05-100233 City of Federal Way Electrical Permit #: 05 - 100233 - 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: KELLY
Project Address: 33834 31ST 511047 VL S Parcel Number: 873216 0180
Project Description: Intrusion alarm
Owner Applicant Contractor
CONNIE KELLY BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
33834 31ST AVE SW 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA 98023 KENT WA 98032 KENT WA 98032
(425)251-9727
Electrical Fixtures
_ Description Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 2500
PERMIT EXPIRES July 19,2005.
Permit issued on January 20,2005
rte;
I hereby certify that the above information is correct and that the constructiott 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 agent: Sae. 4ficaJ- rvi Date: 1(Z.4105-
141Y
U
THIS CARD IS TO REMAIN ON-SITE
CITY OF
ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100233-00-EL
Owner: CONNIE KELLY
Address: 33834 31ST AVE SW
FEDERAL WAY, WA 98023-7797
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ 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) ❑ Ceiling Cover(4020) r.4 Final-Electrical(4055)
Approved Approved Approved
By Date By DateBy `4 Date o2 3
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED BY G�l�
r DEVEL ARTMENT,-7 I ` ` .W, 4 V A1•
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Federaim 1 2 200 01 PERMIT/; ,.; `,� , �j _
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335EDR WAY •PO BOX 9718iit.
FAPPLICATION
FEDERAL.WAY,WAA 98063-9718 TD / /
253-6614115•FAX 253-6614129
www.dtuaffederalwau.com
The oliourin• is re•uired in ormation-an inco •fete a••lication will not be acce•ted Please •rint le•ib/ (in ink)or f• .
PROPERTYL� INFORMATION�
SITE ADDRESS a .�y 3I'1. I 11--C.11--C. ji"..✓ u /� �\ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL.# 9) 2 1 La : 6 (-��� ) 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 ❑ MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailedescription of work included on this permit onlil)
--PROJECT-NAME(Name ofBusiness-or Owner:Last-Name)- t /t#t� — - - -
PEOPLE INFORMATION
PROPERTY AAME
y, PRIMARY PHONE
OWNER Lai rue_ (.5-3) $37 -9a96
MAILING Si ,� R � IA) �( wA 9 8va3
CONTRACTOR 910 MPANY NAME A PLICANT NAME OFFICE PHONE
'at m Se801(I 11R bim,iis .S) r / -9727
MAILI D SS y / �/q�, ile CITY,ST ,ZIP CELL PHONE
4911,W lY BUS N EAS Ili ,,�: - � ( . ) _
OF FEDERAL WAY BUS NE C E N ER EXPIRATION DATE FAX NUMBER
11-if-I o5 72-B L " / ( ) -
C NTRACFOR'S 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
0 Architect o Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( _) -
LENDER 'a er W 927095 LercderTinoonfs NAME
ed f ect value,ezceeds;$500
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
`' t.r"S� r :•"10-,-,5--W-,.',- K r [r�,.k�.$- „,?*,t,. .---,.�4 i..r� f:'?'+F7 rs�f %3( r �.
PROJECT FLOOR AREAS
a
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
•
BASEMENT
FIRST
SECOND
THIRD
-FOURTH
ADDITIONAL FLOORS(DESCRIBE) .
DECK(COVERED?)
GARAGE/CARPORT •
HOW MANY FLOORS? rOT4GSA8r[fa zone rR°r°'m TOTAL 8r6421011T-.ro°m
+NEW HOMES ONLY'” NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project.•
Do not include existing fixtures to remain..
MECEAHICAL
•
Value of Mechanical Work $
- --AIR HANDLING-UNITS,=- EVAPORATIVE COOLERS_ GAS IAGS- — — REFRIG:SYSTEMS -;
BBQS FANS HOODS WOODSTOVES
(c°mm�'q
BOILERS FIREPLACE INSERTS RANGES MISC(Describe-.
COMPRESSORS • FURNACES GAS WATER HEATERS"'
•
DUCTS GAS PIPE OUTLETS
PLUMEJNG
BATHTUBS(or Tub/showerCombo� SHOWERS WATER CLOSETS(lmleq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(e■th,00m s i VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is tress and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permtt appiicaiton.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 �flo ! ��� DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0Agent ❑ Contractor
0 Architect 0 Other
-
® z � se• `$�FO�s js�y
d NEW n ADDITION a ALTERATIONid
n REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? i7 YES t3 NO ;_ BASIC PLAN?gif a 4 YES t�NO
ZONING DESIGNATION = CHANGE OF1USE? ,; oYES -t]NO ..
NEW:ADDRESS REQUIRED? a YES .a NO UP/SEPA/SII?... a YES a NO.. _
PLATTED LOT? ._. . a YES a NO. DEMO PERMIT REQUIRED? .c YES 4 NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-RevisedTermit Application
_."-:•:.".);71.51.g",t th
' ELECTRICAL PERMIT INFORMATION
n
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(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 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑.Sao 200amp._ __..___--$ 7250 _________ __ ____ __D_over--1000amp- -369..50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 LI Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0-100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a'
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage v /� r ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) 1. (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 •
0
(Per System(s) Pt 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC296-46-9/0(5)(b)6&ii) ,
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application