05-103192 •
IlkCity of Federal Way Electrical Permit #: 05 - 103192 - 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) 835-305C
Project Name: BROOKLAKE VILLAGE ADDITION PHASE II
Project Address: 1015 S 348TH SI' Parcel Number: 202104 9140
Project Description: NEW-Installing a new 800 amp 3-phase serivce panel on new addition. This permit does not includes
any interior work.
Owner Applicant Contractor
NWCH INVESTMENT PROPERTIE CLOVER CREEK ELECTRIC *GUY ERI CLOVER CREEK ELECTRIC *GUY ERI
5312 PACIFIC HWY E 1413 CENTER ST 1413 CENTER ST
TACOMA WA TACOMA WA 98409 TACOMA WA 98409
98424-2602 (253)627-6648
Electrical Fixtures
Description Quantity Description (Quantity' _ Description Quantity
Service/Feeder:601-800 amps-Comr 1
PERMIT EXPIRES January 1,2006.
Permit issued on July 5,2005
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.
� �
Owner or agent: � � Date: s
1111
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i THIS CARD IS TO REMAIN ON-SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103192-00-EL
Owner:
Address: 1015 S 348TH ST
FEDERAL WAY, WA 98003-7027
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) % 0 Pool Bonding(4195)
Approved to place concreteIIApproved Approved
By Date B \` Date By Date
❑ Temporary Power(4275) .[ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
i •
By Date `By k't Date \, \,3`y By Date
❑ Rough Electrical (4225) *❑ Ceiling Cover(4020) . 0
Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
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3353F0EDRERASTLWWAAYSOWUTAH98•0P�63-B9OX 89718
Federal
P MER IT APPLICATION 253-661-4115•FAX.-253-661-4129
,l U O www cagoBederalwa4 cam
For Office Uee Only: TD:
CIPWFar� - /U 3 j 9 - 00
Ms , I, is , r NG DEPT y„ • u rllnotbs , Please „ , or • •.
• PROPERTY INFORMATION
SITE ADDRESS: \( 4J SUITE/APT#
ASSESSOR'S TAX/PARCEL#F: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal descaption)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
?ELECTRICAL ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION/Provide detailed description of work included on this permit onlul•
<Fr-0A
i
PROJECT NAME(Name of Business/Owner Last Name): Ke7b1e—
tak e Va t di (SX
• PEOPLE INFORMATION
oRTY NA) ` C tA PRIMARY PHONE:
MAILING ADDREJ(STREET ADDRESS;): CITY,STATE,pi,
B l c . \,k iwet.4.� �`--�J I ®►� Xo3
CONTRACTOR: NAME 1 COMPANY `OFFIEE PHONE:
(2SZ) bp21 -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
(41. '''T
ILC„.� c,. q 4 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:) FAX NUMBER:
•-QCk- \ - 60-fit✓ r2/ 3( /OS 2.13)!cy"`'i1 -(d4k,
CONTRACTORS REGISTRATION NUMBER: !l 5 EXPIRATION DATE:
d a
(copy nd noribed wdlh oath `p5atiao) L L.O ) C. C \'�``. 2 9. 3 LA 4
LENDER: NAME: DAYTIME PHONE:
(If Proposed Mike>46,000) l ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY _ OFFICE PHO
MAIL 6 ADDVENING
ESS(STREET DDR CITY,STATE, � E�� PHONE:) �1
4 l b C;: Ak1,v MC- WA %4O
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe).. (c 3) 7.2•1 IOCI
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?Contractor ?Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRI NKLERBD BUILDING? ?YES ?NO FMB SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAKEHAVEN ?mamma ?PRIVATE(SEPTIC)
•
••
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EMITTING TOTAL PROPOSED TOTAL EXTS INO 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.
IESCITANICAL
Value ofMechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES 41A8 WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) 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
Icart&under penalty ofperfurg that the information,/krntshed b,me is trite and correct to the best ofa+W
and further,that I am authorised by the owner of the aboaspreneta(eslnperform the work for which the permit application to
made. l further agree to hold harmless the City o/Pederal Way as to any claim/including vestry eapinnsrey and atlornegs',Jees
incurred in the investigation and defense of such claim4 which maybe made b,anyperson,including the undersigned,and
filed against the City gfFederal Way,but only schwa such claim arises out of the reliance of the city,including its glflcers
and emplogeres,upon the airman-1'of the in brmalion supplied to the city as a part of this application. /
NAME/TITLE: _ ' _ . �_ _ DATE: .."!l)
(Si:. t re) (Title) J
RELATIONSHIP ., . ? Property rtwner ? Applicant ? Contractor ? Architect ?
FOR OFFICE USE ONLY
7 IIEW 7 ADDITION ?ALTERATION P REPAIR 7 TENANT DIIPROVEEBS'I'
BUILDING SHELL ONLY? ?TES ?NO BASIC PLAN? 7 YES ?NO
ZONING DESIGNATION: CHANGE OP USE? ?YES 7 NO
NEW ADDRESS REQUIRD? 7 YES 7 NO UP/WAlED? 7 YES P NO
PLATTED LOT? 7 YES 7 NO DEMO PERMIT REQUIRED? 7 YES 7 NO
Bulletin#100-January 13,2004 Page 2 of 4 k:\iandouts-Revised\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-$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
U 601-800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED'MOLE/MULTI FAMILY U 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 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
U Service over 200 amps
❑ Mast or meter repair $43.50 U Medical/Educational/Institutional Facility
$74.00 plan 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U 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 PARR
U 101 -200 74.00 51.00
❑ #of service or feeders
(First service/feeder-$58.00;each add'n-$37.50) U 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tab $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review
$87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s): le 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) Per WAC296-46910(5)/b//i s 4/
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Pemiit Application