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04-104564 City of Federal Way? Electrical Permit #:►,m 04 - 104564 - 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: PETERSEN Project Address: 30902 5TH$. Way S Parcel Number: 241330 1070 Project Description: Install low-voltage security alarm system. Owner Applicant Contractor Curt L&Barbara A Petersen CHUBB SECURITY NW.,INC dba SECURE S CHUBB SECURITY NW.,INC dba SECURE S 30902 5TH WAYS 150 12TH AVE 150 12TH AVE FEDERAL WAY WA SEATTLE WA 98122 SEATTLE WA 98122 98003-4048 (206)521-5678 Electrical Fixtures Description Quantity Description Quantity Description Quantity Low Voltage Burgler Alarm-Residen 2000 PERMIT EXPIRES May 8,2005. Permit issued on November 9,2004 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: //^q Oma/ THIS CARD IS TO REMAIN ON-SITE CITY OF ,i i A , . Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104564-00-EL Owner: CURT L & BARBARA A PETERSEN Address: 30902 5TH WAY S FEDERAL WAY, WA 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 ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date , By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved By Date By Date By Q tu,-..1 Date-11_2_2 ❑ Under-slab groundwork(4295) Approved By Date 4..1 .-08-.?04 18:00 FROM-Chubb Security 2065215340 T-454 P02/06 U-514 coy OF til" _C g-- - ( .-0— Y- 5-& Li Federal Way RECEIVED PERMIT restAI(NrTYUiVeLprMLNTSERV%C S SF MF CO M �� PL DE EN FP ;1:1:45 Ben AVENUE .ppR A PEOUAL WAY,WA 9868; 8O v 0 9 Zr) 4P P L I C A T I O N • TU 253-1133-2A0 7.FAX 25:1,835.26095.�609 , / / •� CITY OF FEDE Av The ollowin• is re• i;,: Got�.ii,;,;,—an inborn•tete a••Iication will not be aece•ted. Please •rint le.ibl. in in or t •e. IN PROPERTY INFORMATION SITE ADDRESS L ? SUITE/UNIT# ASSESSOR'S TAX/PARCEL # - LOT SIZE of) A 33 ` -M(o1v LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) - AI i. ./3 f 302 Mr..... a. rrpag.l�,.wig r- I e. ipriprrt ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION VELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PR JECT DESCRIPTION(Provide detailed description of work included on this permit onlu) .41 PROJECT NAME(Name of Business or Owner Last Nntne) NFV Y Ne. 0 aPEOPLELINFORMATION PROPERTY N5I4E r PRIMARY PHONE OWNER A1C- ce7\e i"a $ I - MnI\L L Gt- ©p NO ADDRESS r �-IVl CITY, tvi ,- :(L ._6111 Lo , n CONTRACTOR (COO`M.PANY NAME D 'A , APPLICANT NAME ORFICIi PHONE " l_..1/�c1`onin '` --.0 '4 V v 3 RESS CITY,STATE,21p ~V (2(��p)cz I - MAILINCELL PHONE . l Irl - C TY OF FLOE'A WAY BUSINESS LICENSE NUMBER E PIRATION DATA FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER(copy of eon;toothed with witch appheatioq) . EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OPI•'10E!'BONE MAILING ADORERS CITY,STATE,ZIP CRI.),PHONE RELATIONSHIP TO PROJECT FAX NIIMI3F,14 ❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT 'e�t1 /i-d tit GPR ) L F•MNLAf�Dh'L'SS LENDER Per ROW 19.27.095: Lender information is NAME required(I profeet valve exceeds$3,000 MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ q`-� . SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 IIIGHLINE 0 PRIVATE(SEPTIC) 11-08-'04 18:00 FROM-Chubb Security 2065215340 T-454 P03/06 U-514 1 ,tom ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMS CIAL INDUS AL SERV' E 0 Single Family Square Feet _ Service or Feeder Each Add'n (First 1300 IV-$8700;mach add'n 500 CV-$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 0 401-600 amp 256,50 103,00 (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) Q 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 Q Over 600 volts surcharge $74.00 O 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00 ❑ 601. -800 amp 206.00 110.00 A FRED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE9Iy$ULTI FAMILY ❑ 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder 0 601 - 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 0 #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) COMMERCTAILINDUSTRIAL PLAN REVIEW $74.00 plus 35%of permit Fee ❑ Mast or meter repair $43.50 0 Service- 1,000 amps or greater Q Medical/Educatiortal/Institutional Facility SINGLFt/MULTI FAMILY PLAN REVIEW ❑.Service Over 400 amps $74.00 plus 35%of Permit Pee MQUILE HOMES O Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE IIOJE/RV PARK ❑ 0-100 $58.00 $51.00 ❑ #of service or feeders ❑ 101 -200 74.00 51.00 (First service/feeder-$55.00;each add'n-$37.50) ❑ 201 •400 87.00 n/ ❑ 401 -600 117.50 n/s ❑ over 600 127,00 n/;, MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ # of Signs ���yyy111 (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) ykLow Voltage ❑ Swimming pool/hot tub $87.00 Square Peet to be served by system(sa _ (Includes additional circuit,if required) ❑ Fire Alarm System 0 Yard Pole meter loops $58.00 zSecurity Alarm System © Addit:ionaI Plan Review $87.00/hour Voice Cabling (for modified submittals) ❑ Data Cabling 11 (Per System(a) 1pt 2500 ft'-$51.00; Each add'n 2500ft'--13.5 • r 296-46-91015XlUh Atli) Bulletin#100-August 19,2004 Page 3 of 4 k\llandoutt\Permit Application X11-08.'04 18:01 FROM-Chubb Security 2065215340 T-454 P05/06 U-514 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTINGPROPOSED TOTAL • SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND TI�DRI FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK.(COVERED?) GARAGE 0 CARPORT 0 NUMBER O FLOORS rauer°Vo Necroses TOTAL TOTALERISTIRoer TAT&PRONOt Ucr TOTAGSr •*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.. MECHANIC,4I, Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG,SYSTEMS BBQS PANS HOODS)cc se.r;,ui WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(..T..bishow.,enron) SHOWERS WATER CLOSETS(Nato MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHINO MACHINES URINALS HOSE BLEBS LAVS(eamroo,n —_ VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me iAt true and correct to the best of my knowledge, and further, that I am authorised by the owner of the above premises to perform the work for which the permit application is made. I fw-ther 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. c NAME/TITLE � _ DATE ` t} "'1°Y •_nluureY Mac)RELATIONSHIP TO PROJECT 0 Owner 0 Agent (LTOOntracter o Architect 0 Other_ • FOR OFFICE:USE,:Olv,y.•.:••• U NEW o ADDITION ❑ALTERATION n•REPAIR a TENANT IMPROVEMENT • BUILDING SHELL ONLY? a YES a NO BASIC PLAN? u YES a NO ZONING DESIGNATION CHANGE OF USE? a YES n NO NEW ADDRESS REQUIRED?_ a YES a NO UP/SEPA/SU? n YES o NO PLATTED LOT? u YES o NO DEMO PERMIT REQUIRED? q YES n NO • • Bulletin ft 1OU—August 19,2004 Page 2 of 4 k11-landouts\Permit Application