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07-102611 r � City of Federal Way Electrical Permit #: 07-102611-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 ' Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: TEMPLETON Project Address: 31500 33RD PL SW UNIT U-105 Parcel Number: 122103 9029 Project Description: Install new 1/v burglary alarm system Owner Applicant Contractor SANDY TEMPLETON CHUBB SECURITY NW.,INC dba SECURE CHUBB SECURITY NW.,INC dba SECURE 31500 33RD PL SW UNITE U-105 SERVICES SERVICES FEDERAL WAY WA 98023 150 12TH AVE CHUBBSN995J3 4/23/09 SEATTLE WA 98122 150 12TH AVE SEATTLE WA 98122 Additional Permit Information Electrical Fixtures Low Voltage Burgler Alarm-Resi 850 PERMIT EXPIRES Saturday, November 10, 2007 Permit Issued on Monday,'May 14, 2007 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 a e City of Federal Way. Owner or agent: Date: 5//1-//o7 NALEFIS) THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-102611-00-EL Owner: SANDY TEMPLETON Address: 31500 33RD PL SW UNIT U-105 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. ❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) ❑ 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 Date 57 at-a) ❑ Under-slab groundwork(4295) Approved By Date For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date • RECEIVED ria•a " ` A -)�1TerMAY 1 4 2007 0 - l 0 T ( I I F'ederaiWay PERMIT COMMUNTVDSVELOPNSNTSERVICES1eITY OF PEOERAL pySF MF CO ME EL PL DE EN FP 333458TN AVENUE SOUTH ERALWY,WA9•POBOX 9718 8 BUILDINGp� ICATION T° PSDSRAL WAY, X 98063-260 1� / / 253-835-2 607.FAX Y53-835-4609 prww.dluoffedemhun u.corn The ollowing is required information-an incomplete ap•lication will not be accepted. Please •rint legibly in ink)or type. II PROPERTY INFORMATION}. SITE ADDRESS d 3 LS 0 0 c33/'d 17 `5 `*U--l0, SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT.DESCRIPTION (Provide detailed description of work included on this permit onlii) i Nit All LovJ Vo lkAIluttleA'Aa_nn 54 &e PROJECT NAME(Name of Business or Owner Last Name) 5 fM(iY 1'C vq (e- hi\) R PEOPLE INFORMATION PROPERTY NAME �, PRIMARY PHONE OWNER 11Sbo SaNd ( I ew•¢le kbAJ ('u S' )tt3�8 -�3zSS MAILING ADDRESS STATE,ZIP 324 C'Kta- .3(4 *IA O �_ `n_ k wAti °(8023 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE NO% 5PCUtk ii W • 4.1. 7oµottu,E (2a6 ) (o52.-cf/'125" MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 1),o .'4o� 011 U3 Sca&&. VM a�U t ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Zd -1) CI -1b32ci- BL 12 i 3( "O+"3- ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE CR0t513SNact 513 4 ' 23 /C4 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE CAM?) SccuQi 74Ad* V T. i 4o}- L& (zob) K2. -ogis MAILING ADDRESS CITY,STATE,ZIP CELL PHONE P.O. txpi, QlRl3 - fAici WA VIII ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect a Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS 41 0 ot4.o\.UJj ( 2ob.) IoSZ- O' VS LENDER 14,N,P7r3?; ,.''=r r x,. `• 1k-iaf i irfifi,rriM'' H k NAME MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - ■?DETAILED BUILDING INFORMATION , EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO , WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SRWF:R SF.RVT(:F.PRAVTTIF.R n T.ATIFTIATTPN n ITT/_M TNF r, DD7TT ATL',QT•TVPV"% 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 =STING PROPOS:o TOTALx`"`'ft), NUMBER OF FLOORS **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)commercial) WOODSTOVES BOILERS _ FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS . FURNACES . GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS)or Tub/Shower Combo) SHOWERS WATER CLOSETS(rosy MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS/Bathroom&mica) 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! 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 city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �( 6- NAME/TITLE' \ DATE �-O� (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent XContractor 0 Architect 0 Other ./40)i V'll)t,,R 1,41.i!)._.�s�r ).,(4 ., 10_1D'}'e?.Q.i .m yf�a)` `�i( l -a'? a)'i, e ,�I (.2:10;)'e",‘ ' ( 9 .. .,;d���UI���i,jpay,�� dx����#�le�r a,�y^� � ��� ?,©� �3_de•l c �f�a O '9�L� l� _ )9a.y �(v + L.Priif.).0 4010., y4 .1.0v t • ELECTRICAL PERMIT INFORMATION IRESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage ❑ 101 -200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00 ❑ Detached outbuilding or garage 0 401 -600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601 -800 amp 398.50 . 168.50 0 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 530.50 283.00 Service Feeder o Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 0 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 0 401 -600 amp 193.00 96.00 CI -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ 0 to 200 amp $87.00 ❑ 201 -600 amp 141.00 0 # of circuits to be added/altered 0 over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW $89.00 plus 35%of Permit Fee (1-4 circuits-$69.50;Add'n circuits$7.00/ea) ❑ Service - 1,000 amps or greater 0 Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 ❑ # of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps _ $69.50 ❑ 101 -200 amps 89.00 ❑ 201 -400 amps 104.50 ❑ 401 -600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats ❑ # of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00; add'n sign$24.50/ea) Ar Low Voltage Q 9) 51 Ft ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) v J�/ (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review ❑ Voice Cabling $104.50/hour ❑ Data Cabling (for modified submittals) 0 Automation Fee on all Permits .. $5.00 • (Per System(s) 1.,2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 296.4&910(5/(b)(i&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\ftan`inntc\Prmvf Annlirnf inn