07-101886 7—>+ J
• City Federal Way Electrical Permit #: 07-101886-00-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: LAKOTA CREST LOT 28
Project Address: 169 SW 310TH ST Parcel Number: 416680 0280
Project Description: Install new 200 amp service & wiring & telecom plus (1) t-stat
Owner Applicant Contractor
LYLE HOMES INC PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
1601 114TH AVE SE SUITE 100 PO BOX 59284 PROVIEI103C2 2/22/08
BELLEVUE WA 98004 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
Additional Permit Information
Electrical Fixtures
Service: -Residential 1 Thermostat 1
PERMIT EXPIRES Saturday, October 6, 2007
Permit Issued on Monday, April 9, 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
�AAV� �/annd the City of Federal Way.
K
Owner or agent: ) I' 1 1,C COLG`l Date: 7' t d . 7
FI NALCD
THIS CARD IS TO REMAIN ON-SITE
., ,A,,
CITY OF Community Development Inspection lRec®rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
t
PERMIT#: 07-101886-00-EL
Owner: LYLE HOMES INC
Address: 169 SW 310TH ST
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 Bye A-- Date `\ \.-�'�, By Date
.
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By(I-3 Date .5-7-0..X._ By Date
'El Rough Electrical (4225) El Ceiling Cover(4020) �❑ Final -Electrical(4055)
Approved Approved Approved
• B( C C Date---2 -a!7 By Date By (e.7 Date 1-q<9
'❑ Under-slab groundwork(4295)
Apried
U) ) -
By Q. As..._ Date 11—\ v,.o-) .
- i„„,_,deral Way PERMIT
_LQ � .
COMMUNITY DEVELOPMENrsERYJCES - - °:SF MF CO ME ,EL)PL DE EN FP
33325 8",FEDERAL AVENUE SOUTH•PO BOX 9718 0 G P L I C AT I O N To •�
FEDERAL WAY,FAX 98063-9718 ��
.253-8752607•FAX 257-035.2609 /
www.afw/redemlwnu.corn
nn�
The following is required i ; ■ i' ! 2itt iricomplete application win not be accepted. Please print legibly(in ink)or type.
1.J�` MI PROPERTY INFORMATION
SITE ADDRESS / (Jr BU ff+,0 ■ ` .�/D . --, . 0 SUITEJUNIT A
ASSESSOR'S TAX/PARCEL# Y l • i o (P .9 t�yJ, - ,Q c g' ,�V LOT SIZEp(sf
LEGAL DESCRIPTION (e-.g.Acme Estates,Lot 1) L 11 i4OTA G R�-� SY i LOT C7,
/Attach erymvteprgsforIenghy legoIeaovhW
•
El PROJECT INFORMATION
Tx.rn OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
. ❑ DEMMSLITION ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
aoo. AMP Sea-VICE ÷ w( gINC 4- "TTL_ZC.DM for SFi2.._..
• w! T- .Seat Wi r t•✓'
PROJECT NAME(Name of Business or Owner Last Name) L1'vI/I C.KE�T--- La T
U PEOPLE INFORMATION
PROPERTY NAME _ PRIMARY PHONE
• OWNER LYLe- Homes (2..D6, 05-2 - Z3oo
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
l oD1 l 1 I Atr� SE °t CO "De l I•evue, y1A- rvo I _
CONTRACTOR COMPANY NAME - APPLICANT NAME - OFFICE PHONE
(Pt-O /(�Qd�e,t�tf EI-d-'tc. Inc- CUClY��'-�Gytre✓l . d (��j G�j (2S3) (03/ -.37S0
MAILING
PO ADDRESS VX 59134- _ 1�'-'r LIVI�p Wrr -18O✓O CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
COPY of eerd eegalnd CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS
.ns��.rru . =?
p12-01/1 el ID 3G2 - a! a°�l A6o
APPLICANT COMPANY NAME APPLICANT NAME I i1 OFFICE PHONE
( )
MAILING ADDRESS - ' CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect 0 Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME , PHONE E-MAIL ADDRESS
CONTACT QYevt (z.Ss) C051 -7750
LENDER NAME Per RCW 19.27.095:
Lender information is required if project 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 $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) I
•
AREA DESCRIPTION - —-- TOTAL
§..2.FT.
BASEMENT DEPARTMENT OF LABOR AND INDUSTRIES
FIRST
SECOND LICENSED AS PROVIDED BY LAW AS , i
ELEC CONTR GENERAL
THIRD _ ...a^ - .� - _
ADDITIONAL FLOORS(DESCRIBE) .S•05.- --.74-i._y a sa a=yam -Z' -.e^o
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT El PROVIDENT ELECTRIC INC
PO BOX 59284
weT= RENTON WA 98058 • wer
NUMBER OF FLOORS
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
II FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Da not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ /A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS _ EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS!Commercial)
COMPRESSORS FURNACES RANGES
REFRIG.SYSTEMS
D� r. .. ;P.:";`; ,. - GAS LOCI SETS .
PLUMBING -
BATHTUBS)orrub/sho.Rreembo) LAVS(Bathroom Sinks) - URINALS -MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS - -
DRINKING FOUNTAINS SHOWERS WATER CLOSETS ir,n,. -
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 authorized 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 flied 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 ga. y^� ill e. DATE APR 0 9 2001
)Signature) (tilt)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent G Contractor ❑ Architect ❑ Other
a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT.
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO - .. UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
- Bulletin COO-January 1,2007 Page 2 of 4 141andouts\PermitApplication
1 .. I ■ ..
-. -- -,' ELECTRICAL PERMIT INFORMATION' - . .
: RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
ASingle Family Square Feet ,1/ 2- 2- Service or Feeder Each Add'n
(First 1300 ft3-$111.00;Each add'n 500 ft3-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage - • ❑ 101-200 amp_ . -149.50 94.50
(Inspected with service) , $47.00 ❑ 201 -400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601 -800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 e.„... ❑ Over 600 volts surcharge $94.50 •
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 • 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
•
Service or Feeder •
❑ 601 - 1000 amp 423.00
•❑ 0 to 200 amp $92,50 ❑ over.1000 amp 471.00
❑ 201 -600 amp . 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp .225.50 - '(1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee .
❑ Service - 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE-HOME/RV PARK Residential/Multi-Family $65.00
❑ # of service or feeders
(First ser4ice/feeder-$74.00;each add'n-$48.00) . Commercial/Industrial Service or Feeder.Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00 .
❑ 401-600 amps 149.50
- ❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT .
I # of Thermostats ❑ # of Signs
(First-$55.00; add'n-$17.00/ea) ' (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $1 11.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
l"2500 ft2-$65.00;
Each add'n 2500102 17.00) •Per WAC 296-46-9/0f5)(4#a u)
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' Bulletin#100-January 1,2007 . Page 3 of4 k\Handouts\Permit Application
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