09-100970 .7' . ..
.. , e Elcctrical
City of Federal Way
Community Development Services t Permit #: 09-100970-00-E L.
P.O.Box 9718 + `
Federal Way,WA (253 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 `--
Project Name: LAKEHAVEN UTILITY DISTRICT CENTER
Project Address: 31531 1ST AVE S Parcel Number: 072104 9014
Project Description: Adding/altering up to(4)circuits for network equipment
Owner Applicant Contractor
CITY OF FEDERAL WAY LAKEHAVEN UTILITY DISTRICT VALLEY ELECTRIC CO OF MT VERN
31531 1ST AVE S 31627 1ST AVE S VALLEEC141NA(8/1/10)
FEDERAL WAY WA FEDERAL WAY WA 98003 3001 MERRILL CREEK PKWY S
98003-4644 EVERETT WA 98203
Additional:Permit Inform ffi fit,
Service greater than 1000 Amps? No
�� Electrical Fixturesd /;' • ,-'P4'
Circuits-Commercial 4 New Service/Feeder:201-400 am 1
PERMIT EXPIRES Saturday, March 13, 2010
Permit Issued on Friday, March 13, 2009
I hereby certify that the above information is corr-. •. t,at the construction on the above described property and
the occupancy and the use will be in rd-- r 'e laws, rules and regulations of the State of Washington
n.� y of Federal Way.
Owner or agent: V . Date: Y�jf'G%`,
- ---. SLA- 0--LLCii f'f3/o?
DATE INSPECTOR AREA AND TYPE OF INSPECTION
3-2-4 � - cam - //r-I, -t` ��s eiv
•Z6 c' c W<IE cmyG./�
•
• THIS CARD IS TO /VAIN ON-SITE r
CITY OF = `- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-100970-00-EL
Owner: CITY OF FEDERAL WAY
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 Date By Date
❑ Pool Bonding (4195) ❑ Temporary Power(4275) ❑ Service (4235)
Approved Approved Approved
By Date By Date By 2�:.. Date (6
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) `❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical (4055)
Approved
By 0, Date 1
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A sr/ - 7 C C) CH
federal Way
f"EIV PERMIT SF MF CO ML DE EN FP
COMMUNITY DEVELOPMENT SERVICES L E��
33325AVENUE SOUTH• BOX 9718 .A P P L I C AT I O N
FEDERAL WAY,WA 9806363-9918 TD / /
253-835-2607•FAX 253-835-2604 AR 1 3 Z(��»U
WWIIciNoffederatwatt.com
The following is required informatj6.4t:incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_3/ ) J f / , 0 SUITE/UNIT#
0 a-
ASSESSOR'S TAX/PARCEL# v, 7 / 0 it- LI- LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descripaon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION,e'tLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
.fi'G.4-t"- _ �k, S 7-7" C ./fr `- 'i C.---F '/K.-7714 /ti Co
PROJECT NAME(Name of Business or Owner Last Name) ?3 eirai Va) li/r`lU14%rl`7
li PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER �i✓ /./%/L1/� Oisi r'2-lc-7 (i/J ) 9y/ -.,'j7 ,
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
"1_9 d8 4/2-Vi reTpc - 4/7 74?
CONTRACTOR COMPANYrPANAME`� APPLICANT NAME ,' OFFICE PHONE{ /�
t �✓ c , FC,I�PCs MAILING ADDRESS CITY,STATE, aG> !!f� C 914.1 �? -G9'7?1—
ELL PHONE
4
1' Ilii' s2A2i..a._ -g ,PSI S4e 9(22 ( .,) S`7/ - ��s'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2-4:, '--C.,0 rotTc,p c -,d /2-0/(e? ( 9'7 -cr7h
CONTRACTOR'S REGISTRATION NUMBER IRATION DATE E-MAIL ADDRESS
1/4 Eco/ rf "114 7- 2/, /O9
APPLICANT COMPA NAME APPW,ANT NAME OFFICE PHONE
e�9 1"-C/ ic✓ _ ;� (24-3) Py(' -/i7r
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
:1' 0',57t4",4' - // ?Ci2;rr-- C P4'c 23 ( �1 4,c--/ Cf
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent .e'6ther >geC'e-trie--ti/F.__-- V-1 3)''/ -2---4V?
PROJECT NAME ,..
PRIMARY PHONE E-MAIL ADDRESS
CONTACT C (2-373) Com•--) /S-Yr-
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? 0 YES ❑ NO ,
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
11 PROJECT FLOOR AREAS,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
1
NUMBER OF FLOORS EXISTAO PROPOSED TOTAL TOTAL EZISTING SF TOTAL PROPOSED SP TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECEIAMCAL
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(commenial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower comm) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(lollop
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 Federalyay as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which made by any person, including the undersigned and filed against the city, but only
where such claim arises out of the reliance of t ,inc, ding its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applicatio
SIGNATURE: / DATE )l ) .-.0
1t'._' �.i■.'' 'wen-i . . . orized Agent
❑NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN?
_ ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE?
❑YES o NO
*NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT ...0
w . .._ _, REQUIRED. ❑YES ❑NO
Bulletin#100—January I,2009 Page 2 of 4 k\Handouts\Permit Application
0
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 ft2-$121.00;Each add'n 500 RV-$39.00) ❑ 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
CI pool(w/service) ❑ 401-600 amp 356.00 142.50
$80.00 ❑ 601-800 amp460.50 195.00
❑ Swimming pool(inspected separately) $120.50
(w/service) $51.00 ❑ 801 - 1000 amp 562.50 235.50
❑ Hot tub/spa/sauna
0 Over 1000 amp613.00 327.00
Ca 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.)
❑ Up200 Service or Feeders
to amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
U 201 -400 amp 163.00 80.00
0 201 -600 amp 305.50
0 401-600 amp 223.00 111.00
0 601 -800 amp 285.50 152.50 CI 601 - 1000 amp 460.50
❑ Over 800 amp 408.50 305.50 ❑ over 1000 amp 513.00
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
$103.00 plus 35%of Permit Fee
❑ 0 to 200 amp $100.50
❑ 201 -600 amp 163.00 ❑ Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
❑ 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
U 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
❑ #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 ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System
❑ Voice Cabling U Ditch cover/inspection only $120.50
❑ Data Cabling
0
1•t 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