04-104852 City of Federal Way Electrical Permit #: 04 - 104852 - 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: BUCHANAN „IV
Project Address: 33020 10TH'SW UnitR201 Parcel Number: 42D500 -6-70
Project Description: Install low-voltage burglar alarm
Owner Applicant Contractor
NONE BRINKS HOME SECURITY INC&Marlette B BRINKS HOME SECURITY INC
19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
KENT WA 98032 KENT WA 98032
NONE (425)251-9727
Electrical Fixtures
Description Quantity Description ;Quantity Description Quantity
Low Voltage Burgler Alarm-Residen[ 1200
PERMIT EXPIRES May 30,2005.
Permit issued on /z///04-
I
0+I hereby certify that the above infornxation 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 ora ent: See AppliCatio
g Date:
FLALD
THIS CARD IS TO REMAIN ON-SITE.
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: Oki '10 ki 'S a.- e t....
Owner: LL 8,,,,t leti...yzstj
Address: S 36024 10.K cSU D l/Ac r a ).c (
FEDERAL WAY, WA 980034:92*.
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) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Date6: —Z
.-❑ Under-slab groundwork(4295)
Approved
By Date
w t CEIVED BY
EPARTM
ari EC..® 2004 Q - LZ 1'- . ,. ... .
Federal Way xID PERMIV m
col�wNrYoevF.toPianrrsERWCls SF MF CO ME PL DE EN FP
335DEWA STWAYS • BOX97]8
FEAPPLICATION
FEDERAL WAY,WA 98066 3-9718 TD / /
253.661-4115•FAX 253-661-4129
unaw.dtuo(federal wau.com
The ollowi • is re•uired in ormation—an into •lete a.•iication wail not be acce•ted. Please •tint le•ibl in.ink)or /. .
m
/� )i oPROPERTY INFFORMATION Q.2D
SITE ADDRESS OW) O I I / )ii 4,A / /9/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL.# "9 2 10.____...S0...S V - 6 () (1 0 LOT SIZE.(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separore pagefor lengthy legal clescephon)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ;yLELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaile description of work included on this permit onig)
n rvslon a/&xiw
-. =-PROJECT NAME(Name ofBusiness or:Owner Last-Name)=— f - - _ -111 t F/-r"42:_ — -- - _ - -
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHO E
OWNER AM0�� // Deh � (,20y-Go- %®/7JlJn
MAILING
ZOADDRESS
id A �� '0 . iD/ idW 4v 2Z/r9 9 Sd°5
CONTRACTOR MPANY NAME OOJ4/7Q
PLICANT NAME OFFICE PHONE
,�LI M46 ')eeor1 I Is .�) 2,57 -�•7Z�7
MAILING ADDRESS iliegiullef
CITY,ST ZIP CELL PHONE
11//ffW 1/d/
ii- .9Id5
ITY OF FEDERAL WAY BUSINESS LIC ER �!� EXPII I N DATE FAX NUMBER
11 J 8'1 o5 77'2 B L r / ( ) _
C NTRACFORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER t P C 1,,27 095 t Lnoender Iods ,? NAME
. Frey ed ,pr„fect va`iue e,c eds$5,000 ,
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGIUINE 0 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? " voredngirao: rycrr 4*Rotgam rm.0 ffiarmo:um soros®
**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-_ ... _GAS LOGS=:-==.•• REFRIG.-SYSTEMS ----- -
BBQS • FANS HOODS(cummarc d) WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe).:
COMPRESSORS . FURNACES , GAS WATER HEATERS .
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7ub/Shower Combo) SHOWERS WATER CLOSETS(runlet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Ste) VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK
.1 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. , //17/71-
NAME/TITLE /1162//7 �7 1 •
DATE •
(Signature) • (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
a NEW ADDITION ❑ALTERATION n REPAIR l i TENANT'IMPROVEMENT
BUILDING SHELL ONLY?. . o YES_B NO BASIC PLAN? r D YES a NO
gigupgJAiiuggTg
ZONING DESIGNATION CHANGE OF USE? D YES a NO
NEW;ADDRESS_REQUIRED? ❑YES, a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? . ._. :;: a YES a N0 DEI1 O PERMIT.REQUIRED? OYES. ONO_
•
•
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
r V�
- ' 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 ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑-A_to 200amp--- ----$-72.50-- -- -- -- --0-over--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)
❑ 4#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 l z�� ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (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) lrt 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC296-46-910(5)(b)(i&ui
Bulletin#100-March 30,2004 Page 3 of 4 k\I-Iandouts-Revised\Permit Application