08-103369 M 6 •
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CommuniCltyofFederaiwatyDevelopment Syervices Electrical Permit #: 08-103369-00-EL
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: WELL 17 LAKEHAVEN
Project Address: 975 SW 320TH ST Parcel Number: 182104 9039
Project Description: Adding altering(5)circuits to install wate i r s m
Owner Applicant Contractor
LAKEHAVEN UTILITY DIST. LAKEHAVEN UTILITY DIST. LAKEHAVEN UTILITY DIST.
31627 1ST AVE 31627 1ST AVE 31627 1ST AVE
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Circuits-Commercial 5
PERMIT EXPIRES Wednesday, January 7, 2009
Permit Issued on Friday, July 11, 2008
I hereby certify that the above information is curl`-- an' that the construction on the above described property and
the occupancy and the use will be in accor+."ce it the laws,rules and regulations of the State of Washington
•- ty of Federal Way.
Owner or agent: / Date:
//�-c'
` THIS CARD IS TO REMAIN ON-SITE
CITY OF `- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103369-00-EL
Owner: LAKEHAVEN UTILITY DIST.
Address: 975 SW 320TH ST
FEDERAL WAY, WA
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 UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By c ..1 Date 8g.fit _c2,ir By Date
.0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�,w RECEIVE.. L_ (09 - 6
eraR ky PERMIT
COMMUNTIYDEVELOPMENT SERVJCP,JUL 1 1 2008 SF"MF CO ME L , DE EN FP
333258iv AVENUE WA SOUTH•PO 6397X 9718 I C AT I O N
FEDERAL WAY,WA 98063-9718
Y53-83sa607•P��?ry096 F V V r1 / /
www.dhaf7 v. rRIJ FENCCER VV/'� i
The following is required nation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS P7 1' Str, ?� r 7/ SUITE/UNIT#
•
ASSESSOR'S TAX/PARCEL# _ _ _ _- __ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page fir lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING. 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
to C # -/ 7 e v i -L z.--/-7 -1---9-7644/ 5>
,/'') ,� ..-F?CA1,
PROJECT.NAME(Name of Business or Owner Last Name) VV ` /' j_7' 1 "00)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER f�►..'^ F Y'' G/f/"/ 4,7-7.4-17-7 f9 r57-7-41 --/---- (2-r3) 9' -/r
MAILING ADDRESS CITY STATE,ZIP E-MAIL ADDRESS
04v A ox e(2 y-7F-�'r,F,4r/,-,/ rrc63
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
,r'• E /l5 / 1-/c-�-7 ( )
MA ING ADDRESS 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
Gfr- rmi-r .r✓ l! Cre (24J) 1yr/riC
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
)2 Ste' 044bc /07—.11-9 , , 9,472-3 (2 */oi -Ce6$
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ,tl:Other r."1 vy Cf.— (24-)) 52V-2w?
PROJECT NAME'+ / PRIMARY PHONE l I E-MAIL ADDRESS
CONTACT (-74-1,1x C oe..,(� (2-1-3) Ver--- d'/G? l eiaatL/9G"fe-tGl�i�1'i i✓P
LENDER NAME Per RCW 19.2.7.095:
Lender information is required(/'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? D YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
al PROJECT FLOOR AREAS
AREA DES ION EXISTIN PROPOSED TOTAL
SQ:FT. SQ,FT. SQ.FT.
BASEMENT
FIRS —-
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =ATMs PROPOS= TOTAL TOTAL EXISTING SP TOTAL PROPOSED SP TOMS?
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"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U 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 M1SC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Shake) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS goes
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 an • m(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by • pers• , including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, Inc - is offic-s and employees,upon the accuracy of the information supplied to
the city as a part of this appiicatio�
SIGNATURE: ���✓/_ DATE l
Pro Owner and/or Authorized Agent
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100-August 16,2007 Page 2 of 4 . k\I-Iandouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ttt-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50. $74.00
❑ 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
0 601-800 amp 423.00 179.00
O 801- 1000 amp 516.50 216.00
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 ❑ 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
El -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
❑ 601- 1000 amp 423.00
Service or Feeder
0 over 1000 amp 471.00
❑ 0to200amp $92.50 •
❑ 201 -600 amp 149.50 / 'S...--41 of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
0 #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
U Service or feeder only $74.00
O Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/Muiti-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
U 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
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r MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
U Low Voltage ❑ Swimming pool/hot tub. $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits
❑ $5.00
la 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC 29696-910(5)(b)(ii A ii)
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application