05-105192 City of Federal Way Electrical Permit #: 05 - 105192 - 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: ADVANCE AMERICA
Project Address: 27400 PACIFIC S SuiteC Parcel Number: 332204 9009
Project Description: Installation of Security and CCTV Systems.
Owner Applicant Contractor
BALDRIDGE-FEDERAL WAY LLC A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
11825 MANCHESTER RD - 11824 NORTHCREEK PKWY N SUITE 105 11824 NORTHCREEK PKWY N SUITE 105
SAINT LOUIS MO BOTHELL WA 98055-2910 BOTHELL WA 98055-2910
63131-4620 (425)488-5249
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Comm(' 2500
PERMIT EXPIRES April 5,2006.
Permit issued on October 7,2005
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.
Owner or agent: -, Date: l b• O
,r,
•
THIS CARD IS TO REMAIN ON-SITE ' • ,
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105192-00-EL
Owner: .
Address: 27400 PACIFIC HWY S Suite C
FEDERAL WAY, WA 98003
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) ❑ 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 B ``t� Date 1 all
•
❑ Under-slab groundwork(4295)
Approved
By Date
10/07/20O5 09:22 4253984176 ADT SECURITY SERVICE PAGE 01
RECEIVED
OCT 0 7 2C15 1
FedD FEDERAL WAY 0 5 - ! O S 1 l
G�
ay PERU DING DEPT. — —
croNlwxrrrnavgwrMaNrseaIOOES SF MF CO ME PL DE EN FP
33325•M AVENUE 009771•r0 BOX grim
FED255.835.2607. AR 2wA 53-835.260!080.97)8 APPLICATION TD
usev.f�lYA7trfdVC IWC u.mm
The oilowln_ is • tract t ormation-an ince .tete a-,liccutton will not be acee•ted. Please •Tint to•Ib _ ' (n or
• PROPERTY INFORMATION
SITE ADDRESS7_ __2 fc
P /Aw S 'g800 3 , . , --C--
C
3
. ASSESSOR'S TAX/PARCEL# 3 Z Z C (_7 Il- _ O 0 I LOT SIZE(sf) —
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
em.d.,.pwafe pew for k.grhy h,a.i'r.efMon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed dose of work included tills permit only)
rrc sf-1 Se eGTv S �,,ti✓J
PROJECT NAME (Name of BuSmess or Owner!.ast Name) e4vivamce , )1wI4LtL •
• PEOPLE INFORMATION
PROPERTY NAME - PHIMnl;Y PHONE
OWNER , R/L/z ���.0 �!!�' // . ( ) -
MAILINC ADDRESS cr ,STATE,21P
Nor 4-v4-r c. CAE
-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PI IONE
,4pr fS..-(uQn-i Svc . IQ06 6cor los-) gm -5zGiq
MAILINGADDRESS CITY,STATE,ZIP CELL PHONE
1182.5,uoo, 42e44614/ N - , we+ loll (2c ) 3-3--I llp 5'
CM'OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUmEER
1 t-2 B-1 a S k -B L / / ( )
CQNTRACTORS REGISTRATION NUMBER l �rd tlge� with AEah RDelle.U.e1 EXP RATION DATE
_
.7- .91 SEs 9 2s- / O S`
APPLICANT COMPANY NAME
APPL[cnNT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE '
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
0 Architect, 0 Tcnnnt 0 Agent o Other(Describe) ( )
CONTACT r NAldls env PRIMAHONE I E•MAII.ADDRESS
LENDER I - CfPer RCWW 19.2.5'0➢b: Lender Informs'Oa'i. NAME
required If pivleei sable exceeds S4,Od0
MAILING ADDRESS CIYY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE
- _. PROPOSED USE C
EXISTING ASSESSED/APPRAISED VALUE $ • VALUE OF PROPOSED WORK 5 33 0
•
SPRINKLERED BUILDING o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
• WATER SERVICE. PROVIDER •.❑•LAICERAVEN, o HIGHLINE . • o TACOMA•• 'O PRIVATE(STELE)
. smut SERVICE PROVIDER 0 LAIC:MAVEN •0 HIGIILINE 0 PRIVATE SEPTIC
1,0/07/5005 09:22 4253984176 ADT SECURITY SERVICE PAGE 02
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT
' • 6•.FT.
THIRDFIRST
SECOND
' FOURTH
ADDITIONAL FLOORS(DESCRJBE)---
DECK • •
GARAGE 0 CARPORT 0,
term."rNUMBER • ••
"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.
MEC A14,17 AL
Valuc of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS , REFRIG.SYSTEMS
dSCIS DANS HOODS Icnmmercknn WOODSTOVF.S
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS n' FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Or T,h/N1r.u.r Com1w.l SHOWERS WATER CLOSETS(Toilet) MISC(Dc6cribc)
DISHWASHERS SINKS DRINKINO FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE 511355
LAYS -,e.,.on,■,tl„ , VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the In{formation jkrnlshed by me is true and correct to the best of nw knowledge,and jkrther,that I
ant authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
suchharmLes �hien maybeof madan o any claim(Ltebsding costs,expenses,and attorneys'fees incurred in the Investigation and defense of
by y person,including the undersigned,andJiled 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 inj rmatton supplied to the city as a part of
this application,
NAME/TITLE . _DATE fD-]?- o r
I&iRnnNrel (Title)
RELATIONSHIP TO PROJECT 0 Owner O Agent ffontractor ❑ Architect o Other
'OR•dtt`IC$ j i i(LY4, : 4,-4,
thV l •-.,••:-..,...s,••, •• •_.,,.
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE
NEW ADDRESS REQUIRED? o YES o NO o YES ❑NO
CIP/SEPA/SU? p YES o NO
PLATTED LOT? _ a YES o NO DEMO PERMIT REQUIRED? o YES a NO
•
•
•
- $uiletin#100-January 7,2005 • Pap 2 of4
• • ••kViandouta\Pcrmit Application '
10/07/ 005 09:22 4253984176 ADT SECURITY SERVICE PAGE 03
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW REJPENTJAL SERVICE NEW CQMJ, ERCIAL/INDU8TR1A,L SERVICE
0 Single Family Square Feet Service or Feeder each Add'n
(First 1300 ftp-$104.50;each edd'n S00 to•333.50) 0 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage CI 101 -200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00
❑ Detaebed 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-Il'A1 (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
0 401-600 amp 193.00 96.00
❑ 601-800 amp 247.00 132.00 ALTERED QQ,101 RCIAL/INDUSTRIA
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto 200 amp $113.50
A $EDS^•INGLE/MULTI FAmmx ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
0 0 to 200 amp $87.00 C3 over 1000 amp 443.50
❑ 201 -600 amp 141.00 ❑ 0 of circuits to be added/altered
❑ over 600 amp 212 50 (1-5 circuits-$89.00;Add'n circuits,57.00/ea)
El #of circuits to be added/altered COMMERCIAL DUSTRIAL PLAN REVIEW
(1-4 circurt8•$69,50;Add'n circuits 37,00/ca) $89.00 plus 3514 of Permit Pee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Mcdirfl/Educational/Institutional Facility
MOBILE Holcu
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PJI.RE Residentfa;Afuttf-Famfty $61.00
Cl #of service or feeders
(First service/feeder-$69,50;each odd'n-$45.00) Coer'ctalgndustrfal Service or FeederAmpactty
❑ 0-100 amps $69.50
CI ioi-200 amps 89.00
Cl 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ It of Thermostats ❑ s of Signs
(First-$52.00;add'n-$16.00/ca) (First sign-$52.00;ttdd'n sign$24,50/ca)
'7`-Low Voltage •� Q Swimming pool/hot tub • $87 00
Square Feet to be served by systems) &.."1:10 (Includes additional circuit,if required)
❑ Fire Alarm system
13 Yard Pole meter loops 1 $104,50
P"I"rcurity Alarm SyAtftrn
0 Voice Cabling Additional Plan Review 5104,50/hour
0 Data Cobtins (for modified submittals)
o 0 Automation Fee on all Permits 55.00
(Per Systems) l•'2500(t1-661.00;
Each add'n 2500 ft2-16 00) •Per WAC 296-44-910(5)(h/fl 4 Irl
Bulletin#100-January 7,2005 Page 3 of 4
k\Handoute\Pcrmit Application