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14-100641r �a City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 ',t-leltr cal` Permit #: 14 -100641 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: LAKEHAVEN UTILITY DISTRICT - DRIVEWAY LIGHTING Project Address: 31531 1ST AVE S Project Description: Installation of light pole for entry illumination. Parcel Number: 072104 9014 Owner ARRlicant Contractor LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT OWNER IS CONTRACTOR PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? .............................No Electrical Fixtures Circuits - Commercial .................... 1 PERMIT EXPIRES Saturday, August 9, 2014 Permit Issued on Monday, February 10, 2014 1 hereby certify that the above information is cor an at the construction on the above described property and the occupancy and the use will be in accord wi the laws, rules and regulations of the State of Washington ity of Federal Way. Owner or agent: Date: O THIS CARD IS TO REMAIN ON-SITE CITY OF - r Constrnction Inspection Record Federal Way INSPECTION REQUESTS: (253) 83-5-3050 PERMIT #: 14 -100641 -00 -EL Address: 31531 1ST AVE S Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-4644 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. LIFER Ground (4295) Ditch cover (4030)Slab/Concrete Final Electrical Approved Floor (4255) Approved Pool Bonding (4195) Approved Temporary Power (4275) Approved to place concrete By Date Bey — Date _ _ By Date Rough Electrical Approved1:1 Final Electrical Approved 0 0 Pool Bonding (4195) ❑ Temporary Power (4275) Service (4235) Date Approved By Date Approved Approved By Date By Date By Date ❑ 0 Feeders/Sub-panels (4045) 0 Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date 0 Final - Electrical (4055) Approved By Date Rough Electrical Approved1:1 Final Electrical Approved Right of Way Approved By Date By Date By Date Federal Way COMM/NR7DEVELOP)MM 253-8352607• PAX 253.8352609 PERMIT T-e(C A L APPLICATION SF MF CO ME L n DE EN FP 10 2p14 eiTa Aanlnrsa99,0073 �� p5 ZONING ASSZSSOWS TAH/PARCEL 0 vr9,5-6 NAME OF PROJECT jrenant or Homeoumer Name) Z. Ce�'��/ i L S'/ � ��l� �Tj�✓ ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL TYPE OF PERMIT 13! DEMOLITION ��LECTRICAL ❑ ENGiNEERII'1G ❑FIRE PREVENTION PROJECT DESCRIPTION Detailed description of work to be included on this permit only ' € X/L -- S% NAM PRLIARY PHONZ © PROPERTY OWNER f Gl L! %` !. ��lCl iG� / l - / J-16 IIAEUNG ADDRESS, CITY, STATE, ZIP LMAIL c? Odd -Z j!!QVV�3 OWNER IS ALSO: CONTRACTOR APPLICANT PROJECT CONTACT NAME PAIfARY PROINZ CONTRACTOR M ULI NO ADDRESS, CITY, STATE, ZIP FAX WA STATE CONTRACTOR'S LICENSE f ZZ ATION DA TZ FEDERAL WAY NUUMESS LICZNSZ M NAME PRIMARY PHONZ APPLICANT ?X3 RIMING ADD , CWT, STATE, ZIP FAX Cl dp- ?�tZrl PROJECT CONTACT NAME PRIIARY PHONE (Tile individual to receive and 0-3 respond to all correspondence MAILMa ADD *=, crrT, STATE, w FAX concerning this application) ,?,J 14,1 A4-IrtA L-,) 7W—,3 (24-3)- ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAM PROJECT FDFANCIIfG NAIta p OWNER-P'IINANCED Required for projects with value of $5, 000 or more MAEUNG ADDRESS, CITY, STATZ, ZIP PRIMARY PHONE (RCW 19.27.095) I cert j jy wider penalty of pedury that I am the property owner or authorised agent of the properly owns. I certVy that to the best of my k—ledge, the information submitted in support of this permit application is true and correct. I certVy 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 environmaKal laws. I further agree to hold harmless the City of Federal Way as to any claim /inchuiing costs, expenses, and atiornege fees incurred in the investigation and defense of such claim), which by any person, including the undersigned, and filed against the city, but only where such claim arises out of the re j city, including its officers and employees, upon the accuracy of the in formation supplied to the city as of this n. SIGNATURE: _ DATE PRINT NAME: J Bulletin # 100 - 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application Value of Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type of fixture to be installed or relocated as part of this project, Do not include e;dstingfixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (comma ciaq BOILERS FURNACES HOT WATER TANKS COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include e)istin fixtures to remain. BATHTUBS (w Tub/shower combo) LAVS (Hand sow TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitehe /Utility) WATER HEATERS (Ekctric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL F1 liRE3 Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\Handouts\Pennit Application ELECTRICAL I RESIDENTIAL I COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): FEES: First 1300 ft2 - $121.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) 1-t Service/Feeder Additional Feeders 0'- 200 amp '$t3I, x $ 39.00 201 - 400 amp x $363.00 x $ 86.0E1 401 - 600 amp 00 x $111.00 601 - 800 amp x $285.50 x $.152.50 Over 800 amp=x:-5 x $3564.0 x $305.50 ALTERED SINGLE or MULTI FAMILY Over 600 volts surcharge x $103.00 ALTERED COMMERCIAL 1d Servue/Feeder 1,9 Service/Feeder Additional Feeders '0a�np" x$i ,.. x $;' 80.00 1;01- 200 amp __ _.. x $163:00 x $103.00 201- 400 amg, 201 - 600 amp x $163.00 ; x $120.50 401- 600 amp x $3564.0 _ _ x $142.50 601=- 800 amp x 5a: ,: - x$1.95.00 801- 1000 amp x$5.02.50 x $235.50 over 1066 amg . x $327.00 Over 600 volts surcharge x $103.00 ALTERED COMMERCIAL 1d Servue/Feeder Additional Feeders1- 0-- 2W amp Service/Feeder x i $Q Additional Feeders x$103.00 6 - 260. aaap $a1G 50 x $ 39.00 x $7 C13 „' •. x $ 51.00 201 -400 amp 201 - 600 amp x $163.00 ; x $- 80.00 2d1 - 600 amp x $305.50 -- x $142.50 Over:60�k sing 1€ $45;50- ; x $111.00 6Qi - 1000 amp x $�6ET 50 x $235.50 over 1000 amp x $513.00 x $327;00 Added or Altered Circuits 1-4 circuits $80.00; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES Service or: feeder only x $ 80.00 Service and,feeder, x $I31..50 MISCELLANEOUS LOW VOLTAGE ❑ Fire Alarm system ❑ security Alarm system ❑ Voice/Data Cabling ❑ Other Area to be served by system: 1*12,500 ft2-$71.00; each additional 2,500 ft2- $18.50 # of Thermostats First $60.50; each additional $18.50 # of Signs First $60.50; each additional $28.50 Yard Pole/meter loops/pedestal x $ 80.00 Portable Generator (transfer equipment)_ x $100.50 Ditch cover/inspection only x $120.50 Added or Altered Circuits z 1-5 circuits $103.00; each additional $8.00 Mast or meter repair $111.00 PLAN REVIEW FEES $103.00 plus 35% of Permit Fee; Plan Review required for: ❑ New, or alteration to, service of 1,000 amps or greater ❑ Medical/Educational/Institutional Facility Plan review for modified submittals $120.50/hour TEMPORARY SERVICE 11 Service/Feeder Additional Feeders 0 = 60 amp x $ 71,04• x $ 32.00 63 - 100 amp $ 8000 x $ 39.00 lt?-t --240 aitip x $7 C13 „' •. x $ 51.00 201 -400 amp _ x $120;00 �'c $ 66,50 401 - 600:amp x. $103.50 " x $ 80.60 Over 600 amp i $183:100 x $ 92.00 **NOTE: an automation fee of $6.00 will be charged on all permits** For fixtures or fees not listed contact the Permit Center at 253-835-2607 Bulletin # 100 - 4/21/2009 Page 3 of 4 k:\landouts\Permit Application