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04-102667
I City of Development Services or Federal way Electrical Permit #:04 — 102667 — 00 — EL Com 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: FEDERAL WAY HEAD START DAYCARE Project Address: 31455 28THSAVI Parcel Number: 092104 9054 Project Description: Install low-voltage security system to serve new,8,761 sqft single-story building. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL ALARM CENTER INC ALARM CENTER INC 31405 18TH AVE S PO BOX 3407 PO BOX 3407 FEDERAL WAY WA LACEY WA 98509-3407 LACEY WA 98509-3407 98003-5433 (360)413-6707 Electrical Fixtures Description QuantityDescription ;Quantity - - Description Quantity Low Voltage Burglar Alarm -Comm 8761 PERMIT EXPIRES January 2,2005. Permit issued on July 6,2004 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. 7/6/0 y Date: Owner or agent: y''` • J A 11)• - THIS CARD IS TO REMAIN ON`A FE. CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: • 04-102667-00-EL Owner: Address: 31455 28TH AVE S FEDERAL WAY, WA 98003-5003 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. ❑ 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) 14Final-Electrical(4055) Approved Approved Approved By Date By Date By ';�+ J Date I ❑ Under-slab groundwork(4295) Approved By Date t A, . RECEIVED ISL 7�7 Cry 01, 33530 FIRST WAYS7LTH•FO BOX 9778 . 'eder&i JUL © 6 ZOOPERMIT APPLICATION -4115.FEDERAL ,WA 9806,1.9778 253-661-4115.FAX 4S366H729 rum dhplTedaradu nr corn ,n.. •s„ +" '',OPI ,:r' .h;.• ;tx -:.t Y.J. r� •t•' -t ..rr�w.u('� v:.- �` ,t. ,1=;' `a,. .:Kj:�e ;� ,6.., -'Gi;=°�;;;. .r-.,t; ;,k,c..r ,urr,..T?F.K� s� ��r.{.y. >,r,iv.` •},,<�r;r: '•r ;r,... .a u7>'i;r••-J \rt,. •;3,,�'•"e,'s - �-,-t,., 9•`� S5 ,•,rr 'rn' :". :'i% :n 1�, .. titre r . . 3:.�'r€' - A 1, I`.1,. The Uwe! Is red i on-anincomplete Hcatton will not be Please nt i or SITE ADDRESS: 31 qSS Z-6 Ale Scx-~.fN SUITE/APT S ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) (Attach separate page pr lengthy legal doacription) ■ PROJECT INFORMATION TYPE OF PERMIT(This application): ?B G ?PLUMBING ?MECHANICAL ?DEMOLITION ELECTRICAL?ENGINEERING?FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only): I Gln s k�C _ a lc z 3 vQ 1 �e ( CO ,-*->,e v-u . , r 5ec_c&v'Z 4 3 y5Jei...-1 PROJECT NAME(Name ofBusiness/Owner Last Name): E' -C'j GY.t.y ('4€Cd & ck-' - ■ PEOPLE INFORMATION PROPERTY NAME: PRIMARY PHONE: OWNER: ( ) _ MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CONTRACTOR: NAME COMPANY OFFICE PHONE: A lC&v'w. Cei4ev- (v,G, bieo )Wrce - Ocfoc-f MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,-7 trAca � ZIP CELL PHONE: L CITY CI OA'�F FEDERAL WAY USINESS LICENSE NUMBER: a kXPIRA�N DATE: FAX NUMBER: z Q- ©ct 1 0 ( y s z_ d O 17-/3k/C4 (31e0) (-131:3 - L/Z`/`7/ CONTRACTOR'S REGISTRATION NUMBER: �j C EXPIRATION DATE: loopy of card required with*ash application) A L A- r"� 01 / 0 S 5 G OZ / I CP /r...15- LENDER: (D 'LENDER: NAME: (arr.M.sdV*1a*>t6,�) DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS,)• CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ?Architect ?Tenant ? Other(Describe): ( ) - ':f bN1**Sialidif.F441*(3'1?#QM3191C"1!':;'•?` gear.:`. ,1- ,Y114, w,13 Rs ; • DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ?YES ?NO FIRS SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL) SEWER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?PRIVATE(SEPTIC) OS ( t C./0 (C) esc, .0-5"13 ■ PROJECT FLOOR AREAS C AREA DESCRIPTION EXISTING SQ.PT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? "IVEW HOMES ONLY*' NUMBER OF BEDROOMS: _ _ ESTIMATED SELLING PRICE: $ ■ FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Valle of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(coam,.ct.) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES CAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or' /st+combo) SHOWERS WATER CLOSETS(roam) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS{eun,00m sink VACUUM BREAKERS ELECTRIC WATER HEATERS ■ I certify under penalty of perjury that the information furnished by ms is true and correct to the best of my knowledge, and further,that I am authorised 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 irwestigaaton 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 aeeurucy of the information supplied to the city as a part of this application. At'✓t' DATE: 7/C/0 y NAME/TITLE: (Signature) (Title) RELATIONSHIP TO PROJECT: ? Property Owner ? Applicant ? Contractor ? Architect ? ?NL G! i` P Annrr! ?t,'ALTERATION{' P'REPAIR, r''T]NANT IMPROVEMENT' ING - ,$H�I)L NIIING DESIGN ON. :Tfi. _ ,!►TI .",. ;C fi1S'Qh`;U31&4�' ::;�,,. >�=AD1� s� ., RlCD -, -.:=°?,YE�•:?`NO: �° `tJI!�S1�PX'�$ilJia.,,' ,;;, Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application / . • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDE/(TIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feder Each Adder (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 U 0 to 200 amp $ 94.50 (Inspected separately from service) 0 201-600 amp 220.50 Service or Feeder 0 601- 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 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 circuitsto be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$588tr.00;Add' circuits 56.00/ea) ❑ Service over 200 amps ❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW $74.00 plus 35%of Permit Fee ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 U Service and feeder $94.50 Commercial Residential O 0-100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101-200 74.00 51.00 ❑ #of service or feeders ❑ 201-400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) ❑ 401-600 117.50 n/a U 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) Low Voltage ❑ Swimming pool/ tub $87.00 Square Feet to be served by system(s): 9i3 (Includes additional circuit,if required) ❑ Firc Alarm System ❑ Yard Pole meter loops $58.00 �❑ Voice Security Alarm System ❑ Additional Plan Review $87.00/hour 11ng (for modified submittals) ❑ Data Cabling 0 (Per System(s): 1'2500 -$51.00; Each add'n 2500 ft2-13. k "Per WAd 296-46-910(5)(b)(i A ii) Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application