05-100442 City of Federal WayE1CGctrical Permit #: 05 - 100442 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: TWIN LAKES HOA
Project Address: 3420 SW 320TH"S�eB-3 Parcel Number: 132103 9073
Project Description: Install low-voltage security system for tenant space.
Owner Applicant Contractor
MARILYN GILBERT CHUBB SECURITY NW.,INC dba SECURE S CHUBB SECURITY NW.,INC dba SECURE S
PO BOX 391 150 12TH AVE 150 12TH AVE
MOUNT VERNON WA 98273-0391 SEATTLE WA 98122 SEATTLE WA 98122
(206)521-5678
Electrical Fixtures
r Description Quantity Description Quantity L Description Quantity'
Low Voltage Burglar Alarm -Comm 800
PERMIT EXPIRES August 1,2005.
Permit issued on February 2,2005
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 Wa -�r
4111111 0
•
Owner or agent: o�, Date: '-,2 r— 270
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100442-00-EL
Owner: MARILYN GILBERT
Address: 3420 SW 320TH ST Suite B-3
FEDERAL WAY, WA
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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) s ❑ Ceiling Cover(4020) PL Final-Electrical(4055)
Approved Approved Approved ,��
By Date By Date B}c.� Date a. �j Cs.�/
❑ Under-slab groundwork(4295)
Approved
By Date
02-01-'05 12:48 FROM-Chubb Security 2065215340 /� T-328 P02/05 U-857
are oM it+"•1Lb— — 0
Federal Way PERMIT
co'4M1,NrrvDEVELO,PMENT SERVICES SF MF CO ME L •T, DE EN FP
+:+2Y E,.AVENUElyi•Fr,Oo 9718
FRDAPPLICATION
F,laL WAY,,WA 98063.9 i,8
259.835.2601.Pm 253.895-0609
.uu.u_,rrhforletMrnh(.g1400
The ollowin• is re•aired in ormation-an inoorn•tete a••lieation will not be acce•ted. Please •rint lepibl (in ink or •e.
PROPERTY INFORMATION �q
SITE ADDRESS 42p l�� �•- 440 ai SUITE/UNIT#
!
ASSESSOR'S TAX/PARCEL# 1 0 1. - 7 0 7 3 LOT SIZE(st)
LEGAL DESCRIPTION (e,g, Acme Estates, Lot 2)
I.4 rtt&,:rtpawk.paprfrr Ie Qr,.r L,nn(ers,anpzrmy
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ) ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DE;ZCRIPTION (Provide detailed description of work included on thispermitgnlu)
PROJECT NAME(Name of Business or Owner Last Name) —1—LZ ( L (.-E.S •/4
MI PEOPLE INFORMATION
PROPERTY NAME 9 _ PRIMARY PHONE
OWNER 0 , l` fir- ) 956 - riADL
�3AILrnc ADD iESS
MCITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME
NvooC ()FF'ICL�P) e3
PHONE
tUiMAILING ADDRESS u3 J2
�,� CITY,STATE,ZIP CELL PHONE
CITY OF FD s
ER L WAY R()$INEtih LICFNSF NUMBER o ` p�IO DATE���AX NUMBER
Q-1 7- Ck a- B L a/ 1 /0 +alocd 57-1 - 40
CONTRACTOR'S REGISTRATION NUMBER(copy of card required witq each application) EXPIRATION DATE
h k b S g Lr to l 6(1 /per
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAP.1N0 ADDRESS CITY,STATE,ZIP CRI,I.PHONE
.
REl TIONSHIYTU PRU EE f M FAX NUMBER
a Architect 0 Tenant t7 Agent 0 Other(Describe)
CONTACT NAME PRIMARY PHONE
E•Mn1LArtr)rtss
LENDER Per RCW 19.27.095; Lender in/ormaltion.is NAME
requtrgd.ffprofect value exceeds$5,000
MAILING ADDRESS CITY,RTATC,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA ID PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEIIAVEN i:.l HIGHLINE a PRIVATE(SEPTIC)
02-01-`05 12:48 FROM-Chubb Security 2065215340 T-328 P03/05 U-857
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTALY _yY
SQ.1 T. SQ. FT_ SQ PT.
BASEMENT �.
FIRST
SECOND •
THIRD •
FOURTH
ADDITIONAL FLOORS (DESCRIBE) _
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OP FLOORS rXuTJNO PROPOSED TOTAL TOMwYYGr�ao 41, rorq{PROPosea ar TOTA�ar
"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 REFRIC.SYSTEMS
BBQS FANS HOODS(Comm'„i,al WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(sr combo) SHOWERS WATER CLOSETS(Tao MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
_.._. LAVS CAt$Y'dnmSinks) 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 l
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 he eft_ including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE r I DATE . v V
control (Title)
RELATIONSHIP TO PROJECT 0 Owner O Agent ontraCtar 0 Architect 0 Other
FOR OPFICE.USE;O,PTT:Y,: •
n NEW o ADDITION u ALTERATION ci REPAIR o TENANT IMPROVEMENT V ^
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? u YES a NO
ZONING DESIGNATION CHANGE OF USE? u YES a NO
NEW ADDRESS REQUIREx)? c YES a NO UP/SEPA/SU? _ c YES o O.
PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? 0 YES a NQ
lib Iletin'y I UU—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
02-01-'05 12;49 FROM-Chubb Security 2065215340 T-328 PO4/05 U-857
r • • '
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Adcf'n
(First 1300 ft,•$87.00;Each add'n 500 ftp•$28.00) ❑ 0 t0 100 arnp $ 94.50 $ 55.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
0 Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58,00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-PAl{1ILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117,50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161,00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COIVIMERCIAL/INDIy1STRIAL
C] Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAIVIIL'Y CU 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
0 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 0 if of circuits to be added/altered
(1.5 circuits-$74,00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1.4 circuits-$58.00;Add'n circuits$6.00/ca) CO RCIAL/INDUST€2jAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
0 Mast or meter repair $43.50 ❑ Service. 1,000 amps or greater
0 Medical/Educational/Institutional Facility
SINGLE/MULTI rAMILY PLAN REVIEW
❑.Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOME4
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILEJIOME/RV PARR 0 0- 100 $58.00 $ 51.00
Ca _ti of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n,'a
❑ 401 -600 117.50 iv.
❑ over 600 127.00 „i.,.
MISCELLANEOUS SERVICE/EQUIPMENT
❑ ii of Thermostats ❑ # of Signs
(First-$43.50;acld'n-$13.50/ea) (First sign-$43.50; add'n sign$20.50/ea)
( Low Voltage ^ ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s)(e (Includes additional Circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
(Per Sy em(s)�1"2500 ft2-$51.00;
.Each add'n 2500 ft2-13.50) 'Per WAC 2.''6-46.9io/51/LM..,ii) 1
Bulletin 1)100-August (9,2004 Page 3 of 4 k\I lundouts\Permit Application