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02-104052 City of Federal Way Community Development Services Electrical Permit #:02 - 104052 - 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: DOEBKE Project Address: 4636 SW 314TH Parcel Number: 211551 0600 Project Description: ELE-Intrusion alarm Owner Applicant Contractor Monica R Doebke BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC 4636 SW 314TH PL 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106 FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98023-2185 (425)251-9727 Electrical Fixtures 4'= O:S44It1.,`.'; riAcIt1antity ;,'Afli,Retreierli5W4,r Akirkl • 1 ` , 1," Description i anti`ff Low Voltage Burgler Alarm-Residen 2400 PERMIT EXPIRES March 18,2003,IF NO WORK IS STARTED. Permit issued on September 19,2002 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. See Application -n Owner or agent: Date: 4 1 1 '0 !I /0— (6- z "---;174 / plpf,c7v-raV A' fi fiV -41 G RECEIVED mit-- CONSTRUCTION PERMIT APPLICATION VV �,,9 APPLICATION NUMBER: O - Q 45.2.- f L. /� `'� D APPLICA _ - - TION NUMBER: _ ~ :� _ y 1;ITY OF FEDERAL WAY **The following$rig lit M rrl ation—Please print(in ink)or type** \/ Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. � / ) 3141-1 ■ PROPERTY INFORMATION I SITE ADDRESS: Li t)3 W 6 Ji2C ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION [ELECTRICAL o ENGINEERING ❑ FRE/PREVENTION� SYSTEM PROJECT DESCRIPTION(Provide detailed description): TE +ro'SlOn O I(.�.I(il r/ 1 PROJECT NAME: m o !I e "D©( b Ie • PEOPLE INFORMATION PROPERTY OWNER: NAME: dO r I/Q DAYTIME PHONjYonie ,`Gj Llnr/j1�1 r(ay� )t SSS DDRESSiC $TATEP/cm' f Cly fed Way �1)1/ Q23 CONTRACTOR: NAME: �� 3r�/n - DAYTIME PHONE: LJIIn13 ItCffl eZt.)rj (ya5)a51 - q-797 MAILING ADDRESS(STREET ADDRESS;C ,STATE, P): EVENING PHONE: ° /�5 W Va.I �g v en4 �,�A 67905z ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER' FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME. DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ 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: 0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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- (First 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 $11.50 /DDD (Inspected with service) (First service/feeder-$50.00;Add'n Square Feet: vC _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 63.50 _Mast or meter repair 37.50 _201 -400 75.00 _#of circuits _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. • 'FIXTU E:DESCRIFTIOTtI:(A).m: FIXTURE.FEE'FR.OM TABLE:ROW • .NUMBER OF UNITS.(C). i-. .TOTAL(D) TOTAL COLUMN(©). - 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 pact of this applicati. / INAME/TITLE: ..)_.z7,7/7/7 .. 7/? CVC---2 DATE: ❑ PROPERTY OWNER a APPLICANT ?CONTRACTOR , FOROFFICE USE ONLY:.. a.NEW' ::: `a:AUDITION a ALTERATION: a REPAIR. a TENANT-IMPROVEMENT• _CENSSUS CODE:.- - :- -:'_:-- --.i-LOT SIZE:-ZONING DESIGNATION - - - • : .BEI COMP PLAN DESIGNATION.: SI(�Ll ONLY?. �❑:YES>::� .6.NO: :. #3. :PLANT. .= 0 YES 1:3 NO':: -SECTION TOWNSHIP . :RANGE..:.: NEW ADDRESS REQWRED'.. _OYES: Q NOi:: pant!, --a YES 0 NO . . :. . . - CHANGEOFUSE?: : ::: ©-YES.:: i7: 0-N . : IA - COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX: 253-661-4129 www.cityoffederalway.coin