03-104664 ti
City of Federal Way
Community Development Services Electrical Permit #:03 - 104664 - 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: HOOLAHAN
Project Address: 4020 SW 328TH pi Parcel Number: 873204 0140
Project Description: Install low voltage security system.
Owner Applicant Contractor
Sylvia J Hoolahan PROTECTION ONE ALARM PROTECTION ONE ALARM
4020 SW 328TH PL 3900 S 220TH ST 3900 S 220TH ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-2656 (253)395-7140
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Resident 2200
PERMIT EXPIRES April 10,2004.
Permit issued on October 13,2003
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:
O — t di—0 3 /"r 144 /
l6
RECEIVED
CONSTRUCTION PERMIT APPLICATION
CITY OF 03/11.111%...." OCT 1 3 2003 APPLICATION NUMBER: 03- 1 �1�j-�C�- E.L
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
**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: 14 Q.:10 J k) 3,1J1 /Ol LQO43 ASSESSOR'S TAX/PARCEL $t:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
)LECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
l--O J Vo �- �s & c s y,s sr 2
PROJECT NAME:
MI PEOPLE INFORMATION
PROPERTY OWNER: NAM : �� U r i DAYTIME PHONE:
MAIUNG LI DRES�TREDc k ilSTATE ZIP :
1 3 ) .S/3(
4U�0�SL '/)/ �, .J�Ja,� W/ 9d'O?3
�7y • I
CONTRACTOR: N/•IE• DA ME PHONE:
-r c4-10til au_ via
) 66
MAILING
ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): 1 IiI ING PHONE:
Y4 JJ-64:0,S1- IWA q /oal .)S) v 6 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
4 - 10S-1. L - QO ; 6W)6T -.W-/
CONTRACTOR'S REGISTRATION NUMBER: L /� I EXPIRATION DATE:
(copy of card required) I� C1 TJ L�Q a C)z .�... P i / / 17- / 03
APPLICANT: NAME: i DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY;STATE,ZIP): EVENING PHONE:
� ( )
iRELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT o OTHER( DESCRIBE): I ( ) I
/ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER cl APPLICANT XONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE rROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD _
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COM PRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑GAS
•
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) _ WATER HEATER(S)
DIS9WASHER(S) . RAIN WATER SYS. VACUUM BREA,.:ER(S) ❑ ELECTRIC u GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- ■ 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 daim(induding 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 daim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. /03
NAME/TITLE: 1��1r\S Q.�� C6 DATE: / /
❑ PROPERTY OWNER o APPLICANT ' CONTRACTOR
•
FOR.OFFICE1:USEONLYiI
tn�i ::tea,: ,. k, , P s L'r �k .As:.: :_:y.r -;.o :u.:xx- s_ ,N .,:... . .-. _.
[7 NEW,, , p ADDITION:; ,,. ,I3;ALTERATION' ,.❑t'ttnt . 6.kiENANT IMPROVEMENT a:
CENSUSiCODE . zat3e �� a'3 ar 13:+,.z s� a
: ,, .,... �F "�- - ,��,�.;-�:xLOT SIZE xi';� �� ,� x �� T �;..:
'ZONING DESIGNATION avzo x',: rs ;ml BUILDING SI ELL ONLY? .q YES ❑ NO
COMP PLAN;DESIGNATION E; .i'.' •
BA9IC PLAN? ❑YES NO, }
SECTION aTOWNSHIP ' , ',RANGE; 'A ,, NEW=A`DDRESS REQUIRED?Yf.❑YES o NO %'
PLATTED LOT? ❑YES y;v NO
!,1!:100%.1t1210.00
.`; '0. 0 CHANGE OF USE? d YES `❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718'•253-661-4000•FAX:253-661-4129
www.dtyoffederalwav,com
• ■ ELECTRICAL •
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft2-585.50;Each add'n 500 0.2-$27.50) _Service and feeder $93.00 1#of Low voltage fire or burglar alarms
Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: ;1,)(0 Q
(Inspected with service) _#of service or feeders * Per W C 296-46-910(5)(b)(i& ii)
_Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign
(Inspected separately) feeder-537 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops $57.00
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 $ 93.00
Up to 200 amp $ 93.00 $ 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 =0 to 100 1 93.00 S 57.00 -601 -1000 326.50
401 -600 amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
601 -800 amp 202.50 108.50 201 -400 216.50 85.50 #of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,S6 ea)
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00
_201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
over 600 amp 174.00 _201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
_#of circuits _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits$6 ea)
i
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+$72.50.Add'I plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION(A) - : FIXTURE.FEE FROMTABLE';B(B) -:' NUMBER.OF UNITS(C) TOTAL(D)
i ` r
i � I
} -
_-.-_ I
"•TOTAL":COLUMN.(D): !
Total Column(D) (
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
■ DEMOLITION -
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING -
Estimated Permit Fee: (16)
Bond Amount: (17)
s :-. • OTHER FEES <
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23) /� /'
Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(.15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) 6 O • 6V _-
Bulletin #100-December 23, 2002