07-104579.»
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Electrical Permit #: 07-104579-00-L
Inspection Request Line: (253) 835-3050
Project Name: LAKOTA SEWAGE TREATMENT PLANT
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Add (5) circuits for automatic electric gate opener.
Owner
Applicant
Contractor
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
LAKEHAVEN UTILITY DISTRICT
PO BOX 4249
PO BOX 4249
PO BOX 4249
FEDERAL WAY WA 98063-4249
FEDERAL WAY WA 98063-4249
FEDERAL WAY WA 98063-4249
Circuits - Commercial ................... 5
I hereby certify ffiat tl
the Occupancy and
Owner or agent:
Additional Permit Information "
Electrical Fixtures
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record.
.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104579 -00 -EL
Owner: LAKEHAVEN UTILITY DISTRICT
Address: 3203 SW DASH POINT RD
FEDERAL WAY, WA 98023-2340
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.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
l,5 Date9— 7-0
By
Date
❑
❑
❑
Temporary Power (4275)
Service (4235)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
❑
Rough Electrical (4225)
Ceiling Cover (4020)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date 3 ��
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date l • F •Q 8
Cffy or
r I M CENED
COMMUNITYM MMflaNTSSRVICBS
99325 8" AVSNUB SOUM • PO BOX 9718 7 2007
PSDBRIL WAY, WA 9806
9 �� �AA 1
259-6952607• FAX 253d11�17
PERMIT
APPLICATION
.
-
`5
7 q
SF MF
CO ME L L
DE
EN FP
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMB
EXPIRATION DATE
E-MAIL ADDRESS
The foilowl�tiAY
on - an incomplete application will not be accepted P e print, kgtbly (ininN or type.
PROPERTY INFORMATION
SITE ADDRESS k_21 (f- .,�/ a LD SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # _ _ _ _ _ _ _ _ — _ LOT SIZE (so
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION 9
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. . ❑ MECHANICAL
❑ DEMOLITION-LWMECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only/
PROJECT. NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILINO ADDRESS CITY, STATE, ZIP 44 E-MAIL ADDRESS
O�
COMPA A E
APPLICANT NAME
OFFICE PHONE
_
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMB
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
AP%P ANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE ZIP
CELL PHONE
RELA73ONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent
Other
FAX NUM@E
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••-
AREA DESCRIPTION
AREAS
o REPAIR o TENANT IMPROVEMENT
FMSTUWG
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
S
BASEMENT
o NO
ZONING DESIGNATION
RS'!
o YES
a NO
NEW ADDRESS REQUIRED?
SECOND
UP/SEPA/SU?
o YES
o NO
THIRD.
a YES o NO
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
sin•Tae
PROPOSED
TOTAL
MAL saensosr
TorAFrROPOMlr
Tora.er
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or TLb/showarcombq
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (sathmmm sh*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
(IAS WATER HEATERS
HOODS (commmciq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS tren4
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cerft under penalty of perjury that I am the prop" owner or authorised agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit Vptication is true and correct I cenft that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 y claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claimb which may be made an# person, including the undersigned, and ftied against the city, but only
where such claim arises out of the reliance of the city, in i officers and employees, upon the accuracy of the h1formation supplied to
the city as apart of this applicati� i
SIGNATURE:
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 = August 16, 2007 Page 2 of 4
MI-landoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
X W COMMERCIAL/ 1NDUSTRLAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add%
(First 1300 ft'+- $111.00; Each add% 500 ft' - $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
❑ 601- 800 amp 423.00 179.00
13 801 - 1000 amp 516.50 216.06
NEW MULTI-FAMU.Y (three units or more)
❑ 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
13 401 - 600 amp 205.00 102.00
❑ 601 - 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
Service or Feeder
13601 - 1000 amp 423.00
L30 to 200 amp $ 92.50
❑over 1000 amp 471.00
❑ 201 - 600 amp 149.50_/{
of circuits to be lidded/altered
❑ over 600 amp 225.50
U-5 circuits - $94.50; Add% circuits, $7.00/ea)
❑ # 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
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Muitt Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00; each add% -$48.00)
CommerciaWndustriai Service or Feeder Ampacity
'
❑ 0 - 100 amps $ 74.00
❑ 101- 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 660 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add)a sign $26.00/ea)
❑ Low Voltage
❑.swimming pool/hot tub. ................ $111.00
Square Feet to be served by system(s)
Uiwludes additional circuit, if required)
❑ Fire Alarm, system
❑ Yard Pole meter loops ................... $74.00
❑ security Alarm system
❑ Voice Cabling
❑ Additional Plan Review $111.00/hour
❑ Data Cabling
(for modified submittals)
❑
❑ Automation Fee on all Permits .. $5.00
1ft 2500 ftv-$65.00;
Each add% 2500 ft2-17.00) • Per WAC 296.466910(5)lb)# A ii)
Bulletin #100 -August 16, 2007 Page 3 of WlandoutsTenmit Application