04-104851 aw
City of Federal Way Electrical Permit #: 04 - 104851 - 06 - 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) 835-305C
Project Name: CAMPBELL
Project Address: 27609 25TH 4®r$ Parcel Number: 757560 0100
Project Description: Install a low-voltage security system
Owner Applicant Contractor
Julius L Howard NONE NONE
PO Box 27794
PO Box 27794 !Seattle,WA 98165-2794 NONE
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 2080
PERMIT EXPIRES May 30,2005.
Permit issued on December 1,2004
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.
See Application
Owner or agent: Date:
0
THIS CARD IS TO REMAIN ON-SITE '
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104851-00-EL
Owner: JULIUS L HOWARD
Address: 27609 25TH DR S
FEDERAL WAY, WA 98003-6927
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.
.=-❑ 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
'
.
Rough Electrical(4225) El Ceiling Cover(4020) X 13 Final-Electrical(4055)
Approved Approved Approved
By Date By Date :!)V 1.•-•
Date kL'\Z
�/'�
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED B pEpARTmL,
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FederaFWay PERMIT ®Ec
• SF MF CO M c EL •L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
3353&FIRST WAY SOUTH•PO9718 APPLICATION
FEDERAL WAY,WA 98063-97163-971 8 D / /
253-661-4115•FAX 253.6614129
www.dtuoffederalwau.com
The o ilowi • is re•wired in ormation-an inco •tete a••iication will not be acce•ted Please •rint le•ibi in.ink/or p .
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PROPERTY INFORMATION
SITE ADDRESS a-7V1 O -1(� a5 Dr Loo`T SUITE/UNIT#
ASSESSOR'S TAX/PARCEL.# 1 5 _25 (00 - 0_ 1 0 0 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descripion)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ;1fLELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaile description of work included on this permit only)
-1r045lon G/la• w
=PROJECT-NAME(Name of Business or-:Owner.Last Name)
- /- --------=-- --- -
ft4P.44
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
/1 a
OWNER kkeid (ornrbe / w Q(0) < I/ - G1 796
MAILING
76ADDRESS a.5 Dr_'6 CITY, a r/ 1147y bh9 9 6
CONTRACTOR MPANY NAME LICANT NAME OFFICE PHONE
,�a"t 191Seej3ri /4 ? e12#7/?'a b;rn, 1o7 ( , ) ;5/ -'r7z7
MAILIN ADD SS s CITY,ST ,ZIP CELL PHONE
CP iffki l/d/�-e . hi10./u ✓ tel• ' eiLw ( ) -
OF FEDERAL WAY BUS NE ICENSE NLI&•ER EXPIRATION DATE FAX NUMBER
C NTRACFOR'S REGISION/NNUMBER(copy of card required with each application' DATE
KTRRAT
Pril
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER-
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
�t r sixr �r.,cv4-44.,.'-'4
vr 7 NAME
LENDER GW1�270,�5 �Lende�trtJormatlon
I\rk re 4TY'i1.(?.'Pryfect.value�ezceeds$5,000 p
...�.,.,a-<..�aW....,..-:men - .. - - -i
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(ELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
YK myv 6J
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? Toru_ctosrmra rorec noroem rorwr msroa•sv reOP08®
**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 i elude existing fixtures to remain,
•
MECEAMCAL
•
Value of Mechanical Work $
AIR:HANDLINGUNITS_ EVAPORATIVE_GAOLERS -- -. _ _— ---REFRIG:-SYSTEMS --
BBQS
BOILERS FANS HOODS.GASLOGS(commercid) WOODSTOVES
FIREPLACE INSERTS RANGES MISC(Describe)=
FURNACES
COMPRESSORS GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS • RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
•
LAVS(Bathroom Simko) 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 athe best
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 flied 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.
L6,2,7/7,2 �}�j
NAME/TITLE r///�- DATE •
(Signature( (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0Agent 0 Contractor ❑ Architect ❑ Other
•
❑NEW. ____. o ADDITION; o ALTERATION o REPAIR TENANT IMPROVEMENT
BUILDING`SHELL ONLY? a YES-n NO ;; BASIC PLAN;? nigE:• a YES ❑NO
t094%-Pr§id-AtIdtMPiAnggtttog24Eiaa01MaRRqtd:'.,'_"!mt!..,'
tz4APPPFP , EitgRalfORYX19EiAySt01l.; a YES a NO
PLATTED . a:YES a NO DEMO PNRMIT REQUIRED?- _ ; a 7F8..4 4.NO
•
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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ELECTRICAL PERMIT INFORMATION
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 U 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
_❑_D_to 200-amp.-- -.._--$ 72.50-- -- - -- --0oyer=1-000_amP -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 ❑ 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 �1 Q ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) to l) (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) 1e 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)`Per WAC 296-46-910(5)(b)(i&ii)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application