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02-102603 City of Federal Way Community Development Services Electrical Permit#:02 - 102603 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661 4000 Fax 253 661.4129 Inspection request line: 253.835.3050 • Project Name: DICKMAN Project Address: 553 SW 333RD Parcel Number: 729801 0280 Project Description: ELE-Installation of new intrusion alarm Owner Applicant Contractor Ralph L&Allyn Campana Dickman III BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC 553 SW 333RD CT 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106 FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-6170 (425)251-9727 Electrical Fixtures .Qescri bon'u` aQ sc,� bo Quanta .[ escrt tion, y Quart t Low Voltage Burgler Alarm-Residen 4030 PERMIT EXPIRES December 18,2002,IF NO WORK IS STARTED. Permit issued on June 21,2002 •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: i fr t/o 2- See Application 9((--'7A,(6 &_k‘)-'' 7 e Rough-in inspection: Date Service inspection: Date FINAL inspection: Ar&7 • Date IITY Or-= 00 ED vv C n� RUCTION PER MIT APPLICATION F .:: .BER: asao UN212��2 J JUN .41Q : _ _ _ _ _ _ : _ _ c OFE0EaA, me following is required information—Please print(in ink)or type** P1��a� F Ngleectncal,Fire Prevention Systems and Engineering permits may require a separate application. /�, 1 • PROPERTY INFORMATION SITE ADDRESS: 5��-1 `�l J` �� ASSESSOR'S TAX/PARCEL#: 7 Z-9 Z Q L - Q Z (J Q Q LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION LECTRICAL ❑ ENGINEERING ❑ FIIR/EyPREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): t I7 O7Ion a t a PROJECT NAME: 1` ' ph 6 Pr 6 IL(► ` Di c4 r .1'1 • PEOPLE INFORMATION PROPERTY OWNER: NAME: �' DAYTIME PHONE: se li �'� 1. yet D ir^�iYY�Pv� (�o3w 7 - /51 MAILING ADD /^(STREET ADDRESS;CITY, TE,ZIP): 563 SW 333/ G� ��2 I /0e2.,y /Z1, 9V2-3 CONTRACTOR: NAME: DAYTIME PHONE: 2)r I n �-ome 5 r/7 (y a6)a5I - g7a7 MAIUNG 1 16 (STREET ADDRESS; ,STATEx,.eq �/� O / W A c1z (EVENING PHONE: CITY OF FEDERAL WAYWUSINESS UCCCEN E NU BERG I(,/('f,✓ /jn/ FAX NUMBER: ) CONTRACTOR'S REGISTRATION NUMBER: !7 f EXPIRATION DATE: (copy of card required) bi // / /71‘ APPLICANT: NAME: DAYTIME PHONE: ( ) MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) TABLE B a.. 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 ft2-$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 ft2-$43.50; Each add'n 2500 ft2- _Each outbuilding or garage $31.00 _#of service or feeders $11.50 _6000 030 (Inspected with service) (First service/feeder-$50.00;Add'n Square Feet: `l 7(J _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 _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 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#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 37.50 _201-400 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. ..:.1=,tiMila> �: titti..'?":? 9t`lt`URCOB F10: 1ABitti}il)•: ".:.. 'NUMBER O3F;wins(C)::.•::... .::...: --- : >TOOTTAL{Ii}--- • :..TohEatL COLU .air. 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 applies ti I NAME/TITLE: /J� �7�vLy� DATE: o PROPERTY OWNER a APPLICANT )21'CONTRACTOR F©R OFFICE:USE ONLY: i']:"NEiAt.: " aADDIYMON . a ALTERATION" aREPAIR.. O.TENANT:IMPROVEMENT CENSUS CODE -"... . ::::.. :-... . ..::LOT SIZE:" :ZOIHNG DE;iIGNATION::_" - .!BOLDING�iLONLY? ET:YID d:NO COMP:P9.ANPESIGNATION" - : . .. . ...BASIC:PLAPO NO ONES a : .-. -- - - . SECTION ;-::TOWNSHIP""" " RANGE "::"' "-:'::NEIN.ADDRESS'REQUIRED? . a-YES a NO - PLATTED LOT? C(=YES [a NoCNANotoFi15t, Ants :Cl NO - i COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvolTederalwa.com