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02-104280 w , City of Federal Way Community Development Services Electrical Permit #:02 - 104280 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph 253 661 4000 Fax 253 661A129 Inspection request line: 253.835.3050 Project Name: PARTLOW 1619 Gn w -C2Project Address: Parcel Number: 787960 0100 Project Description: ELE-Intrusion alarm Owner Applicant Contractor JOCELYN PARTLOW BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC 1979 SW 352ND ST 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 �r frt "_ [j�St.'I1 11011. at filligee (iU-Oflt {! ( BSCCI If11 N ". I Q118 Low Voltage Burgler Alarm-Residen 2254 J PERMIT EXPIRES March 31,2003,IF NO WORK IS STARTED. Permit issued on October 2,2002 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: (0/5/0 .. •aryor G y3 '5L) EZIErzAL CONSTRUCTION PERMIT APPLICATION \)\) AY _ RECEIVED B ('PLCATION NUMBER: ,r _- 0 � - ✓ / g� EVELOPMEN'PL N NUMBER:- • . - SEP 30 - - -**The following is required information- print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION if SITE ADDRESS: -42.".f g _ ASSESSOR'S TAX/PARCEL#: 7 v 1 i 6, a - ©f D 0 sPr LEGAL DESCRIPTION'OF SUBJEO ETTACPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION [ELECTRICAL ❑ ENGINEERING ❑ FRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): -an-II-0610n ala tf/7'1 PROJECT NAME: 0 0 eel( n P0L1 )OW • PEOPLE INFORMATION PROPERTY OWNER: NAME: I I DAYTIME PHONE: Jo c��i cin_C old -- ------ � ( ,ti. ),tg/ = �.&.as MAILING.a RESS( REET ADDRESS;CITY STATE ZIP) 1- jouq 5 li� 35,1iid Pref Federal /Au/ ,q 93003 CONTRACTOR: NAME. -N DAYTIME PHONE: ren fome ":1)-eezo r1Iv 0a5)as - q7 7 MAILING ADDRESS(STREETEEADDVRESS,C ,STATE,ZIP). EVENING PHONE: CITY OF FEDE15 RAL RAL WAY BUSINESS VE/S BE O g 0 /K 4 DiA C� 2-- ( ) FAX NUMBER: - ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) I / APPLICANT: NAME. DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑ APPLICANT CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES ' _Single Family _Service or feeder only $50.00 -#of Thermostats(First-$37.50; add'n- (Frst 1300 ft2-$75.00; Each add'n 500 ft2- _Service and feeder $81.00 $11.50ea) $24.00) _# of Low voltage fire or burglar alarms Square Feet: MOBILE HOME/RV PARK First 2500 ft2-$43.50; Each add'n 2500 ft2- -Each outbuilding or garage $31.00 _#of service or feeders $11.50h `lvv (Inspected with service) (First service/feeder-$50.00;Add'n Square Feet: ' Z Zi.5/ -Each outbuilding or garage $50.00 service/ *Per WAC 296-46-910(5)(b)(i&ii) (Inspected separately) feeder-$32 each) -#of Signs(First sign-$37.50;add'n sign $17.50 each) -Swimming pool, hot tub,spa $75.00 Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 81.00 _Up to 200 amp $ 81.00 $ 24.00 Feeder _201 -600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601 - 1000 284.50 -401-600 amp 138.00 68.50 101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201 -400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 -401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601 -800 284.50 120.50 (When inspected separately from the services.) -801- 1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi- -0 to 200 amp $ 68.50 -Over 600 volts surcharge 63.50 Family/Commercial/Industrial -201-600 amp 101.00 -Mast or meter repair 68.50 _0- 100 $ 50.00 -over 600 amp 151.50 101 -200 -Mast or meter repair 37.50 - 63.50 #of circuits -201 400 75.00 _401 -600 101.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) over 600 109.00 If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required. Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr. r.FIS.DESCRIITON(A)• .-0 FIRE FEE.F ;OII TABIB>(B): .^. • NUMBER OF UNITS(C) TOTAL(D) • TOTAL COLUMN(D)=. Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50 +( X.35) = (13) • 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 applicati. / NAME/TITLE: I. /J/J `�E/J747LYC.----9 DATE: o PROPERTY OWNER ❑APPLICANT Id CONTRACTOR :FOR OFFICE USE.ONLY: CI NEW,. .:. *©ADDITION : 0 ALTERATION. o REPAIR . o TENANT:IMPROVEMENT CENSUS CODE .. -. - E:LOT.SIZE:.- . 0 'ZONING 1)ESIGNATION: .- . :-- .. .BUTE,DINGSHELLONLY? D YES l]NO •COMP'PLAN DESIGNATION : . . SAST?�-PI�AE�k? t3 YES a NO-. SECTION- • TOWNSHIP . RANGE :•:.:*' NEW ADDRESS-I�UXREED? Q YES D NO PLATTED-LOT?• 17.YES - 0 NO CHANGEOF USE? E3 YES to NO' . - COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX: 253-661-4129 www.cityoffederalway.com