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04-103977 • City of Federal Way Electrical Permit #: 04 - 103977 - 00 - EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: DENNETT Project Address: 636 SW 323RD Parcel Number: 926492 0050 Project Description: Security system Owner Applicant Contractor Michael R Dennett &Lois M Dennett CHUBB SECURITY NW.,INC dba SECURE S CHUBB SECURITY NW.,INC dba SECURE S 636 SW 323RD ST 150 12TH AVE 150 12TH AVE FEDERAL WAY WA SEATTLE WA 98122 SEATTLE WA 98122 98023-5501 (206)521-5678 Electrical Fixtures Description Quantity Description Quantity] Description Quantity Low Voltage Burgler Alarm-Residen 2700 PERMIT EXPIRES March 30,2005. Permit issued on October 1,2004 I hereby certify that die 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 agent: Date: — a y THIS CARD IS TO REMAIN ON-SITE arroF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103977-00-EL Owner: MICHAEL R DENNETT Address: 636 SW 323RD ST FEDERAL WAY, WA 98023-5501 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) ❑ 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 ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By Dat% ,�Z• d 1/ ❑ Under-slab groundwork(4295) Approved By Date 09-23-'04 10:52 FROM-Chubb Security 2065215340 T-121 P01/06 U-54 RECEIVED 4_ _(/ 3 1. -----%.-----=1-74 ' Federal WaPERMIT - c'nMilUNff pEV6LOPMLNT E Vics3�L-� 7 200 SF M�' CO ME�PL DE EN �P :1J92511m AV&NU&SOUTH•PO BOX 9718 FIiDERALWAY,WA 98a6J•Ojl Y OF FED ERyPLI CATI O N / 3s,-azs-a�o7•rA s:Im.MA C91 BUILDING DEPT, tU,UJ1.dI11e+nG( ,raou�,.�mm The ollowi • is re,aired in ormation-an incom•lete a••Iicattion Will not be acts•ted Please • 'nt le•ibi, in in or j•e. c' El PROPERTY• - INFORMATION SITE ADDRESS (..0 .0 `xA Zai ` SUITE/UNIT# ASSESSOR'S TAX/PARCEL 0 - T� LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) .C..0.4_7 5)L Ej LJy\ Wroth rrpe.ere Pr9rfor I+ngdH/tergai rW(Ion) 1111 PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMB/NG 0 MECHANICAL 0 DEMOLITION ISy ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) e r _ .1 Ai► PROJECT NAME(Name of Business or Owner Last Name) iae_blag.. � • PEOPLE INFORMATION PROPERTY PRIMARY PHONE OWNER NI MOneue i (7--3) /31-k-1 t2q o MING ADDRESS CITY,STATE,ZIP ( ) - • 6 . _ L 1. —• A ' v+4j __ . tiJ1SC Ll' 804. CONTRACTOR COMPANY NAME APPLICANT NAME OWICF,PHONE Cobb 9ria_4 1LW (o04)4-2r -Itscal5 MAILING ADDRESS I CITY,STATE,ZIP CELL PHONE - ‘ '` e' ` `i!lam- q 151-ZZ ( ) 131IN - C1TY F FEDERA WAY BUSINESS LICENSE NUMBER EXPIRATION DATE PAX NUMBER lab -00-_1. o 3 g. to ia-B o l2 / 31 / 04 (o�co )5- - 5'N4,0 CONTRACTORS REGISTRATION NUMDER(copy of oard required with each.upp icttionl EXPIRATION DATE L_avIDb10i 4s- . I / APPLICANT COMPANY NAME APPLICANT NAME 6FFICE PHONE Ste) 03: ( ) - MAILING ADDRESS CITY,STATE,ZIP CELT,PHONE i RELATIONSHIP TO PROJECT PAX NUMSER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS .. ( ) - _ LENDER Per RCW 19.27:09$i Lender infernwi an is. NAME required if prefect value exceeds 0,900" MMLINO ADDRESS CITY,STATE,ZIP - • • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 'YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 09-23-'04 10:52 FROM-Chubb Security 2065215340 T-121 P02/06 U-549 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 Mme`'° DQODOS= TOTAL TOTALMOSTauOa or • TOTAL rsleo 9r TO,TAL ar NUMBER OF FLOORS "NSW 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 COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commerao WOODSTOVE$ BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUC'T'S OAS PIPE OUTLETS PLUMBING BATHTUBS(..Tuaiatowq Combo) SHOWERS WATER CLOSETS creak) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE HIBBS LAVE Bathroom-• _ 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 authorlecd 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 DATE (Signature) (Cit1eI RELATIONSHIP TO PROJECT ❑ Owner O Agent ❑ Contractor ❑ Architect q Other FOR OFFICE ij$b'QNI; `:::r.. ;:'•;:.: • o NEW ti ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT • BUILDING SHELL ONLY? o YES t]NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CI3ANGE.OF'USE? u YES o NO • NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/•SU? • o YES a NO • • PLATTED LOT? 'n YES a NO DEMO PERMIT REQUIRED? a YES o NO Bulletin#100-August 19,2004 Page 2 of 4 k\Handouts\Peru it Application 09-23-'04 10:53 FROM-Chubb Security 2065215340 T-121 P03/06 U-549 ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RSIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ftt-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00 (Inspected with service) $36.50 U 201-400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00' (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) 080 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ 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 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIALLXNDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED_SNGLE/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 0 over WOO amp 369.50 ❑ 2.01 -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 tizcuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAIT 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 PLAN REVIEW ❑. 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 PARIS ❑ 0- 100 $58.00 $51.00 0 #of service or feeders 0 101 -200 74.00 51.00 (First service/feeder-$58,00;each add'n-$37.50) © 201 -400 87,00 t1/£t U 401 -600 117.50 n/a U over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ 4 of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) g Low Voltagerr^^�� CI Swimming pool/hot tub $87.00 Square Feet to be Served by system(s)a.--1-00 (Includes additional circuit,if required) U Fire Alarm System ❑ 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) lot 2500 ft2-$51,00; Each add'n 25001t2-13,50) `'Per WAC 396-46-9io 5'74(i G ii) Bulletin#100-August 19,2004 Page 3 of 4 k\Hautduuts\Permit Application