05-105408 City of Federal Way
Electrical Permit#: 05 -___ _________--105408 - 00 - EL
Community Development Services
P.O.Box 9718 Inspection request line: (253) 835-305C
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609
" Project Name: HONDA Parcel Number: 729805 0250
Project Address: 33714 4TH SW
Project Description: Install low-voltage intrusion alarm system.
Owner Applicant
Contractor
SUSAN HONDA BRINKS HOME SECURITY INC
BRINKS HOME SECURITY INC
33714 4TH AVE SW 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA 98023 KENT WA 98032
KENT WA 98032
(425)251-9727
Electrical Fixtures
DescriptionQuantity I
Descri0tion 1QuantityDescription IPuanttyl
Low Voltage Burgler Alarm-Residen 3740 II
CONDITIONS:
This le
parcel mated within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article my reil"ti0Areas" and fill out.a.Hazardous Materials Inventory Statement,if
applicable.
P: RMIT SIRES April22,2006
}
Perntissueon'October.2 ,
I hereby certify that the above information is correct and that the cons tion on thof the State describedoproperty
an nd
the occupancy and the use will be inaccordance with the laws,rules anregulations
the City of Federal Way. See Application ,/
Date: /0 t` 0J
Owner or agent:
lki‘ THIS CARD IS TO REMAIN ON-SITE i
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105408-00-EL
Owner: SUSAN HONDA
Address: 33714 4TH AVE SW
FEDERAL WAY, WA 98023-8304
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By
Date Ba)v.,.a.+ Date 1—'214,or
❑ Under-slab groundwork(4295)
Approved
By Date
I
0 RECE( EC3 r�,��, ,�1�,:'! 0
_6 - / 0 ,3
c'^'°` SF MF CO M PL DE EN
Federal WayCIO "'ate 1 VII 1 6'1\T
� FP
LICA.' 'I
COMMUMTY DEVELOPMENT SERVICES �(� ,,,F.
Pg
-ffi:mipor i
WAY,WA 98063-9718 09718 �/)
253-835-2607•FAX 253-835-2609
ttdb-L rnlwnu rnm
The ollowin• is re,uired in ormation-an znco PROPaRTY INFORMATION
acce•ted. Please •rint le,i131 in inkor 1
1.1
J 7 ij I/ lit SUITE/UNIT# _____-
SITE ADDRESS �� LOT SIZE(s�
ASSESSOR'S TAX/PARCEL# it q___ 2_ ,_._)_,,, t1
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
NI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIOrLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on thisthis ermit lU°nlU
A I 1a ♦_ 11
PROJECT NAME(Name of Business or Owner Last Name)
NI PEOPLE INFORMATION
�jy�� PRIMARY H�E 73 ,
NAME _ �/ Ll
PROPERTY �(Joan
y�j'�,l/Z ,C�
OWNER l.I:JG�u rt r
mA,u,... .2.,Eis f� a . S
OFFICE PHONE
APPLICANT NAME /- l f 2 �/ J7
OMPANY NAME I ` o {} ilernCj /
CONTRACTOR �� � - . , ,�J i'irV�®� —
♦' 1 � CELL PHONE
MAILING ADDRESS/ * (
EXPIRATION DATE
CITY OF FEDERAL WAY BUST+.'SS LICE /yNy�UMBER A A / i
1 q__ t// y( _ I a a/ U 9_ $ (JL EXPIRATION DATE
CONTRACTOR'S 11111111111111)
_lREGISTRATION NUMBER(copy of card required with each application) / /
OFFICE PHONE
APPLICANT COMPANY NAME ( )
CELL PHONE
MAILING ADDRESS
RELATIONSHIP TO PROJECT
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) E-MAIL ADDRESS
PRIMARY PHONE
CONTACT NAME
LENDER Per'R,9,9 r1 Lender 44.00- � -
re uire r'o,ectvalue ce $ 4 0
MAILING ADDRESS
• DETAILED BUILDING INFORMATION
PROPOSED USE
EXISTING USE
VALUE OF PROPOSED WORK $
EXISTING ASSESSED/APPRAISED VALUE $ UIRED? ❑ YES 0 NO
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION
TACOMA SYSTEM RO❑ PRIVATEWELL)
WAWATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHL NE ❑ PRIVATE(SEPTIC)
SEWER SERVICE PROVIDER 0 LAKEHAVEN
i
PROJECT FLOOR AREAS
EXISTING PROPOSED TOTAL
AREA DESCRIPTION S a.FT. S a.FT. S a.FT.
•
BASEMENT
. FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 13 TOTAL SF
PROPOSED TOTAL
TOTAL EXISTING SF TOTAL PROPOSED SF
EXISTING
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAHICAL
Value of Mechanical Work
EVAPORATIVE GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS COOLERS WOODSTOVES
FANS HOODS(commercial)
BBQS RANGES MISC(Describe)
BOILERS FIREPLACE INSERTS
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
---
PLUMBING CLOSETS MISC(Describe)
BATHTUBS(or Tub/Shower SHOWERS (Toilet)
DRINKING
Combo)
DISHWASHERSSINKS FOUNTAINS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS URINALS HOSE BIBBS
WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS
LAVS(Bathroom sinks)
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 agree to further, that I
ama authorized y of
the
Way a to anyve premises to perform the work for which the claim(including costs, expenses, and attorneys'fees int curred incation s the investigation made. r and defense hold
of
harmless the City of person,including the undersigned,and filed against the City of Federal Way,l;d to the city such
ac claim
such claim), which may be made by any officers and employees,upon the accuracy of the information suPe
arises ouut of the reliance of the city,including its
this application.
i i 1r 0 DATE
NAME/TITLE �,_.../ /, (Title)
(Signature)
RELATIONSHIP TO PROJECT 0 Owner o Agent Contractor ❑ Architect ❑ Other
:FOR OF1E"CE USE ' ❑TENANT IMPROVEMENT
ALTERATION REPAIR
°NEW ❑ADDITION ❑ TION ❑
BASIC PLAN? °YES ❑NO
BUILDING SHELL ONLY? °YES °NO CHANGE OF USE? ❑YES ❑NO
ZONING DESIGNATION Up/SEPA/SU? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO
Bulletin#100—January 7,2005
Page 2 of 4 k\Handouts\Permit Application
I.
a
ELECTRICAL PERMIT INFORMATION
COMMERCIAL
RESIDENTIAL
NEW COMMERCIAL INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE Service or Feeder Each Add'n
❑ 0 to 100 amp $113.50 $69.50
❑ Single Family Square Feet 89.005
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 101-200 amp 141.00
❑ Detached outbuilding or garage ID 201-400 amp 264.50 104.00
(Inspected with service) $44.00 308.00 123.50
❑ 401-600 amp
❑ Detachedoutbuilding
ng garage ❑ 601-800 amp 398.50 168.50
(Inspected separately) $69.50 203.50
U 801 - 1000 amp 486.50
❑ Over 1000 amp 530.50 283.00
NEW MULTI-FAMILY(three units or more)
Service Feeder
❑ Over 600 volts surcharge $89.00
❑ Up to 200 amp $113.50 $33.50 ❑ Mast or meter repair $96.00
❑ 201-400 amp 141.00 69.50
U 401-600 amp 193.00 ALTERED eTERED COMMERCIAL/INDUSTRIAL
132.00
U 601.-800 amp 247.00264.50 Service or Feeders
CI Over 800 amp 353.50
CIOto 200 amp $113.50
U 201 -600 amp 264.50
ALTERED SINGLE/MULTI FAMILY U 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
U 0 to 200 amp $87.00
141.00 # of circuits to be added/altered
CI 201 600 amp U (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ over 600 amp 212.50
COMMERCIAL INDUSTRLAL PLAN REVIEW
U #of circuits to be added/altered $89.00 plus 35%of Permit Fee
(1-4 circuits$69.50;Add'n circuits$7.00/ea)
U Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
❑ Mast or meter repair $52.00
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50 TEMPORARY SERVICE
MOBILE ROME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders Commercial/Industrial Service or Feeder Ampacity
(First service/feeder-$69.50;each add'n-$45.00) U 0- 100 amps $69.50
U 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
` U #of Signs
❑ #of Thermostats (First sig of$52.00;add'n sign$24.50/ea)
LowVoltage(First $52.00;add'n $16.00/ea) ❑ Swimming pool/hot tub $87.00
Low
/�///���\\ S (Includes additional circuit,if required)
Square aserved by system(s) ❑ Yard Pole meter loops $104.50
❑ Fire Allarm m System
m U Additional Plan Review $104.50/hour
❑ Security Alarm System (for modified submittals)
❑ VoiceCabling $5.00
❑ Data
Cabling U Automation Fee on all Permits
(Per❑ System(s) 131 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) 'Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 7,2005
Page 3 of 4 k\Handouts\Permit Application