07-100343 1
•
City of Federal Way e ical Permit #: 07-100343-00-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: CAMELOT SQUARE MOBILE HOME PARK
Project Address: 3001 S 288TH ST SPACE 261 Parcel Number: 042104 9155
Project Description: Replace 200amp meter/combo pedestal
Owner Applicant Contractor
ATTN:PROPERTY OWNER OR MANAGER D W CLOSE CO INC D W CLOSE CO INC
CAMELOT SQUARE INC. 4304 S 131ST PL DWCLOCI21805 6/30/07
CAMELOT SQUARE INC. SEATTLE WA 98168 4304 S 131ST PL
3001 S 288TH ST SEATTLE WA 98168
FEDERAL WAY WA 98003
Additional Permit Information
Electrical Fixtures
Service and Feeder-Manu./Mobil 1
PERMIT EXPIRES Sunday, July 22, 2007
Permit Issued on Tuesday, January 23, 2007
I hereby certify that the above information is 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. / -7
•
Owner or agent: �`/ �L Date: /—Z3 0
THIS CARD IS TO REMAIN ON-SITE
Co� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100342-00-EL
Owner: ATTN: PROPERTY OWNER OR MANAGER
Address: 3001 S 288TH ST SPACE 342
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.
❑ Slab/Concrete Floor(4255) ❑ Final- Electrical (4055)
Approved to place concrete Approved
By Date By , Date _d
1 • •
‘ Building
CITY OF • 33325 6,
Federal Way PO Box 9,
Federal Wad
Phone 253-83:
Fax 253-835-260;
INSPECTION NOTICE
ADDRESS: 34n,te\\ -t„1 #: -142,%N -" 1-11,
\,\\ C a s C:Ct,r..Q u . Q.._� .L_ 0.a
� P Y 5.1,4_,
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
1
• RECIVQ
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COMMUNDY
AVENUE SOUTH DEVELOPMENT BUS 0(NG SF MF CO ME( PL DE EN
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FEDERAL 07Y,FAX 5306397/9 AppLI CATI ON To
' 253835 L WA FAX 29&63.97 9
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The ollowin• is r-'aired in ormation-an incorn•late a. •lication will not be acce•ted. Please .Tint le.ibl (in ink)or , _
IN PROPERTY INFORMATION / J
SITE ADDRESS .300 I S' ,2 771' s' SUITE/UNIT# O I
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s,J
__________
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
lAnach separate page for lengthy legal descnphoN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
O DEMOLITIONAELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
CkUO - Goff 2001q 5eRVt4- -
PROJECT NAME(Name of Business or Owner Last Name) (,q/'h e l c-f" 0 o 4e //m pK
11 PEOPLE INFORMATION
PROPERTY NAME n, Mob _
OWNER (Rim e(o f S4 lrtbblr (? i ) ?3
E TY STATE.PK taS31 d39 ISIS
MAILING ADDRESS CITY,STATE.21P
Sao( S fl i'lll 51 Fedi'ail( WAV WA ?1003
CONTRACTOR COMPANY NAME APPLICANT NAME
**V�V))� CO OFFICE PHONE
MAILING ADDRESS��bf4[' Deb.' g.4, /c (2-06 t 793 -Sofa _
CITY.STATE,ZIP CELL PHONE
/FAif S / 3( rer 5 4//e IPA fl( ( (act ) -293 - ,Co.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
� o_ - o 6 - j o o a_ it - B L /2- 131 /01 (7t6 ) 2-%l2. - )-787
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appllcaaonl EXPIRATION DATE
1) (.1-) CI— 0 Cl- 2-- ( Lo ,2- 6 / 3o / 0p
APPLICANT COMPANY NAME A NAME
D ` C)b Sr /'O APPLICANT C (j �/ OFFICE PHONE
MAILING ADDRESS L ` fJPAN �•7A(ucK (106 ) 797 - 5-D S4
g304 S S CELL
/3/ it pL G „ff(e PW4 1r(68 (266H)N773 S Se
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑Tenant I: (c
Agent ❑ Other(Describe) A-1 1 r, lc (20j ) 24,a -2,7 f 7
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Veto- (?4 fig (goc ) 793 - SoSe
LENDER Per RCW 19.27.095: Lender information is NAME
required(fproject value exceeds'$5,000. -
MAILING ADDRESS CITY.STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /O6 0 0_
,FRINKLERED BUILDING? O YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES ❑ NO
WATER SERVICE PROVIDER ❑ LAXEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN C HIGHLINE El PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED
BASEMENT S• FT S, FT. TOTAL•
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL smarm sr
ES Sri°r°amv- TOTAL OP
NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
FIXTURES
Indicate number o each - -
f hype offlxture 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
BBQS FANS GAS LOGS REFRIG.SYSTEMS
BOILERS FIREPLACE INSERTS HOODS Ieommcrom WOODSTOVES
COMPRESSORS FURNACES RANGES MISC(Describe)
DU(.IS GAS WATER HEATERS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS for nrnishooe,Gambol SHOWERS
DISHWASHERS SINKS WATER CLOSETS nuaep MISC(Describe)
GAS PIPE OUTLETS
FOUNTAINS
SUMPS RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS
LAYS(Bathroom Sinks) HOSE BREAKERS
ELECTRIC WATER HEATERS
.. ...___. DISCLAIMER/SIGNATURE BLOCK
cert{fy under penalty o
am authorised f Perjury that the information furnished by me is true and w
by the owner of the above premises to perform the work for which the perm[[o the best on Is made.knowledge,and further, that I
harmless the City of Federal Way as to any claim(including costs, expenses.
such claim), persses, and attorneys'Parent[ application k made. I further agree to hold of
pry,which may be made by any person,including the undersigned,and tied against the incurred r the investigation erd defense claim
arises pli of the reliance of the city, including its officers and employees, upon the accuracy the Ci of F
City o Were(supplied but to only where such art o
this application. asy of the tr(formation supplied to the city as a
,t part of
NAME/TITLE
slgnaturc) DATE l 02 3 07
RELATIONSHIP TO PROJECT ❑ Owner Tilde)
❑Agent k o Architect ❑
Other
FOR OFFICE U p amp-
a NEW - h ADDITION. ❑ALTERATION
❑REPAIR ❑TENANT IMPROYEMENT
BUILDING SHELL ONLY? ❑YES ❑NO
ZONING DESIGNATION BASIC PLAN? ❑YES n NO
NEW ADDRESS REQUIRED? D YES NO CHANGE OF USE? o YES ❑NO
UP
PLATTED LOT? ❑YES ❑NO /SEPA/SU? o YES ❑NO
DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-January 1,2006 Page 2 of 4
kUlandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300112-$107.50:Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00
Li Detached outbuilding or garage $91.50
(Inspected ❑ 101 -200 amp 145.00 91.50
pected with service) $45.50
CI Detached outbuilding or garage El 201 -400 amp 272.00 107.50
(Inspected separately) $7150 ❑ 401 -600 amp 317.00 127.00
❑ 601 -800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 291.00
Service Feeder 546.00
Li 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
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272-00
Service or Feeders
ALTERED SINGLE/MULTI FAMILY CI 0 to 200 amp $117.00
❑ 201 -600 amp 272.00
Service or Feeder ❑ 601 - 1000 amp 410.00
❑ 0 to 200 amp $89,50 Li
1000 amp 456.50
❑ 201 -600 amp 145.00
❑ #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 clrcults-$71.50:Add'n circuits$7.00/ca) $91.50 plus 35%of Permit Fee
❑ Service - 1,000 amps greater
❑ Mast or meter repair $53.50 am P or g
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
jiir Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $63.00
I # of service or feeders
(First service/feeder-$71.50:each add'n-$46.50) Commercial/industrial
Service or Feeder Ampacity
❑ 0- 100 amps $71.50
Li 101 -200 amps 91.50
❑ 201 -400 amps 107.50
❑ 401 -600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ ii of Thermostats ❑ _(I of Signs
(First-$53.50:add'n-$16.50/ea) (First sign-$53,50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub
Square Feet to be served by system(s) (Includes additional circuit.If required) $107.50
❑ Fire Alarm System ❑ Yard Pole meter loops
❑ Security Alarm System 571.50
❑ Voice Cabling ❑ Additional Plan Review
El Data Cabling (for modified submittais) $107.50/hour
❑ ❑ Automation Fee on all Permits
(Per System(s) h,2500 02-$63.00; $5.00
Each add'n 25001-0-16.50)•Per WAC 296-46-930(550)2 a 1U
Bulletin#100-January 1, 2006 Page 3of4
k\Handouts\Permit Application