07-100005 ti
City of Federal Way Electrical Permit #: 07-100005 E L
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 24
Project Address: 31076 1ST AVE SW Parcel Number: 416680 0240
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
Electrical Fixtures
Service: -Residential 3,384 Thermostat 1
PERMIT MIT EXPIRES Monday, July 23, 2007
Permit Issued on Wednesday, January 24,2007
I hereby certify that the above information is correct and that the construction on the abovadescribed property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the ate ofliVashington
and the City of Federal Way.
Owner or agent: �a/U a J ki �1 .,,�� Date:
JAN 2 4 2007
%/4A
THIS CARD IS TO REMAIN ON-SITE r ,
CITY OF 111, Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100005-01-EL
Owner: LAKOTA CREST LLC
Address: 31076 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 By Dated 2_Q �t, By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved / Approved
By Date By�l5 Date 7-Zt-OS By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
Date -z -67 By Date B .c Date U_(-3 _07
❑ Under-slab groundwork(4295)
Approved
By Date
' & /t RECEIVED
0 7 _ / 0 0
anon JAN � 0 0
FecteratWay 2 2007 PERMIT
COIONNITY DEVELOPMENT • ,,. SF' MF CO ME�•L DE EN FP
93325
253435-2607.FAX FEDERAL AY,WA SOUTH 63 ' • « ° Rp APPLICATION - /
' �n.dtuo! eroluieumm J
The ollowin• is • {red information-•an into •lete a••lleation will not be acce-1 ted"Please •rint 2egibi or •
LC,- R PROPERTY INFORMATION
SITE ADDRESS 31 D 7 '• / V�/, ,. � SUITE/IINIT• .
ASSESSOR'S TAX/PARCEL• '7"' /! c!2 2. 0 2- - 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1_4(4-..g-0 4 T/4 cP.- 57 1 I--Or 24-
Attach+ pagelar lengthy Gigot de eripdan)
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 o
ACC f9-41P �€v v I CeJ a-- VV(r L ck l-i it S r 1v
•
•
PROJECT NAME(Name of Business or Owner Last Name) t"T g.0 rh e A es ! tb4-- y
NI PEOPLE INFORMATION
OWNER
PROPERTY NAME' ����
QOM E J PRIMARY PHONE
_ (2-04,) Asa - a,�oo
ES
MAILING ADDRESS CITY,STATE,ZiP
/(oO/ ,,q- b Ave' SE °/&7 eei/evue, WA- eigovq , _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Q
Pro v'idei' t CI ectn cv 14c., �,� (�53) ( 3/ - 77�)
��V MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
ak Po Ax 59,2g Qr,)tc4, WA- g8664 ( ) -
C1TY OF FEDARAL WAY HusIINNEsq LICE i MSz_B L • . ,EXPIRATION/ ,_FAX NUMBER -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with oath application) (
EKKPIRATION DATE
2. 4 0 . .i_ e ! t Q. 3 C 2- a3 l d a /a7o08
APPLICANT COMPANY NAME l APPLICANT NAME OFFICE PHONE
t� A GoN 2.. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) .
•
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑.Tenant ❑Agent ❑ Other(Describe) _ t, , ) _
u 1)i-- l -,e
CONTACT NAME �_a✓�-�Y� PltrlyiAl7Y PFiDNL' • t * V E-MAIL ADDRESS
(a53) �.! - 770
LENDER
_ NAMa
MAILING ADDRESS CITY,STATE,ZIP PHONE
( .)
■. DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
i
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO .
WATER SERVICE PROVIDER O LAKEHAVEN O HIGIU.INE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGELINE 0 PRIVATE ISEPTICI
PROJECT FLOOR AREAS
•
• AREA DE: •• TOTAL
3 SQ.FT.
BASEMENT DEPARTMENT OF LABOR AND INDUSTRIES
FIRST
•
SECOND • LICENSED AS PROVIDED BY LAW AS .
•
THIRD ELEC CONTR GENERAL —FOURTH • .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) PROVIDENT ELECTRIC INC •
• .P0 BOX 59284
GARAGE ❑ CARPORT 0 :WA 98058
s:
NUMBER OF FLOORS ,, -..
"NEW HOMES ONLY"" NUMBER OF BEDROOMS `7' ESTIMATED SELLING PRICE $
•
•
FIXTURES
Indicate number of each type of fu lure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
biECHA UCAL • •
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LAGS REFRIG.SYSTEMS
• BBQS FANS HOODS(c.e.tio WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
•
COMPRESSORS FURNACES GAS WATER HEATERS
.DUCTS OAS PIPE OUTLETS
•
PLUMBING •
BATHTUBS we b/sy,,,,.,Combo) SHOWERS WATER CLOSETS(rett.y MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS _ HOSE BIBBS
LAYS is. .sagas 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 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE K� DATE JAN 0 2 2007
.(Signature) ride)
RELATIONSHIP TO PROJECT O Owner a Agent t7 Contractor 0 Architect D Other •
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDIISTRLAL SERVICE
24Single Family Square Feet 3 3 I Service or Feeder Each Add'n
(First 1300 fir-$107.50;Each add'h 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 ❑ 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
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
❑ Oto200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
Service or Feeder ❑ 601-.1000 any 410.00
CI over 1000 amp 456.50
❑ 0 t 200 amp $89.50
❑ 201 -600 amp 145.00 CI 41 of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n 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 CI Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiat/Muiti•Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/IndusMal 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)
O Fire Alarm System ❑ Yard Pole meter loops $71.50
✓ Recurity Alarm System ❑ Additional Plan Review $107.50/hour
nice Cabling (for modified submittals)
data Cabling ❑ Automation Fee on all Permits $5.00
(Per System(s) In 2500 ft2$63.00;
Each addh 2500 ft2 16.50) •Per WAC 296-46-910(5)(b)6 a,ii) •