09-101511City of Federal Way
Community Development Services LE P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835 2607 Fax: (253) 835 2609
Project Name: TWIN LAKES CHIROPRACTIC
Project Address: 1107 S 347TH PL
Project Description: Alteration of (1) circuit for sign installation.
41 Elects tical
Permit #: 09 -101511 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 215470 0010
wne
Applicant
Contractor
LIBERTY LAND HOLDINGS LLC
LUMIN ART SIGNS INC
LUMIN ART SIGNS INC
1107 S 347TH PL
3931 B ST NW
LUMINAS031112 (1/22/11)
FEDERAL WAY WA
AUBURN WA 98001
3931 B ST NW
98003-6718
AUBURN WA 98001
w_... 7. '7
Additional Permit Info
Is Use Educational or Institutional? ....................... No
Service greater than 1000 Amps?...........................No
Elect0dalFixtu
Circuits = Commercial ....................
PERMIT EXPIRES Friday, April 23, 2014
/ rmit Issuedonrsday, April 23, 2009
I hereby certify that ve ' formation i erty torr nd that the construction on the above described propand occupant th s ill be in a rdan h th ws, rules and regulations of the State of Washington
I Federal Way.
Owner or agent- Date:
nt�•
THIS CARD IS T MAIN ON-SITE
CITY OF � Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -101511 -00 -EL
Owner:
Address: 1107 S 347TH PL
FEDERAL WAY, WA 98003-6718
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 kt.�
By
Date
—
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
Approved
By
Date
i
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
OD
-or W", P RECEI li"
.�
m� APR 2 3 2009 PERMIT
FammiLVA33373 i+K AVBRUB 30FJ77! • l0 BOX 9711
�d53.13.'F?607.7FAT ®F FE®'��CATION
mm' dtuo'FAx im
The fou=L*w is rQobad w Zri - ari irieomph tie appvAa Gori OW not 8e
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SF MF CO M
5i F
,DEENFP
pleam P*&t Usuft pa hw or tw&
TS ADDRESS _ / //97 S • �W/ '- fl" CA88E9 `� Burro/ UNIT i
y 0" TAXMARCEL # f � _L -Z 0 - C e� CJ WT OM M
(( LEGAL DEBCRIPTr08 fag Acme Estates, Lot 1)
fkft*.me+m•rns lb•r•�
TYPE OF PEFam 0 BUHMING 0 PLUMMUNG 0 TiECHAflICAL
��N 0 DErdOLPPIOH ECTRICAL 0 EAGII�Q 0 FM PREVENTION STWINK
PROJT TCZ /, dstmled d�tt of work vu*nbd on Ow am, t,'t onto)
OWNER
L I'1 seMAU.M
PRD/ARY PHONE
MAMM ADDRM
862 - ? ®
-
' ATE.$IP,� R�/, /.
L►-MAILADDRb93
PROJECT
CONTACT
LENDER
NAME
mvucw NAME
OFFICE PRONE
MAMM ADDRM
CITY. STATE. ZIP
CELL PHONE
a ADD
CUT. STATE. ZIP
CELL PHONE
yl/ - :d
_
CITY OF FEDERAL WAY BUSRI M LICENSE NUMBER ZXPMTION DATE
FAX NUMBER
Cawls CTO" Vma NQII�B
E-MAM ADDRESS
'TA=0x
// A2
COMPANY
APPLICANT NAME
OFFICE PRONE
( )
MAMM ADDRM
CITY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
13 Aw D Tenant o Agent o Other
FAX NUMBER
( )
NAME
PerHCW 29.27.095:
Louder 6{jmwwwm is r wwred if profeet mane ea omb X55,000
NAILII8IO ADDRESS
CRY. STATE. ZIP
PHONE
)
EI[IB'iINQ ASSES=/APPRAISED VALUE
Bu1UD1010? o YEB6 O
WATER SERVICE PROVIDER ❑ LAEEHAVEN
SEWER SERVICE PROVIDER o LAE$9AVSN
VALUE OF PROPOSED
FM BUPPMWON Byw= PROPOSED/REQvnm? JO YES I1 NO
o HIGHLINS a TACOMA o PRIVATE (WELL
AREA DESCRIPTION
EZISTING
.FT.
PROPOSED
.F?
TOTAL
.FT.
BASEMENT
SHOWERS WATER CLOSETS duo"
ZMarm WATM
so= WASHING MWIHU S
FIRST
SUMPS
a YES a NO
IIP/SEPAIMM
SECOND
a NO
PLIITTZD LOT?
a YES a NO
THIRD
a YES
a NO
ADDMONAL FLOORS (DESCRIBE)
/
~
DECK(0 COVERED OR COVERED
i
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
a�aeae
r110r°r°
sow
'°"aa'�"�
"•aa+�+
".NEW HOAM ONLY" NUMBER F BEDROOMS � D SELLING MM $
Ltdecate rusneber of each type ofEndure to he/kyr r+eloeaated as part of dmpmjea Doi rent vwWIU mmftW fa*uw to r m m
Val= of df'eduni d Work $ (A Q Rd\\?FIW OR ESlYwm Mi1ST m nvcu n= TiVIPHAPPIdCAT1 W
AIR HANDLING UNITS wAPO COMM OAS PIPE OUr=m WOOD.STOVES
BBQS o'ANS QM WATER HEATERS MI9C Pena"
BOILERSgIRM.ACE HOODS q
COMPRESSO$S rifm CEB RANGES
DUCTS OAS LOO SETS REFRIO. SYSTEMS
BATHTUBS *
LAVE Pau-mURINAL$ M[SC (Da ibe}
DISHWASHERS
RAINWATER SM ACUUM BREAKERg
DiM%M O FOUNTAINS
SHOWERS WATER CLOSETS duo"
ZMarm WATM
so= WASHING MWIHU S
HOUBMW
SUMPS
41P9 aan the prvpotg owteer ar aathorised agent of the prepertsq oroay. l
4f �* .P�t apP + is tree a" carreat, t cwq& that t m that to the beat 4/ mN
Cft 4f Sedend Way r+sgaiatlares W the work aatfibrized by the issmmrue qt a permit t rafd�taned that isaamRce q f tufa pv !
does aot reraoae the owaer'a ,for -- with ZW4 �, or fo&ww laws r+a nzw*eg � or t laws
Meer ap" to hold the Tedend Wag as to mW *lain (ting eoeta, awmms, a" aftwasw fees famrrred fa the
10 but I aad -a& 4 mv p
° ° w ia, the � a" filed the aftg, oalg
where aaeh alalia the � � � a" MW&wJ*IM Mma the aamrrm* of nis wfmmattoa MMUmd to
the *fig as a of
a Am a ADDITION
HDILD= OEM OM"
a ALTERATION
a YES a NO
o REPAM a TENANT MMWVETIIERT
BASIC PLAIT? a YES
a NO
ZON M DESIGN=GN
CHANGS OF Us SM?
OYES
ONO
NEW ADDRESS RBQUIREDP
a YES a NO
IIP/SEPAIMM
a YES
a NO
PLIITTZD LOT?
a YES a NO
DElfiO PERbQT REQDTR>?K/P
a YES
a NO
Bulletin #100 — January 1, 2009 Page 2 of 4 klHandoutsftmit Application
*NOTE: an automation fee of
❑ Ongle7 S ire Feet
Oftu 1300 in- �121.ca Rub a"iw0 fo
❑ Dete imd outbu&rwg orVxW (wlamvi*..................»..... $51.00
❑ Dahwhad outbuild>oa or gate $nspecped j,) ........ $80.00
❑ 8wiom'.8 Pool
........». ....».................».. $80.00
❑ Swimming Pod (mspecW separately]..._._..................». $120.50
❑ Hot tub/apa/eauna (w/eeivicel.».....».».......»...........»......
$S1.00
❑ Hot tub/iqa/m=a CumPecbed eoprruteijj »....................... $80.00
LIPSP (w/aeiviae)»...».......... ......... ;......... $51.00
❑ SOPtw PUMPM9 VON= cid separaAM........ .......... . SM -00
RM IdULTIMUMT
(tom units or more)
❑ UP to 200 amp
Service
$131.50
Feeder
$ 39.00
13 201- 4o0 amp
163.00
80.00
❑ 401- 600 amp
223.00
111.00
❑ 601- 800 amp
285.50
152.50
❑ Over 800 amp
408.50
305.50
ALTXM ffl ffM
E .TI Z&MM4
Service crFeeder
❑ 0 to 200 amp
$100.50
❑ 201 - 600 amp
163.00
�O°er 600 �P
245.50
E of circuits to be added/altered
cact>ils.$80.00; Addis circuits $g.00/ea)
❑ Mast or meter repair $60.50
RQpACTQBED Homs
❑ Service or feeder only $80,00
❑ Service and feeder $131.50
MOBILE HOME/RV PARK
❑ # of service or feeders
Whu Dervke/%ftIw480.00; each add)m -$52.50)
11
Charwed for all narmift
❑ 0 to 100 amp
❑ 101- 200 amp
❑ 201-400 amp
❑ 401-600 amp
❑ 601- 80t1 amp
❑ sol - l000 amp
❑ Over woo amp
COBiMERCiAL
Service crFeeder B2&Add n
$131.50 $ 80.00
163.00 103.00
305.50 120.50
356.00
142.50
460.50
195.00
562.50
235.50
613.00
327.00
❑ Over 600 volts onrcharge $lo3.00
❑ Mast or meter repair $111.00
ALTERED CL.>�IIS7R2T.T_
(Does not inciu
circuits.)
$32.00
Service or Feeders
❑ 0 to Zoo amp
$131.50
❑ 201- 600 amp
305.50
❑ 601- 1000 amp
460.50
❑ over 1000 amp
513.00
❑ # of
to be added/altered
(1-5 cirtuft - $103.00; Adds circuits, $SAO/e4
W AR REiiIEW
$103.00 plus 35% of Permit Fe:
❑ Service - 1,000 amps or greater
❑ Medical/Fducauunal/b titutional Fam ity
❑ Additional plan review for
moMed submittals $115.00/per hour
TE>lILP RARY SERVICE
Service or Feeder Each Addie
❑ 0 to 60 amp
$ 71.00
$32.00
❑ 61-100 amp
80.00
39.00
❑ 101- 2oo amp
" 103.50
51.00
LI201- 4o0 amp
120.00
60.50
❑ 401- 6o0 amp
163.5o
80.00
❑ Over 6o0 amp
183.00
92.00
11�ISCELLANEOII3 SERVICE/EQIIUxMMNT
❑ # of Thermostats
(Frost -$60.50; addn-$18.50/ea)
❑ Low voltage
8quase Fact to be served by system(a)
em(s)
13 Fim �
System
13 vvds
m ccabfts
❑ Data cwAwg
13
1xt 2500 f a.$?1.00;
Each add'n 2500 fo- $18.50)
❑ # of Suns
(First sign -$60.50; adder sign $28.50/ea)
❑ Yard Pole/meter loops/pedestal ................... $80.00
❑ Portable tienesator (huasfer equipu=4...... $100.50
❑ Ditch cover/inspeatton only ....................... $120.50
For fees not listed, contact the Permit Center at
253-835-2607
Bulletin #100 - Jamlary 1, 2009 Page 3 of 4 MHandoutslpeunit Application