09-104111 Electrical
City of Federal Way • •
Community Development Services Permit #: 09-104111 -00-EL
PO.Box9718
Federal Wy,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: LAKOTA MIDDLE SCHOOL- GYMNASIUM
Project Address: 1415 SW 314TH ST Parcel Number: 072104 9143
Project Description: Low-voltage wiring for CATV,sound systems& intercom/clock system.
Owner Applicant Contractor
ROD LELAND ELECTROCOM ELECTROCOM
FEDERAL WAY PUBLIC SCHOOLS 6815 216TH ST SW ELECT**137DP(3/7/11)
31405 18TH AVE S 1 YNNWOOD WA 98036 6815 216TH ST SW
FEDERAL WAY WA LYNNWOOD WA 98036
98003-5433
• Additional Perms;Inform tion
Is Use Educational or InstitutionaI' No Service greater than 1000 Amps° No
Eie
Low Voltage-Other(Commercial` 1 •
PERMIT EXPIRES Wednesday, October 20, 2010
Permit Issued on Tuesday, October 20, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the Cit of Federal Way.
.;/- 3
, ^
Owner or agent: Date: (/ C;'
ElfAi
/
lo/i+/to
DATE INSPECTOR AREA AND TYPE OF uNSPECTION
THIS CARD IS TO AIN ON-SITE
Construction In coon Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104111-00-EL Address: 1415 SW 314TH ST
Owner: ROD LELAND FEDERAL WAY, WA 98023-4518
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequentiaForder 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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding (4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical (4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical (4055) •
Approved
111- Date /G,..7 --(
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
EC4VED
Fe t=FederalWayWay OCT 2 0 2�2009EL PERMIT SF MF CO ME PL DE EN FP
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COMMVNnnnDE ft r ATI ON
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253-835-2607•FiLY 3- 9w F F E A
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SITE ADDRESS
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
"'" 8 ® F *A/� kms✓ E s
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NAME OF PROJECT �t �,
(Tenant or Homeowner Name) 1�t3 f c i C '(nJC��s 1 tom. (4,--
0
4❑BUILDING 0 PLUMBING 0 MECHANICAL L.,
TYPE OF PERMIT
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
ass-fie,I A CATV 34i'tc 3 -I1111-1-CCCA /be, Cat
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Ic,c,cAi'x-CZ 11��0 �1) GS 3 )94 5 - QUU
MAILING ADDRESS.CITY,STAT.ZIP E-MAIL.
2 -k O `ce(ti kyv _ S
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
-le,-c. *-a wn (L195)-1-1,1 - Lit)
CONTRACTOR /MAILING ADDRESS.CITY,STATE.ZIP FAX
)IkAtt
WAS21 �l +{ti.. S U 1 rtiE ONDATE(� FEDERAL WAY B BUSINESS LICENSE# ..
WA STATE CONTRACTOR'S LICENSE#
F LEri (37Qp l2 / 3/ /09 'lI-ci l'-/a5.?7 %-a -A1
PRIMARY PHONE
APPLICANT r2e (W` )Th - (./CZ(, j
MAILING ADDRESS.CITY.STATE,ZIP FAX
( (S 9,(t 4 to S� 5(A) UltAnt/WA/WA 1° )3/ (' )T7( 1(l O
PROJECT CONTACT NAME ( PRIMARY PHONE
(The individual to receive and r't q'} �Mt'CL ( 1 h5) & - 31- (
respond to all correspondence MAILING A DRESS,CITY.STATE.ZIP ) , ,y� GHQ''y� ,i FAX !'�
concerning this application) (_� 5 \I(D{k 4 s niN4 1(1J�1r1 1.0 3 t ('-t 1 )71( 1 1(0
TERNA CONT NAME: PR'MARY PHONE E-MAIL
JaIN )47z >,.v/e (`(95 ) 1344 -lx i X) rl t e r(a;[rriPy,O Co cas-L
PROJECT FINANCING NAME
• El OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS.CITY.STATE,ZIP PRIMARY PHONE
02Cw 19.27.095) ( ) —
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person,including the undersigned, and filed against the
city, but only w -. such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
informations city as , .,. thisttt itd8ti2fit
SIGNATURE: , DATE
PRINT NAME: ( a ♦� Y--eJe.
Bulletin#100-4/21/2009 Page 1 of 4 k:\HandoutsWermit Application
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ELECTRICAL
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet I s",Service/Feeder Addllionai Feeders
(including attached garage): •0 100 Wrizt`7 ' 131 50 ,_ _... _ x$ 80.E
FEES: First 1300 ft2-$121.00; • 101--200 amp _ x$16300 x1.-OI-010
Each additional 500 fie-$39.00 . ,
010
, NEW MULTIFAMILY(3 units or more) got 600amp= _ x$358 00 -M x$.142 50
1.Service Feeder Additional Feeders -1 .ip" s - 4iSAIMMINIcOICA00
, 80e1_, 1Q00 amig .__._ ,x-0G�5:0, : . --.�.�.,xf$235:
20 400 amp x_ 163 x 86:00 o..t ...x tnl i, ....x...r_,;..� �....la
�1,� _�.- S . � L
60 $OQamg. _ x $285; _.•. _ x $152.50 Over 600volts-surc _ = .s _x 103 00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
Ise Service/Feeder Additional Feeders { :Service/Feederr Additional
MIALMIROYIKii
.. K4
4139 0
201 ._ $1631=�0�0 x $ S0 00 201201 (0 a41-' ..-�' x$3�0y5�y-50 x'1 20
', x r`t _rz _!A t h 3. 4MW E .$1- ..: 6 T- 00.'Kr`..c.l"s.�` ria ^' A46.0.5O A.4 ..�.. . X$ 5 50
aver,1580 amp_- _ __- $513.00. -..x$327.00
Added or Altered Circuits... . - .-.
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
s_ervice-oreeder onlyx $�80 00
�1} � ��� s� $103.00 plus 35%of Permit Fee;Plan Review required for.
��
O New,or alteration to,service of 1,000 amps or greater .
❑ Medical/Educational/Institutional Facility .
Plan review for modified submittals $120.50/hour
MI' . LLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE -, ,oo TEMPORARY SERVICE
/ 0 Fire Alarm System CR6h50O-:- .p )35 70S Ist Service/Feeder Additional Feeders
1 ❑ Security Alarm System )( 1$,co
❑ Voice/Data Cabling 1 i-4--!7
111.0° ti .fie Y _a' 1r.'-'. : .s4n 4 •°;3Fs72"eS
❑ Other 4 1 100 amp q C�tl f�fl_ x $ 3 00
Area to be served by system: G' 1+"�
1•k 2.500 fta$71.00:each additional 2, 00 ft2-$18.50 y amp i`lfi' x. x 0 -i �$X510
0°' 400-amp - .2o.00 $ 60 5f
#of Thermostats I lP ]-d Aiitif LP'`6 .. x�; - . x`'' '"80.Oo
t t$60.50;each additional$18.50 ' — f
110.oro Over r 00 .atsip - k 0 Y g $ �92:
#U o " **NOTE: an automation fee of$6.00 will be charged
First$60.50;ea ddiftonal$28.5 on all permits** -
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts`Permit Application