05-106253 .et r
14,
City of Federal Way Electrical Permit #: 05-106253-00-EL
A Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VAIVADAS
Project Address: 636 SW 293RD PC 54. Parcel Number: 119600 0315
Project Description: Installation of LN security system.
Owner Applicant Contractor ,
TERRY JENSEN TERRY JENSEN ASD SECURITY SYSTEMS
TERRY JENSEN CONSTRUCTION CORP TERRY JENSEN CONSTRUCTION CORP ASDSYI*077MJ(07-21-07)
PO BOX 1326 PO BOX 1326 314 182ND AVE E SUITE B
ISSAQUAH WA 98027 ISSAQUAH WA 98027 SUMNER WA 98090
Applicant
ASD SECURITY SYSTEMS
314 182ND AVE E SUITE B
SUMNER WA 98090
Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm-Resi 5,300
CONDITIONS:
PERMIT EXPIRES Monday, June 5, 2006
Permit Issued on Wednesday, December 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:j - Date: / c
.w
• '"' THIS CARD IS TO REMAIN ON-SITE "
CITY OF Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106253-00-EL
Owner: TERRY JENSEN
Address: 636 SW 293RD PL
FEDERAL WAY, WA 98023
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
•
Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
I r,B,AIO Date` - \C(k By Date By Date � "�,� t
.❑ Under-slab groundwork(4295) . •
Approved
By Date ,
�t�� RECEIVED _D5 - _1.. 100f .5(
Federal Way P E RM ITE
COMMUM7YDEVELOPMENTSERVICES 2005 SF MF COM ''L DE EN FP
3332E D AVENUE LWAY, A7 80639OX 718 APPLI CA, 'IgNERAL WAY ----/ ll 1"
• FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
www.ciltlolfederaiwau.com BUILDING DEPT.
The ollowin• is r••wired t ormation-an inco •fete a••iication will not be acce•ted. Please •rint legibl (in ink)or _ .
IN PROPERTY INFORMATION
SITE ADDRESS l -)(( c7( l l' I SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide deter d description of work included on this permit only)
1 1
`)\
A ' \/L i�Ane -L-a1"Lt-V Lvll(tkVc/
t
PROJECT NAME(Name of Business or Owner Last Name) ' 4 1 `i Jr'lSf'/\ CL li‘hLll-I)a(
NI PEOPLE INFORMATION
PROPERTY NA—MEED PRIMARY PHONE
OWNER Ie V , •1ST':\ ()��1c 1,�i..1iC1c• ( ) -
MAILING ADDRMS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME , OFFICE PHONE
1A ►� �t-ls ((,-ls ( 45 L45t- -(C,u-�
MAILING ADDRESS STATE,ZIP CELL PHONE
3i L ) aL� L C, ',STATE,
L1� c�;..D ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(—-C-(--I- (-)_ 1_ -2 `-L C-B L 7/ <.( / G7 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A S i S Y =E Q_ '-) ht -\- / L( / U1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING.�DDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAt PRIMARY PHONE E-MAIL ADDRESS
tL/,LL2 Dem (A t -E>)) cc3LT) - (0
LENDER Per RCW 19.27.095: Lender information is NAME
required(f project value exceeds$5.000 'U/11
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAI-' • UE $ VALUE OF ' : ' • =, ` 1 WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO •: ' SUPP: ':-. •N SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN % -1 GHLINE _ :COMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKE. ' - 0 HIGHLINE ❑ PRIVATE ' -
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 ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS 4. MATED SELLING PRICE $
FIXTURES
Indicate number of each type offixtur- '. be installed or relocated as part of is project. Do not incbtrhP existing furfures to remain.
MECHANICAL
VoluP of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commcrc WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSO FURNACES GAS WATER HEATER'
DUCTS GAS PIPE OUTLETS
PLUMBING
• BS(or Tub/Shower Combo)
SHOWERS WATER CLOSE IS money MISC(Describe)
► SHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLIcIS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) 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 reit nce of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. \
NAME/TITLE be441.- DATE 1 l Li /ck
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent C Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI 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
U 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
O 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 U Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
U Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 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
U Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/lndustrial 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
CgEst-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
w voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s -�DLL 1 (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
Li-Security Alarm System U Additional Plan Review $104.50/hour
❑ Voice Cabling i(f'or modified submittals)
❑ Data Cabling `�i Automation Fee on all Permits .. $5.00
(Per System(s) Ise 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(50M&
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application