07-102827 f "+ r •
City of Federal Way Electrical Permit #: 07-102827-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ptw(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HOLT
Project Address: 2027 S 304TH ST Parcel Number: 053700 0040
Project Description: Install security system
Owner Applicant Contractor
GARY L HOLT A D T SECURITY SERVICES INC A D T SECURITY SERVICES INC
2027 S 304TH ST 11824 NORTHCREEK PKWY N SUITE 105 ADTSESI032O5 9/25/07
FEDERAL WAY WA BOTHELL WA 98055-2910 11824 NORTHCREEK PKWY N SUITE 105
98003-4805 BOTHELL WA 98055-2910
Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm-Resi 2,100 -
49
PERMIT EXPIRES Tuesday, November 20, 2007
Permit Issued on Thursday, May 24, 2007
I hereby certify that theabove 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�te of Washington
and the City of Federal Way.
Owner or agent: Date: ' ..--031”"O --
FaSel ��
Is .. ..._
. Ak.,. THIS CARD IS TO REMAIN ON-SITE
CITY OF °'
Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102827-00-EL
Owner: GARY L HOLT
Address: 2027 S 304TH ST
FEDERAL WAY, WA 98003-4805
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) 0 Ditch cover(4030) 0 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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By .d.- Date (, --/3-0)
,
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
CITY OF Q 2 Lc2 � —
Federal wa �G �tioo� y PERMIT
COMMUNITY DEVELOPMENT SE VICES cl. SF MF CO ME DPL DE EN FP--
33325 FEDERAL
UE SOUTH•PO BOX 9718 N8 y PLICATION TD
FEDERAL WAY, X 98063-9718 �� 04.
•
/ /
253-835-2607•FAX 253-835-2609 Q
www.cltuoffederalwau.com O� c)\\---
The
The following is regi ormation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 202-- - `S' 2 D
BoLt-12 4 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 0 3 T 0
- 0 0 0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot.l)_
(Attach separate page for lengthy legai description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
IOSTALL, SEC.u R.CP St(STE*
PROJECT NAME(Name of Business or Owner Last Name) '1 VVT
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER C� #(;$4r (2 53) t 41r- /+CMAILIN ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
ZOfl. S S. 304111 57 F6-b %MAI WA- Q8DA33
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
gin sramarly 5 )tcE. _ Roe, (4%.$) qS8 -S24q
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i18u1 NI.CPL 4KtiAf N. *toy Rental-,Eat. 4 gffiotl (t53 ) 3'}1' - IlVI
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER �wIRATION DATE FAX NUMBER
of ltd egvlreA CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
CedtY ap�ecatloo b Pttir5E5T 0 3205 q•2 S.o'i-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MIRE Ab Cb640.4c3DR ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i ) -
1
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT 5Asti r: AS co1JSit4t.Cblt_ ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ L4bO•00
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTINO SF TOTAL PROPOSED SF TOTAL SF
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 $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerdal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSii MS
PLUMBING
BATHTUBS(orTob/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSEIS frau)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS.
SIGNATURE
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 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.
NAME/TITLE .� DATE 9-Z 30 4-
(Signature) r— (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent X Contractor ❑ Architect ❑ Other
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
t ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 262.00 140.50
U Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
U Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
U Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
Cl 101 -200 amps 94.50
U 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$55.00; add'n-$17.00/ea) (First sign-$55.00; add'n sign$26.00/ea)
Low Voltage ❑ Swimmingpool/hot tub $111.00
Square Feet to be served by system(s) C I''D (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
far SecurityAlarm System U Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling U Automation Fee on all Permits .. $5.00
lay 2500 ft2-$65.00; •
Each add'n 2500 ft2-17.00) 'Per WAC 296-46-910(5)@)(t&ii)
•
Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application