01-104052 City of Federal Way Electrical Permit #:01 - 104052 - 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: DR SURBECK
Project Address: 2315 SW 320TH 5f Parcel Number: 132103 9033
Project Description: ELE-Installing new L/V alarm system
Owner Applicant Contractor
TWIN LAKES PROF PARK A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
2317 S 320TH ST 841 POWELL AVE SE SUITE 101 841 POWELL AVE SE SUITE 101
FEDERAL WAY WA RENTON WA 98055-2910 RENTON WA 98055-2910
98003-5441 (206)624-3103
Electrical Fixtures
�i i�ii�r�T " s�101 11 Quanti Desc"r tlon'dLL' phi ,
r .� � ty p �1'Quantity 1111111,4001l4ligilipall0410
Low Voltage Burglar Alarm -Comm, 1
PERMIT EXPIRES April 17,2002,IF NO WORK IS STARTED.
Permit issued on October 19,2001
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:y],Q l &_f 2)& Date: (0//(7/0/
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MENT DFpgREM- 33530 First Way South
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OCT 1 9 2001Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Way Business License number: ELE el - (0 q05) -cj,k
Job Address 2315 SW 320th Street Job Site Phone 253-838-9314
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
Dr. Henry Surbeck
Electrical Contractor Address/phone Electrical contractor license number (copyr.q'd):
841 Powell Ave SW ADTSESI03205
ADT SECURITY SERVICES, INC. Renton, WA 98055 Expiration Date: 09 / 30 /2001
Use of Bldg: O SF Resmm O Other 0 Multi OChurch/School Class of Work: 0 New ktertgge O Addition D Repair
Description of work::
Install Low Voltage Alarm
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single FanulyService of feeder only . . . . $44.25
plan review is req'd. Fee is 35% of (First 13oolti-s67.00;sdraaa"s°°n=-s2�•s°) _Service and feeder $72.25
Square
permit fee+$56.25. Add'l plan review ' Each oFeet:
Each outbuilding or garage . $28.00 MOBILE HOME/RV PARK
for other submissions is $67.00/h(~, (inspected with service) _#of service or feeders
-Each outbuilding or garage. .$44.25 (First service/feeder-34425;Add'n service/
(Inspected separately) feeder-$28 each)
a
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
At
2,500 s.f. (Includesthree units or more)
of Thermostats(First-$33.50;add'n-$1o.soea) Service Feeder Amps Service or Add'n
zz777--777#of Low voltage fire or burglar alarms Up200Feeder
amp $72.25 . $21.50 0 to 100 $72.25 . $44.25.,
First 2500111438.75;Each add'n 2500 R'-$10.50 201 400 amp . 89.75 .. . 44.25 -
*Per WAC296.46-910(5)(b)(i&;i) 401-600 amp 123.25 ... 61.50 -101-400 89.75 . . 56.25
#of Signs - 201 -400 . . . . 169.00 . . 67.00
(First sign-$33.50;add'n sign -601-800 amp 158.00 . . . 84.25
--401 -600 . . . . k1197.00 . . 78.75
$16.00 each) -Over 800 amp . . 225.25 . . 169.00
-Progress inspection per 1/2 hr. . . . $33.50 _601 -800 . . . . . 254.50 . 107.25
_Swimming pool,hot tub,spa . . . . 67.00 -801 -1000 . . . 310.75 . 129.75
-Temporary Pole(up to 60 amp) . . 38.75 _Over 1000. . . . 339.00 . 181.00
-Yard Pole meter loops 44.25 _Over 600 volts surcharge . . 56.25.
-Mast or meter repair 61.50
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the Altered Service or Feeders
made the following work day,253.661.4140. services.) _0 to 200 $72.25
_201-600 169.00
I hereby certify that I am the owner(or authorized Service or Feeder _601-1000 254.50
agent)of the above named property,or a licensed _0 to 200 amp $61.50 _over 1000 282.75
contractor(or firm's authorized agent)and am _201-600 amp 89.75 _#of circuits
making the installation or alteration in _over 600 135.25 (1-5 circuits-$56.25;Add'n circuits,$5 ea)
compliance with all applicable city,county, -Mast or meter repair 33.50
and/or state laws. _#of circuits Temporary Service
(1-4 circuits-$44.25;Add'n circuits$5 ea) _0 to 60 $38.75
Applicant's Signature: _61-100 44.25
-101-200 56.25
Tom / permits _201-400 67.00
401-600 89.75
Date: 10/12/01 _over 600 97.75
El1C1EJCNf
REVISED I2/7/E9 .