04-105155 i -
City of Federal Way Electrical Permit #: 04 - 105155 - 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) 835-3050
Project Name: FREITAS le
-
Project Address: 33516 9TH S Units Parcel Number: 926925 0050
Project Description: Install low-voltage security system.
Owner Applicant Contractor
Mark Freitas &Carolyn N Freitas GLOBAL SECURITY&COMM OF WA INC GLOBAL SECURITY&COMM OF WA INC
33516 9TH AVE S#5 GLOBAL SECURITY GLOBAL SECURITY
FEDERAL WAY WA 32700 PACIFIC HWY S UNIT 14 32700 PACIFIC HWY S UNIT 14
98003-6322 FEDERAL WAY WA (253)661-2250
Electrical Fixtures
Description Quantity Description ;, Quantity Description !Quantity
Low Voltage Burgler Alarm-Residen 1500
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES June 19,2005.
Permit issued on December 21,2004
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: - �� Date: \2 - z k- 0 Li
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THIS CARD IS TO REMAIN ON-SITE
CITY OF r Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105155-00-EL
Owner: MARK FREITAS
Address: 33516 9TH AVE S Unit 5
FEDERAL WAY, WA 98003-6322
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
i
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical(4225) 0 Ceiling Cover(4020) 0 inal-Electrical(4055)
Approved Approved /,�►; Approved
By Date By Date By 411, Date
❑ Under-slab groundwork(4295)
Approved
By Date
-.... ..6,__ PECeivEri c( _ / 0 7 ---- c
Of Oil
Federal Way 1D 1 R NI I T
COMMUNTIYIEVELOPMENTSERVICES I)E Cs 2 1 1004 SF MF CO M e'L DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
253-66FEDE145 FAX 253-661-4129 WAY,4VA A P P L I C A' (I,�� .
tuwur.dtto federaltuatt.com eu(LD)NGERAL wA
The ollowin• is re•uired in ormation-an inco .tete a.•lication will notDbe a1ce' ted. Please •rint le•ibl (in ink)or .•.
PROPERTY INFORMATION
SITE ADDRESS / ' M it V r j�
1 t SUITE/UNIT# �-�/
ASSESSOR'S TAX/PARCEL# Jø)# _it7 - q' Ila.' .iff'.'
LOT SIZE(4)1
o2 (2' ? - o - •
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) _
(Attach separate page for lengthy legal desenpeonJ
PROJECT INFORMATION
TYPE OF PERMIT a BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION I1ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) •
LU t
•
PROJECT NAME(Name of Business or Owner Last Name) rnCk r K.. eve i Las s Ce,--LH
PEOPLE INFORMATION
PROPERTY NAME i PRIMARY PHONE
OWNER Mark- ./`f6 i-t a.5 (253) g 3 g-' 93.,)-
MAILING ADDRESS CITY,STATE,ZIP
33� L, Gjf-h A-vc. 5 *)5 c.-Lr--al caul, aiR- ( CO 3
CONTRACTOR COMPANY NAME NAME
/ � OFFICE PHONE
01lt ai feearyz e rl6 6M 1153 toL'( - ZZ6-0
MAILING DRESS e, t-Ittl s/ Pi ' CITY, ZIP ' �/] •�y� CELL PHONE
Qua
CITY OF FEDELI
RAL WAY BUSIN LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 eZ- 9'a -1 0 L (Q. f 1/- B L /l / 31 /vy (253) 925 - O( Oq
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) XPIRATION DATE
ca L (2 b e c o ti Lr F j)./9/p 4 0-7 / 3 + / vs '-)
APPLICANT CliMPANY NAME APPLICANT NAME OFFICE PHONE
C-I1Cb k QeL I En C c5rn i-1-h (253 )LAE - 225.--
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
10t Ac NtJN s #10 �w/ 1� a ascc (- ) -
LATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent KOther(Describe) Co rf1'4 G't e (253 ) ' Zr o., 04
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER Per RCW 19.27.095: Lender information Is ; NAME
required If projectvalue exceeds$5,000
MAILING ADDRESS _ CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a TACOMA ❑ PRIVATE(WELL)
i SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
•
—v___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 REFRIG.SYSTEMS
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 Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
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. i
NAME/TITLE '. -• DATE I Z'2 , c3 al
�ature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor 0 Architect jEt.Other -11:71-4 •
FOR OFFICE USEyONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
4
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pernut Application I
t d
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-$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
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
CIover 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
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ 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
U 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 VoltageLISwimming pool/hot tub $87.00
m �SOO
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
jit Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-06-91 o(5)(b)(i&it)
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application