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04-103580 C` tnity Development Services Federal Way CommmmuElectrical Permit #:04 - 103580 -'00 - EL 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: GIBBONS Project Address: 425 S 289TH St Parcel Number: 515298 0190 Project Description: Addition to existing low voltage security system Owner Applicant Contractor Rich A Gibbons A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC. 425 S 289TH ST 841 POWELL AVE SE SUITE 101 841 POWELL AVE SE SUITE 101 FEDERAL WAY WA RENTON WA 98055-2910 RENTON WA 98055-2910 98003-3609 (206)624-3103 Electrical Fixtures Description Quantity L Description Quantity Descriptions 11Quantity] Low Voltage Burgler Alarm-Residen 2400 1 PERMIT EXPIRES March 7,2005. Permit issued on September 8,2004 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 in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agen . _ Date: '/' /0 Y v x THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Retord Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103580-00-EL Owner: RICH A GIBBONS Address: 425 S 289TH ST FEDERAL WAY, WA 98003-3609 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 O Rough Electrical(4225) ❑ Ceiling Cover(4020) P Final-Electrical(4055) Approved Approved Approved e By Date By Date '\ 0••., Date 0 Z 1 ❑ Under-slab groundwork(4295) Approved By Date CRY OF A SEP 0 7 LOUT / L - LO5 � O Federal Way PERMIT CDMMUNITYDEVELOPMENTSERVICESc)i v:OF 4 F.(Z:_,--yAL WAY SF MF CO ME EL PL DE EN FP 33530 FIRST WAY SOUTH•63 BOX 97 BUILD P p L I C AT I O N i° FEDERAL WAY,WA 98063.9718 Ej 4.V INA / / 253-661-4115•FAX 253-661-4129 www.cituoffederalwau.com The oliowi • is , ired in ormation-an into •fete a••lication will not be acce•ted. Please •rint le-ibi in ink or • . PROPERTY INFORMATION SITE ADDRESS 4 25 S 2.B' `ems' risbERAI.Vti 95$00.3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ LOT SIZE NO LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Qes►OE1.T1lfi— (Attach separate page for lengthy legal description) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) bDrnoa eto IAisriOE. 1.014 II0 ..U46E 5M2iN 5%1 5.1-‘1K PROJECT NAME(Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER atC.Or Q(Marets S (a5b)9t4/ -42gs— MAILING ADDRESS CITY,STATE,ZIP tial s n5" s+. F RA-c- inlAy WA 9:003 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ADT Rob - Permits (425 )402-3331 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 11824 N Crk Pkwy N #105 Bothell, WA 98011 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER — — - / / ( B L CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE __ADISE„SIQ3215 9 / 25 / 2005 APPLICANT COMPANY T AME APPLICANT NAME OFFICE PHONE ( ) — MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) — RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) — LENDER ..mitt Gr 19.27.095: Lender ;'lion le NAME #irad(fPrq/eet value , MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ *35 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS DESCRIPTION AREA EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL sasrara Rorer rsorcam TOTAL'C�rDfo AID Pllorbem **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 $ GAS LOGS AIR HANDLING UNITS EVAPORATIVE COOLERS REFRIG.SYSTEMS BBQS FANS HOODS(Comm erdel( WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orThb/Shower Combo) SHOWERS MISC(Describe) DISHWASHERS SINKS DRINKINGWATERCLOSETS FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinker VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perfury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorised 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 tncurred in the investigation and defense of such claim/,which may be made by any person,including the undersigned,and filed against the Ctty 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. Q �/ NAME/TITL= - DATE _„ [/�J t - (Signature) !! (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Isl,Contractor 0 Architect 0 Other o NEW, „ " a ADDITION, a ALTERATION 0 REPAIR o TENANTIMPR{VEMENT% BUILDING HELa ONLY? -; o YES 6 NO: 3.,',. . ."" BASIC PLAN? • ©Y -"n NCI' ZONING D SIGNATION ' CHANGE OF USE? -a :::cr NO NEW ADDRESS REQUIRED?. ❑NES fl NO> UP/BEPA/SU? o s r3 NO' PLATTED LOT? to YES p NO DEMO PERMIT REQUIRED? a . ra NO ..., Page 2 of 4 Bulletin#100—March 30,2004 k\Handouts—RevisedTermit Application . ' 'MEIMIMIIIIMIIMIMEt--t.-q-q-ij-Lth-"gba"Vikgli"-2AiU-jlIllIll.l.l• . " 4 " • 11 RESIDENTIAL COMMERCIAL NEW COMMERCIAL/INDUSTRIAL SERVICE NEW RESIDENTIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00 (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ Detached outbuilding or garage 0 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00 ❑ Detached outbuilding or garage 0 401 -600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 0 801 - 1000 amp 405.50 169.50 NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 442.00 236.00 Service Feeder ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ Mast or meter repair $80.00 ❑ 401 -600 amp 161.00 80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ❑ 0 to 200 amp $ 94.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50 Service or Feeder 0 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 177.00 0 # of circuits to be added/altered ❑ over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW 1 (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ Service over 200 amps ❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 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 n/a ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Signs ❑ #of Thermostats (First sign-$43.50;add'n sign$20.50/ea) (First-$43.50;add'n-$13.50/ea) Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) 2-40a (Includes additional circuit,if required) ❑ Fire Alarm System 0 Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling (Per❑ System(s) 1.2500 ft2-$51.00; Each add'n 2500 ft2-13.50)•Per WAC 296-46-910(5)NJ(5 ii) Bulletin 11100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Pennit Application