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05-105457 •i.. City of Federal Way Electrical Permit#: 05 - 105457 - 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) 835-3050 L Project Name: LA MADERA APARTMENTS BUILDING A Project Address: 28620 PACIFIC S B1dgA Parcel Number: 332204 9042 Project Description: Installation of approximately(8)circuits from existing 200 AMP house panel for new office space. Owner Applicant Contractor INSITE LA MADERA LLC EASY DOES IT ELECTRIC INC EASY DOES IT ELECTRIC INC 1316 CAMINO RIO VERDE 17712 2ND ST E 17712 2ND ST E SANTA BARBARA CA 93111 SUMNER WA 98390 SUMNER WA 98390 (253)939-5065 Electrical Fixtures Description Quantity Description Quantity Description Quantity Circuits-Multi Family 8 PERMIT EXPIRES April 22,2006. Permit issued on October 24,2005 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 the laws,rules and regulations of the State of Washington and the City of Federal Way. k Owner or agent: (AJ/(ZZ4 ' 4 s/2 Date: I d off-¢/d s Y\As / \..4 1 -` - THIS CARD IS TO REMAIN ON-SITE NI CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-105457-00-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. ❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete 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 F . Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved \ By l\\� Date \\\v§e1 p By Date By i .‘,` ` Date 1Z, 1, ❑ Under-slab groundwork(4295) Approved By Date t , SA RECEIVED ar. - 5Federal Way C T 2 4t u t,- �• 3- COMMUNITY DEVELOPMENT SERVICES P E R M I PISSF MF CO M^��•L D E EN FP 333251"AVENUE SOUTH•PO BOX 97188 FEDERAL WAY,WA 98063-9718 APP LI C AT' DERAS.W4T N,......_ ,.....- FEDERAL Y607•FAX 453/35.2609 G DEPT. / / r .. J dir irj fi ; -•-- os I DAs... --1 - co Th j• I• , ,>A re•aired in orntation-an Inco •fete • ••lication will not be acce•ted. Please •rint le•ibl n or NI PROPERTY INFORMATION I ©E ADDRESS 406 S r a"p !gi-tt SI e Qco42,40L 4,1J4--, CA.449017.3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ _ / LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION fk•ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Or.p I L ,(33 tki` ptQ•e.?i At GTecelapN e(-ec.rg"c4a-L 0Q t ti 40../t a,e_ 1-0 Cen c(! A- k Cf, cvt 7-s' P/20M rxtsf? 6 cco Oto #ave e -eL PROJECT NAME(Name of Business or Owner Last Name) (,:i7 -��. rCjQ 2/ , taw� if a PEOPLE INFORMATION PROPERTY NAME �- ,, PRIMARY PHONE OWNER J-/'iSf tp vl'LII4�i� vp q .,_, ( /-�sY,90 MAILING ADDRESS CITY,STATE,ZIP 8O—t , c . CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Sl / ob.es Srt'Eka0zi` (u/vk. K.2a.I�(� ( ),3P-506,5--- MAILING DRREESS!!�'�( CITY,STATE,ZIP .� 9 CELL PHONE ,/ OF FEDERAL ia_,WAY BU s/-: SEUMBER $V i 4n 44/4- "I (;--531 7v 9 -1c86/ - - - EXPIRATION DATE FAX )ER ��- 3 B L / CONTRACTORS REGISTRATION NUMBER(copy of cart required with each application) EXPIRATION DATE E14-S7 D._ E-) 4. ¢ Lp - 06 //k /D.c APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Si-µe pas I t1Doue . ( ) _ MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER 0 Architect a Tenant a Agent 0 Other(Describe) ( ) _ CONTACT NAME �/ WLi�ek�) e PRIMARY PHONE - :� E-MAIL ADDRESS LENDER NAME ) .-(\.v . . '.' n.;,z .;:La:a" I,iTi�iir:.:�.,;, xi �/!1y MAILING ADDRESS CITY,STATE,ZIP • ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ -,.7 1 UE OF PROPOSED WORK $ 1 SPRINKLERED BUILDING? 0 YES a , • IRE SUPPRESSION SYSTEM PROPO- • •- • I i• D? 0 YES 0 NO WATER SERVICE PROVID : • AKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER S : • • • • •VIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOT SQ.FT. SQ.FT. S S. :ASEMENT FI' ' - 1 SECOND J THIRD FOURTH • ADDITIONAL FLOORS(DES•' BE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS &KISSING •roS&n TOTAL ,Sit t.=;.x,�cx.1. . '`, +fir_' sf'ir• .: sig: 111 "NEW HOMES ONLY** NUMBER OF BEDROOMS P TED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or elocated . •. of this project. Do not include existing fixtures to remain. 115BCIIANICAL Value of Mechanical Work $ • AIR HANDLING UNITS VAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(c. • ._ , WOODSTOVES BOILERS • FIREPLACE INSERTS RANGES - MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or T,• Sower Combo) SHOWERS WATER CLOSETS crows MIS Sescribe) DISHWASHE'.. SINKS DRINKING FOUNTAINS GAS PIP •UTLETS SUMPS RAINWATER SYST WAS. G MACHINES URINALS HOSE BIBBS S(Bathroom Stoici 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 applications�.'' JJ j NAME/TITLE(t/f � .4 3./— = DATE /O //G ' (Signature) (Title) / RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor a Architect 0 Other ,;c): 'Y'r0 3 e'„ ,.L r ,P ':I +c)e)f'f'(e)4 11.410 'OA,d(•1eI 14:>)V.V '0:') ,A0', I1I:�:(C)'fa1!,I�>{tt`' ' le)fi,cl"c<te. :i:t:8-1 c E'i€k..? CA i .;1(a}. IiY;s.+ )(e ;t,,t (' 0E ;ic,;tir,r‘?1e,tint t? --. p I • Bulletin#100—January 7,2005 Page 2 of 4 lalandouts\Permit Application . 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) $69.50 ❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 0 to 100 amp $113.50 O 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 0 801- 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder _ El Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 0 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 ❑ S of circuits to be added/altered ❑ . 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) It: U/ of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW 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 0 Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-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 ❑ I01-200 amps 89.00 O 201-400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #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) Cl 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 A Automation Fee on all Permits .. $5.00 CI (Per System(s) 1a 2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5M&ii) 1 Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application