02-104878 • '%
City of Federal Way
Commtuuty Development Services Electrical Permit #:02 - 104878 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph.253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: VANDEVENTER
Project Address: 123 S 340TH UnitA Parcel Number: 325945 0010
Project Description: ELE-Intrusion alarm
Owner Applicant Contractor
DWIGHT VANDEVENTER BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
123 S 340TH ST UNIT A 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA 98003 KENT WA 98032 KENT WA 98032
'24.1 'CB — 244— (425)251-9727
- 14424/6
Electrical Fixtures
IDescriptipty 64aiitity' DeS4Aidef, utdy
Low Voltage Burgler Alarm-Residen2500
PERMIT EXPIRES May 3,2003,IF NO WORK IS STARTED.
Permit issued on November 4,2002
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.
is
Owner or agent: 5e g? fa - '-z'1 Date: (/— —0 7
A11-L 4f ,a--e>ii --Z1
t
of CONSTRUCTION PERMIT APPLICATION
FM'
APPLICATION NUMBER: aa- J �7�-
APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or ty ** RECEIVED BY
�bMMUNITY DEVELOPMENT DEPARTMENT
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a sear ;e 0 4 202
application. 'NOV
• PROPERTY INFORMATION
SITE ADDRESS: 123 S 34071 ST UNIT A ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL ❑
DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
SYSTEM
PROJECT DESCRIPTION(Provide detailed description): INTRUSION ALARM
PROJECT NAME: V& ee '1
• PEOPLE INFORMATION
PROPERTY OWNER: DWIGHT VANDEVENTER 253 — 838-2425
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
171 S 14r ST UNIT A FFIlFRAI WAY WA 9RO(11
CONTRACTOR: NAME: DAYTIME PHON
_BRINKS HOME SECURITY 425-251-9727
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP EVENING PHONE:
19115 W VALLEY HWY #H106, KENT, WA 98032 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) BRINK HS 148 LE
APPLICANT: NAME: DAYTIME PHONE:
( )
i 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT 0 CONTRACTOR ,
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $_
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM
PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o 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-$1 I.50ea)
(First 1300 ft2-$75.00,Each add'n 500 112-$24 00) _Service and feeder ... $81 00 _#of Low voltage fire or burglar alarms
Square Feet First 2500 ft2-$43.50;Each add'n 2500 ft2-$11 50
_Each outbuilding or garage .. . .. ....... $31 00 MOBILE HOME/RV PARK Square Feet_900
(Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage .... .. ..$50 00 (First service/feeder-$50 00,Add'n service/ _#of Signs(First sign-$37 50,add'n sign
(Inspected separately) feeder-$32 each) $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 75 006-15
#of circuits
(1
_Over 800 amp .. ..252 50 ... ... 189 00 _401 -600... . 220.50.......88 50 -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-Family/Commercial/Industrial
0 to 200 amp.. . ... ..... . $ 68 50 _Over 600 volts surcharge 63.50 _0-100 . . ........ . . ...............$ 50 00
201 -600 amp . . . ... . ... ...10I 00 _Mast or meter repair . . . 68.50 _101-200 63.50
_over 600 amp... ... .... . ... 151 50 _201 -400 ... 75.00
... ........ .
_Mast or meter repair ... . . .. 37 50 _401-600.... ..101.00
_#of circuits _over 600. 109.00
(1-4 circuits-$50 00;Add'n circuits$5 ea)
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=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
■ 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: &a/7/V 4,....-6,77/7-1.-6 DATE:
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ ADDITION o ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES o NO
PLATTED LOT? o YES ❑ NO CHANGE OF USE? ❑ YES o NO
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35)= (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-February 19, 2002