08-105559Electrical
• City of Federal Way 0 Q
Community Development Services 00 Permit #. 08- 105559 -00 -EL
P.O. Box 9718 k f
Federal Way, WA 98063 -9718 Ins tion Re uest Line: 253 835 -3050
ec
Ph: (253) 835 -2607 Fax: (253) 835 -2609 L p q
Project Name: LAKEHAVEN WELL #19 FILTRATION
Project Address: 750 SW CAMPUS DR \ Parcel Number: 192104 2007
Project Description: Completion of previous project under 06- 103274 to: install additional 5 circuits for water
filtration system.
Service greater than 1000 Amps ? ...........................No
I hereby c
the occu
Owner or agent:
.......... I ....... 5
PERMIT EXPIRES A
use wiu be In
iesday, November 18, 2009
day, November 18, 2008
the construction on the above described property and
laws, rules and regulations of the State of Washington>
of Federal Way.
i
Date:
1� \tip
Owner
Applicant
Contractor
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
PO BOX 4249
3203 SW DASH POINT RD
3203 SW DASH POINT RD
FEDERAL WAY WA 98063 -4249
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Service greater than 1000 Amps ? ...........................No
I hereby c
the occu
Owner or agent:
.......... I ....... 5
PERMIT EXPIRES A
use wiu be In
iesday, November 18, 2009
day, November 18, 2008
the construction on the above described property and
laws, rules and regulations of the State of Washington>
of Federal Way.
i
Date:
1� \tip
THIS CARD IS TO RE AIN ON -SITE
CI OF Ammunity Developme Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105559 -00 -EL
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Owner: LAKEHAVEN UTILITY DISTRICT
Address: 750 SW CAMPUS DR 1
FEDERAL WAY, WA
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.
❑
UFER .Ground (4295)
❑ Ditch cover (4030)
❑
Slab /Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By Date
By
Date
—
❑
Pool Bonding (4195)
❑ Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By Date
By
Date
❑
Feeders /Sub - panels (4045)
❑ Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By Date
By
Date
❑
Final - Electrical (4055)
Approved
By
n Date//,
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
My OF FWMI Way E RM IT SF MF CO ME PL DE EN FP
COKW1g7Y DSYBLOPMBNT SERVICES
99945 lR • PO BOX 9
718
FSDBRAL WAY, WA 98069.9718
4594952607• FAX 259.89S.2609 No v APPLICATION
OF FED ,q'^
The joliowing is r+equinsd ��'fih�4lete application will not be acxepted Please Print bgiblli (n &+kl or b.V&
SITE ADDRESS _ ! )W SUITE /UNIT #
ASSESSOR'S TAX /PARCEL #
LEQAL DESCRIPTION (e.g. ACme Estates, Lot 1)
PROJECT •• •
TYPE-OF PERSIST ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ^ELECTRICAL 0 ENGINEERING ❑ FIRE PREVSIITION SYSTEM[
PRO DESCRIPTION ( Provide detaffed description of work included on this hermit onlul
PROJECT NAME (Name of ess or Owner LastNamel
PEOPLE INFORMATION
PROPERTY
HAMS PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAM
APPLICANT MANE
OFFICE PHONE
MAUMO ADDRESS
MAIWNO ADDRESS
CI1Y, STATE, ZIP
E MAILADD
FAX NUMBER
OONTRACTOR'e REaTiTRATXON NUMI R ELATION DATE
94AAIL AD
COMPANY NAM
APPLICANT MANE
OFFICE PHONE
MAUMO ADDRESS
ary, STATE, ZIP
CELL PHONE
ClIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
OONTRACTOR'e REaTiTRATXON NUMI R ELATION DATE
94AAIL AD
COMPANY NAME
NAME
�/1�-
OFFICE PHONE
Lender i!{%neadon is regrd -d ijpntfact saiw owt ds "000
MAnlNO ADDRESS
�-
MAUNO ADDRESS
a Y STATE,
CELL ONB
�sW 3lf
SAC L
RELATIONSHIP TO PROJECT
FAX NUIUM
o Architect o Tenant o Agent Other
( rl) 6 7� _ r.�
NAME T PRIMARY mom E-MAIL ADDRESS
ar G 'T
NAME
PerRCW 19.27.096.
Lender i!{%neadon is regrd -d ijpntfact saiw owt ds "000
MAnlNO ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE # VALUE OF PROPOSED WORK $
SPRXIEI.ERED BUILDING? o YES o NO FIltZ. SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES o NO
WATER SF.RVIC)& PROVIDER o LAIEH/1VEN a HIGHLINE o TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAREHAVEN ❑ HIQHLINE E3 PRIVATE ISEPTICI
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
SQ.FT.
TOTAL
8 . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
o NO
THIRD
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUMED?
a YES
o N0
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
6
morom
even.
' mrncszoninar
wrnniamowar
rorasr
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
0 FIXTURES
Indicate. number of each type of fuaure to be installed or relocated as part of this project. Do not include existing fudures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED W=APPLICATYONf
_ AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Cmmmad q
COMPRESSORS
FURNACES
RANGES
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (w Tub /eLmv -0-W* L.AVS mater -m amts URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (romp
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS
I owt fj( under penalty of ParjwV that r am the property owner or anthortsod agent W the property ownw r oerti j/ that to the brat 4f my
knowledge, the b+formatlon submitted in support of this permit application is true and oorrect. I cortUk that I will eompk with all applicable
City of Irederal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the isau mes of this permit
does not .soave the owner's rrsponsMi ly for compliance with to ' or federal laws regulating construction or environmental laws.
! further agree to hold harmless the City of irederal W to a clabn (including costs, expenses, and attorneys' fees incurred in the
investigation and dgfense of such elaW, which may be y person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance el g i officers and employees, upon the accuracy of the information supplied to
the city as a part of this appHoatiom
SIGNATURE: DATE
o NEW o ADDITION
o ALTERATION
o REPAIR o_ TENANT IMPI20VEMENT
BIIMDING SEa" ONLY?
o YES o NO
BASIC PLAN?
c3. YES
13190
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQunm?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUMED?
a YES
o N0
Bulletin #100 - January 1, 2008 Page 2 of 4 MandoutsTermit Application
ECTRICAL PERMIT INFORMA'. JN
RESIDENTIAL.
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add%
(First 1300 ft2- $115.50; Each add'n 500 ft2 - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101- 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401- 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601- 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
13 401 - 600 amp 212.50 106.00
❑ "601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 201 - 600 amp 155.50
of circuits to be added /altered
❑ over'600 amp 234.00
-!E#
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
CONQU RCIAL/INDUSTRIAL PLAN REVIEW
$98.00 plus 350/6 of Permit Fee
(1-4 circuits - $76.50; Add'n circuits $7.50 /ea)
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME /RV PARR
Res1dsnt1aVMu1tt- Fami1y $67.50
❑ # of service or feeders
(First service/ feeder -$76.50; each add n -$50.00)
Conunereia&4ndusMai Service or Feeder Anyme ft
❑ 0 -100 amps $76.50
❑ 101- 200 amps 98.00
❑ 201- 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQULPMENT
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add h- $17.50 /ea)
(First sign - $57.50; add'n sign $27.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by aystem(s)
I (Includes additional circuit, if required)
13 Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
13 security Alarm system
❑ Additional Plan Review $115.00 /hour
0 Voice Cabling ;
(for modified submittals)
0 Data cabling
❑ Automation Fee on all Permits .. $5.50
13
In 2500 tt3- $67.50;
Each.add% 2500 ft2- $17.50) *Per WAC296.46910(5/(bJ & 6)
Bulletin #100 -January 1, 2008 Page 3 of 4 k\IandoutslPermit Application