05-104749 Cityof Federal Way Electrical Permit#: 05 - 104749 - 00 - EI
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: FEDERAL WAY HIGH PORTABLE CLASSROOM
Project Address: 3061146-TI.LS 3 0 3 I 101-1-3 Parcel Number: 082104 9001
Project Description: Low-voltage wiring for fire alarm system.
Owner Applicant Contractor
FEDERAL WAY SCHOOL DIST.#210 GUARDIAN SECURITY SYSTEMS GUARDIAN SECURITY SYSTEMS
31455 28TH AVE 1743 1ST AVE S 1743 1ST AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98134 SEATTLE WA 98134
(206)622-6545
Electrical Fixtures
Description Quantity Description Quantity Description Quantity]
Low Voltage Fire Alarm-Commercia 1500
PERMIT EXPIRES March 28,2006.
Permit issued on September 29,2005
I hereby certify that the above information is correct and that the construction on the above described property and -4
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
Owner or agent: Date: Qf — s---
\'0\,
m` •
ATHIS CARD IS TO REMAIN ON-SITE "'
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104749-00-EL
Owner: FEDERAL WAY SCHOOL DIST.#210
Address: 30611 16TH AVE S
FEDERAL WAY, WA 98003
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) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Irlw, Date q
t3c(b4S
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
- - "0,A SEP 9Federal Way SEP 1 6 2005 PERMIT
` COMMUNITY DEVELOPMEIYTSERVICES
SF MF CO EL PL DE EN FP
939458TMAVENUE SOUTH•POBOX011-#Y OF FEDE
FEDERAL WAY.WA 98069.9718
453-835-46079 FAX 253-895-2609 BUILDING I CATI ONirwilillaWilMaiiti..........._
www,cituufrederalwau.com
The ollowin' is re,uired i ormation-an incom,tete a, 'lication will not be acce,ted. 'lease •rint le,ibl (in ink)or p .
g�/ 1 • PROPERTY INFORMATION
SITE ADDRESS '3b t\ 1 1 c Pus.. SUITE/UNIT# �—.
ASSESSOR'S TAX/PARCEL# e,,_,,, (J_ _( �_� LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �_a.°�Y tel./ /� S rey.esceilou2....,
(Acadt separate pa94IQ Inn�hu Irgal des r4Bo.0
■ PROJECT INFORMATION v
TYPE OF PERMIT 0 BUILDING 0 PLUMBING// 0 MECHANICAL
0 DEMOLITION LLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PFDESCRIPTION(Provide detniipd description of work included on this ermit oat
. t A t aynnr\ G4-0An p c iTh' . -'1� Cor- aloL ,
/411-1T )
r
PROJECT NAME(Name of Business or Owner Last Name) t.4
rUO.
i • PEOPLE INFORMATION
• PROPERTY N 40( I 4 i,' ` PA.PyAd t. {\CJ,c /^�1+k1MYc)( ,
OWNER fr/lJ\ lJ
e •�. CITY.STATE,ZIP
CONTRACTOR .BOMPANY NAME APPLICANT NAME OFFICE PHONE
��f(�J.q1• ( ) (�.-C SC(5
G ADDRESS" 5e-u • �' C Y.STATE./ZIP ` 7 CELL PHONE
C FED WAY US LICENSE EXPIRATIOII DA`!E FAX NUMBER
ONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
611. ukg0 �5. � x5 / /
APPLICANT MPANY NAME ♦ UCANT NAME OFFICE PHONE
ain *ill V �'1 L ,,, , 1.0 ( ) T& -4&'7 2 SCP
G ADDRESS CITY. TE.ZIP CELL ONE
t7 TIO HIP I PROJECT4u S n WA- 6151 FAX NUM) 3 SiP
86
BR
❑Architect 0 Tenant XAgent 0 Other(Describe) 42-000) -2C11
r
PRIMARY PHONE E-MAIL ADDRESS
CONTACT c C.A. ,C! 52..c..47
LENDER , " ' Z'-, "'t 1'4.1r.:AV NAME
a
3'. " °5 y' ."i Svl' t a t
MAILING ADDRESS CITY.STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE .
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND r'
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ID6OrO !1O TorA TOTAL Immo TOTAL egtgredq -. rorvv
**NEW HOMES ONLY**• NUMBER OF BEDROOMS , ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f lxture to be -. 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(commercW) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS rGAS PIPE OUTLETS
PLUMBING
BATHTUBS(orn+b/ wer combo' SHOWERS WATER CLOSETS crew) MISC(Describe)
DISHWASHE SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bathroom Slake) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the igformation 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 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. 40
NAME/TITLEl S •( ! h SfafI r l4(J W Vture) r lI�� TE l f((JL lbs---
)
RELATIONSHIP TO PROJECT 0 4 er Agent Contractor 0 Architect 0 Other
r 're)i< dY4 s i6141,;zeas
a NEW a ADDITION d ALTERATION a REPAIR a TENANT
BUILDING SHELL ONLY? o TES a NO BASIC}PLAN?, a YES
2e c
ZONING'DESIGNATION KRANGEOF-RS t .YEAS,
NEW ADDRESS REQUIRED? a YES a NO UP $E ct YES a NO
PLATTED LOT?' b<'YES a NO DEMO PERMIT RE'QUII I? o YES ❑1110
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50:Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
LI of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50:Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
U 101-200 amps 89.00
❑ 201-400 amps 104.50
U 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
it
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
ALow Voltage �^ ❑ Swimming pool/hot tub $87.00
rS are Feet to be served by system(s) 15 d l (Includes additional circuit,if required)
Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) Pt 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(511b11t&tU
4
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Bulletin#100-January 7,2005 Page 3 of 4 k\I-Iandouts\Permit Application