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05-104021
City of Federal Way E'ectrical Permit #: 05 - 104021 - 00 - EL Community Development Services ii P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: COLLINS Project Address: 785 SW 358TH 51* Parcel Number: 768390 0110 Project Description: Install of intrusion alarm Owner Applicant Contractor DONNA COLLINS BRINKS HOME SECURITY INC BRINKS HOME SECURITY INC 785 SW 358TH ST 19115 WEST VALLEY HWY SUITE H-106 19115 WEST VALLEY HWY SUITE H-106 FEDERAL WAY WA KENT WA 98032 KENT WA 98032 (425)251-9727 Electrical Fixtures Description �iQuantityDescri tion Quantity Description Quantity Low Voltage Burgler Alarm-Residen 4180 PERMIT EXPIRES Fruary, 7,2006. Permit issued on August 11,2005 I hereby certify that the above information is correct and that the construcebtion an the above sced property and occupancy and the use will be in accordance with the laws,rules and regulations of the StatedeofribWashington ort and the City of Federal Way. II CD4to Date: Owner or agent: FIN 6 dis /4 RECEIVED BY 0 COMMUNITY DEVELOPMENT DEPT- b C.( 2 1 cm aA y1 ` 'Federal Way s PERMIT AUG 0 COMMUNITY DEVELOPMENT SERVICES 20O5SF MF CO ME EL PL DE EN 33325 8TH AVENUE SOUTH•PO BOX 9718 12 FP FEDERAL WAY,WA 98063-9718 APPLICATION TD 253-835-2607•FAX 253-835-2609 / / www.cituoffederalway.com The ollowi • is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in in or • -. ��22 P1/4/. • jPRO/P�ER,TY INFORMATION SITE ADDRESS 1�J�� 5 /� ).5(.3'�j n�J-' l/'�L -0 /� SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 1 W % ✓ ! 0 - � � 6 LOT SIZE(s) 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 X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhi) . ru5101) a.l2rUm PROJECT NAME(Name of Business or Owner Last Name) L/0 n 1 11„(. 1 1 f ( CO )110 • PEOPLE INFORMATION l PROPERTY NAiXn ?i `� , ,/�� ` j PRIMMAARY PPHONEQ r'j�OWNER � I 1 (d �c/nil l,, ^(/6/3 (33 5J. `[ /Z/ , .., 0-9 CONTRACTOROMPANY NAME APPLICANT NAME OFFICE PHONE bran 5 ))ZUJSe&)f I .l .Oe7/7l J//. o; ( Y2 s/- 9727 MAILING ADDRESS i f ,STATE,ZIP /� CELL PHONE 19 tCITY16FEDERAL WAYUSI W kJ SS LICE NUMBER i CIO t� L) IRATION DATEz FAX NUMBER 1 cl-g 2_- I 05:7 g9 =D4 / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE b? CLnK6l / 516 � / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( RELATIONSHIP TO PROJECT FAX NUMBER o Architect o Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) LENDER Per RCW 1"req9 27 095 Lenders fo anon Is 1 NAME ured,iif roject value'e" y s$ 000 " ; MAILING ADDRESS CITY,STATE,ZIP • 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? n YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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 THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑x CARPORT LI NUMBER OF FLOORS =STING PROPOSED TOTAL TOTAL EXISTING 8F TOTAL PROPOSED 8P TOTAL SF **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. /� /� h f�y� NAME/TITLE OJ7 c///// DATE (Signature) / (Title) RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor ❑ Architect 0 Other FORe:O,FFICE USE ONLY o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO _ BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? 0 YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application r N 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 ❑ 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 ❑ 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 U 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 U Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 U #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 U #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ALow VoltageJ� © ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) 7 (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 ASecurity 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 296-46-910(5)(b)(i&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application THIS CARD IS TO REMAIN ON-SITE CITY ofA Community-Dtvelopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104021-00-EL Owner: DONNA COLLINS Address: 785 SW 358TH ST FEDERAL WAY, WA 98023 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. 0 Ditch cover(4030) ir Pool Bonding(4195) Slab/Concrete Floor(4255) ❑ Approved Approved to place concreteApproved Date Date By Date By Service(4235) 0 Feeders/Sub-panels(4045) ❑ Temporary Power(4275) 0 Approved Approved Approved By Date By Date By Date CeilingCover(4020) r Final-Electrical(4055) , [] Rough Electrical(4225) 0 Approved Approved Approved ---<-- By Date By Date 1 1!: ' / Datka --6, 0 Under-slab groundwork(4295) Approved By Date