05-101728 •
City of Federal Way Electrical Permit#: 05 - 101728 - 00 - EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
-Project Name: PUMP STATION 1ST AVE S&352ND r":,„kil
Project Address: CNA) 1n/� de - dt.:rm aligns Parcel Number: N/A
Project Description: 150amp service installation at Lakehaven Pump Station#37 located at 1st Ave S&S.352nd ST
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT*I{EL ERII LAKEHAVEN UTILITY DISTRICT*KEL ERN LAKEHAVEN UTILITY DISTRICT*KEL ERN
PO BOX 4245 PO BOX 4245 PO BOX 4245
FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063
(253)941-1516
Electrical Fixtures
Descr} ti�i/ .,.����� Aeon iduatity :Deft 1,1�tw".„', tY,,•Aro.{4.{trC.,i'+•.t 9- fligi
Service/Feeder: 101-200 amps-Co 1
PERMIT EXPIRES October 11,2005.
Permit issued on April 14,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with s,rules and regulations of the State of Washington and
the City of Federal Way. !
Owner or agent: Date: c
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THIS CARD IS TO REMAIN ON-SITE
CITY OF •�`..� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-101728-00-EL
Owner: KEL ERICKSON
Address: CITY WIDE
FEDERAL WAY, WA
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) 'zi Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By. \‘1 Date ‘0\50(c, By Date
El Temporary Power(4275) .
❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date 9 •l/ '4'7 By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date G O - C7
❑ Under-slab groundwork(4295)
v (plcApproved
By,6l� Date /6---(z-'P//
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Federal Way PERMIT
ODMMUNTYDEVELOPMENT SERVICES
- SF MF CO MECO PL DE EN FP
33325 8'a AVEMIE S007N•PO BOX 9718
253E 607FAX2 3592 APPLICATION TO / /
www.dt yofederdwa y.can
The ollowi . is -•wired in ormation-an Inco .tete • •.lication will not be acce•ted. Please •rint le•Ibi (in i or
/
1111 PROPERTY INFORMATION r��
SITE ADDRESS / 5'f �� 5-' 5 �f 352_A' S/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Ahad+separate page for lengthy 1eg.1 desaipaonl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION .fI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
sL�e v(ce -.NS.r4,e c,�q-/d-v / Ar-t/a. IP 5- ?
PROJECT NAME(Name of Business or Owner Last Name) ��fr(, S z v 4i3 7
El PEOPLE INFORMATION
PROPERTYi I �R PRIMARY PHONE
OWNER L�/-C L �C( P1S�i�t� (�53) 'e// -rS/,4
MA G ADDRESS 2,,c45 ItITY, E,ZIP
I 4kt-- 14014'•( 1) 4A- go,4.3
i CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP
/CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPL CA NAME , OFFICE PHON
et — G(N"(Ct7 Pt sr, K cc-Xs (.5j 7�J`'l
LING ADD ES / STATE,ZIP �Z CELL PHONE S✓
3 4$4. f� bid- 7 3 (2 9-l -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other(Describe) 6-A1,CO yL-C4--- ( ) -
CONTACT NAME PRIMARY PHONE E IL ADDRESS
,.....4 atecte6701/0
LENDER :: ,,,fr 0 :y,- f WY •:,wNAME 'AO
MAILING ADDRESS CITY,STATE,ZIP
III DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE •
•
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES O NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA O PRIVATE(WELL)
S1 WI R SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
4
PROJECT FLOOR AREAS
AREA DESCRIPTION " EXISTING PROPOSED TOTAL
,,SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH ' •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE O CARPORT
EXISTING PROPOSED TOTAL :'.TOTAk;7DEfif0sr �, TOTAL'moPosrosr �.;!_,;; TOTAL sr c�;
NUMBER OF FLOORS . .r _ •
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES - MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShoverCombo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom suns) 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 of the above premises to perform the . which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including co ., experts. , and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the dersigne• and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includi g its o ficers • d emplo ,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE ^v
(Signature) (fiNc)
RELATIONSBIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect iQ Ot �X
her /7
11ep N 1 •s -1 ION K- _ :r .0,.a• -4.�, r r•.'.V.Ki __ 7
YES
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
1 ,. I ,
ELECTRICAL PERMIT INFORMATION
1
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 � 0 to� Service or Feeders
1r 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
I ❑ Service and feeder $113.50
1 TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/IKulti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
I.
❑ #of Thermostats ❑ #of Signs .
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour •
❑ Voice Cabling {for modified submittals) /
i 0 Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
(Per System(s) i•,2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) 'Per WAC 29646-910(5J(bW(i&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application