05-102145 •
City of Federal Way Electrical Permit #: 05 - 102145 - 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: BAXLEY
Project Address: 28415 29TH$ ti'L. 5 Parcel Number: 730320 0060
Project Description: Intrusion alarm
Owner Applicant Contractor
Lavon Baxley &Vickie L Baxley BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
28415 29TH PL S 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3343 (425)251-9727
Electrical Fixtures
13 = .D icon 'Quantity 'Description y:ilQ
Low Voltage Burgler Alarm-Residen 2240
PERMIT EXPIRES November 5,2005.
Permit issued on May 9,2005
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.y. p `� i h
Owner or agent: 6G �P f L I(rlI t a(/� Date: s 0
F ALED
C3L o$6
CS
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION'REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 05-102145-00-EL
Owner: LAVON BAXLEY
Address: 28415 29TH PL S
FEDERAL WAY, WA 98003-3343
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
El Temporary Power(4275) 0 Service(4235) .11 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date . By Date
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Byei-2- Date /t]�S
❑ Under-slab groundwork(4295)
Approved
By Date
W JCIVCJaT
er7 COMMUNITY DEVELOPMENT DEPARTMENT
�m� Me92004 a -L4
5--
Federal Way PERMIT -�-
, COMMUM7Y DEVELOPMENT SERVICES
SF MF CO M�®PL DE EN
33325 8r"AVENUE • BOX 9718 FAPPLICATION TDP
FEDERAL WAY,,WA WA 9 9806363-9718
253-835-2607•FAX 253-835-2609 / /
www.cituoffederalwau.com
The ollowi • is re•aired in ormation-an inco •lets a• •lication Will not be acre•ted. Please •rint re.ibI in in or • .
f al • PROPERTY INFORMATION
SITE ADDRESS 9.'6 /15 N '7' - "j //dee. oath SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 73 O 3 A 0 - 00 ( O LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal dese dphon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
. n-Irusoor) olarw i
PROJECT NAME(Name of Business or Owner Last Name) 1....&0 011 £)ox '
• PEOPLE INFORMATION
PROPERTY NAME 1i-- n/�,�l� Q� i PRIMARY PHONE Q/
OWNER !'`U.VQI7 d/Q/CI (20) tJ --"`1e
M�I(,I AI�RESSI Glace
CITY
l)ed TE,ZIP/ (day la 98003
CONTRACTOROMPANY NAME APPLICANT NAME OFFICE PHONE
r,nK5 ) T)/7 Seeüri 1L /7a L7Ig7,nO (3/2P" .257- 9727
MAILING ADDRESSCI ,STATE,ZIP /]/� q CELL PHONE
6
52
tC II OF FEDERAL�� USI SS LICE NUEOR l W00 TIRATION DATE �AX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
6CI- aKli6 > / ? 6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT 1 NAME I PRIMARYP HONE - E-MAIL ADDRESS
LENDER z t. . NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ,FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
-ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE p CARPORT).,1`x
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EEiSTID6 S► TOTAL PROPOSED Sr TOTAL Sr
**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 GAS LOGS REFRIG.SYSTEMS
COOLERS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/Shower SHOWERS WATER CLOSETS MISC(Describe)
Combo) (Toilet)
DISHWASHERS SINKS DRINKING
• FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smke) 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 a part of
this application. /7//77// OXA21
NAME/TITLE L2eo,7/7o DATE
(Signature) 0/ (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor 0 Architect ❑ Other
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ti
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-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai,/Multl-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
666FLow Voltage �']�]( j/ti U Swimming pool/hot tub $87.00
Square Feet to be served by system(s)(/1 (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling U Automation Fee on all Permits .. $5.00
(Per System(s) 1•'2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) .Per WAC 296-46-910(5)(14(z&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application