11-101662r ,
Applicant
City of Federal Way
LAKEHAVEN UTILITY DISTRICT
Community Development Services
P.O. Box 9718
LAKEHAVEN UTILITY DISTRICT
Federal Way, WA 98063 -9718
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Ph: (253) 835 -2607 Fax: (253) 835 -2609
FEDERAL WAY WA 98063 -4249
Project Name: LAKEHAVEN WELL #19 FILTRATION
Project Address: 750 SW CAMPUS DR
Project Description: Install new VFD and meter for injection system.
Dedrical
Permit #: 11- 101662 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 192104 2007
Owner
Applicant
Contractor
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
PO BOX 4249
PO BOX 4249
PO BOX 4249
FEDERAL WAY WA 98063 -4249
FEDERAL WAY WA 98063 -4249
FEDERAL WAY WA 98063 -4249
Is Use Educational or Institutional ? .......................No
Service greater than 999 Amps? .............................No
Owner or agent Fad
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THIS CARD IS TO MAIN ON -SITE 'f '
CWY Federal Way Construction I ection Record
y INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 11- 101662 -00 -EL Address: 750 SW CAMPUS DR
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA
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.
E]
UFER Ground (4295)
E]
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
E]
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Q,4 Date
El
Pool Bonding (4195)
Temporary Power (4275)
E]
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Q,4 Date
El
Rough Electrical
Approved
Final Electrical
Approved
E]
Right of Way
Approved
By
Date
By
Date
By
Date
Fede \yi%\\ ELECTRICAL
;4� �o `,tMIT APPLICATION
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"Most electrical permits maybe obtained on -line at www.cityoffederalway.com
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SITE ADDRESS: 7 �-D /,1--
SUITE /UNIT /SPACE #
ASSRSSOR'S TAX /PARCEL # CURRENT /PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name) C'A�G! j j% C /r �G%Gr✓ //1/ f%Si-GG i}-j'�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
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STATE
ZIP
FAX
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NUMLING ADDRESS
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ELECTRICAL
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STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPntkTTON DATE
FEDERAL WAT SUSOWAS LICENSE #
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PRIMARY PHONE
APPLICANT
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PROTECT CONTACT
#R OSARY PHONE
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I certify under, penalty of perjurg that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the injbrmation submitted in support of this permit application is true and correct. I Bert(fy that I will comply with
all applicable City of ILodenal Wag regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not reweoae the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental lacers.
I further agree to hold harmless the My of Federal Way as to tincluding costs, expenses, and attorneys' fees incurred in
the investigation and defense e f sarh claim), which may be person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of city, I its officers and employees, upon the accuracy of the
information supplied to the city as apart of this app
SIC :NATURE: DATE Z
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33325 8ei Avenue South ♦ Federal Wav ♦ WA ♦ 98003 -6325 ♦ 253 - 835 -2607 ♦ fax_ 253- 835 -2609 ♦ www.citvoffederatwav_corn
RESIDENTIAL
CO'EMMRCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1- service/Feeder Additional Feeders
(including attached garage): -., -- -
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
1- service /Feeder Additional Feeders
601- 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801 - 1000 amp x $565 -00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1,t Service/Feeder
lit /Feeder Additional Feeders
0 - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x $121.00
Over 600 amp x $246.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only fora
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit. Fee x 35 % = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
BUSCELLANEOUS
SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
1st service /Feeder Addatonal Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
61 - 100 amp x $ 80.,% x $ 39.00
Area to be served by system
101 - 200 amp x $103.50 x $ 51.00
1- 2,500 ft2- $71.00; each additb
201 -400 amp x $121.00 x $60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
First $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole /meter loops /pedestal x $ 80.50
• Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch cover /inspection only x $121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253 - 835 -2607
33325 8"' Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253 -835 -2607 * fax: 253 - 835 -2609 + www.citvoffedeMway.com