04-104902 City of Federal Way Electrical Permit #: 04 - 104902 - 00 - 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: DOMINGO
Project Address: 2629 S 304TH 5.1- Parcel Number: 092104 9061
Project Description: Addition to existing security system.
Owner Applicant Contractor
Pedero B Domingo &Chin C Domingo A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
11824 NORTHCREEK PKWY N SUITE 105 11824 NORTHCREEK PKWY N SUITE 105
BOTHELL WA 98055-2910 BOTHELL WA 98055-2910
(425)488-5249
Electrical Fixtures
Description Quantity Description [Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 2500
PERMIT EXPIRES June 1,2005.
Permit issued on December 3,2004
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: /2-3—by
tZ`a3( 4 N ED b �'o
F
INALLD
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THIS CARD IS TO REMAIN ON-SITE •
CITY OFA Community Development Inspection Recoi«d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104902-00-EL
Owner: PEDERO B DOMINGO
Address: 2629 S 304TH ST
FEDERAL WAY, WA 98003-4811
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
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❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑
By Ceiling Cover(4020) Final-Electrical(4055) ,
Approved Approved Approved
rBy Date Date 1(> Date (2 =�')
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
40 ir DEC 0 3 2004
a,,,a v� AL WAY 09 `L - Lo i D t�--
Federal Way PL�FoiaoEPT, SF MF CO M 3O•L DE EN FP
COMMUNITYDEVELOPAfENT SERVICES
33530 FIRST WAY 9. BOX 9718 APPLICATION
FEDERAL WAY,,SOUTHWWA 9806363-9718 m
253-661-4115•FAX 253-661.4129
suww.cituofedemlwau,com
The ollowi • is re• ired in ormation-an Inco •lete • ••lication will not be acce•ted. Please •rint le•ibi in i or j•e.
q L PROPERTY� INFORMATION
SITE ADDRESS 2 2 1 S t7� f' V� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL
o DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlil)
4)Drr/aws srb C(IS,r'M/G s ua,rft syS•39Gt
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE p G 7
OWNER �ED2o� �i�60 (2 - ) 9�5--/8 3
MAILING
CITY,S 1�0-ADDRESS 3a1B y W4- fgoo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
or Os �X (42c) (as - 5z,17
MAILING ADDRESS I/VW 4 "QeZ t� ST lj TE
"'� cjv,,' (P ELL PHONE i
CITY OF FEDERAL WAY BUSINESS LICENSE NU ER EXPIRATION DATE FAX NUMBER,
L f_-1t-_I 12 s s 6 -BL / / ( ) -CO -
CTORS REGISTRATION NUMBER copy of card required with each application) EXPIRATION DATE --- -- -
Prs6 sigi32. o 59 i .s-- fos
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
cr.,1 E 45 Gzsi cj o a_ ( 1 -
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
( )
LENDERPer ROW 1947.095: Lender information is NAME
regaired,ifproject value exceeds*5,000
MAILING ADDRESS..... CITY,STATE,ZIP .. _ - .... .
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE T
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6140
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 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? TOTAL EXISTING: TOTAL PROPOSED TOTAL 87O8Taro AND PROPCS80
**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 icommercieq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Thb/Shower Combo) - SHOWERS WATER CLOSETS Iroueq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
VACUUM BREAKERS ELECTRIC WATER HEATERS -
LAVS Sinks) _..._-_._. _..
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 Fedekat 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.
NAME/TITLE 1Ty DATE /2"3""CY
Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑Agent Kontractor 0 Architect 0 Other
•
o'NEW oADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES -o NO , UP/SEPA/$U? : '' a YES o NO..-
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
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Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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4
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
U 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
❑ 0 to 200 amp $ 72.50 ❑ over 1000 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
(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 .„ ,_
i
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE-.: _- ., i
❑ Service and feeder $94.50 - - -',1)
Commercial Residential
MOBILE HOME/RV PARK U 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
U 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) -
tr-I.°
w Voltage �f OD LI Swimming pool/hot tub --$87.00
' Square Feet to be served by system(s) L (Includes additional circuit,if required)
❑ Fire Alarm System - U Yard Pole meter loops $58.00
Security Alarm System ❑ Additional Plan Review $87.00 f 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 296-46-910(5)(b)fi Bs ii)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application