'n-
(First 1300 fe-$75.00; Each add'n 500 fl?-
_ 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 ft?-
- Each outbuilding or garage .................. $31.00
# of service or feeders
$11.50
(Inspected with service)
_
(First service/feeder-$50.00; Add'n
�
Square Feet: I(i�
_ 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
200 ......................................63.50
_ Mast or meter repair ............................. 37.50201-400_
_101-
......................................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. Add1 plan review for other submissions is $75.00/hr.
Total Column (D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50 + ( X .35) = (13)
DISCLAIMER/ SIGNATURE BLOCK
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 applicati
I7
NAME/TITLE: A 2,� a,-71-7 cll�C %/d vC t -� DATE:
❑ PROPERTY OWNER ❑ APPLICANT fid. CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.cttvoffedeEwway.com