04-103824 • City of Federal Way • t
Community Development Services Electrical Permit #:04 - 103824 - 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: HART/CHRISTIE
Project Address: 29501 10TH SWp�� Parcel Number: 119600 2395
Project Description: Installing a nem L"Asecurity system
Owner Applicant Contractor
STAN CHRISTIE &SANDRA HART CHUBB SECURITY NW.,INC dba SECURE S CHUBB SECURITY NW.,INC dba SECURE S
20925 7TH AVE S 150 12TH AVE 150 12TH AVE
DES MOINES WA 98198 SEATTLE WA 98122 SEATTLE WA 98122
(206)521-5678
Electrical Fixtures
Description IQuantity Description Quantity Description Quantity
Low Voltage Burgler Alarm-Resident 4693
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 in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way:--
�i/ agri./ /
Owner or agent: �/moDate:
014 P�
THIS CARD IS TO REMAIN ON-SITE
CITY'OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103824-00-EL
Owner: STAN CHRISTIE
Address: 29501 10TH AVE SW
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 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
CiL Rough Electrical(4225) ❑I
Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
1
By . i 1 Date ,� Iv By Date By Date
v
,
❑ Under-slab groundwork(4 95)
Approved
By Date
09-17-'04 14:14 FROM-Chubb Lecurity 2065215340 T-090 P01/06 U-431
Federal UVa�' PERMIT
�� - � `�
CUa/MUN1TYDEVZL0P NT SERVICES SEP 2 1 2004 SF MF CO M ®PT. DE EN PP
S3995 D AVENUE,SOUTH.1 3 971 9718 A T r T w T T O To
FEDERAL WAY, XA 53-835.2 I•i[LN•,Li I�IYNr L Il 1(,l 11 / /
7.Y}.8J5.3tiU7•FA?(a59 83S-26tiry OF FEDE A
J"2Sf.QN0(/ederaiwem,coui V
BUILDING DEPT.
The o llowi . is r-• ' •d i ormation-an incom r tete a••Ucation will not be acce•ted. Please • nt le• b. in in or 1.e.
• PROPERTY INFORMATION
SITE ADDRESS 'ci i-A 11 t c6t `y 6 SUITE/UNIT i
\
ASSESSOR'S TAX/PARCEL# I l , J 0 - - e{ .S LOT SIZE(V)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) 4 ' . /41i
ow.*..n...1.1.0. . L.iyNy ,.- description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 4tVELECTRICAL 0 ENGINEER/NG 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) Com '1Y' (S'
NI PEOPLE INFORMATION
PROPERTY NAME `_ ` ...�., - -__ PRIMARY PHONE
OWNER C-�✓a Ch �' 15 �, Row ez y -.33<1.0
MAILING ADDRESS CITY,TTATE,ZIP
L .
CONTRACTOR COMPANY NAME APPLICANT NAME OPPICE PHONE
citi13010Y7 NJLa (2o .1 - ._09-5.
ILINO ADDR CITY,sTATE,21P CEL(,PHONE
Cam ,,\irc ( 1 -
CITY OF PEDERAL WAY BUSINE$$LICEN$B NUMBER EXPIRATION DATE PAM NUMBER
CONTRACTOR'$REOISTRATION NUMBER Icopp of egtd required with aaoh applteatlow EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILINO AD."-SCITY,STATE,ZIP
CUM--
�� r,, CELL.P410NE
l.R�r V -- '
RELATIONSHIP TO PROJECT I AX NUMBER
O Architect 0 Tenant 0 Agent -Other(Describe) vw (
CONTACT NA /J _ `� t' PRIMARY PHONE - EMAIL ADORESS
L ,eJ --- - ■s% z y
LENDER Per RCW 19:27.00M. Lender inforriecition is NAME `
req'eiired tf p,rrift rt value exceed,$0i:000.'
MAILING ADDRESS CITY,STATE.ZIP
r DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ IfIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
09-17-'04 14:14 FROM-Chubb Security 2065215340 T-090 P02/06 U-431
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 0
NUMBER OF FLOORS Wei slra 'norm= Toren u
TOT, .,stereos rr Tot.rwvpovcstw p TOTAL sr
"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.
MECHAI:CAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGSREFRIG.SYSTEMS
BBQS FANS HOODS(tbmmerciaq WOOASTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS - FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(rT.L/$1ww.rC"mho) SHOWERS WATER CLOSETS(T.ieq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHINO MACHINES URINALS HOSE BIBBS
LAWS VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCH
I certify under penalty of perjury that the information furnished by ma is true and correct to the bast of my knowledge, and further,that I
am authorized by the owner of the abouc 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 parson,including the undersigned and filed against the City of Federal Way,but only where such claim
arises out of the reliance o he city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE 1.1.A lii- DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 Other• _
FOR OF'FIGI:'•USE:ONTG';,':
a NEW • • o ADDITION n,ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES u NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS:REQUIRED? o YES o NO YIP/SEPIA/SU? n YES o NO
PLATTED LOT? a YES a NO DEMQ.PERMIT REQUIRED? a YES o NO
Bulletin 11(00—August 19,2004 Page 2 of 4 k\Ht ndoutS\Permit Application
09-17-'04 14:15 FROM-Chubb Security 2065215340 T-090 P03/06 U-431
r . -
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
xiEW RESIDEI!<TIAL SERVICE NEW CQMRaERCIAL/INDUSTRYAL SERVICE
❑ Single Family Square Peet Service or Feeder Each Acid n
(First 1300(0-£87.00;Each add'n 500 ft=-$28.00) ❑ 0 t0 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 U 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
U Up to 200 amp $ 94.50 $ 28.00
O 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80,00 ❑ 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
U 201 -600 amp 117.50
U over 600 amp 177.00 U it of circuits to be added/altered
(1-5 circuits-$74.00;Addn circuits,$6.00/ca)
❑ #of circuits to be added/altered COMMS INDUST PLAN EW
(1-4 circuits-$58.00;Add'n circuits WOO/ea)
$74.00 plus 35%of Permit Fee
U Mast or meter repair $43.50 ❑ Service- 1,000 amps or greater
U Medical/Educational/Institutional Facility
SINGLE/MU,7,.T1 FAMILY PLAN I EVI
❑.Service Over 400 amps
$74.00 pins 35%of Permit Fee
MOBILE HOMES
U 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 feedors ❑ 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 ni;y
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ,I (.96C")?
❑ #of Signs
(First-$43.50; add'n-$13.50/ea) '1,1- (First sign-$43.50;add'n sign$20.50/ea)
Cg Low Voltage �'.� U Swimming pool/hot tub $87.00
Square Feet to be served by system(S) � Q (Includes additional circuit,if required)
0 Fire Alarm System ❑ Yard Pole meter loops $58,00
Security Mann System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑
(Per System(s) 1^"2500 ft2-$51.00; 0/'/Each add'n 2500 ft^--13.50) 'Per WAC 29rr16-910(5)(Nli&ii)
ik 61)IV
Bulletin#IOU-August 19,2004 Page 3 oro k\Handouts\F'cirnit Application