07-100001 •
r Federal Way Electrical Permit #: 07-100001 ' EL
Community Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LAKOTA CREST LOT 20
Project Address: 31004 1ST AVE SW Parcel Number: 416680 0200
Project Description: Install 200 AMP service and wiring ***REVISED TO ADD THERMOSTAT,ON 1/23/07
Owner Applicant Contractor
LAKOTA CREST LLC PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
325 118TH AVE SE SUITE 300 PO BOX 59284 PROVIEI103C2 2/22/03
BELLEVUE WA 98005 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
Additional Permit Information
Electrical Fixtures
Service: -Residential 3,373 Thermostat 1
PERMIT EXPIRES Monday, July 23, 2007 �w
Permit Issued on Wednesday,January 24,2007
I hereby'�ify that the above information is correct and tat the construction arr the above described,,prc rty.and
the occupancy and the use will,be in accordance with thews; rules and regulations of the State Of Waghingtin and the City of Federal Way.
C)wner or agent: ,� 4(414/1 ti :Ale t, Date: JAN 9 4 200?
Fi!k, -,1 ,
•
THIS CARD IS TO REMAIN ON-SITE - .
r "
Ciflf OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100001-01-EL
Owner: LAKOTA CREST LLC
Address: 31004 1ST AVE SW
FEDERAL WAY, WA 98023
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date BydCS Date 5-4-a? By Date
[] Temporary Power(4275) •❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By ••e5 Date le—17 By Date
[] Rough Electrical (4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By4<5 Date 5-7-4.47 By Date B 2 5 Date,5—Z —
❑ Under-slab groundwork(4295)
Approved
By(5 Date 3—V-07
r RECEIVED 0 7 ( 0 0 0
an or
F'ederatWay PERMIT - -
aoAawralrosvalormrJ'ssRVtcss JAN 0 2 200 SF MF CO ME PL DE EN FP
3332S DERALWAY,WA.98063-9718•PO BOX 9718 App 1_.,I C AT I O N
ss 60�P,XASSdta 7 CITY OF F / •/
maidedrwJrzize pia BUILDING DEPT, A
The oUowin• is • fired Information—an Imo •lete • ••lication will not be ace • -• ' Please •rint legit n or • .
- / L• PROPERTY INFORMATION
•
SITE ADDRESS .3 i 00 /� 15[ / , S W y .• SUITE/UNIT# .
ASSESSOR'S TAX/PARCEL# `T I ( fp $ O - 0 02 0 Q LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1-11-4e--0 774 c40_6-57.- • (_-D r pQ Q
• /Aesdha Fa4•10110,40W bed amafP40111 •
.. - 1111 PROJECT INFORMATION • . .
TYPE OF PERMIT ❑BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION AELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTION(Provide detailed description of work included on this permit onlu)
A cc 9'ni P e✓'v i cu VV i r _ -
PROJECT NAME(Name of Business or Owner Last Marne) G•--t"!Imo.O` /'7 e-1 E5 r C
• PEOPLE INFORMATION
•
PROPERTY Y . NAME' L I,J L�
PRIMARY PHONE
OWNER OmEs ( 4,1 F6-a - aace
MAILING ADDRESS CITY,STATE,ZIP
/&01 I/4-1-1-) A1L ' SE l'/DV eel'ievi,ce, )V4 ggovq ,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Pro de�� t E/eat)-tv l✓lv I'sJC�f^e✓) P55)(a.3( - 7750
MAILING ADDRESS 'CITY,STATE,ZIP CELL PHONE
. Pv 59 a g.
IC�x 9 q86 6-g CITY OF FED WAY BUSINESS LICENSE
akii - ^ - / O EXPIRATION DATE FAX NUMBER
\� (f / 7 41 B L ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
EA 0 .V .Li. 1 Q 3 C -- al /a),, /200?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE •
.. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE'
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑.Tenant ❑Agent ❑ Other(Descr'ibe) ( ) ,
CONTACT NAME ..0.......k r,^^v i PRIMARY PHONE
w, � SS
(015 ) r�33i - 757d E-MAIL ADDRESS
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
. .
- ■ 'DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 1
.
EXISTING ASSESSED/APPRAISED VALUE $ . VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? t]YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑NO 1
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE!SEPTIC►
•
•
PROJECT FLOOR AREAS
' AREA DESCRI --- ' TOTAL
SQ.FT.
BASEMENT DEPARTMENT OF LABOR AND INDUSTRIES
FIRST LICENSED AS PROVIDED BY LAW. •AS" .
SECOND ELEC.CONTIR GENERAL
THIRD
FOURTH _ s
•
ADDITIONAL FLOORS(DESCRIBE) , _ -
PROVIDENT ELECTRIC INC
DECK(COVERED?) PO"'-BOX 59284
GARAGE ❑ CARPORT❑ RENT ON WA 98058
NUMBER OF FLOORS
"NEW HOMES ONLY"' NUMBER OF BEDROOMS `T ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fxture to be installed or relocated as part of this'project. Do not include existing fixtures to-remain.
MECHANICAL •
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG.SYSTEMS
BBQS FANS HOODS(cmm.eaeq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS Or7+wh/shower Campo) SHOWERS , - WATER CLOSETS crates MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS Path100111 stow VACUUM BREAKERS ELECTRIC WATER HEATERS
•
DISCLAIMER/SIGNATURE BLOCK
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
am authorised bg 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/tied 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.
/p JAN 0 2 2007
NAME/TITLE DATE
(Signature) ( )
RELATIONSHIP TO PROJECT D Owner a Agent o Contractor D Architect o Other •
•
-' ,
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL • COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
/��i/Single Family Square Feet 3 3 7 Service or Feeder Each Add'n
/ (Fist 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 _ 2
❑ 201 400 amp 27 .00 107.50
P
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801-1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service " Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
1 ❑ 201-400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
Ca 601 -800 amp 254.00 136.00 •
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 600 amp 272.00
❑ 601-.1000 any 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201-600 amp 145.00 ❑ #oP circuits to be added/altered
❑ over 600 amp 218.50 • (1-5 circuits-$91.50;Addh circuits,$7.00/ea)
•
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service-1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES • •
❑ Service or feeder only $71.50 .
Cl Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidenttaWuittFamily $63.00
❑ #of service or feeders `
(First service/feeder-$71.50;each add'n-$46.50) Commercia(/lndusiriai Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
.
❑ 201 4 07
0 00 amps 1 .50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats . ❑ #of Signs
'First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
..ow Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be'served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
r Security Alarm System ❑ Additional Plan Review $107.50/hour
nice Cabling (for modified submittals)
'`rata Cabling ❑ Automation Fee on all Permits .. $5.00
(Per Systeni(s)1K 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 29646-910(5M a a)
•