05-102793 City of Federal Way Electrical Permit #: 05 - 102793 - 00 - EI
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€
Project Name: SPRINGFIELD
Project Address: 29417 7TH tS Parcel Number: 515250 0020
Project Description: Install low-voltage security alarm.
Owner Applicant Contractor
Kellie D Springfield BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
29417 7TH PL S 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3637 (425)251-9727
Electrical Fixtures
Description Quantity Description Quantity Description _Quantity
Low Voltage Burgler Alarm-Residen. 3640
PERMIT EXPIRES December 11,2005.
Permit issued on June 14,2005
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.
See Applicationo
Owner or agent: Date: 0Q
FINALED
(-5 .(
j� �I
THIS CARD IS TO REMAIN ON-SITE
CITY OPCommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102793-00-EL
Owner: KELLIE D SPRINGFIELD
Address: 29417 7TH PL S
FEDERAL WAY, WA 98003-3637
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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ F' -Electrical(4055)
Approved Approved Approved
By Date By Date y Lc,
s Date C, r�1 �
_4(_gf
e❑ Under-slab groundwork(4295)
Approved
By Date
'' /� COMMUNITY RECEIVEDEENB EPgp�/w1V�C
CITY OY
F®I�� / 1✓ �L - L O i
Federal Way DL PERMIT JUN 1 4 2005
COMMUNITY DEVELOPMENT SERVICES �( ! SF MF CO M ,��'L DE EN
333258TH AVENUE SOUTH•POBOX 9718 lk, FP
P
FEDERAL WAY,WA 98063-9718 o ./
253-835-2607•FAX 253-835-2609
www.cittioffederalwati.com
The ollowi • is re•uired in ormation-an inco •lete • ••lication will not be acce•ted. Please •rint le.ibl in in or )
1 7 /r•' PROPERTY INFORMATION
SITE ADDRESS : 1 I 1 at-i ,_ q/., P'� I / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 I D ✓ ry- l/�) C) 2_v LOT SIZE(s)
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(Provide detailed description of work included on this permit onlu)
.�111rO510r) 2i011✓177
PROJECT NAME(Name of Business or Owner Last Name) ' I \Vi . �� r i I 1 r.)bid_
El PEOPLE INFORMATION
PROPERTY NAMEIj��/, 1 PRIIMARRYY PHONEOWNER 1I1e ( prii'q eI� 2 !Z 1 -I ES/ picc4Souk► ci ZIP( (pct/ toA Q(o0s
CONTRACTOROMPANY NAME) ) APPLICANT NAME OFFICE PHONE
brinK5 Mare Sep.,,.,rji-uLan,& /7Ig1no (Y2�r ,2�/- 97z7
MAILING ADDR1ESS CI ,STATE,ZIP /� /J qqq CELL PHONE
l' i i6 FEDERAL WAY i USI SS LICE NUMBER 4_, Le/9 EXPIRATION DATE (AX NUM)ER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
eprLn— K ki 6lg26g. / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME I PRIMARY PHONE - I E-MAIL ADDRESS
LENDER P ROW 7,S 4 ,Le , x r : NAME
J ,(meq„, ier.."e't'*660k.
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO -
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 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 El CARPORT p
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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 GAS LOGS REFRIG.SYSTEMS
COOLERS
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 WATER CLOSETS
SHOWERS MISC(Describe)
Combo) (Toilet)
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. f�y�NAME/TITLE L)j(2,'7/7(9 c�//// DATE
(Signature) O (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect ❑ Other
,+'S J e CENSE ONLY
❑NEW o ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? 0 YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
• s
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(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
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U 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
❑ 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/IndustriaT Service or Feeder Ampacity
❑ 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
J S
Low Voltage /J,f_ C ❑ Swimming pool/hot tub $87.00
quare Feet to be served by system(s) ✓(sl (� (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
�J Security Alarm System U Additional Plan Review $104.50/hour
Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
0
(Per System(s) let 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(b)(i&ii)
r
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application