05-104191 J r.
.
• City of Federal Way Electrical Permit #: 05 - 104191 - 00 - El_
Community Development Services
P.O.Box 9718
Federal
(25 Way,WA 98063-(253 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax (253)835-2609 P 9
Project Name: CHARLSHE
Project Address: 28925 13THtS u E Parcel Number: 516210 0790
Project Description: Installation*intrusion alarm.
Owner Applicant Contractor
Susan L Charishe BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC
28925 13TH AVE S 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-3764 (425)251-9727
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Residen 1
PERMIT EXPIRES February 14,2006.
Permit issued on August 18,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
See Application "Ii Jr
Owner or agent: Date:
f11\111‘11D
/.2
( ) (77
i
THIS CARD IS TO REMAIN ON-SITE °b
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 05-104191-00-EL
Owner: SUSAN L CHARLSHE
Address: 28925 13TH AVE S
FEDERAL WAY, WA 98003-3764
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
O Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date B "� Date q,--/-"z9 S
❑ Under-slab groundwork(4295) �
Approved
By Date
RECEIVED BY
COl�II�II�NIT�'pEVF�OPMENT QEPARTMENT /
cmo�A 20� �5 - / (;/ / 9
Federal Way PERMIT AUG 1 6
COMMUNITY DEVELOPMENT SERVICES SF MF CO M /�PL DE EN
33325 8T"AVENUE SOUTH•PO BOX 9718 FP `�
4- FEDERAL WAY,WA 98063-9718 APPLICATION //.�..�
TD I-----
The
FAX 253-835-2609 ry
taww.cituoffedernlwnu.com „jj //����'7d57
The ollowin• is re•uired in ormation-an incom•lete a• •iicatiion will not be acce•ted. Please •rint le•ib1 in in or .
'3 qi • PROPERTY� INFORMATION�J�
SITE ADDRESS 9 2 5 / J rn / ..490/�' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# .5/ (1 I_ / O_- A L GJ! 67 LOT SIZE(sf1
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION Xf ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onitt)
PROJECT NAME(Name of Business or Owner Last Name) t3l!e (.rr�L(1 !✓/!�
• PEOPLE INFORMATION
PROPERTY NAxE, 07/2/Pibil
(PR�I;M�rRY PHONE7OWNER «1L114DD jb(/ /'//►v iY4:.r�)�z�� �F7=-3
G1 �:/A dal b CITY T Ow tog / 8d0
CONTRACTOR OMPANY NAME APPLICANT NAME OFFICE PHONE
rrnci 5 }the Se ),',chi . 049.////a r7Jg/g7o ( Y2 ,67- 9727
MAILING ADDRESS4-i
STATE,ZIP CELL PHONE
t I15 W U121bl�v) o�v }-, 11)19 Q ,052 ( ) -
CITY OF FEDERAL WAY BUS! SS LICE NUMBER e Q/� EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATIONNUMBER(copy of card required with each application) EXPIRATION DATE
6cLri_ K 1 1 Y2 ' / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PH9NE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
_
CONTACT NAME PRIMARY/ PHONE E-MAIL ADDRESS
l )
LENDER Per,RCWW'•19 2 9$ Lender a a.onYis =4 NAME
required If p ect value ex , 004 ,,..1
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO r
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC) ,
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
-GARAGE 0 CARPORT ll
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE GAS LOGS REFRIG.SYSTEMS
COOLERS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower SHOWERS WATER CLOSETS MISC(Describe)
Combo) (Toilet)
DISHWASHERS SINKS DRINKING
FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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(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.
NAME/TITLE LOJ7o cJ��// DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor 0 Architect 0 Other
1:`Ot 50FF WE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ti ,
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(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
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) Cl Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
U 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
O 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $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)
❑ #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
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
✓\Low Voltage /�, / U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) tS/ V (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
0
(Per System(s) 1st 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-91 o(5)(b)(i&ii)
I
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application