03-105268 ral
City unity evel Way Electrical Permit #:03 - 105268 - 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: WAGENER
Project Address: 2628 S 309TH St- Parcel Number: 798440 0010
Project Description: Install low-voltage security system.
Owner Applicant Contractor
Debra Lee Wagener PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
2628 S 309TH ST PROTECTION ONE ALARM MNTRG INC PROTECTION ONE ALARM MNTRG INC
FEDERAL WAY WA 6844 S 220TH ST 6844 S 220TH ST
98003-5008 KENT WA 98032 (888)849-6276
Electrical Fixtures
Description Quantity Description 'Quantity Description Quantity
Low Voltage Burgler Alarm-Residen I
PERMIT EXPIRES May 29,2004.
Permit issued on December 1,2003
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 accordant- . • 'e laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:2!,,,imikDate:/c,2.i"
/r
i2 zg Gt. / � -
67?
(.1/
CONSTRUCTION PERMIT APPLICATION
CITY DIC 0 1 2003 APPLICATION NUMBER: Q3 - 10 (� - 00
Federal Way APPLICATION NUMBER:
CITY OF FEDERAL WAY kPPLICATION NUMBER: - -
BUILDING DEPT.
**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.
- - I .PROPERTY INFORMATION -
SITE ADDRESS: ;We S 3U7 C 1- / ,103 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
L-0 tk) V 6 1-1-- t c sLyJ eS F i2
PROJECT NAME: W��e:-1"% ,
■ PEOPLE INFORMATION ' .
PROPERTY OWNER: NAME.',/v�1�y` ,� `%�� p i DAYTIME PHONE'
MAILING ADDRESS(STREET`ADD Wag
6r`,ZI)r I los- ) �2 9 - / 73?
0 car S 30c,�. i" r atr-4 i, 4! 'j3
CONTRACTOR: E' j D��A�ME PHONE:
rr--r'chi Uri 6n z (`1J ')6S-6 -71,33-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
toyq aa-o s t Ii I 9 ,1.1 , ( ) -
CTTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:g l - 1- 8 L - 6 ° FAXJJU )R —6 --/Li,
CONTRACTOR'S REGISTRATION NUMBER: /�, /� CJI EEXXPPIIRATION DATE: /�
(copy of card required) f g 0 TI Q 1J 0 c el P ; L / 17 / O'J
APPLICANT: NAME: DAYTIME PHONE:
( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): i IEVENING PHONE:
( -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER( DESCRIBE): _ ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT "CONTRACTOR
A■ 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 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**'NEW RESIbENTIALCONSTRUCTION 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: a ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) ___„_—_ WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Li ELECTRIC • u 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 claim(induding costs,expenses,and attorneys'fees incurred In the
investigation and defense of such claim),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 Li,,yuthee city asilt.s a part of this application.•
NAME/TITLE: L-krIS V _ � DATE: / •
lI /03
o PROPERTY OWNER o APPLICANT CONTRACTOR
p,
FOR OFFICE USE:ONLY ..=i
s. 7 � ,
N74.0i1 , Q AtitiITION; ,i l ALTERATION ;; O.,REPAIR.w,a;. ,n TENANT IMPROVEMENT ',
AtENSUStoDEtaorowawropwwiromooi xLOT.SIZE ,. ,.,ma, „ wk ` ,_ . '
ZONING DESIGNATION s -a. FI
. .., .. ,..._.`•��;, '`�.���''�"ro�}""' � �BUILDING:SHELL ONLY?gDYES it❑ NOA :. .-
cc IPPLAN'D .BASIC,PLAN?utt,,.❑YES!SO NO,t=! . 1 t
SECTION= , TOWNSHIP RANGE,; ..nt IliNEW ADDRESS REQUIRED?= , . p YES . ❑ NO`'
PLATTED LOT? ❑YES 3 ,:o NO ° : .,; ;: ' a lev .CHANGE OF.USE? ,ii YES 3 'n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718'•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
• ELECTRICAL -
`" TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _ServiceThermostats or feeder only $57.00 - #ofThetostats(First-$43.00;add'n-$I3.00ea)
(First 1300 ft'-$85.50;Each add'n 500 fe-527.50) _Service and feeder $93.00 #of Low voltage fire or burglar alarms
Square Feet. First 2500 f12-$50.00:Each add'n 2500 ft`-$13.00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:L--;01')/)
(Inspected with service) _#of service or feeders ' Per WAC 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 5 93.00 5 27.50 Feeder 201 -600 216.50
-201 -400 amp 115.50 57.00 -0 to 100 $ 93.00 $ 57.00 =
101 -200 115.50 72.50 601 - 1000 326.50
401 -600 amp 158.50 78.50 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-$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'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 I
I I .
I
_TOTAL''COLUMN(D): .
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from ane 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)
�' �D . DD •
Bulletin #100-December 23, 2002