05-105459 City of Federal Way Electrical Permit#: 05 - 105459 - 00 - EL
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: LA MADERA APARTMENTS BUILDING A
Project Address: 28620 PACIFIC S BIdgA Parcel Number: 332204 9042
Project Description: Installation of new 100 AMP panel. Feeders are from existing spare meter. Install bra iring
per code.
Owner Applicant Contractor
INSITE LA MADERA LLC EASY DOES IT ELECTRIC INC EAS CTRIC IN
1316 CAMINO RIO VERDE 17712 2ND ST E 177
SANTA BARBARA CA 93111 SUMNER WA 98390 SUMNER W
(253)939-5
Electrical Fixt -s
Description IQuantity Description Quantity D ion Quantty
Alt.Sery/Feeder:0 to 200 amps-Mul' 1
I IRES Ap il 22,200 .
C91)
P. u on eliNik
I hereb it at the above 1n ati . r •R at the c o he above described property and
the • cy and the use will be or, wi :ws, g tions of the State of Washington and
th of Federal W.
Own- a_-- _f ' �` Date: /0/e 4-7d 6
4 THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105459-00-EL
Owner: INSITE LA MADERA LLC
Address: 28620 PACIFIC HWY S Bldg A
FEDERAL WAY, WA 98003-9231
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 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
❑ Under-slab groundwork(4295)
Approved
By Date
I
an os A. • RECEIVED
Federal Way _05
� .±. �5
COMMUNITY DEVELOPMENT SERVICES PERMIT
OT 2 4 2005 SF MF COM L DE EN FP
33375 ETM AVENUE EOM•PO BOX 9718
FEDERAL WAY,WA 93063-9711 APP L I C A' iT TD `�—�
753-835-2607•FAX A 98065-7609 DERAL WAY
1Yeotacilw/fede alwae.owe BUILDING DEPT.
The ollowi • is • ired in ormation-an Inco •tete • ••lication will not be acre•ted. Please •rint Ie• •1 in in or
■ PROPERTY INFORMATION
4 •SITE DRESS4C)C2S4,
. y� 171 _4/03
1 g2�} K �I—' F `� �'Q� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach curate page for lengthy legal deecrgeion)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑0�PLUMBINGLU/ 0 MECHANICAL
0 DEMOLITION 'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
., ifil lit' 441L, Now 100 AtM # ,Ais-e�.. . if- ,A", E i St enz -
Sp.412 M-el.>zoe-- SP,4C•e 1314 s f,&(.1- A,2-,qr..‘c 4 CfP vi• - cs ,e°< COD.e
PROJECT NAME(Name of Business or Owner Last Name) L . Ma I ejfz I 713"
■ PEOPLE INFORMATION
POWNER
NAME 11"e---
� PRIMARY PHONE
MAILING CI—ADDRESS c v l -e[� VGZ
Ltd ( 'r9'�R- sgae
CITY, ATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE
E64sObe5-TrEleC,-t f
C . t . R.e/i/tA C - (1.33) P3 -s�6s—
MAILING DRESS CITY,STATE,ZIP CELL PHONE
X 17 /9--a-Aho s f iV . S Umigti-e,q,w,� }83313�601- a-yv.5
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / ( )
1 CONTRACTOR'S REGISTRATION NUMBER(coPy of cad 9iptirett with each application) EXPIRATION DATE
S_ Q � r- 0 ` ( a / /� /46
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
O Architect a Tenant a Agent ❑ Other(Describe) ( ) _
CONTACT NAME s PRIMARY PHONE
E-MAIL ADDRESS
c 1 ` (0753) 8OG\-01403
LENDER :,•- rl #..-.% '4,..47. 41c( rc:.:x.,;• , NAME
,r,,a,:. 9i.—,11'-'4, 4,4.'�4•C-:-0:f:•4.S,,•ir,I,;
MAILING ADDRESS CITY,y.IA •, ,
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES O NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE O PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =WINO raoroaco • Al. iii ti ; +u 1,"NEW HOMES ONLY" NUMBER OF BEDROOMSAilLTED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be inst. -d or relocated as part of 1 '-project Do not include existing fixtures to remain.
MECKANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Co"• „ .r, WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES "- - MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATS S j
• � I
DUCTS GAS PIPE OUTLETS
PLUMBING N
BAT -:S(orr b/show rComb.( SHOWERS WATER CLOSETS(rays MISC(Describe)
'HWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS - , SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom si,,j 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 authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /'�
NAME/TITLE �i�� j` 'k ./��%��! 4e2.7 4 DATE /0/6-40,
(Signature)) (ltitle)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor ❑Architect 0 Other
• (PJl',7 , ,`,1t)t)1+r` R i- ( t.. _;
�rl+f- - ---- ,1(. 1',uap
r, e '7*0,n)*V.VIjYi 't'',>14.Vt't' 1j0*t•,t:44):47-t`
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E3Di ,(c) 7?�k't ;41 cit; *b:
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsWermit Application
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ELECTRICAL PERMIT INFORMATION
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 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 amp 398.50 . 168.50
O 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 Service or Feeders
❑ Oto 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 0 #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ M 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
❑ Service and feeder $113.50
TEMPORARY SERVICE
i MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ S of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial,/1'ndustrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ I01-200 amps 89.00
O 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O i«of Thermostats ❑ 41 of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O Low Voltage 0 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)
❑ Data Cabling utomation Fee on all Permits .. $5.00
(Per System(s) 14 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(W&ru
Bulletin#100-January 7,2005 Page 3 of 4 IdHandouts\Permit Application