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05-103788
r . ! City ofFederal Way Electrical Permit#: 05 - 103788 - 00 - EL , Community Development Services P.O.Box 971.5 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: FEDERAL WAY HOLLYWOOD VIDEO Project Address: 27320 PACIFIC S Parcel Number: 332204 9009 Project Description: Install low-voltage security alarm and CCTV systems. Owner Applicant Contractor HOLLYWOOD VIDEO#047470 NORTHWEST LOW VOLTAGE*TOM MELL, NORTHWEST LOW VOLTAGE*TOM MELL, 27320 PACIFIC HWY S 19101 108TH ST CTE 19101 108TH ST CT E FEDERAL WAY WA 98023 BONNEY LAKE WA BONNEY LAKE WA 98391 (253)279-9770 Electrical Fixtures _ Description 'Quantity Description Quantity Description Quantity Low Voltage Burglar Alarm -Comm 5000 PERMIT EXPIRES January 25,2006. Permit issued on July 29,2005 I hereby certify that the above information is correct and that the construction on the above described ropirty and the occupancy and the use w' be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: ( " - oS- Q -1 © ,A THIS CARD IS TO REMAIN ON-SITE CITYof Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-103788-00-EL Owner: HOLLYWOOD VIDEO #047470 Address: 27320 PACIFIC HWY S FEDERAL WAY, WA 98003-6999 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) 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 ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 131Final-Electrical(4055) Approved Approved Approved ByDate ByDate B .r/' Date • y �.1�,�� • 41 i v ❑ Under-slab groundwork(4295) Approved By Date t I f ,....__ .A RECEIVE - Q 4 a 3 _.7__ _.2. Federal Way PERM1T (:)PLaoAMMYDEVELOPMENTSBRWCES SF MF CO ME DE EN FP 333958 FEDERAL WAY, WA 1.PO BOX 9718 8 J U L 2� . : LI CATI O N im FEDERAL WAY,WA 9806)-9714 L' J 253-835.2607.PAX?53 835-9609 / A uww.atuoffedeplw•ycom CITYOFOF FEDERAL WAY The ollowi is re• fired III or�in�al Cion�EanT Inco •Tete . ••Iication will not be acce•ted. Please •rint le•ibi ��� ■ PROPERTY INFORMATION Q or �• SITE ADDRESS c2 7 3c 0 1 C, L[J S . Fai Luc. '% SUITE/UNIT# ASSESSOR'S v TAX/PARCEL#� LOT SIZE(sn LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (AarselmratePage far l glhykiddeaaiP V ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING [`❑`PLUMBING 0 MECHANICAL _ 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) . I�Ulm i'►t, I , PROJECT NAME(Name of Business or Owner Last Name) III PEOPLE INFORMATION PROPERTY NAME // i f ��fnJf} OWNER HO t 6/206CL L 1C) '� 6 y 7 o (5 3PHONE MAILING ADDRESS/ CITY,STATE,ZIP 793- 36 3 Sao Pa Ji / 4 S � Fa) LV A- 9 eon 3 CONTRACTOR COMPANY NAME .T�1C, APPLICANT NAME OFFICE PHONE Por tue - Lowtro/falt, no /r//vp (253)..)-7(i - 9770 MAILING ADDRESSSTATE,ZIP ,iu� CELL PHONE 1. M/ Lo ge S C- E nit"-q z 9139/ (233 f3 -631/ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 6,/ EXPIRATION DATE FAX NUMBER - - . / / ( ) - -BL CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application EXPIRATION tU0 1LTYL V 95 85 6, / a5 / !3. - APPLICANT COMPANY NA E APPLICANT NAME OFFICE PHONE /1D� U.)tS, La Lu v0 Heel t, / Gip I'-17eiioe -. (253) f3 -63// MAILINGAIADDRESS STATE,ZIP ft-4W." CELL PHONE /l!ONSH(4erRLQ a- �' . r.�c (25-3U77 - l776 RELATIO �t�m FAX FAX NUMBER O Architect 0 Tenant a Agent 0 Other(Describe) J (25-3) F71 - p3 9 g CONTACT I NAMEa,0 � � 0 0 PRIMARY PHONE UMAILADDRESS C r-1 (253 )a 9 - g 7 7 o T'Irl e I/or).0_46 t. 4 ,tyt j LENDER .. cd;';-: Z;e(_;hn v�r:�y 1 E�j dit_✓_ YtT,'�; ,-NAME MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO r WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLLNE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 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 XXITTBIO PROPOSSO TOTAL .;�..;<t' „�:a+l� i.' ,„.f' •. -. 1. 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 OAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(co,, ,cis) 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 moo MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS OAS 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, expense; 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 fjlthe city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. J /,� J NAME/TITLE G V`� C/i/l,/l v C/!Ci P�� )C/Pia DATE 7- Z9 -65 (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent o Contractor ❑ Architect ❑ Other (y;;, (< 3C 's c;it'.,.•� 'aL)e)f+i? Di;s,t,•(c 1. ' —14 D). 1,'4 I;) C'", e?tI cI:.i ; e ,;(c) ` :y v.)(t �4�Q� ih/ r.' 1. t.(s' :J:' ,(? .- -j . I .: cl:,. �Ca��)� e-0y e c d 4 a' : XP't �) ( 1-;"1-61-;4,' - , l: : � . Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMI INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 41450 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 0 Mast or meter repair $96.00 ❑ 401 -600 amp 193:00 96.00 ALTERED COMMERCIAL/INDUSTRIAL 0 601 -800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY 0 201 -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 U #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 i 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 ❑ 0-100 amps ._ $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 U 401-600 amps - 141.00 ❑ over 600 amps 152.50 • MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats 0 #of Signs Lost-$52.00;add'n-$16.00/ea.) (First sign-$52.00;add'n sign$24.50/ea) w Voltage ❑ Swimming pool/hot tub $87.00 care Feet to be served by system(s) M� (Includes additional circuit,if required) Eo(Fire Alarm System ❑ Yard Pole meter loops $104.50 Security Alarm System ❑ Additional Plan Review $104.50/hour 0 Voice Cabling (for modified submittals) ❑ Data CablingNg e..(4,-TV Fee on all Permits .. $5.00 'Vier System(s) 14 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 296-/6-910(5)(6)(&ii) 'op-January 7,2005 Page 3 of 4 k\Handouts\Permit Application !r