02-105472 City of Federal Way
Community Development Services Electrical Permit #:02 - 105472 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: PIERCE A.ite
Project Address: 28209 22ND S Parcel Number: 422230 0250
Project Description: ELE-Installing new L/V intrusion alarm,no wiring for garage
Owner Applicant Contractor
JOHN PIERCE BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
28209 22ND AVE S 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA 98003 KENT WA 98032 KENT WA 98032
(425)251-9727
Electrical Fixtures
1 ti 7; .' 27 a r • C1 �« a _f<t
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Low Voltage Burgler Alarm-Residen 2150
PERMIT EXPIRES June 4,2003,IF NO WORK IS STARTED.
Permit issued on December 6,2002
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 agent: See Application Date: 1 Z/6(06..
RECEIVED BY
♦ r , COMMUNITY DFVF(rm."cNT ncoppTA" ""r
DEC 0 6 2002
cr.oF G CONSTRUCTION PERMIT APP Lt-LA
TION
ISE APPLICATION NUMBER: _ "d- 112`2
if-Y APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate
application.
• PROPERTY INFORMATION
SITE ADDRESS: 28209 22ND AVE SOUTH ASSESSOR'S PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑
DEMOLITION
ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
SYSTEM
PROJECT DESCRIPTION(Provide detailed description): INTRUSION ALARM
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: JOHN PIERCE Phone:
253-529-5234
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
28209 22ND AVENUE SOUTH, FEDERAL WAY, WA 98003
CONTRACTOR: NAME: DAYTIME PHON
BRINKS HOME SECURITY 425-251-9727
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP EVENING PHONE:
19115 W VALLEY HWY #H106, KENT, WA 98032 ( )CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) BRINK HS 148 LE
APPLICANT: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( ) -
I. 1
L
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT o CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $_
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM
PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $50.00 ___.#of Thermostats(First-$37.50;add'n-$11.50ea)
(First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$43.50;Each add'n 2500 lt2-$11.50
-Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 2150
(Inspected with service) #of service or feeders
*Per WAC 296-46-910(5)(b)(i&ii)
-Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ #of Signs(First sign-$37.50;add'n sign
(Inspected separately) feeder-$32 each) -
D $17.50immi geach)
„ � =Swimming pool,hot tub,spa $75.00
V1_ Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $ 81.00
_Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00
_201 -400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601 -1000 284.50
_401 -600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_ (1
601 -800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 -5 circuits-$63.50;Add=n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00
-201 -600 amp 101.00 -Mast or meter repair 68.50 _101 -200 63.50
_over 600 amp 151.50 _201 -400 75.00
_Mast or meter repair 37.50 _401 -600 101.00
_#of circuits over 600 109.00
_
(1-4 circuits-$50.00;Add'n circuits$5 ea)
If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan
review is required.Fee is 35%of permit fee+$63.50.Add=1 plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
• 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.
NAME/TITLE: Q 2//`a 77�r DATE:
o PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ ALTERATION o REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? o YES o NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES ❑ NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ NO
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $63.50+( X.35) = (13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
TotaI (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-February 19, 2002