05-105617 omit
City of Federal Way Electrical Permit #: 05 - 105617 - 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) 835-30511
-
Project Name: MAHLEN JEANNETTE
Project Address: 34434 9TIIISW Parcel Number: 132171 0290
Project Description: intrusion alarm
Owner Applicant Contractor
Gary E Fowler &Jeannette G Fowler BRINKS HOME SECURITY BRINKS HOME SECURITY
34434 9TH AVE SW 19115 W VALLEY HWY#H106 19115 W VALLEY HWY#H106
FEDERAL WAY WA KENT,WA 98032 KENT,WA 98032
98023-8412 (425)251-9728
Electrical Fixtures
Description Quantity Description _ Quantity Description Quantity
' Low Voltage Burgler Alarm-Residen 1
PERMIT EXPIRES April 30,2006.
Permit issued on November 1,2005
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: See Application Date:
06
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105617-00-EL
Owner: GARY E FOWLER
Address: 34434 9TH AVE SW
FEDERAL WAY, WA 98023-8412
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
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Fi -Electrical(4055)
Approved Approved Approved
By Date By Date By &.:.2 Date l —G
❑ Under-slab groundwork(4295)
Approved
By Date
1
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1 CITY OF I V v v n `' o a f O J 6 I 7
Federal Way..14-,y PEW tippy — — —
COMMUNITYDEVELOPMENTSERVICES SF MF CO ME EL PL DE EN
33325 Sr"AVENUE SOUTH•PO BOX 9718 FP
FEDERAL WAY,WA 98063-9718 A P P L I C ATt u N ,_. --
253-835-2607•FAX 253-835-2609 r / /
4 www atuoffederalwau tom
The ollowin• is re•uired in ormation-an inco •lete a••lication will not be acce•ted. Please •rint le•ibl in in or .
�J J�/}�/� GJ I PROPERTY INFORMATION
SITE ADDRESS .3"1 1✓ f //A� •7/ I ✓W !� `f q 0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I ✓ L ` -1 I - V ` LOT SIZE(sJ)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpt on)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ 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 only)
.�nfru5iorj 0_I0rW1
PROJECT NAME(Name of Business or Owner Last Name) Pala. (.J= Jear7,,e /77h len
• PEOPLE INFORMATION
PROPERTY ' PRIMARY PHONE
OWNER flatiCtE
ti VT akieh (;53) 441 1.6g6
MAILING ADDRESSCIT�'y STATE ZIP
.,34y'y34/ " z< . u/ h Q1 Lo, 9gt923
CONTRACTORMPANY NAME APPLICANT NAME OFFICE PHONE
ibOr�nK5 )Izre S11 'QL n 7O bhzenon6 ( Y2 ,Q,. --/- 97z7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1'x115 W UcI I fi_otp '4 i 19 G1 gd3Z ( ) -
CITY OF FEDERAL WAY BUST SS LICE NUMBER 40 EXPIRATION DATE FAX NUMBER
I .1-9 i a ai g9_- B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE
H
eDCLnK ) S > g 2 6 g / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME 1 PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW,19;,?7.O96: Lender birei nation=ist;,',. NAME
required tj project value exce dsi>�5;9140Y,
MAILING ADDRESS CITY,STATE,ZIP
• 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? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) F
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 1:1 CARPORT Cl
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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(or Tub/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 Sorts) _ 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.NAME/TITLE /JOJ7/7iO cJ///� DATE
(Signature) J�// (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑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
❑ 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
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 ❑ Mast or meter repair $96.00
O 401 -600 amp 193.00 96.00
U 601 800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
U 0 to 200 amp $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
U 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 Residential/MuIti-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
U 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)
Low Voltager,, ❑ Swimming pool/hot tub $87.00
✓� Square Feet to be served by system(s) EalX (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
gSecurity Alarm System U Additional Plan Review $104.50/hour
Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1st 2500 ft2-$61.00,
Each add'n 2500 ft2-16.00) 'Per WAC 296-46-910(5)(140&uJ
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application ,