07-100006 --4
City of Federal Way
• Community Development Services Electrical Permit #: 07-100006 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 25
Project Address: 31090 1ST AVE SW Parcel Number: 416680 0250
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
a Electrical Fixtures
Service: Residential 3,116 Thermostat 1
F F.
PERMIT E(PIRES.Monday, July 23,2007
Permit Issued on Wednesday,`January 24, 2007
I hereby certify that"the above information i 'correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: a /7 )11 C Date: JAN 2 4 2007
</,\/ ./
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100006-01-EL
Owner: LAKOTA CREST LLC
Address: 31090 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 C Date 6 2 l—c--) By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date Bye(�, Dateq–'z v') By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
Date Zj-3'i�� By Date By X-0 Date 7- 2 4(417
0 Under-slab groundwork(4295)
Approved
By Date ?j 722"��
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Fe wderal VII — --
ayJAN 0 22007 PERMIT SFMFCOME-EL L DE EN FP
OD5siMMUB .DEDEVELOPMENT. SERVICES
333�S FEDERAL TAY;WA1Tf•y P P LI C ATI O N
FBDBRAL WAY,WA 9BObx �r �°�D�Fad{(,, / / •
453433.4607*PAX 253435.4 UILGING DEP
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The ollowin• is • fired information-an into •Zeta e-a••licatiofe will not be acce•ted.'Please •rint legibly n or •
' Is PROPERTY INFORMATION
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SITE ADDRESS .3/04'0. /s71-- Q•, 3.'W SUITE/UNIT# •
ASSESSOR'S TAX/PARCEL# 7 I 61 6 Si o,- .0 5 O LOT SIZE(sl
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LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) i__11-4e---6 r/-r c-4:6-5-r- • Lt) r ZS
M e d e s c r i p t i o n)seParate dmy •
I• PROJECT INFORMATION . •.
TYPE OF PERMIT ❑BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this perm' •niq)
al OG A-rvtP ,c V1 co e- A ire Q 1 - ;v , • SG
nn /l /�
PROJECT NAME(Name of Business or Owner Last Name) I'7* n e Or AE--.5 r l e71
' • PEOPLE INFORMATION
PROPERTY . NAME' I� PRIMARY PHONE
OWNER. .(_,y LC HOMEls • .(2-04) F6a - A300
MAILING ADDRESS , STATE,ZIP
iiooi ,i'- Avc Sc #bio0 eeilevue , 11V4- q'(2t ,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Provident- El
ent- Elerry 164; CtiTZVi (253)4.3( - 7750
'L MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
itv*A7i Po ,(fix 'BUSINESS 592 - Q.Cntcn, W4 g8G5g ( ) -
CITY OF FEDERAL WAY LICENSE NOME ..EXPIRATION DATE FAX NUMBER
-1/ U_ _ 74 -B L • / / -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with e+ch application) EXPIRATION DATE
_,e A D E i I Q 3 C. CIA; 1200 8
APPLICANT COMPANY
NAME APPLICANT AppI3CAtT NVE OFFICE PHONE( V �� (
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE.
( )
RELATIONSHIP TO PROJECT FAX NUMBER •
❑Architect O.Tenant 0 Agent ❑ Other(Despite),. I, )_ . -
CONTACT NAME PRIMARY PHONE I • w-
EMAIL ADDRESS
(015") 43-1 - 775'o
LENDER •
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.MAILING ADDRESS • CITY,STATE,ZIP PHONE
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I ( .
• • " III DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ . VALUE OF PROPOSED WORK $ • 1
SPRIIYKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGALINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN . ❑ HIGIUdNE ❑ PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
' TOTAL
SQ.FT.
BASEMENT
DEPARTMENT OF LABOR AND INDUSTRIES
FIRST
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SECOND
LICENSED AS PROVIDED BY LAW AS _
THIRD ELEC CONTR GENERAL
FOURTH
• Ens r -t49}- a 4;
ADDITIONAL FLOORS(DESCRIBI - =� -� f,
DECK(COVERED?) PROVIDENT ELECTRIC INC
GARAGE 0 CARPORT 0 PO BOX 59284
RENTON WA 98058
NUMBER OF FLOORS
•"NEW HOMES ONLY NUMBER OF BEDROOMS 4 ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of frxiure to be installed or relocated as part of this p%jed. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(caeowsw WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
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COMPRESSORS • FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(.r7hb/Shower Combo SHOWERS WATER CLOSETS craw MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• I.AVS pawpaw stake VACUUM BREAKERS ELECTRIC WATER HEATERS
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DISCLAIMER/SIGNATURE BLOCK
I cert(ty under penalty of perjury that the information furnished by me is true and comic!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. , )�� e. C
NAME/TITLE ((\f DATE JAN 0 2 2007
(SignatuTe) Mc)
RELATIONSHIP TO PROJECT q Owner ❑Agent ❑ Contractor ❑Architect a Other
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ELECTRICAL PERMIT INFORMATION
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RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
24Single Family Square Feet 3.1 1(0 Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'a 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
❑ 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 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0to200amp $89.50
❑ 201-600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'a circuits,$7.00/ea)
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❑ • #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'a 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
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MOBILE HOMES •
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Res1dentia0fulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'h-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
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❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
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MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • ❑ #of Signs
'First-$53.50;add'n-$16.50/ea) (First sign-$53.50;addb 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
P security Alarm System ❑ Additional Plan Review $107.50/hour
Dice Cabling (for modified submittals)
iata Cabling
•0 ❑ Automation Fee on all Permits .. $5.00 q'
(Per Systeni(s)1.c 2 500 tt2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46.91 o(SXb)t a a)