07-100004 City of Federal Way
Community Development Services 'Electrical Permit #: 07-100004 . EL
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 23
Project Address: 31054 1ST AVE SW Parcel Number: 416680 0230
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 2/22/08
BELLEVUE WA 98005 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
Additional Permit Information
Fixtures
Service Residential 3,122 Thermostat 1
PERMIT EXPIRES Monday, July 23, 2007
2007
Permit Issued on Wednesday, January 2-4,
I hereby certify that the above information is correct and that the construction on the above described pro ertk nd
the occupancy and the use will be in accordance with the laws,rules and regulations of the tate'of Was tgton
and the City of Federal Way.
Owner or agent: / 6i/LU4V1 61 n_ (4J J.Q, Date:_ JAN 2 4 2007
/ /
THIS CARD IS TO REMAIN ON-SITE`
,_ A CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100004-01-EL
Owner: LAKOTA CREST LLC
Address: 31054 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)
I Approved to place concrete Approved Approved
By Date By e.,a4 Dated 9...`d %_01 By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By5(5 Date 3_,Z,G_p7 By Date
• •
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
_Byd'-(5 Date 3_.Zl�-�-7 By Date Be(5 Date 6-7-g-7
❑ Under-slab groundwork(4295)
Approved
By Date
r
ana A RECEIVED D 0 0 ...; V
Federal W JAN 0 2 stir' PERMIT COMMON'S'DBYBIAAiENrsBRS7 ES SF MF CO ME EL L DE EN FP
3331E�5AUY,OWA I79800-1 Y 8OF FED RA T
25343$26°7Ax253-1354609BUILDINC DE „ PLI CATI O N
1D
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The 0110147111, Is , fired information-an ince •lete a••ticatlon WIN net be acce•ted.'Please 'tint legibly n Ink)or •
IN PROPERTY INFORMATION
SITE ADDRESS 316 54/ is t- / /'G '5 W SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# `T" I lU ' r v - a A r O LOT SIZE(sfl
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I...A-•e--6 TiQ C1Q 5T LO r 13
gifted'separate page far lengthy legal description
a 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 only) .
A00 6-41.10 ,S ery i au e- i rt l it s c fie_,
1
.
PROJECT NAME(Name of Business or Owner Last Name) i%1 g.o` A [;/ E:5 r Let- „I-3
NI PEOPLE INFORMATION
OWNER PROPERTY NAME' i L G C PRIMARY PHONE
HOMES .(W4 ) 875a - al 300
MAILING ADDRESS CITY,STATE,ZIP
/600/ i/4 =h Ave) SE "100 beetetu,e, YYA- eigOeq , _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Provide,'t- gl ectrt v 146, WCArcil (.153)la 3i - 7750
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Po 410K 59: kc..i+&'i. W4 ci 8O66 ( ) -
1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - _sL
CT I / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
e 0kie i t Q. 3C2- all a)N, ,.,2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE •
( ) -.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑.Tenant ❑Agent ❑ Other,�(Ai�smle) , ) _
mote I
CONTACT NAME �J� w/v PRIMARY PHONE
E-MAIL ADDRESS
, (a153) 4•03-1 - 5.0
1 LENDER FLAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
• ( . )
IN DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
•
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $
SPRINBLERED BUILDING? O YES . NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE'SEPTIC)
PROJECT FLOOR AREAS
' AREA DES TOTAL
BASEMENT _ — ..
SQ.FT.
DEPARTMENT OF LABOR AND INDUSTRIES
FIRST
SECOND
LICENSED AS PROVIDED BY LAW AS.
THIRD ELEC CONTR GENERAL
FOURTH w ��^"
w .. ...«.: ti.
•
ADDITIONAL FLOORS(DESCRIBE) _ - q ' -:> z�. . —
DECK(COVERED?) PROVIDENT ELECTRIC INC
GARAGE ❑ CARPORT❑ • P.O BOX 59284
RENTON WA 98058
NUMBER OF FLOORS I
"NEW HOMES ONLY"* NUMBER OF BEDROOMS I ESTIMATED SELLING PRICE $
•
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not inch de existing fixtures to•remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mmerdep WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(er11.b/shewermina* SHOWERS WATER CLOSETS gateq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS Mahn:mat sink,! VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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 I
can 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,including its officers and employees,upon the accuracy of the information supplied to the city as apart of ykl
this application. g
NAME/TITLE ( DATE JAN 0 2 2007
(Si•tuta mom)
RELATIONSHIP TO PROJECT 0 Owner D Agent 0 Contractor O Architect D Other •
•
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 3 1 A ol Service or Feeder Each Add'n•(First 1300 f12-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
$ ) P
❑ Detached outbuilding or garage ❑ 101.7.200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ 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
1 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
❑ 201-400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
Q 601 -800 amp 254.00 136.00 '
❑ Over 800 amp 364.00 . 272.00 Service or Feeders
❑ 0to200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
❑ 601-.1000 gasp 410.00 •
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50 '
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add's 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 -
(J Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders '
(First service/feeder-$71.50;each add'n-$46.50) Commercial/1'ndustrlal Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 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
CT Security Alarm System ❑ Additional Plan Review $107.50/hour
vice Cabling (for modified submittals)
�.1ata Cabling
C ❑ Automation Fee on all Permits .. $5.00
(Per Systems)1•a 2500 ft2463.00; -
Each add'n 2500 ft-16.50)•Per WAC 296-46-910(S)(b)(i a ii)