07-104649CnyofFederal
lopmentS Electrical Permit #• 07 -104649 -00 -EIS
Community. Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8$5-3050
Project Name: GLASFORD
Project Address: 1005 S 322ND PL
Project Description: Installation of L/V security system.
Parcel Number: 150240 0040
Owner
Applicant
Contractor
CHARLES GLASFORD
CHUBB SECURITY NW., INC dba SECURE
C14UBB SECURITY NW., INC dba SECURE
EDYTHE GLASFORD
SERVICES
SERVICES
1005 S 322ND PL
18026 72ND AVE S
CHUBBSN995J3 4/23/09
FEDERAL WAY WA
KENT WA 98032
18026 72ND AVE S
98003-5928
KENT WA 98032
Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm - Resi 1,400
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 23, 2807
1 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: r"I'� Q Date: 9 % Z 3 / zoo 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104649 -00 -EL
Owner: CHARLES GLASFORD
Address: 1005 S 322ND PL
FEDERAL WAY, WA 98003-5928
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
Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved QQ
By Date By Date L By Date
❑ UFER Ground (4295)
Approved
By Date
For rector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
❑
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) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved Approved QQ
By Date By Date L By Date
❑ UFER Ground (4295)
Approved
By Date
For rector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
ir~oF RECEIVED _ 0 14 if �
Federal WayPERMIT
SF MF CO M EL L DE EN FP
333025 d^�AVENUE SOUTH •POSBOYCJ47 2 3 kPPLICATION 53-852 0WAY, WA 98063-9718
7FAX 253-8352609 ��s -'----
WWW.CII„orrederalwgOaY'O't'FnFEQERApL WAY
The following is re�iT'ti�a iNIPUAati�ih - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS / ooS S. 3 2 2 P r tWeru I w y I WA l J;�D L's-) SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #Z `�” - LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
E PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ,ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPLTION (Providedetailed description of work included on✓�this permit onlu)
r
Ole [ � ✓0 r*�1C- (/I yql G+.0 lctff4l `
PROJECT NAME (Name of Business or Owner Last LA 5 f*A D
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY of re
with eee ap
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMEPRIMARY
ekla' � f (i /"qf &4-
PHONE
(2473) H q
MAILING ADDRESS
coos- s �Z Qr
CITY, STATE, ZIP
N/a w�4 9�ooc3
E-MAIL ADDRESS
COMPANY
Ohvh rl /✓1l
APPLICANTE
mom" fI11-
(" L ) 5 21 - S�7fY
MAILING
o x /� ► 3
CFVTATE, ZIP
sc� -r WA 9 o
CELLPHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
2.0—oo-W2-419-ob—BL
EXPIRATION DATE
lZ/3I zoos-
FAX NUMBER
(Za4)Szl -53 3
CONTRACTORS REGISTRATION NUMBER
Ckv136fn)'3q.�J3
EXPIRATION DATE
C/ Z3/lam 0
L ADDRESS
E-MAIo-Afgrok-u-c.
COMPANY NAME
b
fe
A/vJ
APPLICANT NAME
Mei 144 Aml—
OFFICE PHONE
(2A (P ) S-ZA - 66-�t
MAILING ADDRESS
&X q 1 r 13
CITY, STATE, ZIP
SPA WA de11 /
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant
❑ Agent A Other
ehlP t 0 a e,
FAX NUMBER
f2-1 - 5'3 Y 9
NAME
PRIMARY PHONE
E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender ifijormation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
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 ❑ LAKEHAVEN ❑ MGHLINE ❑ PRIVATE (SEPTIC)
V"
PROJECT .••
AREAS
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
AREA DESCRIPTION
BASEMENT
BOILERS
FIREPLACE INSERTS
HOODS (CommentlaU
FIRST
FURNACES
RANGES
DUCTS
SECOND
REFRIG. SYSTEMS
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
SMG
raOFoam
TareL
TMALMg mosF
TMALPRQPMMSF
TOTAL SF
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of furture to be installed or relocated as part of this project. Do not include existing fmtures to remain.
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 (CommentlaU
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (Toilet)
SINKS
WASHING MACHINES
SUMPS
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, andfiled 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 application.
J
NAME/TITLE DATE
(Signa Mile)
RELATIONSHIP TO PR ❑ Owner ❑ Agent ❑ Contractor ❑ Architect Q�-Othera1!L1'e Q CIt' C/"b N
kj
FOR 6*,," G USN' ONLY
❑ NEW o ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT UY[PROVEMENT
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? Cl YES ❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k\Handouts\Permit Application
W
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftz- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
LJ 601 - 1000 amp 423.00
Service or Feeder
❑over 1000 amp 471.00
L] 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS
Residential/Multi-Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
Commercial/Industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
ALow Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
0. Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits .. $5.00
00 ft2-$65.00;
Each add'n 2500 ft2-1 0) . Per WAC 296-46-910(5)(b)(i & ii)
Bulletin #100 - April 2, 2007 Page 3 of 4 k\Handouts\Permit Application