07-106264City of Federal Way
Community Development Services • Electrical Permit #• 07 -106264 -00 -EL
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8353050
Project Name: REINTSMA
Project Address: 4023 SW 325TH ST Parcel Number: 873196 0150
Project Description: Install low -voltage security alarm system.
Owner
Applicant
Contractor
LARRY & MARY JO REINTSMA
CHUBB SECURITY NW., INC dba SECURE
CHUBB SECURITY NW., INC dba SECURE
4023 SW 325TH CT
SERVICES
SERVICES
FEDERAL WAY WA 98023-2458
18026 72ND AVE S
CHUBBSN995J3 4/23/09
KENT WA 98032
18026 72ND AVE S
KENT WA 98032
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Low Voltage Burgler Alarm - Resi 2,300
PERMIT EXPIRES Thursday, November 13, 2008
Permit Issued on Monday, November 19, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use willa in ac rd ce with the laws, rules and regulations of the St of Washington
a the City of Federal Way.
Owner or agent: Date: / ��1-7
THIS CARD IS TO REMAIN ON-SITE
CITY OF ' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 8353050
PERMIT #: 07 -106264 -00 -EL
Owner: LARRY & MARY JO REINTSMA
Address: 4023 SW 325TH ST
FEDERAL WAY, WA 98023-2458
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.
For infector reference only
D Rough Electrical 0 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
By
Date
By
Date
B
li Date
❑
UFER Ground (4295)
Approved
By
Date
For infector reference only
D Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
RE C
' N D '�
�D- M
Nn`' 15 2QQ7
Federal Way GI ( BOF FED'RA
UILDING DE PERMIT
SF MF COM PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
3332FEDEWAVENUEY, WA 9•POBOX 9778 APPLICATION
FEDERAL WAY, FAX
98063-9718 /
253-835-2607• FAX 253-835-2609
ww w. cit uoffederalwau. mm
The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY_9 INFORMATION
SITE ADDRESS WA (�� Z 3 SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # _ _ _ _ _ - _ _ — — LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT• ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION—n-ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work
.T,,lJ-6 1( a;7� e) � 1, 1 &1,,, �-o j4 9 e-
d on this permit onlu/
la-,�.O—, -fifes Api
PROJECT NAME (Name of Business or Owner Last Name) JLC//'V I 2f /K�
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME .
PRIMARY PHONE
MAILING ADD
3 IvJ 3 zs" f f
L/03
cn , STATE. ZIP
Y
i'iru-� �Je I„i/) °rJti2�3
E-MAIL ADDRESS
COMPANY NAME
Ctl'hb J
APPLICANT NAME
/" M t;�— fliev
OFFICE PHONE
(206)S-2,1
MAILING ADDRESS
PO % X I ► 13
CITY, STATE, ZIP
I�Gt q? (�✓/� �I d// /
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
Z -o -ao -_ /03.) 2,(, 6 - as - (3L
EXPIRATION DATE
/Z . 31. 7-0u-�-
FAX NUMBER
(7,0( ) -5-2, 1 - S- 31ya
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
3
y L3 0C?
I m at, ,SAe4-,
COMPANY NAME
,bb wv✓
APPLICANT NAME
�e�Uw� �hec�r
OFFICE PHONE
(2,06 ) 5-Z
MAILING DRESS
ox
L
C STAV, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent 12- Other J;i f*, Nei
FAX NUMBER
(2,) rp ) S'2,1 - 3 V 0
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender irifor►nation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, 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 ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
C. CQ --I
-r
PROJECT FLOOR AREAS I
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
❑ NO
THIRD
❑ YES o NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
auarnvo
MOPOaeO
TOTAL
TOTAL ]MINTING aF
TOTAL PROPOSED ar
TOTAL aF
—NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture 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 WrM APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commercial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or rub/Shower Combo)
IAVS (Bathroom sinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rroiiet)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
UP/SEPA/SU? o YES
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the iiiformation submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of 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.
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, 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 applicatiof
SIGNATURE:
Owner and/or Authorized
o NEW ❑ ADDITION
o ALTERATION
o REPAIR o TENANT EMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN? o YES
o NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
c NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU? o YES
❑ NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — August 16, 2007
Page 2 of 4
k\Handouts\Permit Application
-It
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 ftz - $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
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 262.00 140.50
❑ 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
❑ 601 - 1000 amp 423.00
Service or Feeder
❑over 1000 amp 471.00
L10 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 350/6 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 PARK
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)
Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s) X300
(Includes additional circuit, if required)
0/fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
21 Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
or modified submittals)
❑ Data Cabling
Automation Fee on all Permits .. $5.00
11
lat 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • per WAC 296-46-910(5)(b)It a W
Bulletin #100 - August 16, 2007 Page 3 of 4
k\Handouts\Pernlit Application