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03-101400 City of Federal Way Community Development Services Electrical Permit #:03 - 101400 - 00 - EL 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: ROSEWOOD LANE LOT 5 Project Address: 613 SW 361ST St Parcel Number: 743680 0050 Project Description: Install new low-voltage security system. Owner Applicant Contractor NORRIS HOMES INC GREAT WESTERN SECURTY SYS INC GREAT WESTERN SECURTY SYS INC 10516 172ND CT SE 19504 24TH AVE W SUITE 102 19504 24TH AVE W SUITE 102 RENTON WA 98059 LYNNWOOD WA 98036-4868 LYNNWOOD WA 98036-4868 (425)776-7177 Electrical Fixtures irOq't e onorak ef.AZEZIs- 0 7000 .., ._4PkgClecoggton..u _��Qa�ntEty Low Voltage Burgler Alarm-Residen 1 PERMIT EXPIRES October 7,2003. Permit issued on April 10,2003 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 Way. Owner or agent: 141407e1!a'>Ce Date: 1--/ / 0 — a-® A, CONSTRUCI ION PERMIT APPLICATION CITY OF �. APPLICATION NUMBER:03 - /-01400 - 00 FL Federal Way APPLICATION NUMBER: bb/ APPLICATION NUMBER: - - **The following is required information—Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. U PROPERTY INFORMATION SITE ADDRESS: +6 )3 S tot 36/)st.. ST ASSESSOR'S TAX/PARCEL #: / 3( Q - (7050 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): I ■ PROTECT INFORMATION TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION LirtfETRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): (.—lJ W (JJ(t.c,.e4e_ - S e C w y I' *�..y PROJECT NAME: rt OS e t,00c d -• ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: © �� y`/— Q I i DAYTIME PHONE: MAILING ADDRESS ESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: V� ' l ) CONTRACTOR: NAME: DAYTIME PHONE: fr r Pe-' k ter Sec rI't�/ s t _ -_( - )- �4AIUN ADDRESS(STREETADDRESS;COY,STATE.ZIP). 1 EVENING PHONE: 1{' S Y ,a.`�I t h CITY OF FEDERAL WAY BUSINESS NUMBER:�' . C), FAX NUMBER: I ( ) CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (� of card erred) G., !Z 4 r W S 0 3 4T ii 0 / l 9 1,20o3 APPLICANT: NAME: / DAYTIME PHONE 1/14_ t✓ /�piK ipte- treOI ) 8' �- ' .?MAILING ADDRESS ADDRES ;;CTE,ZIP)/14/1A EVENING PHONE: (-I/lf .1-y(&r,r 4'c.-n , to Pti ctity V4 1 TC 37( I RELATIONSHIP TO PROJECT: FAX NUMBER 1 0 ARCHITECT o TENANT ❑ OTHER ( DESCRIBE): ( ) —�_ EMAIL ADDRESS: I 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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO • WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ,. ■ PRO3ECT 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: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 city,induding its officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. NAME/TITLE: flarATe DATE: 0 -to- a-cpc,J o PROPERTY OWNER o APPLICANT o CONTRACTOR FOR OFFICE USE ONLY: 13,',NEW .n ADDITION, i❑ALTERATION ,',, o,REPAIR. " .=❑;TENANTIMPROVEMENT--tm 'CENSUS 'LOT SIZE: V . 'ZONING.DESIGNATION 'BUILDING SHELL'ONLY?' o YES NO ,- =COMP PLDGNIO AN ESIATN, - := •'•=�-; BASIC YES ❑'NO SECTION „ -< TOWNSHIP "RANGE NEIN ADDRESS REQUIRED? :': '❑YES ❑NO- PLATTED'LOT?. `."❑YES o NO CHANGE OF USE? n YES`~`-❑ NO COMMUNITY DEVELOPMENT SERVICFS•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvo1federaiway.com ■ ELECTRICAL TABLE B NEW taiDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES ogle Family Service or feeder only $57.00 b of Thermostats(First-$43.00;add'n-$13.O0ca) (First 1300 H2-585.50;Each add'n 500 fi`-527 50) Service and(ceder 593.00 ow voltage fire or burglar alarms Square Feet. First 2500 ft'-S5 .00ad ad :Fd'n 2500 ft'-S 13 00 Each outbuilding or garage 535.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) b of service or feeders ' Per WA /296-46-9I0(5)(b)(i K ii) - Each outbuilding or garage 557.00 (First service/feeder-557.00;Add'n service/ b of Signs(First sign-543.00;add'n sign (Inspected separately) feeder-537 each) $20.00 each) Swimming pool,hot tub,spa $85.50 Yard Pole meter loops 557 0(: NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL I COMMERCIAL/INDUSTRIAL (Includes three unit.ur more, Altered SerVicc or Feeders Service [ceder Amps Service or Add n 0 to 200 s y _;)ti up to 200 amp S 93.00 S 27.50 feeder 201 -600 _ . _216.50 201 -400 amp ._. . .._ . 115.50 57.00 Oto 100 5 93 00 5 57.00 601 - 1000 126_50 i 1 = b 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 _ of circuits Over 800 amp. 289.50 216.50 401 -600 252.50 101.00 (I-5 circuits-572.50;Add'n circuits,56 ear ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately front the services.) _801 - 1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial i 0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 0-100 5 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 (i-9 circuits-557.00;Add'n circuits SO 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'I plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C)_ TOTAL(D) i I 1 _I • t J TOTAL COLUMN(D): ! Total Column(0) 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) Bulletin #100-December 23, 2002