09-101143 111 Electrical
City y � Q
Communityof DevelopmentFederalWaServices Permit #: 09-101143-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph.(253)835-2607 Fax.(253)835-2609
FILE
Project Name: LAKEHAVEN UTILITY DISTRICT CENTER
Project Address: 31531 1ST AVE S Parcel Number: 072104 9014
Project Description: Circuits for Well#33 Control
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT
31627 1ST AVE S 31627 1ST AVE S 31627 1ST AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Is Use Educational or Institutional9 No Service greater than 1000 Amps'? No
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Circuits-Commercial 5
PERMIT EXPIRES Saturday, March 27, 2010
Permit Issued on Friday, March 27, 2009
I hereby certify that the above information is cor and that the construction on the above described property and
the occupancy and the use will be in.acc• .'- w. ti the laws, rules and regulations of the State of Washington
t City of Federal Way. 2`
Owner or agent: ,„� /j Date: /4 74
�r
• DATE INSPECTOR ° AREA AND TYPE OF Z._.vPECTION
THIS CARD IS TO•MAIN ON-SITE
C 4.„
ITY OF " Community Development Inspection Record
Way Federal IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT #: 09-101143-00-EL
Owner: LAKEHAVEN UTILITY DISTRICT
Address: 31531 1ST AVE S
FEDERAL WAY, WA 98003-4644
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.
'❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By J Date IA.$ Q c By Date
❑ Pool Bonding (4195) ❑ Temporary Power(4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
�❑ Final-Electrical(4055)
Approved
B� ‘--7 Date 7-7z
•
For inspector reference only
O Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CN„OF RECES/ N *
f- D
Federal Way -
PERMIT
SF MF CO ME E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES MAR ?n
33325AVENUE SOUTH•PO BOX 9718 APPLICATION
FEDERAL WAY,WA 98063-9718 7'D / /
.. 253-835-2607.FAX 253-835-2609 OF r.'
wtmu
u.ohtoffederatwa .corn RAL `n,
W
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS 3/ S— / / / ,i?... _ j SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ —_ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descipoon)
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
(. L _ 1) ( Vic....
PROJECT NAME(Name of Business or Owner Last Name) G(J&-c-- 5$
MI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Z----4T //'MJF/✓ C17-74-4 1'X" r /c! t t fi=r 3' ) 7.1711 -t 1-7-4,
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
,,d -lox 142-4?‘? /---(..0,p-1.:_/9z__e -i rloej
CONTRACTOR COMPANY NAME� / APPLICANT NAME OFFICE PHONE
IN r0
13 '.L'!I CITY,STATE,ZIP CELL PHONE
CITY OF FDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Z.-. "7—Fe't4i1LLc✓ ..1-.'2-2, ,vt� (A-3) h1)----/).-7\
MAILING ADDRESS /� C�
�% CITY,STATE,ZIP CELL PHONE _
63 :-) /91-510 !" / 2c. -4_1,1l 7 FAX NUMBER
�) -
RELATIONSHIP TO PROJECT
0 Architect 0 Tenant 0 Agent }Other d‘•1/14-4-"/(e...- (�� ) 5?y - 2cz,7
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT �3' t° L (24-3) 416' S''- a6C J
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE R
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ t
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
t PROJECTFLOOR AREAS.. ,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS IO° O PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do 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
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo( LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crows
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 Fe• .1 Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), whic be made by any person, including the undersigned and filed against the city, but only
where such claim arises out of the reliance . - , including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applicatio
SIGNATURE: / ` _( _ DATE ?/2 ?/t f
--'111r'.perty Owner and/or Authorized Agent
_ I
a NEW a ADDITION a ALTERATION a REPAIR 0 TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN?
a YES a.NO
ZONING DESIGNATION CHANGE OF USE?
❑YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January I,2009 Page 2 of 4 k\Handouts\Permit Application
• i
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft,-$121.00;Each add'n 500 ft2-$39.00) U 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
{
U Swimming pool(inspected separately) $120.50
0 801 - 1000 amp 562.50 235.50
❑ Hot tub/spa/sauna(w/service) $51.00
❑ Over 1000 amp 613.00 327.00
❑ Hot tub/spa/sauna(inspected separately) $80.00
❑ Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
Service or Feeders
❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
0 201 -400 amp 163.00 80.00
0 201 -600 amp 305.50
0 401 -600 amp 223.00 111.00
0 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50 ❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
.) #of circuits to be added/altered
ALTERED SINGLE/MIILTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
0 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ 201 -600 amp 163.00 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
CI over 600 amp 245.50
❑ Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
❑ Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) U Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System U Portable Generator(transfer equipment) $100.50
❑ Security Alarm System
❑ Voice Cabling U Ditch cover/inspection only $120.50
❑ Data Cabling
lu 2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ft2-$18.50)
253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application