04-105162 r
City of Federal Way Electrical Permit #: 04 - 105162 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: HARRIS
Project Address: 35819 14TH W Parcel Number: 713780 0115
Project Description: Install low-voltage security alarm.
Owner Applicant Contractor
LORNA V HARRIS BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
35819 14TH AVE SW 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA 98023 KENT WA 98032 KENT WA 98032
(425)251-9727
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
I Low Voltage Burgler Alarm-Residen 2500
PERMIT EXPIRES June 20,2005.
Permit issued on December 22,2004
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: See Application Date: 42 -aa:
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THIS CARD IS TO REMAIN ON-SITE
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105162-00-EL
Owner: LORNA V HARRIS
Address: 35819 14TH AVE SW
FEDERAL WAY, WA 98023-7243
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
,
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) Fi -Electrical(4055) ,
Approved Approved Approved
By Date By Date y v,- Date\,f 0 w..5,,
0 Under-slab groundwork(4295)
Approved
By Date
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Federal Way PERMIr:rvEzopy,,D8)-
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EDAGIOIETY DEVELOPMENT SERVICES PL DE EN FP
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3353EF1RST WAY SOUTH•PO BOX 9718 r„
FEDERAL WAY,WA 98063-9718 'f'
APPLICAT 09N
253-661-4115.FAX 253-661-4129 2004 / /
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The ollowi • is re•uired in ormation-an inco •fete a••lication will not be acce•ted. Please •rint le• •1 in or j,-.
PROPERTY INFORMATION
SITE ADDRESS ...35: 1q I 4 A ve .6zi.) SUITE/UNIT#
i
ASSESSOR'S TAX/PARCEL# 1 / 3 7 '3" d /O / -5 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal dascriplion)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailea description of work included on this permit onlu)
. ,---Infro3/017 a/atii,
. .
--,PROJECTITAME Warne-ofRusinesszorOwnerLast-Naine), 1,--,4e114.-----,14 -- --- --,---------7-=-=-,--.:-------:- --=-----7--------- - -
PEOPLE INFORMATION
PROPERTY NAME j PRIMARY PHONE .
OWNER - Aoci7a 4,-,/.. (.253) v,3-- -107
MAILING ADDRESSCITY,STATE,ZIP .
9 ivm daz , 'Id Ak/-a/zazi/ &//, 9gAz3
CONTRACTOR911iIMPANY NAME AAPLICANT NAME ) OFFICE PHONE
prillop)171,05e800 Li
Vealqa Oliliiimerzi (*. ") , 7 -q727
itILIN ADD SS , CITY,STUE,ZIP i , CELL PHONE
. , 1 Hp-w ye/ea ,./.7.
„i7Le0141- ( )
ITY OF FEDERAL WAY BUS NE C E ZifiEk"i,-- EXPI TION DATE113 'FAX NUMBER
j /-_1 Ek-i 05 2 72 PBUL / / ( )
C911NTRACTOWS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER ...:,.,1;rAibirivg.,147,dow.q-tewaimii,fieurneati,[4:::1;:,4, NAME
• MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINICLEREDHUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT 4
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Toru z�varvra _ w= __=_,ran+r raorosm_=-=_- _ _,Toru m�raa,ury ntonnso
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated-as part of this project. Do not include existing fixtures to remain..
MECHANICAL
Value of Mechanical Work $ .
- -- -- - -AIR HANDLING-UNITS-_-- - -- - - EVAPORATIVE COOLERS_-- - - ---.GAS LOGS- ____— —REFRIG.-SYSTEMS=_ --
BBQS FANS HOODS(commao p WOOD STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)f
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or7ub/Shower Combo) SHOWERS WATER CLOSETS(rout) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS s.throom Slab" VACUUM BREAKERS ELECTRIC WATER HEATERS
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 apart of
this application. '/�y�it,r� /
NAME/TITLE I �i- a -/' 7#xoe DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor 0 Architect 0 Other
v=NEW -= . a ADDITION, _ _ -_,o=ALTERATION _< :_= d REPAIR r_,;. ,,;rl;IfPENAN T„IMPROVEMENT: :_ _ =
_ =ciYES _oNO== _=
'BUITDII�TG`SHEL-ti=ONLY?-_--- -_-_=o:YES=iI==NO -;4 __.-,--__.' _ - � - __BASIC=:PIaSN�"=__�__��--�i;,:�_--� -
ZONING=DESIGNATION r, '' _'_ - °, _ -- _ _ = CHANGE_DF'USE?;„ i`'' = :_-_ , "4 YES =ci NO=_ - _ _
'NEW ADDRESS:REQUIRED? o:-YES=a NO ,-__ •-- UP,/SEPA/SU?';,__ _<=__ __=-_ --6-YES :11Po:NO -
PLATTED-LOT?';?-2 _ - p YES p NQ .._ __ -- DEMO PERMIT REQUIRED?: , 't)'YES : 4 NO _.=
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401-600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601-800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
-❑-D to 200_amp---- - $ 72.50 - - - ❑ oyer 1-000 amP -3695.0
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0-100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401-600 117.50 n/a
❑ over 600 127.00 n/a'
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
ALow Voltage /7 ElSwimming pool/hot tub $87.00
Square Feet to be served by system(s) d (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1rt 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) Per WAC 296-46-910(5)(6J(i&ii)
4
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application