04-103770 City o@"Federal Way Electrical Permit #:04 - 103770 - 00 - 1:L
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: MADER
Project Address: 29875 11THtSW‘g) Parcel Number: 195460 0100
Project Description: Installing new security system
Owner Applicant Contractor
Garth Mader &Christina Mader CHUBB SECURITY NW.,INC dba SECURE S CHUBB SECURITY NW.,INC dba SECURE S
29875 11TH AVE SW 150 12TH AVE 150 12TH AVE
FEDERAL WAY WA SEATTLE WA 98122 SEATTLE WA 98122
98023-8210 (206)521-5678
Electrical Fixtures
Description �IQuantiVi; Description _ iPjQuant ty Description Quantity!
Low Voltage Burgler Alarm-Residenj' 2340
PERMIT EXPIRES March 22,2005.
Permit issued on September 23,2004
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 m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way /-
Owner or agent: i ! % __ Date:
r
\\Iii ) \.9,/
..___i \\?\.
THIS CARD IS TO REMAIN ON-SITE
a
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103770-00-EL
Owner: GARTH MADER
Address: 29875 11TH AVE SW
FEDERAL WAY, WA 98023-8210
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 'Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
El Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ oR ugh Electrical(4225) 0 Ceiling Cover(4020) ) 1'4 Final-Electrical (4055)
Approved Approved Ap?rrved
4
By Date By Date By igi,k�I Date 'C ip.
yr
❑ Undcr-slab groundwork(4295)
Approved
By Date
i
7
09-17-'04 10:15 F . lE }ubb"Srgurity 2065215340 //�� T-087 P01/06 U-421
<,ri :;or (1'1 - Lo 3 - 0
Federal Way _ I• ' 2DC)4 PERMIT
COMMINITYDEVELOPMENT SERVICES
SF M� CO M p� DE �N FP
":12 F5 q�w AVENUE sourx•Po aox gR,b ,
FEDERAL WAY,WA 9BUO3.97I8 APPLICATION
?SJ•89,5•2 IVDA FAX 25,I-Z-B°97 o9 TD /
P1.�Ynw:reri,�mivruW.OM /
The ollowin• is re,uired in ormation-an incom.fete a• •lication will not be acre•ted. Please .rint le•ib In i or i• -.
• PROPERTY INFORMATION
SITE ADDRESS SUITE/UNIT#
ASSESSOR'S TAX/PARCEL 4f - - — _ _ LOT SIZE(s,/)—
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C.DA
(Ac„ch pa a epagefa igngthy I.. desonpriav
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
d DEMOLITION [ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) (acs ✓ -
• PEOPLE INFORMATION
PROPERTY NA PRIMARY PHONE� /
OWNER to''' - CIA3I�� 1
ING ADOgoSS CI ,ST TE,zip
232`4 ''...01.0 14 a _ . _. W• ' l
CONTRACTOR COMPANY NAME • APPLICANT NAME OFFICE PHONE
--_Ai L L (9d•O)' 07°
MAILIN ADDRESS
� r>* ' (� CITY,STATE,2IP / , q(� CELS PHONE
tV' _ T e ( ja `80. ( ) 0
CITY OP FEDERAL WAY BUSINESS LICENHE NUMBER EXPI TION DATENUMBER
, Q-�39-1 Q 2 �,�-� IZ / ( / 0�)
CONTRACTOR'8 REGISTRATION NUMBER(copy of card required with each Oppticetionl EXPIRATION DATE
C u to106uiQ. t• '..Y3 / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
\ I ( )
MAILING� ADORE ' CITY,STATE,ZIP - CELL PHONE
(1,Y CCS OA Y'C' '' ( ) -
'RELATION$HIPTO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent ,Other(DescribeLOWN.L./ M ( ) -
CONTACT A E, L
r PRIMARY PHONE EMAIL ADDRESS
� Dello 2 i _ 5C2-4t)
LENDER •Pcr.I4CW 1947:095: Lender information'is • NAME
• .required if project uatue cxcccds•$$.0'00
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? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIOHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAREHAVEN 0 HIGHIdNE 0 PRIVATE(SEPTIC)
09-17-`04 10:15 FROM-Chubb Security 2065215340 T-087 P02/06 U-421
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRDFOURTH — -
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
•
GARAGE 0 CARPORT 0 --
EXISTING rtro'onm TOTAL W
TOTAL. . •TOrALrxOYa
oroscvsr Yi.er '
NUMBER OF FLOORS
"/VEW YOIVIES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ �
FIXTURES
Indicate number of each type of focture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIAIVICAL ^------.--
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerof.W WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS toryub/sh.w.fCombe) SHOWERS WATER CLOSETS Rwo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Itisthrooms VACUUM BREAKERS Z^LECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by inc is true and correct to the bast 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 eity,including its officers and employees,upon the accuracg of the irk formation supplied to the city as a part of
this application.
)
NAME/TITLE !�h�"1 _ DATE
RELATIONSHIP TO P-4e JECT ❑ Owner 0 Agent 0 Contractor O Architect 0 Other
•
POR OFh'IC.Frr'U9B;O. =:', `:.;'.',
a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIQ PLAN? • _ a YES a NO
ZONING DESIGNATION • CHANGED!?USE? n YES ❑NO.
NEW ADDRESS REQUIRED? ' a YES a NO UP/SEPA/SU? 0 YES ❑NG
PLATTED LOT? - a YES o NO • DEMO PERMIT REQUIRED? a YES ❑NO
•
Bulletin#100—August 19,2004 Page 2 or4 k\Hantlouts\Permit Application
09-17-'04 10;15 FROM-Chubb Security 2065215340 T-087 P03/06 U-421
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE EFW COMMERCIAL/INDU RIAL SERVICE
0 Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fes-$87.00;Each add'n 500 f6'-$28.00) 0 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(InspeCtcd with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(inspected separately) S 58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-PAILX(three units or more) ❑ 801 - 1000 amp 405.50 164.50
M
Service Feeder ❑ Over 1000 amp 442.00 236.00
O Up to 200 amp $ 94,50 $ 28,00
❑ 201 -400 amp 117,50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117,50
❑ over 600 amp 177.00 ❑ # of Circuits to be added/altered
(1.5 circuits-$74.00;Add'n circuits,$6,00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) QQMMERCIAL/INDVSTRLAJr PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY FLAT il7F, irty
❑-Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00
❑ -- #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 „/a
•
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats CI # of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Low Voltage 24a__ ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System '• Cl Yard Pole meter loops $58.00
KSecu�j
rity Alarm System CIAdditional Plan Review $87.00/hour
Voice Cabling (for modified submittals)
0 Data Cabling
O
(Per Systeaz(s) 1.2500 ft2451.00;
Each add'n 2500 ft'-I3.50) •Per WAC.296.46-510150)(i at u) •
Bulletin#100-August 19,2004 Page 3 of k\Handouts\Permit Application