07-105612 City of Way. ." Electrical Perini #: 07-105612-00-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: LAKEHAVEN WELL#21
Project Address: 35316 1ST AVE S 4 Parcel Number 292104 9031
l
Project Description: Alt 5 circuits for new filtration syst .
Owner Applicant Contractor
CITY OF FEDERAL WAY LAKEHAVEN UTILITY DIST. LAKEHAVEN UTILITY DIST.
33530 1ST WAYS 31627 1ST AVE 31627 1ST AVE
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98003-6200
Additional Permit Information
Service greater than 1000 Amps9 No
Electrical Fixtures
Circuits Commercial 5
PERMIT EXPIRES Sunday, October 5, 2008
Permit Issued on Thursday, October 11,;2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and use will be in accordan with the laws, rules and regulations of the State of Washington
a4 ity of Federal Way.
Owner or agent: 5tfiK Date: /4/11/0 7
fry
THIS CARD IS TOMAIN ON-SITE -
•
CITY OF
k
a ommunity h
Development Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-105612-00-EL
Owner:
Address: 35316 1ST AVE S
FEDERAL WAY, WA 98003-7017
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.
0 Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By C_ Date tet y 2_6.--1 By Date
❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
0 UFER Ground (4295)
y
Approved
By9Date 1/ _2)
1
i
For inspector reference only_
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
� RECEIVED -
PERMIT _ � _ _
• co MMUMTYDEVELOPMBNT SERVICES 0 C T i j 200 SF MF CO ME PL DE EN FP
3331E R ATB•PO BOX9718 LI C AT I O N TD
FEDERAL WAY,WA 98069.97118
253.835.1607.FAX 253435.16rny OF FEDEt•iA -e----
w' .dtuolredendway.eaR BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
L.
PROPERTY INFORMATION
SITE ADDRESS- 3 3/t / 0‘ we Ocd�t IC et Z ble•if
/SUITE/UNIT$
/Z •
ASSESSOR'S TAX/PARCEL$ 2 't 2 L O `-(- /� 7 r
'
LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(mach.ePara.pagefor lengthy legal&NNatptton)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL '
. ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE pREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description o work included on this permit only)
• w 4' $ a ( . leer �r
PROJECT.NAME(Name of Business or Owner Last Name) kle, ?/ ,6 /4 Ge alt .
• PEOPLE INFORMATION
PROPERTY NAME /_ ` PRIMARY PHONE
OWNER de at G%/'l{� )1.r./44-1,..c..4- ( ' ) -
MA INC)ADD S 5rf fL ^ C' . CIS.STATE,ZIP FrAeffi • W 7 E0� E-MAIL ADDRESS
04
CONTRACTOR COMPANY NAME PPLICANT NAME OFFICE PHONE
. 044
( ) -
MMAIILIING ADDRESSS c �T,E,ZIIPP U/��� CELL PHONE •
'�ITY OFFEDERAII WAY BUSINESS LICENSE NUMB t _-EXPIRATION BATE yi®a� FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME ``�aAPPLICANT NAME OFFICE PHONE
M 1tavt,dc l////fir Llrh'cc, ( )
MAILIKI 3/ 23RES/'l j f� c .00% CITY �,vrATE,ZIP _ q poaf CELL PHONE
RELATIONSHIP TO PROJECT � L ""_` //J,/ ' I• FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( ) - •
PROJECT NAME //'►► PRIMARY PHONE E-MAIL ADDRESS
CONTACT Y J ( Atc (253) 77? - (TY 7/ UCOL KM/e(,/ErL�kci.I�l,cy.4
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 ❑ NO FI. r-, liC•..RESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
li
WATER SERVICE PROVIDER ❑ LAKEHAVEN r'HIGHLINE "RACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN '❑ HIGHLINE ❑ PRIVA'PEj6EPTIC)
13$a5 38)O
• •• - v
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ;FT. SQ.FT. SQ.FT.
•
FIRST
t SECOND .
7
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 \ j
NUMBER OF FLOORS I �O° e l t mom= tor` TOTAL sysravu AL rornc
Ill
**NEW HOMES ONLY* . NUMBER OF BEDROOMS • MATED SELUN e " CE $ i
....._... . .._........._.............
• FIXTURES
. ........_....._._..................... .
. _............................
Indicate number of each type of fixture to be installed or relocated as part. project. Do not include existing futures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTI TE MUST B h i CLUD,ED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLE,re. GAS PIP'••UTLETS WOODSTOVES
BBQS FANS GAS WATE' .EATERS MISC(Describe)
BOILERS FIREPLACE INSE HOODS(commend
COMPRESSORS FURNACES ,' RANGES
DUCTS GAS LOGS' REFRIO.SYSTEMS �\
PLUMBING' ---
BATHTUBS(or'iub/Shower Combo) LAV''(seth/semSinks) URINALS MISC(Describe)
DISHWASHERS ; r NWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
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), which may be made by any person, including the undersigned, and filed against the city, but only
where such.claim • -es out of the reliance of the , including its officers and employees,upon the accuracy of the information supplied to
the city as a part,is application.
SIGNATURE: •��. 4...//
.4IDATE id /07 07
OF
' .perty Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION. a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES.o NO BASIC PLAN? ' a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO • UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO. .
ilBulletin#100-=August 16,2007 Page 2 of 4 . 'l\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 0 to 100 amp $120.50. $74.00
0 Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
0 80/ -1000 amp 516.50 216.06
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 563.00 300.00
•
Service Feeder
. ❑ Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94.50
' ❑ 201 400 amp 149.50 74.00 0 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 0 201-600 amp 280.50
Service or Feeder 0 601- 1000 amp 423.00
El to 200 amp $92.50 0 over 1000 amp 471.00
❑ 201-600 amp 149.50 /''
❑ over 600 amp 225.50 2q '7 #of circuits to be added/altered
(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 Residentia
❑ #of service or feeders 1/MuIH•Family $65.00
(First service/feeder-$74.00;each add'n-$48.00) Conunercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74,00
0 101-200 amps 94.50
❑ 201-400 amps 111.00
0 401-•600 amps 149.50
❑ over 600 amps 162.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
0 #of Thermostats • 0 #of Signs
(First-$55:00;add'n-$17.00/ea) (First sign-$55.00;add%sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub.
Square Feet to be served by system(s) $111.00
❑ Fire Alarm•system (Includes additional circuit,if required)
❑ Security Alarm System 0 Yard Pole meter loops $74.00
I3 Voice Cabling ❑ Additional Plan Review $111.00/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits .. $5.00
In 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)*Per WAC 296.46910(5)(6)(1 a ii) •
Bulletin#100-August 16,2007 Page 3 of 4
k\liandouts\Permit Application