03-102515 •
City of Federal Way Electrical Permit #:03 - 102515 - 00 - EL
Community Development Services
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: WELCH
Project Address: 1204 SW 326TH P1 Parcel Number: 666490 0010
Project Description: Low voltage security system
Owner Applicant Contractor
LISA WELCH PROTECTION ONE ALARM PROTECTION ONE ALARM
1204 SW 326TH PL 3900 S 220TH ST 3900 S 220TH ST
FEDERAL WAY WA 98023 KENT WA 98032 KENT WA 98032
(253)395-7140
Electrical Fixtures
'tion 'ptiOn`� . z;tA t uit;t [t ... cription,t_ Q an
Low Voltage Burgler Alarm-Residen 2400
PERMIT EXPIRES;December 16,2003.
Permit issued on June 19,2003
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 W.y.
Owner or agent: 9'
E} 'ClDate- ' — 1 ' 1
D EC .�
• ` RECEIVE CONSTRUCTION PERMIT APPLICATION
• CITY'OF �•.../ APPLICATION NUMBER: 03- i 07.„ct._ ir-TO
Federal Way .SUN l 9 2003 • APPLICATION NUMBER: - -
�;11 FEDERAL WAY APPLICATION NUMBER: " - -
**The`TollBf B icliiped information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
ADDRESS: f T (A.)r )�(J ti-
SITE PI ASSESSOR'S TAX/PARCEL #: -
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
X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
lO w tjo /1 ' CI- 0...- y; i-----,e
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:- i DAYTIME PHONE:
L3 Li cti
MAILING ADDRESS(STREET ADD CITY,STATE,ZIP):
/ °(f sij ..Ta6 Pl ��c lf-tit J 7 6 1 9J''4 3
CONTRACTOR: NAry,: nn j D YTIME PHONE�i: /
!"(4 i�/-g Cin - ��''} d �
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �• r I EVENING PHONE:
6'i/L 4aO J i- 1 e n - qY ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER e - 1 �5,r1 - 60 (.I , :6S 77 V f
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
d card rd d) 1— l t� ^ f�r 0 I J 0 3_ f� 8 L / l / - 1 &f
APPLICANT: NAME: DAYTIME PHONE:( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT 0 TENANT o OTHER(DESCRIBE): I ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT ] CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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.( ) .
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
•
NAME TITLE: r 0 >°no - (A)1A m ( l Com- DATE: 6 /‘4,3
a PROPERTY OWNER ❑APPLICANT )(CONTRACTOR
FOROFFICE USE ONLY,.
�:
• a ® REP{IR ::, i�TENANT IMPROVEMENT.r :;
,,,NEW ADDITION,„- t3 ALTERATION, � �,
CENSUS CODE.. *�^
ZONING DESIGNATION wBUILDIN G SHELL ONLY7;`n'YE.5 ❑;NO '' , - _ :
.Y �' � 8 tia;.14,.'�4 W.'.v"�f.'.5,•X` '"E .r.::.,Y'�� y'� �II,t' '�,y� p" E
COMP PLAN�ESIGNATION '`- r � n ❑YES t7`NO
� ,� . BASIC PLAN?� ,
SECTION- ... --TOWNSHIP_ ` RANGE y NEW`ADDRESS:REQUIR.ED? �❑YES Li NO
_ .,., - .. �. :. .fix
PLATTED LOT? e❑YES :„ ❑NO CHANGEOF USE? 4 ❑;YES��❑ NOr
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvofFederalway.00m
■ ELECTRICAL
TABLE B
4
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 #of Thermostats(First-$43.00;add'n-$13.00ea)
(First 1300 ft2-$85.50;Each add'n 500 fl'-$27.50) _Service and feeder $93.00 /#of Low voltage fire or burglar alarms
Square Feet First 2500 ft'-$50.���h add'n 2500 fl`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(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-$37 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 5 93.00 3 57.00 _601 -1000 326.50 !I!
_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 _ft of circuits
_Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (I-5 circuits-$72.50;Add'n circuits,$6 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)
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''plan review for other submissions is$85.50/hr.
FIXTURE DESCRIPTION`(A) ' FIXTURE,FEE"FROM.TABLE•'B(BY.e. w NUMBER OF;UNITS'(C) TOTAL(D)
i ! I
j
I J
'IOTAL•COLUMN(D):i:} !
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)
■ 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)
$ 1) ,
Bulletin #100-December 23, 2002 f G7-
1n.1\`l,