07-106532 f �
17f City of Federal Way s Electrical Permit #: 07-106532-00-EL
Community Development Services
P.O.Box 9718
1 Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: STEEL LAKE PARK
Project Address: 31201 28TH AVE S Parcel Number: 092104 9026
Project Description: Installation of new service from PSE pole off 28th Ave S (southwest of skate park). Wiring
for security camera.
Owner Applicant Contractor
FEDERAL WAY CITY OF TIM DICKINSON AMAYA ELECTRIC
33530 1ST WAY S CITY OF FEDERAL WAY-PARKS AMAYAE*274B3 (1/31/08)
FEDERAL WAY WA P.O.BOX 9718 PO BOX 98686
98003-7332 33325 8TH AVE S LAKEWOOD WA 98496-8686
FEDERAL WAY WA 98023
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Service/Feeder: 101-200 amps-CI 1
PERMIT EXPIRES Saturday, November 29, 2008
• Permit Issued on Wednesday, December 5, 2007
I hereby certify that the abSE 1 p rrAW"COrrat t iMAt 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
DEC 0 pltive City of Federal Way.
Owner or agent: Date:
A. THIS CARD IS TO REMAIN ON-SITE
•
CITY OF ' Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106532-00-EL
Owner:
Address: 31201 28TH AVE S
FEDERAL WAY, WA 98003-5007
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 Date`i -lD'd7 By Date
_ El Temporary Power (4275) ,❑ Service (4235) �❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By c&i.)-' Date f l • eri By Date
❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date 2 •/6.6
❑ UFER Ground (4295)
Approved
By Date
I
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved '
By Date By Date /2. '1° --0 7
A
REcENED
� n7-- 1 .0 , 53
FederaIWW r 0 5 zoos PERMIT
' c0MWRINDYDEVELOPMBNrsERY1 SF MF CO ME �'L DE EN P
3332511m AVENUE PO BOX APPLICATI0N
FEDERAL.WAY,WA 9806.7-9714 0
253-835.2607•FAX 253435468 ��. ���
vnviv.dhp]<edemhonv.rnvl BUILDING DI /� /
The following is required information-an incomplete application wilt not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS; l.,ZG / ?� S". L ( k. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 (-1 0 V - �Z 2 • LOT SIZE(s/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepmWa page for lengthy heal desoip lon)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING O PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
...4. • Y.f s441' nee . 1 '<P.M✓iCe n ai (ESL. (9c)/-e. 1 r- 5ees,r' C�t-.re-"a •
S-• ( - • _ L .re. -((. 47-t- s . k ' . 4 :{' S32
/�rah. i..7,(I I /, L -GO_ n E. �. / l
s�C<e-1 c&—c ( ti1 t f�' !a`/j ) S /l NS�x,rs�;l rc 1 ��3�if 4I. lode c
/ /
PROJECT.NAME(Name of Business or Owner Last Name) •
MI PEOPLE INFORMATION
PROPERTY NAME
--�'— ' ` PRIMARY PHONE
OWNER . .......c...._(......, �'- C�✓/a-" ( ' ) -
MAILING ADDRESS -
S C7Y,9TATH,ZIP E-MAIL ADDRESS
CONTRACTOR COW c e.)&e: 'r
APPLICANT NAME OFFICE PHONE '
c25 ) . - et 5a
MAILInU nu....___ ATE.ZIP PHONE _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBS EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT CO p[7�NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP rCELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( ) _
PROJECT NAM
PRIMARY PHONE - E-MAIL ADDRESS
CONTACT / n� /�,L,.. so-� 2 S 1) g>S - 456 ( -7%r-s.r,k41,S-),.P e,4f 4,-/2 -__
LENDER NAME Per RCW 19.2.7.095: if
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
•r DETAILED BUILDING INFORMATION .•
EXISTING USE IPPIP PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ .
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION = STEM PROPOSED/REQUIRED? ❑YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACs ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGIIIdNE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
.THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(a COVERED OR ❑UNCOVERED?)
GARAGE I CARPORT ❑
•
NUMBER OF ' i*RS marrow PROPOSED TOTAL TOTAL mernis sr Tara.MOMS=BP Tosser
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of z • e to be install a or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ •'Y 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
DUCTS -GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATBT lerTub/Shower Combo) LAYS illatbrom swco{ URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rioeey
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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), wh ch may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the r of the city,includin, officers and employees,upon the accuracy of the information supplied to
the city as a part of this app on.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
a NEW ❑ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—August 16,2007 Page 2 of 4 . k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION •
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50
$74.00 0 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
❑ 80I - 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 ❑ 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 am
0 1000 am
P $92.50 amp 471.00
❑ 201 -600 amp 149.50
❑ over 600 am ❑ #of circuits to be added/altered
P 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
(.3 # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/es) $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 ROME/RV PARR
❑ #of service or feeders ResidentiaMulti-Family $65.00
(First service/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
❑ #of Thermostats ❑ #of Signs
(First-$55;00;add'n-$17.00/ea)
❑ Low Voltage (First si gn-$55.00;add'n sign$26.00/ea)
Square Feet to be served by system(s) ❑ Swimming pool/hot tub. $111.00
El Alarm System (Includes additional circuit,if required(
❑ Security Alarm System ❑ Yard Pole meter loops $74.00
CI
Cabling ❑ Additional Plan Review $111.00/hour
❑ Data Cabling (for modified submittals)
0 ❑ Automation Fee on all Permits .
lo 2500 ftz-$65.00; $5.00
Each add'n 2500112-17.00) •Per WAC296.45910I5/(b)fl&ig
Bulletin#100-August 16,2007 Page 3 of 4
Mandoutaermit Application