04-101433 t
City of Federal Way
Community Development Services Electrical Permit #:04 - 101433 - 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: BALDIVINOpX,
Project Address: 32903 11TH(SW Parcel Number: 926494 1100
Project Description: Install low-voltage security alarm system.
Owner Applicant Contractor
BENJAMIN BALDIVINO PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
32903 11TH AVE S PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
FEDERAL WAY WA 98023 6844 S 220TH ST 6844 S 220TH ST
KENT WA 98032 (888)849-6276
Electrical Fixtures
Description Quantity Description Quantity Description IQuantity
Low Voltage Burgler Alarm-Residen 2000
PERMIT EXPIRES October 16,2004.
Permit issued on April 19,2004
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: c:; ala w• Date: L . ot -044
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COMMUNITY DEVELOPMENT SERVICES
. of e�-�....� APR 1 9 2 0 0 4 33530 FIRST WAY SOUTH•PO BOX 9718
cY FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATION 253661-4115•FAX:253-661-4129
�. I F FEDERAL WAY iunut �lyolr�dernhuaymm
0
- l C) L J 2 2 - �BUILDING UPI-.
For Office Use Only
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FW File Number:
The ollowin• is re•uired in ormation-an incom•lete a.•lication will not be acce.ted. Please •tint le.ibi (in ink)or •e.
_ ._' - • • - -`: . ■ PROPERTY INFORIMATION • - '
SITE ADDRESS: S 3,9 q6 3 "/I "' f) J (/J 1 aid<5 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)
- - . - .. ■ PROJECT INFORMATION - , ' - -••
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of tpork included on this permit onlg):
^%el G3 Voi SLC.. J 1-c SFf
PROJECT NAME(Name of Business erLast Na )me] /3 ci /d/ v/n O
- ■ PEOPLE INFORMATION -
PROPERTY NAME: PRIMARY PHONE:
OWNER 4inu4min MAILIN ARESS(STREET AiirDRESS;): CITY,STA E,ZIP
-3391,,3 / Aid Jt-J l—e /Ea/ lief'7 4tl4 9 eov
CONTRACTOR MAIE PANY O F CE PHO E:
�{z r�,s L- Tr_o-t-Itiim dam- _far) 6r" -7-/�
Kt:v.7,4LP O loIrtcc•n raa;l. IP CELL PHONE:
2010 iZo.S.:1A.1, E,
/� C/14,3� ( ) -
,7'Y,(}F
FEDERAL WA ESS ENSE NUMBER: EXP/TION DA/E: ( j g( J 1 - 7-/vi—
CONTRACTOR'S REGISTRATION NUMBER: r 2Y n EXPIRATION DATE* --•••••(copy of card required with each application)P R 6 7 K Q 6 3 ..10Q/1 / 2 /Q,
LENDER NAME: DAYTIME PHONE:
pt.Proposed Value>$5.000) (
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP l -
APPLICANT: NAME: COMPANY OFFICE PHONE:
1 1
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
/ ( ) _
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect ❑ Tenant 0 Other(Describe'.. ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 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?: o YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
' ■ PROJECT FLOOR AREAS
' AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
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 REW FRIG.SYSTEMS
ST MS
BBQS FANS HOODS(comnl)
mri
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulk 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 arty 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 an employ es,upon the accuracy of the information supplied to the city as a p of this application.
//o
NAME/TITLE: 1,1-6 vu e LL DATE: V V
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Contractor o Architect 0
F.OROFFICErUSE ONLYa
o NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES a NO
Page 2
. • ELECTRICAL PERMIT INFORMATION
II
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet:
(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 0 201 -400 amp 220.50 87.00
LI Detached outbuilding or garage 0 401 -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 0 Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
0 201 400 amp 117.50 58.00 O Over 600 volts surcharge $74.00
❑ 401 - 600 amp 161.00 80.00 0 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 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 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 ❑ 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) .
0 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Wirst
w Voltage' ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s):c;60a (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
:14-Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): 1.t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-4&910(5)(b)(a&ii)
1-.1.:^,:.1 l',:.' I. 2::Lt Page 3