04-100003 City of Federal Way
Community Development Services Electrical Permit #:04 - 100003 - 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: JENKINS
Project Address: 28015 20TH11, P.ije S Parcel Number: 422231 0510
Project Description: Install low-voltage security system to serve 2000 square feet.
Owner Applicant Contractor
John D Jenkins Jr. &Karen A Jenkins Jr. PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
28015 2011-1 AVE S PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
FEDERAL WAY WA 6844 S 220TH ST 6844 S 220TH ST
98003-3200 KENT WA 98032 (888)849-6276
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 2000
1
PERMIT EXPIRES June 30,2004.
Permit issued on January 2,2004
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: G7
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RECEIVED F,1...,
CONSTRUCTION PERMIT APPLICATION
CITY OF 0� JAN 2 APPLICATION NUMBER: Ok - L00003- DC
Federal Way �C4 APPLICATION NUMBER: -
CITY OF FEDERAL.WAy APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
- - . - ■ PROPERTY INFORMATION . - .• ' ,
SITE ADDRESS:ANS -J6 thx- v ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ - : . ' • . - ' =. ■ PROJECT INFORMATION - - , . _ _ .
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL 0 DEMOLITION
,LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
1-0(,0 V 0 1 - mac. cS; o .S Fie.
PROJECT NAME: aF✓0KTnZ5
- - - • PEOPLE INFORMATION
PROPERTY OWNER: 16:
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Ir."..
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j .Z /41 -Sy 76
MAILING ADDRESS EE ;RE CT .SAE. Pdad-oi` t j
ay 000�
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CONTRACTOR:
r: j D E PHO
rof` -�I o✓1 Or ; (Ya) � y- 4)740
AILING AD RESS(STREET RESS;CITY,STATE.ZIP
1/ EVENING PHONE
Y411 S �)o i- Csii 1 ro .1. , ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ` FAX NUMBER:
9e - IUc L3- - a0 ; cias)6.;& - .71Yr
CONTRACTOR'S REGISTRATION NUMBER: n _ /� //_�{ /� 2 'n; yn I EXPIRATION DATE: 0 i/
(copy of card required) P 1-` ( 1 J� O Ll .S)z 3 £ !- I 1 / 13- / '`�
APPLICANT: NAME:. --- PHONE'
��,.e.. s ( ) -
I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:'
( ) -
RELATIONSHIP TO PROJECT: j
i ❑ ARCHITECT o TENANT ❑ OTHER( DESCRIBE): FAX NUMBER:
( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT CONTRACTOR
-- - ■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
I
* NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
' " ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST -
SECOND
THIRD -
FOURTH ,
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
' ■ FIXTURES - -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) __ WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS -
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information s pplied to the city as a part of this application. ( )� /0 ,
•
NAME/TITLE: fJ u t A (-LOA 46 J
Y1r /IU( (A.... DATE: (/
O PROPERTY OWNER o APPLICANT CONTRACTOR -
..-FOR OFFICE.USE ONLY:k,;I
,Thrg WN; `j bD1TION s :-nfci ALTERATION c; =*:'d REPAIR 'b=TENANT4IMPROVEMENTn`';=
}'CENSUS'CODE:li.0:4,x=:: :eF._:=zx�r:;• :;MiFiZ' -1.:,,TLOT.SIZE:jSx•;414�-fe;ry,w-��'a�ti3=..-r=r;. ,. - . .
-,ZONING,DESIGNATION,'_>,-:'?•, s';_rt = ; i ' BUILDING HELL�ONLY?i '-'
,.�!:-- �S �YES`�,-�=❑NO
.-(OMP.)jLANbESIGNATION :.'E; '; *u?;0t:,' BASIC•PLAN?T '',0'YES . ',dim * ; '';"' -
SECTION; :k -_.v=TOWNSHIP; ' ;`RANGE P ;, {NEINADDRESS REQUIRED? .•cx :"❑YES•'- a NO -
-PLATTED LOT?: -❑YES dN0 : -�" '"` ` ; '':: CHANGE OF USE? �7-';"--❑YES `O'NO--.- .t4•' -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718'.253-661-4000•FAX:253-661-4129
www.dtvofrederalway.com
4
■ ELECTRICAL '
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only ... $57.00 _#of Thermostats(First-$43.00,add'n-$I3.00ea)
(First 1300 ft2-$85 50,Each add'n 500 fl'
-527 50) _Service and feeder.-... .. S93.00 L#of Low voltage fire or burglar alarms
Square Feet First 2500 f12-$50 00;Each add'n 2500 ft2-$13 00
_Each outbuilding or garage.. . .. ..... $35.50 MOBILE HOME/RV PARK Square Feet:..CO0
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(6)(i& ii)
_Each outbuilding or garage............. ...... $57.00 (First service/feeder-$57 00;Add'n service/ _#of Signs(First sign-$43.00,add'n sign
(Inspected separately) feeder-537 each) $20.00 each)
_Swimming pool,hot tub,spa............$85 50
_Yard Pole meter loops... -. . .. $57.00
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..... . .... . $ 93 00
_Up to 200 amp . . 5 93 00.-.--- $ 27 50 Feeder 201 -600 . . ... . . 216.50
_201 -400 amp . . 115.50.. .... 57 00 _0 to 100. .. .. . ....5 93 00. . $ 57.00 601 - 1000 ..- . 326 50 II
401 -600 amp . . . .. 158.50.. . ......... 78.50 _101 -200.... ......... .. 115 50....... 72.50 over 1000 ... .. ... ... 363.00
_601 -800 amp ....... ... 202.50. . .... 108.50 _201 -400 ....... ....... ..216.50 85.50 4 of circuits
_Over 800 amp .- ...--.. 289.50..... . .. 216.50 _401 -600. . . . ... 252.50 101.00 (I-5 circuits-572 50;Add'n circuits,$6 ear
ALTERED SINGLE/MULTI FAMILY _601 -800........... .....326.50 138.00
(When inspected separately from the services.) -801 -1000 399 00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 -Over 600 volts surcharge 72.50 -0-100 5 57.00
_201-600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
_over 600 amp . 174 00 _201 -400. .... ... 85.50
_Mast or meter repair ....... ........ .....43.00 _401 -600.. .. . ... .. . 115 50
#of circuits -over 600 .. ....- . . . 125.00
(1-4 circuits-$57.00,Add'n circuits$6 ea)
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+$72 50 Add'I plan review for other submissions is 585.50/hr
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) .' NUMBER OF UNITS(C) TOTAL(D)
t -
i I I I
I- I I = _
f !
. "TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
• - . .- - ■ DEMOLITION
_ Estimated Permit Fee: (14)
Bond Amount: (15)
. . _ • . - . - - -. - 111 ENGINEERING - . - - - .
Estimated Permit Fee: (16)
Bond Amount: (17)
■ OTHER FEES - ' -
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages One&Two): Line(s) (11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) -cd 0 0
Bulletin #100-December 23, 2002