04-102145 City or Federal Way Electrical Permit #:04 - 102145 - 00 -EL'
Commumty Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph•253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LAKEHAVEN UTILITY DISTRICT/OASIS PROJECT
Project Address: 31623 1ST S Parcel Number: 072104 9017
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Project Description: Adding 2 branch circuits
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT-WATER( LAKEHAVEN UTILITY DISTRICT-WATER( LAKEHAVEN UTILITY DISTRICT-WATER
LAKEHAVEN UTILITY DISTRICT-WATER LAKEHAVEN UTILITY DISTRICT-WATER( LAKEHAVEN UTILITY DISTRICT-WATER
OPERATIONS PO BOX 4249 PO BOX 4249
PO BOX 4249 FEDERAL WAY WA 98063
_FEDERAL WAY WA 98063
Electrical Fixtures
Description Quant0 Description Quantity L_ Description Quantity
Circuits- Commercial I 2
PERMIT EXPIRES November 24,2004.
Permit issued on May 28,2004
I hereby certify that the above information is correct and th. :.- construction on the above described property and
the occupancy and the use will be in accordance wi - . ,rules and regulations of the State of Washington and
the City of Federal Way. /
Owner or agent: �_ _i _/ Date: cs- G- �V7
i
61 '1419'.*
"3
THIS CARD IS TO REMAIN ON-SITE
CITYOP Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-102145-00-EL
Owner: LAKEHAVEN UTILITY DISTRICT-WATE
Address: 31623 1ST AVE S
FEDERAL WAY, WA 98003-5201
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) 0 Pool Bonding(4195)
Approved to place concrete c‘? Approved Approved
By Date By Date 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) 173
Final-Electrical(4055)
Approved Approved Approved
•
By Date `By Date By i1/4A J Date\\A-)-</
❑ Under-slab groundwork(4295)
Approved
By Date
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i
INSPECTION LOG
DATE INS TOR OK CORR/REJ AREA AND TYPE OF INSPECTION
` , COMMUNITY DEVELOPMENT SERVICES
CITY oc 33530 FIRST WAY SOUTH•PO BOX 9718
Federal��1� ``�),f L D •
— FEDERAL WAY,WA 98063-9718
L X1NlT,,.y - rr�Fr,;o :h :'MIT APPLICATION 253-661-4115•FAX:253-661-4129
www atun((edemlwnq corn
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For Office u: "FVV`Filt nur>3t tl4 ��- - ��U '� / a_ -- / O y
The ollowin. is re.uired in ormation-an inco •lete a.•lication will not be acce.ted. Please .rint le•ibl (in ink)or .
la PROPERTY INFORMATION
SITE ADDRESS: Si 02-,z_ 9�{i3SUITE/APT#
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• ■ PROJECT INFORMATION
TYPE OF PERMIT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed ription of work included on this permit onlu):
4T1"0017-70 v d / ^ / ) /401- 1.4e-1?" l.CC-u ei •07,10 6 /
^
PROJECT NAME(Name of Business/Owner Last Name): eDAs/5 , i•3 e.Gr'--"..
■ PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER: ‘../51-#0- 45/1.4."/ ed,77 , 7y Q/S/-IGT— VII I ? /T,
MAILING ADDRESS(STREET ADDRESS;: CITY,STATE,ZIP
Ac oSox `V2 /F AFP Gad-7 , Q 3
CONTRACTOR: NAME COMPANY OFFICE PHONE:
S -> ( ) -
MAILING ADDRESS(STREET ADDRESS;): 'CITY,STATE,ZIP CELL PHONE:
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
- - - / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(coPy of card required with each application) / /
LENDER: NAME: DAYTIME PHONE:
pt Pmpo.ell Value>85,0001
( ) -
MAIUNG ADDRESS(STREET ADDRESS;: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
..... ZilegdigelliFell (24-
MAILING ADDRESS(STREETADDRESS): CITY,STATE,ZIP G) /rp
/2...)35W v,. -.tom ,g9 e a ty 9gz3 3 )eoi-G663
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect ❑ Tenant ❑ Other(Describe). e,I,°Z-Co y£C. (3) f 7 '-Zs7/7
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor Applicant E-MAIL ADDRESS:
CGtidC_a 0' +:�F 01.17`Y 041
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST '
SECOND - N.
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL Tm"O TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
--AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerdal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shotecombo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink VACUUM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge,and further, that I am authorized by the owner o he above premises to perform the work for which the permit
application is mad". I further agree to hold harmless t - of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in the investigation and defe - ch claim), which may be made by any person,including the
.
undersigned,and filed against th- of Federa ' only where such claim arises out of the reliance of the city,
including its officers and emp • ee upon the - •f the information supplied to the city as a part of this application.
NAME/TITLE: / DATE: ) 067'..0
S•., a u NO (Title)
RELATIONSHIP • PROJECT: ❑ Property Owner Applicant o Contractor 0 Architect 0
,FOR OFFICE USE ONLY: •..
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑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? o YES o NO DEMO PERMIT REQUIRED? o YES a NO •
1 111 I i'U:I ',1(I:: .;., . .. . . ..-c Page 2
40
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE ?LEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 7�#of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
• ❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
•
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
CI
(Per System(s): 1.2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b$&n)
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