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05-102839
r City of Federal Way Electrical Permit #: 05 - 102839 - 00 - EL Community Development Services P.O.Mix 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 r Project Name: KOVALIK QV Project Address: 33506 10TH'S Parcel Number: 926501 0030 Project Description: Installing a new LN security system Owner Applicant Contractor KING COUNTY GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS 500 4TH AVE 1743 1ST AVE S 1743 1ST AVE S SEATTLE WA SEATTLE WA 98134 SEATTLE WA 98134 98104-2337 (206)622-6545 • Electrical Fixtures Description Quantity Description Quantity Description !Quantity I,ow Voltage Burglar Alarm -Comm( 10563 PERMIT EXPIRES December 13,2005. Permit issued on June 16,2005 '' I hereby certify that the above information is correctland that the construction on the above d ribed . ' E� the occupancy and the use will be in accordance with the laws rules.and regulations of the State of .`��gto r, the City of Federal Waves °j Owner or agent: , �� . Date: 6 — ii, 0sr— P/A 4 `10I / . C( Ad I I / • THIS CARD IS TO REMAIN ON-SITE -' —_ y ti M CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 . PERMIT#: 05-102839-00-EL Owner: Address: 33506 10TH PL S FEDERAL WAY, WA 98003-6306 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date r Rough Electrical(4225) ❑4,Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved r�;P Date(11 05 Date Vi '�\ ,t,, Date /l ❑ Under-slab groundwork(4295) Approved By Date RECEIVED `i JUN 12005 C Fv.9F _0 /o 2.z 3 j Federal FEDERAL WAY PERMIT COMMUNITYDEVELOPMENT 4 FANG DEPT. SF MF CO ME EL PL DE EN FP 33325 D AVENUE LWAY, AJ'H• XOX 9718 APPLICATION FEDERAL WAY,WA 98063-97183 -260 / / 253-835-2607•FAX 253-835-2609 icw ctWor(etlehthvoi can The ollowin' is re•uired i ormation-an incom•lete a••licatlon will not be acce•ted. Please 'lint le•'bl (in ink)or j.e. C /�, /'��(• PROPERTY INFORMATION SITE ADDRESS 33S©C2 I0J I V 1 pi 5 ) SUITE/UNIT# ( ASSESSOR'S TAX/PARCEL# Cr 2 CI 5 0 /- 0 a 3 C LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) \ $ JcS 1'( L L.(1, (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION)LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) neck) 2.e. ( u rlj_ -stis4-crri 1 Y)sl-n ((a +It'0 v1 PROJECT NAME(Name of Business or Owner Last Name) 6€.1.,.S0.._ v goys'.-'vim / -, • PEOPLE INFORMATION PROPERTY NAME r� PRIMARY PHONE ,c�•� OWNER MAILING ADDRESS C LL- CITY,STATE.ZIP (2S 335 - 1705 I5 Z720 d 3-1- 17 (( ) �q/t n. L� `i 'z- CONTRACTOR COMPANY NAME APPLICANT NAME \� OFFICE PHONE (q /� -`nen { ,nrye ' (z) c ZZ- �5 4-5 •i►l1 ADD ES CCL" '�Y W ( l �i V��TATE,ZIP P Lop. CELL PHONE - 143 Soo r}Y W (2 ) syj CITY OF FEDERAL BUSINESS LICENSE NUMBER EXPIRATION)ATTE FAX NUMBER VI - _eel_-_I 0 S 6. C[.-3 B L / / ( ) aONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE U k 052-- 3. 1< S °q / ince, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) MAILING ADDRESS CITY.STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect a Tenant ❑Agent a Other(Describe) ( ) - CONTACT E PRIMARY PH NE z 1s E-MAIL ADDRESS PfYICf via , I'Yl 1 ' ('4%4» (,i!ZZ - SC7Zfo5yv�cav4�i r)Cx:9ltitic le.0 LENDER Per RCW 19.27.095: Lender informationlis NAME C� VI required if project value exceeds$5,000 l�K-- MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL) , SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ 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 EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **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 COOLERS GAS LOGS REFRIG.SYSTEMS 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 Combo) SHOWERS WATER CLOSETS(Touet) MISC(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. 7� NAME/TITLE A. 4/ / __:�� DATE V ( ` ; I D (Sign ure) Mlle) RELATIONSHIP TO PROJECT ❑ Owner 4 .gent 0 Contractor 0 Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? ❑YES o 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 LI 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 ❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL U 601 -800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0to200amp $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 ❑ 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/Multi-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity U 0- 100 amps $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats U #of Signs First-$52.00;add'n-$16.00/ea) (First sign-$52.00:add'n sign$24.50/ea) Low Voltage //''')) U Swimming pool/hot tub $87.00 Square Feet to be served by system(s) It/,Va , , (Includes additional circuit,if required) O ire Alarm System ./ Security Alarm System (\l/) U Yard Pole meter loops ❑ Additional Plan Review $104.50/hour Voice Cabling (for modified submittals) $104.50 ❑ Data Cabling ❑ CI 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)(b)(i&til Bulletin#100-January 7,2005 Page 3 of 4 k\l-Iandouts\Permit Application