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07-103210
City ofFedP i Federal c ermit #: 07-103210-00-EL y Communi Development Services P.O.Box 9718 7 ZA,S j ,t'.ion Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: DASH POINT STATE PARK UPPER LOOP CAMPGROUND Project Address: 5700 SW DASH POINT RD Parcel Number: 102103 9002 Project Description: Repair electrical mast from tree damage to the restroom.Need inspection so that PSE will reconnect power. Owner Applicant Contractor ` STATE OF WASHINGTON OLYMPIA WA OLYMPIA WA OLYMPIA WA 98504-2668 98504-2668 98504-2668 Additional Permit Information Electrical Fixtures Mast or Meter Repair-Comm....... 1 PERMIT EXPIRES Sunday, December 9, 2007 Permit Issued on Tuesday, June 12, 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 wilt be in accordance with the laws,`rules andregulations of the State of Washington a d the City of Federal Way. Owner or agent: ../ Date:_17 /,2c)-er7 .9.... adti�..�.. (o 1 q—oN �‘..k...,_, THIS CARD IS TO REMAIN ON-SITE - - CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-103210-00-EL Owner: Address: 5700 SW DASH POINT RD FEDERAL WAY, WA 98023-2045 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) ❑ Ditch cover(4030) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date • 4 - 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date(a�tq� By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By Date Po—lot—p-1 ❑ Under-slab groundwork(4295) Approved By Date For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date CITY of ` RECEIVED ED 0 / --1-- 3 2 Federal Way PERMIT _T COMMUNITY DEVELOPMENT SERVICES S F M F CO M E PL D E E N- FP 33325 D AVENUEWAY,WA •63-971 97I��N 1 2 2 7P P L I C AT I O N TD FEDERAL WAY,FAX 98063-260 • 253-R35-2607•FAX 253-BJS-2609 ,,:•_,•_p:!:,0A1_,r1t. 10',;,n CITY OF FEDERAL WAY The following is requir8eW l hiai IRrPiI.an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATIONr SITE ADDRESS_ '52 6.'i •l r 3 h a-- . Q JLC , SUITE/UNIT it_ ASSESSOR'S TAX/PARCEL# t. t 0 `) - 9 & C � LOT SIZE(sj) S 15 M,2e`# LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal deem/mon) • PROJECT INFORMATION I TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITIO'ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detaile. description of work included on this permit oral() I Lcse. cv•ciezi- (6,J PROJECT NAME(Name of Business or Owner Last Name) l/ 17?6 Q C4 wit l T P0""19 �!�t f� • PEOPLE INFORMATION PROPERTY NAME 1 w e PRIMARY PHONE_ OWNER J 14 T'C t ()__J {1�"t t Lei tkiu V5_,1 1 0Y f - - (LING A Dpf,ss CITY,STATE,51 AIL ADDRESS <c:, Vt ( , C 1.STATE, /I:5N t C,ONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 4 e C 1 MAILING ADD ESS `{� CI STATE,ZIP •�J� CELL PHONE OF FEDERAL�WA�Y BUS SSL ENS NUMBER C)1 ki LIRA- D9&3 ,y FNUMBER 5 5 /f C ( 1 ( ) - COPY or card regmreA CONTRACTQIZS GIS IOT N rr. EXPIRATION DATE E-MAIL ADDRESS wL each applicatlon 1 > (7\'/\J (>�\Vlr�t�� APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE k44 6 ( CA) tA • ( ) (/SLING ,R�ESSS Cit�5J/G' CITY•STTAATE,ZIP `/(j /1 CELL PHONE RELATIONS IP 0 PROJECT �C vt I kkJk- _ .! e)(1 FAX NUM)ER ❑ Architect 0 Tenant ❑Agent ❑ Other ( ) - PROJECT NAM('^ 64-r4y PRIMARY PHONE E-MAIL ADDRESS . CONTACT �— lot-L , (.2-) ?-6---.5. --/16q LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILIN DD SS CITY,STATE,ZIP PHONE ( ) ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSE 0 USE EXISTING ASSESSED/APPRAISED VALUE$ UE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE -'RES YSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN P •IGHLINE 0 TAC• • - ❑ PRIVATE(WELL) - SEWER SERVICE PROVIDER ❑ LAKEHAVE . 0 HIGHLINE ❑ PRIVATE(SEPTIC) AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. i BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) . DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr PROPOSED Sr TOTALSr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 1 1 • FIXTURES Indicate number of each type of fixture to be installed or re •. ted as part of this project. Do not include existing fixtures to remain. • MECHANICAL i Value of Mechanical Work$ (A COPY OF BID OR ESTIM• MU -: INCLUDED WITH APPLICATION) j i AIR HANDLING UNITS EVAPORATIVE COOLERS . S PIPE OUTLETS WOODSTOVES BBQS FANS GAS TER HEATERS MISC(Describe) BOILERS FIREPLACE INSE• : HOODS(cewrerd o COMPRESSORS FURNACES RANGES DUCTS • GAS LOG S REFRIG.SYSTEMS' PLUMBING BATHTUBS for Tub/Shower Combo) w VS(Bathroom sink.) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS goikq 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 authorised 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,in uding its of, ers and employees, upon the accuracy of the information supplied to the city as a part of this application. a7 ,,,,,, NAME/TITLE ' e lam/r/ `//�J �/j16-/./-6 DATE !�" (� ��©7 (Signal re) / (Title) / RELATIONSHIP TO P OJECT f5' Owner 0 Agent yr£ontractor 0 Architect Other Sc j ,4 r. o NEW o ADDITION a ALTERATION )ZEPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO • PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application -'7:-: ELECTRICAL-PERMIT INFORMATION -- ' RESIDENTIAL COMMERCIAL - NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage 0 101 -200 amp 149.50 94.50 (Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00 C7 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 $•' i ❑ 201 -400 amp 149.50 74.00 Mast or meter repair411111=11110 /1 Q 401.-600 amp 205.00 102.00 • 601 -800 amp a 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 375.50 280.50 Service or Feeders ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 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 0 over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) ❑ 4 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 ❑ Service- 1,000 amps or greater 0 Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE.HOME/RV PARK Residential/Multi-Family $65.00 j ❑ # 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 ❑ 101 -200 amps 94.50 ❑ 201-400 amps 111.00 ❑ 401-600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats ❑ it of SIgns (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) ❑ Low Voltage CISwimming pool/hot tub $111.00 i Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System CI Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review $111.00/hour ❑ Voice Cabling (f modified submittals) O Data Cabling Automation Fee on all Permits .. $5.0Q 1.42500 ft2-$65.00; Each add'n,2500 ft2-17.00) •Per WAC 296-46-910(5)fbXi a ii) 1 Bulletin t/100-April 2,2007 Page 3 01.4 k\Handouts\Permit Application