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05-102925
• City of Federal Way Ftlectrical Permit #: 05 - 102925 - 00 - EL Community Development Services P.O.Boz 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305a Project Name: GEORGE Project Address: 33713 38TH SW PL-. Parcel Number: 921151 0230 Project Description: Low voltage security system Owner Applicant Contractor ANGELA GEORGE PROTECTION ONE ALARM PROTECTION ONE ALARM 33713 38TH PL SW 3900 S 220TH ST 3900 S 220TH ST FEDERAL WAY WA 98023 KENT WA 98032 KENT WA 98032 (253)395-7140 Electrical Fixtures Description Quantityl;r Description Quantity Description Quantity Low Voltage Burgler Alarm-ResidentI—2500 PERMIT EXPIRES December 17,2005. Permit issued on June 20,2005 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 ag- . �r Date: FINALED THIS CARD IS TO REMAIN ON-SITE CITY OF ACommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-102925-00-EL Owner: ANGELA GEORGE Address: 33713 38TH PL SW FEDERAL WAY, WA 98023-2980 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. ❑ 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) 0 Final-Electrical(4055) Approved Approved Approved c� `By Date . By Date e"-Dat /5"--- ❑ Under-slab groundwork(4295) Approved By Date _ A RECEIVED // _ i 2_s-- COT OF Federal Way JUN 2 0 2.005 PERMIT OOMMUN17YDEVELOPMENT SERVICES SF MF CO MEL DE EN FP 33325V,AVENUE,WA 9•63 97 T P LI CATION - - FEDERAL WAY,WA 98063-97 ITY OF F E D E R TD / / 253-835-2607•FAX 253-835-260 BUILDING www.cituoffederalway.com The ollowi • is re• ired in ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le• •1 in or • . 22 / ? •Q PROPERTY/ IINFORMATION C� �1 SITE ADDRESS J / - 3 4 N / / (Ski / V 1Q 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(Prouidg detailed description of work included on this permit only) PROJECT NAME(Name of Business or Owner Last Name) (J do 1 y c • PEOPLE INFORMATION N PRIWY PHONE PROPERTYn 161 g-to r y e .0)3) 6,6 /-d VW. MAILING AD STATE,ZIP 3 3�"/3 -.3 d'I,D/ ,ShJ F 1,JJa y r `j a g100-3 CONTRACTOR PANY I1qAME /i APPLICANT NAME i OFFICE1PHONE f'rô 1./c-Tl�di ©ri- 617 ri.i f-c n v (9))-) 646 - 713.4 j9 F J J(7 v d Cr STATE IP kin L �."'o_ (ELL PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER t6-9 E-J 0i" L 2-B L Cd "3/ lea )11 64-4 - i .r CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE ( RELATIONSHIP TO PROJECT FAX NUMBER a Architect a Tenant a Agent a Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) - LENDER .At.; rt .f 'pw r-t f3 NAME MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEwt,R SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a 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 0 CARPORT 0 =Rpm PROPOSED TOTAL 1 TOTAL'ZXISTWOOBr OTALTROPOSED SP $y y „ AL•r "' . NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture 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 COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS J FURNACES GAS WATER HEATERS - DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(roilet) M1SC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(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 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. /� /� �J� NAME/TITLE çgnaLf413 DATE(Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agentcontractor 0 Architect ❑ Other :i • r I`E • � �e P' 1' •,- � u!A• M:NT &.. .......... r. ... , Bulletin 11100—January 7,2005 Page 2 of 4 k\l-Iandouts\Permit Application v 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 0 401 -600 amp 193.00 96.00 ❑ 601 -800 amp 247_00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 snip 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ 0 to 200 amp $87,00 ❑ over 1000 amp 443.50 ❑ 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 ❑ 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 ResidentialJMulti-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 U 201-400 amps 104.50 ❑ 401-600 amps - 141.00 ❑ 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 VoltageCISwimming pool/hot tub $87.00 Square Feet to be served by system(s)r L 0 (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 Security Alarm System ❑ Additional Plan Review $104.50/hour Voice Cabling (for modified submittals) ❑ Data Cabling CI / ❑ Automation'Fee on all Permits .. $5.00 (Per System(s) 1 t 2500 ft2-$61.00;+/ J I Each add'n 2500 ft2-16.001•Per WAC 296-4&9J0(5Xb)ii&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application