04-102878 r'
City of Federal Way Community Development Services Electrical Permit #:04 - 102878 - 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: CLARK
Project Address: 2103 SW 306TH - / Parcel Number: 416730 0350
Project Description: Installing new L/V security system.
Owner Applicant Contractor
Clark PROTECTION ONE ALARM PROTECTION ONE ALARM
2103 SW 306TH PL 3900 S 220TH ST 3900 S 220TH ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-2336 (253)395-7140
Electrical Fixtures
Description 1Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 2310
PERMIT EXPIRES January 17,2005.
Permit issued on July 21,2004
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 W
(j
Owner or agent: ( 'CX/tM_ Date: I c 0
4(
V
0 <4
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102878-00-EL
Owner:
Address: 2103 SW 306TH PL
FEDERAL WAY, WA 98023-2336
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) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 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
I,By Date By Date B� Date 1
❑ Under-slab groundwork(4295)
Approved
By Date
RECE1V L
QOMMUNnY DEVELOPMENT SERVICES
clTr 001051.1!.......". 33530 FIRST WAY SOU]}(•p BOX 9718
• FederalWay JUL 2 1- 1004 PERMIT APPLICATION FEfl� , WAY,WA 99063-9719
5•FAX:253.667-1129
1/ederahual aT
For Office Use Only:ri(1 roit• 'ilr: —
•
wr i di al TD: KW
— —
The oIlowin. is re.wired in ormation-art incorn•fete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or •e.
- - _----- ..- ( ., - _'-: _ . -.'. :: ■ PROPERTY INFORMATION _ •
SITE ADDRESS: 3 I a 3 S G) c3O(D /"/ SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
.... --_ - - - .1.-- ■ PROJECT INFORMATION -. • - _- ' -
TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
tLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pro aid detailed description of work included on this permit onitd:
1,o LJ Vol L-LC cS I- e
i_
..._
____ _ ..
PROJECT NAME(Name of Business/Owner Last Name): 0-A e .).7 K
_ • = ■, PEOPLE INFORMATION
PROPERTY PRIMARY� PHOOjNE:
OWNER 13 O tJ d Clark (c3) T3 Ss/ -QTQV
• MAILING ADDRESS(STREET ADDRESS;): CITY,S ATE,ZIP -
a/o3 4s:3 .3666- to/ / t Ka / 4_541 1.I9 9Tdd.3
CONTRACTOR NAME C MPA^ OFFICE PHONE:
CA.riS 1-0-‘0rr6PC� Ort
,t— (4/Jr)6s-4 - X31
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP O
CELL PHONE:
(10 NC/ S jo Ha S f I(•,.f 1,311- q4'6,3) ( jCITY -
OF FEDERAL WAY ;SLICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
U 6/.m 6,r4 - 7-/V.f
CONTRACTOR'S REGISTRATION NUMBER /� L^/ EXPIRATION DATE:
(copy of card required with each application)P & 6 19-1T 6 OO.3.3 a D/ / l 7 / e
LENDER NAME: v
DAYTIME PHONE:
(If Noposd Value>=5,000) ( -
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 0 Tenant ❑ Other(Describe). ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner •,ontractor 0 Applicant E-MAIL ADDRESS:
- ■ DETAILED BUILDING INFORMATION •
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ 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
FIRST FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW 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
Value of Mechanical Work $
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS
FANS HOODS(commecci 1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLHIS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rose) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
IN 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 mployees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL DATE: �/ C q/
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant Contractor 0 Architect 0
FOR,OFFICE HSE
❑NEWN ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO
f lulleun - ;<I:, ., I„. ).1,rl Page 2
■ 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 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage 0 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage 0 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 0 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) 0 801 - 1000 amp 405.50 169.50
Service Feeder 0 Over 1000 amp 442.00 236.00
O 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 0 Mast or meter repair $80.00
O 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
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 0 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 circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
• ❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0-100 $58.00 $51.00
MOBILE HOME/RV PARK 0 101 -200 74.00 51.00
0 #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
0 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
___,(First
(First-$43.50;add'n-$13.50/ea) 2-'=-21° ! (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage .-. ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): I (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops . $58.00
❑ Security Alarm System ❑ Additional Plan Review
❑ Voice Cabling (for modified submittals) $87.00/hour
❑ Data Cabling
0
(Per System(s): 1•,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646-910(54b)(i&ii) •
1 u.;t?:.i 't;(I(7 :.I.1 I
I. ?:,;(t I •
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