08-102771City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DOTSON
Project Address: 2055 S 308TH ST
Project Description: Installation of intrusion alarm
Electrical Permit 4. 38-102771-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 053700 0410
Owner
Applicant
Contractor
DAVID G & VALERIE L DOTSON
A D T SECURITY SERVICES INC
A D T SECURITY SERVICES INC
2055 S 308TH ST
11824 N CREEK PKWY N SUITE 105
ADTSESI03205 (9/25/09)
FEDERAL WAY WA 98003-4822
BOTHELL WA 98011
11824 N CREEK PKWY N SUITE 105
BOTHELL WA 98011
Additional Permit Information
Service greater than 1000 Amps? .......................... No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Saturday, December 6, 2008
Permit Issued on Monday, June 9, 2008
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 b¢iq accordance with the laws, rules and regulations of the State of Washington
—� 1 and the City of Federal Way.
Owner or agent:
Date: O `,
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Devexopr>i.ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-102771-00-EL
Owner: DAVID G & VALERIE L DOTSON
Address: 2055 S 308TH ST
FEDERAL WAY, WA 98003-4822
This card is part of your required inspection documents.
Scheduled inspections may be failed if this card is not on -site. DO NOT LOM, 11-11S 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.
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
❑ UFER Ground (4295)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
❑
Temporary Power (4275)
❑
Service (4235)
—
❑ Pool Bonding (4195)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑ Feeders/Sub-panels (4045)
Approved
Approved
Approved
By Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
_For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVE® C)E- /02_7��
Federal1Nay JUN 0 9 2008PERMIT 354g
CWMUN11YDEVEAhhlENTsEAvtCll•S SF MF CC) EL L DE EN FP
3332 EDSPAsIvUtlZ,4,9 • PO 8cl.e9778 �QATI O N
,mrc�aat WA7; WA S� OF FE
7A:!•tl3d•9fiO7• FAK759 R 9
i{y nt r. rff ttnA'rda,bli ru•t.rp•„� C/'^
LdC
Thefollowing Is required Wormation -an incomplete application will not be accepted. Please print Legibly (in ink) or type.
II PROPERTY• •
SITE ADDRESS � i� J 30 ~ � SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # 2 —7 -a a - _Q LOT SIZE (sfi
LEGAL. DESCRIPTIC]i (e.g, Acme &Stabes, Lot l)
(AfWh ACPM w ~Ji,, lu•w0w l•d da..tpererJ
PROJECT•
TYPE OF PERMIT ❑ BUILDING i7 PLVMBMG ❑ MECHANICAL
❑ DEMOLYI'ION VMZCTRrcAL ❑ ENGINEERING ❑, FIRE PREVENTION SYSTEM
PROJECT DESCRIPTtfoom (Provide deta,tied descrtpgon of work Included on !tds_ nermir orittd
:-1 s-
PIZOJECT NAft (Narn? of Business or Owner Last NC1fltE)� 1ri
•INFORMATION
PROPERTY
OWNER
CK7iIF4.7[•3r�L•�3
PROJECT
CONTACT
LENDER
EXISTING USE
:IA14f8 PtiIMARY ANON
� P4AfWlvG ADDPXSS CrrY, nATE:, cit•• Lr-.L A.PREW
}- 9�c'x7
COMPANY NAME
JtZ_LA)(1
APPUCAN7
P%40y Y1 tT*✓
OlT'FICK PHONE
(���) � - � C�
h WLINC ADDRESS I
CrrY. STATE, ZIP
CELL PHONE
[ 2
Mt
(ri 1 ) 2 - 1 `
'nY Oa FEDERAL WAY BUSFNM UCENSLL N UR
EXMZATIbN DA
FAX NUMBER
` 7
»(O�"7EAL: VK*8 REGISSRATt4N lgf!b=R
S40 DATE
E-MAILADUPX_CC
l'OMPANY NAME
ANUC.,.V •MAML'
rQmce PWNE
14AB.W(; ADD
C:Mf, STATE, DIO
CF.T.L PHONg
f I ,ALA-n0MH1P TQ PRC7. M'
VAX NU6113F,R
ti Architect ❑ Ter7ant ❑ Agcnt ❑ Other
th 6 PRN1ARY PHONE $-Mntl. N7l)R S
Fi,VHE
Psr RCW I9.27.095!
Lender Warntatiorn is required (f,pr90cc value exceeds $5,000
><jfVC;NG ADDREM
Cr[Y, L-l7t'lr:, Lip PHONE
PROPOSED USE
PMSTINGASSEsSED/,IiPPRAYSED VALU$ $ VALUE OF PROPOSED WORK S
SPRINXLERED BUI[LDMIG? p YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSW/RBQUiRED? ❑ YES ❑ NO
WATER SERVICE PROJI[DER ❑ LAKPJUVEN o HIGHLRM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIaEX ❑ i AREIi.AVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
T00 1n HSHA 000AHHV1 ZQd 06650Z9C9Z XVd COOT 800Z/60/90
PRO.IEC r LOOR AR AS
AREA DESCREMON
EXISTING
8 , FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT '
FIRST
SECOND
THIRD
ADDMONAL FLOOR• (DESCRIBE)
DECK (I] COVERED CiR ❑ UNCOVERED?)
GARAQE 0 CARPOlti' ❑
NUM89AOFFWQR5^ a7tenno
vao�m®
+ora.
rbr�+raz�sr
�vrwcnnaroe�n
rasncer
"NEW HOMES ONL l' NUMBER Olt' BEDROOMS ESTIMATED SELLING PRICE $
fruitcate number af each type of ftxLure to be lnstaIled or relocated os part of Otis project, Ao not inc4ute exisitng fixtures to r+ornain.
Value of Mechanical Wo.-k
AIR I•LANDUNC UNrM
HBQS
AOILER$
COMPRESSOR;
DUCTS
BP:YH'ltild5 (or'ruo/ehvkr co,�hol
DISI•IWASHER:,
DRINKING FOL'InALNS
XLECTRIC WATER HEATERS
NOSE BIBBS
lA COPY OF BID OR l=STWTS MUST BE iNCLLIDED WtM APPLCCATIOM
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS roerh—. Rink.)
RAINWATER .y`SYST
SHOWERS
SIN"
`.SUMPS
CAS FINE OUTLIi I'S
Q48 WATER HEATERS
HOOD$ (com aralwl
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BR.EArKA'RIS
WATER CLOSETS hb11.0
WASHING MACHINES
WOODSTOVEg
MISC (DeacrlbL-)
MISC
I cart" under pens fry rtf pedury that r am the property owner or authorized agent of the property owner. I oerttfy that to the best of my
knowledge the irtformalL'on submitted in support of this permit application is true and Correct. I cerfVy that I will comply with all applicable
City of Federal Way regiulationv pertaining to the work authorized by the issuance of a permit. I understand that the lssuoa� of this permit
does not remove the ownor's respontibilityfor compliance with local, state, or federal laws regulating construction or environmental lawti,
i further agree to hwld hurmlees the City of Federal Spay as to any claim (including costs, ejtperLxrs, and attorneys' fees incurred In the
investigation and drjft,,nr of such claims, which may be made by any person, i(icluding the undersigned, and filed against the city, but only
where such claim ariess ,gut 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 thts irpplicadon. 11
SIGNAT(ME:
and/or Authorized
❑ NEW o ADDITION
❑ ALTERATION
c REPAIR o TENANT IU7R0VFN0NT
BUILDING SHELL OWL'?
❑ YES n NO
BMIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION ~
CHANGE OF USE?
❑ YES
❑ NO
NEW'Abril rE85 REgWPZD?
❑ YES a NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT? y
❑ YES ❑ NO
DEMO PEIiIVI' T REgVm tMit
o YES
o NO
Bulletin #100 - January 1, 2008
Page 2 of 4
k\Handouis\Pennit Application
zoo in HSHM G00AHXV1 ZGV 0662OZ9C9Z XVA COOT 800Z/60/90
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESII]il1. emttiiClL
0 Single Family Squ= Fcct
(First 1300 ft.- $115,50: Each add'n 500 h2 - $37.00)
❑ Detached outbulld:i% or garage
(Inspected with service) $46.50
0 Detached outbuild:Ing or garage
(Inspected 3epe.1ate1y) i$76.50
NZW IiITILTI•FAMBUY (three units or mote)
Service
Feeder
Cl UP to 200 amp
$125.50
$ 37,00
❑ 201 - 400 amp
155.50
76.50
❑ 401 - 600 amp
212.$0
108100
Cl 601 - S00 amp
272,00
145.50
❑ Over 800 amp
389.50
291.00
ALTERED SING LJ81,f ULTI P'AMU Y
Service or Feeder
❑ 0 to 200 amp
$ 96,00
❑ 201 - 600 amp
155.50
❑ over 600 amp
234,00
❑ # of Orcuite :o be added/altered
(1-4 clreults-976,1"1 Add'n clrcuita $7,50/ea)
❑ Mast or meter reFRiir $57.50
MA,NU1r&42jURF,D UIONX
❑ Service or feeder only $76.50
❑ Service and feeder $125,50
MOBILE WM
❑ # of aervioe or feeders
(Firotaerrlcc/icedlrr•$76.GO: e¢kch 11dd'n-$90.00)
COMMERCIAL
NEW Cl7MASRf[CFAL 'U RVICE
❑ 0 to 100 annp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 ainp
❑ 601 - 800 arup
❑ Sol - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$125.50
$ 76.50
155-50
98.00
291.00
115.00
339.50
136.00
4.39.00
186.00
536.50
224.50
584150
311.50
❑ Over 600 volts surcharge $98.00
❑ Mast or meter repair $106,00
� ■ ,.i,r,�' : aj��iJiiti�ltltiYdL►�
Service or Feeders
❑ 0 to 200 amp $125.50
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
❑ over 1000 amp 489.00
❑ # of circuits to be added/altered
(1.5 orcpits - $98.DO: Add'n circuits, S7,50/en)
cc)awRctAa, iND1U8 R1AL VAN
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mcdlcrd/Educational/Institutional t;aoillty
TEMPORARY SERVICE
Residentiat/Muiti-Family $67,50
commerctamndtmb-iat semiee or Feeder,-Pacity
❑ 0 - lo0 amps
$ 76.50
❑ 101 - 200 amps
98.00
❑ 201 - 400 amps
115.00
❑ 401 - s00 amps
155150
❑ over 600 amps
168,00
MISCELLANP-01TS SERVICE/EQUIPMENT
❑ # of Tbermoutate
(First 457.50: itdd'1'x4I7,50/eat
X1 Iaare Feet
V �quarr Fast to be ruervad by system(s)
O Fire Alarm Systena
Q Security Alarm sy!,tem
Voice Cabling
❑ Duto CabUrg
1At 2500 10467,50:
Each add'n 2500 ftv - 9117.50) • Per WAC 296-46-910r51lblff A W
❑ it of Big u
(First sign-$57. 70; add'n sign $27.00/ea)
0 Swimming pool/but tub ................
(Includes additional cireult, if required)
❑ Yard Pole meter loops .....................
❑ .Additional Plan Review
(for modified submittals)
❑ Automation Fee on all Permits ,.
6115.00
$76,50
$115.00/hour
$5.50
Bulletin #100 -January 1, ;t00$ Page 3 of 4 k\Handout6\Permit Application
c00 in EISHAI 000AEBIVI ZQB 06650Z9C9Z X6d MOT 800Z/60/90