04-103957 City of Federal Way Electrical Permit #: 04 - 103957 - 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: PACIFIC SUNWEAR
Project Address: 1927 S COMMONS Parcel Number: 762240 0010
Project Description: Low-voltage security alarm system.
Owner Applicant Contractor
PACIFIC SUN#831 *GREG WEAVER CEO* A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
3450 E MIRALOMA AVE 841 POWELL AVE SE SUITE 101 841 POWELL AVE SE SUITE 101
ANAHEIM CA 92806 RENTON WA 98055-2910 RENTON WA 98055-2910
(206)624-3103
Electrical Fixtures
1 Description Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Commtr 1500
PERMIT EXPIRES March 27,2005.
Permit issued on September 28,2004
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. -
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Owner or agent: `i�,' G .y.S�—.� Date: /a,v9.
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THIS CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103957-00-EL
Owner: GREG WEAVER CEO
Address: 1927 S COMMONS
Federal Way, WA 98003
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) 0 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���C) Date /6),Z 1_c
❑ Under-slab groundwork(4295)
Approved
By Date
a� RECEIVED
Federal Waya A - / U s•;
PERMIT /
COMMUN17YDEVELOPMENT SERVICES C E F 2 $ 2994 SF MF CO ME EL PL DE EN FP
33325 8TM AVENUE SOU771•PO BOX 971 J
FEDERAL WAY,WA 98063-9718 L I C AT I O N TD
253-8,.�35-260ua7•lrFAX.n253ru835-26au.�aCITY /
� dledea OF FEDE A
BUILDING DEPT.
The following is required information-an incomplete a.•lication will not be acce.ted. Please .rint legibly(in ink)or type.
- • PROPERTY INFORMATION
SITE ADDRESS /fcW7 63. L7K.McsO,.,S SUITE/UNIT# -6"aQ
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
IAnah separatepage for lengthy legal deacripioa)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION •PfELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
'Bute le-te- A Atm, ffIrdi.t. • a S.'rnt 4..''t c•'t 1 a /KE-c_ia) sem.t..4
PROJECT NAME(Name of Business or Owner Last Name) 1'Ac S 4 i C:� gi.j.g.,) jl
• PEOPLE INFORMATION
PROPERTY NAME
f PRIMARY PHONE
OWNER rile/44- c�V+t� idaee- ('- ) F31; -PS/1
MAILING ADDRESS CITY,STATE,ZIP
J AI•aa/crm,, IAJ#bels 1 el. 7/o36
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
– –
B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
17_ L 5ES. i0 a4Pi` C /02S /05--
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
At7TSet. ixwtte.- ADT (gas) iboa -335)
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
//F 4/N 441.4 PAtor N 5le,lar 6,rileri, ,41. J',/ (oa i )4Y� -s3A,
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent VOther(Describe) uta b a («753 )s-/a - J173
CONTACT NAME �I PRIMARY PHONE
-Rowel woes (?o. ) K. - 5544 Le E-MAIL ADDRESS
pe► C W I✓
Afre
LENDER �
� �t095Zenderrinformatton ism NAME
are fared projRe value exceeds$5.0°9 ,
MAILING ADDRESS CITY,STATE,ZIP
- In DETAILED BUILDING INFORMATION
EXISTING USE VCE" f L PROPOSED USE ,ee-7‘0,
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $$ •
SPRINKLERED BUILDING? . YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? JS 0 NO
1 . WATER SERVICE PROVIDER ❑LAKEHAVEN O HIGHLINE O TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS -
• AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
-BASEMENT
—
FIRST /S–Cb' 45-i _�SDt'�
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL.EXISTING AND PROPOSED
/, 0D
"'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 COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commaroi4 WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBSSHOWERS WATER CLOSILIS Roi1oq ib
MISC(Describe))
or Tub/Shower Combo)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
- -';rDISCLAIMER/SIGNATURE BLOCK-' Y -
i Icertify 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
1 harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
1 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
L 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. i INAME/TITLE ' vc`7,6.j/a2 DATE //07$4/
%a 4/
(
ature) (title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ,cam t.ontractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW b a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF.USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
f
I.
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
i
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL 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 ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
1 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
O 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00 0 Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00 0 Mast or meter repair $80.00
0 401 -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
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
O 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
O 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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
O Service or feeder only $58.00 TEMPORARY SERVICE
O Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00
❑ #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 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
first-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
l2 Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) 45- ' (Includes additional circuit,if required)
❑ Fir Alarm System 0 Yard Pole meter loops $58.00
PO-Security Alarm System 0 Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) Is,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(L/(i&ii)
•
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Pennit Application