17-105441 Electrical
City of Federal Way Permit #:17-105441-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LAKEHAVEN UTILITIES-LAKOTA TREATMENT PLANT
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Addition of circuit for installation of truck lift
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT GARY COOKLAKEHAVEN UTILITY OWNER IS CONTRACTOR
PO BOX 4249 DISTRICT
FEDERAL WAY WA 98063 3203 SW DASH PT RD
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application Yes
Circuits-Commercial
PERMIT EXPIRES Friday,9 November,2018
Permit Issued on Thursday,November 9,2017
I hereby certify that the above information is co, - - that the construction on the above described property
and the occupancy and the use will be - • /an.- with the laws, rules and regulations of the State of
W-- ; 'to - d City of Federal Way.
Owner or agent: /A f d _ Date: /(777
THIS CARD IS TO REMAIN ON-SITE
004 Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 105441 00 Address: 3203 SW DASH POINT RD
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY WA 98023-2340
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) •,„
1:3 Ditch cover(4030) ,,
El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•By Date By Date By Date
® Pool Bonding(4195) .p El Temporary Power(4275) j ® Service(4235)
Approved Approved I Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date ��By Date ��By Date
•El Final-Electrical(4055)
Approved
By (L�, Date elk-)
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
s By Date By Date By Date
CD
CITY OF
Federal Way ELECTRICAL
PERMIT APPLICATION Nov °g 201-!-EZE°11/E1?
CITY OF FEDERAL DEYEt WAY
**Most electrical permits may be obtained on-line at www.cityoffederalway Co
PROPERTY INFORMATION
SITE ADDRESS: �1,459,5' S ,O/7 -
SUITD" t ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
� OU
pRojEcr
INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name) / %Z Jt -t -- •
/"117-777-1----
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER I ‘...1--gt_i 'ohl/y ( ) ?4t1 - PT.'?(
MAILING ADDRESS E-MAIL
' ? sZfref s
Ci'TY STATE - ZIP FAX
/*4 D ewty - eee (111) e
NAME PRIMARY PHONE
( )
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT `
717'2Y CL erj) rP r
mama ADDRESS E-MAIL.
CTTT STATE ZIP FAX
t ' ✓� A.frfr— 9ed33)671° - 7
NAMEPRIMARY PHONE
PROJECT CONTACT -��Y Cee tGe (2L3) CSI 44C 3
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 Wag regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not reasrOPC the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the Utj of Fedora ' as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such etahwj,whic ado by any person,including the undersigned,and filed against the city,
but only where such claim arises mat mf the 440, city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart
41109
SIGNATURE: —‘00.
DATE (7(4�7
PRINT NAME:
33325 e Avenue South*Federal Way*WA*98003-6325*253-835-2607*fax:253-835-2609*www.citvoffederalway.com
_--- r
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1st Service/Feeder Additional Feeders
0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.01,, 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.110 201- 400 amp x$307.00 x$121:00
NEW MULTIFAMILY(3 units or more) 401- 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
O- 200 amp x $132.50 x $ 39.00 801-1000 amp x$565.00 x$236.50
201-400 amp x $164.00 x $ 8050 Over 1.000 amp x$616.00 x$328.50
401-600 amp x $224.00 x $111.50
601-800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $41050 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 Service/Feeder 1st Service/Feeder Additional Feeders
0- 200 amp x $101_00 0- 200 amp x$132.50 x$103.50
201-600 amp a $164.00 201 600 amp x$307.00 x$121.00
Over 600 amp a $246.54 601-1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $11 L50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only a $ 80.50 Plan Review required only for:
Service and feeder x $132_50 • New,or alteration to,service of 1,000 amps or greater
* Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
Q Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
O Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system:.
101-200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each addition
201-400 amp a $121.00 x $ 60.50
#of Thermostats 401-600 amp a $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x .$ 92.00
I FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) X$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only a$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax_253-835-2609♦www_cityoflederalway_com