09-102663 • ,JJ,�� . ,Electrical
CityCommunity
oFederaWy
S Permit #: 09-102663_00-EL
Community Development Services
• P.0.Box 9718
Federal Way,WA 98063-9718 tion InS eC Request Ph:(253)835-2607 Fax (253)835-2609 p Line: (253) 835-3050
Project Name: LAKEHAVEN UTILITY DISTRICT- GROUNDS MAINTENANCE BUILDING
Project Address: 31623 1ST AVE S Parcel Number: 072104 9017
Project Description: Alteration of 200-amp service for grounds maintenance building.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT-WATER LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT
OPERATIONS 3203 SW DASH POINT RD 3203 SW DASH POINT RD
PO BOX 4249 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
FEDERAL WAY WA
98063-4249
• Additional Permit Inforrr0ii ,_
Is Use Educational or Institutional') No Service greater than 1000 Amps , No
.,.. Electrical Fixtures `_.
Alt. Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, July 14, 2010 gam„
Permit Issued on T - ay, July 14, 2009 `
I hereby certify that the above informa •" is c• ant that the construction on the above described property and
the occupancy and the use will be co .a► wi - the laws, rules and regulations of the State of Washington
,�• t - ity of Federal Way.
Owner or agent: Date: 7-7 — 07
Allpv
-moi- —
7-7g2/0/
•
1
THIS CARD IS TO MAIN ON-SITE
CITY o ` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050 •
PERMIT#: 09-102663-00-EL Address: 31623 1ST AVE S
Owner: LAKEHAVEN UTILITY DISTRICT- V1 FEDERAL WAY, WA 98003-5201
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 UFER Ground (4295) El Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding (4195) Temporary Power(4275) El Service (4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) ❑ Rough Electrical (4225) Ceiling Cover(4020)
_ Approved Approved Approved
By Date By Date By Date
0 Final-Electrical (4055)
Approved
Byf-1 �(r' , Date 7-72.., „,
•
For inspector reference only_
O Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
CITY OF P FCEI Y
- LO
_—
FederalWay PERMIT
'COMMUNITY DEVELOPMENTSERVICES-! ,1.4 LUu� SF MF CO M EL PL DE EN FP
33325 D AVENUE SOUTH 9.PO BOX 3-9718 9718_ TT -,..LI CATI O N
FEDERAL WAY,FAX
93063-260
253-835-2607•FAX253-835-2609 FEDER yV,V,
u.wur.ai tiorfederal wa tl.mm
The following is required gnation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS_ j/G/.j
L— ;� f' �° SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(AtUodi separate page for lengthy legal desaiptionl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION°g-ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) olydC'!.1•«5" r7el1
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER �� � � ' / (Li % / �%sL iG'�-�' (217)
MAILING ADDRESS CITY, TATE,ZIP E-MAIL ADDRESS
/'0 4c* yam`I
CONTRACTOR COMPANY NAM APPLICANT NAME OFFICE PHONE
�(E _ ( ) _
MAILING AbDRE CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Ce �' ' v CaA< (tea V ) 5'
MAILING ADDRESS
CITY,STATE,ZIP caq.PHONE
n >
Sts ( ice) o) -
RELATIONSHIP TO PROJECT FAX NUMB
0 Architect ❑ Tenant 0 Agentther y/�r F (4'.?)e757- 47''
PROJECT NAME
PRIMARY PHONE E-MAIL ADDRESS
CONTACT .1-;)7/174-ye1e---
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 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
al 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 0 UNCOVERED?) i.
,
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL ZXISmm Sr 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.
MECFIAHICAL
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(Commeceiai)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower combo( LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rose)
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 arises out of the retest e o.the 'ty, inciu ng its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: _.-
IGNATURE: DATE
DATE
lie
•v' - d/or All Agent
7
t3r9 3 , A .,
0 NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NOBASIC PLAN?
o YES o-NO
ZONING DESIGNATION CHANGE OF USE?
❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES 0 NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
i III
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
El Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500 ft2-$39.00) U 0 to 100 amp $131.50 $80.00
U 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00
0 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00
❑ Swimming pool(w/service) ❑ 401-600 amp 356.00 142.50
$80.00
0 601-800 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
❑ Hot tub/spa/sauna(inspected separately) $80.00 ❑ Over 1000 amp 613.00 327.00
❑ 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.)
❑ U 200 Service or Feeders
P to amp $131.50 $39.000 to 200 am
0 201 -400 amp 163.00 80.00 % P $131.50
❑ 401 -600 amp 223.00 111.00 ❑ 201 -600 amp 305.50
0 601 -800 amp 285.50 152.50 U 601 - 1000 amp 460.50
❑ Over 800 amp 408.50 305.50 CI 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
MANUFACTURED HOMES Service or Feeder Each Add'n
❑ 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/ca)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System
❑ Voice Cabling ❑ Ditch cover/inspection only $120.50
❑ Data Cabling -
1.,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