05-102887 City of Federal Way Electrical Permit #: 05 - 102887 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
?h:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: DASH POINT STATE PARK
Project Address: 5700 SW DASH POINT Rd Parcel Number: 102103 9002
Project Description: Install 30-amp circuit for A/C
Owner Applicant Contractor
STATE OF WASHINGTON INTEGRITY ELECTRIC INC INTEGRITY ELECTRIC INC
PO BOX 42668 4501 KENNEDY RD NE 4501 KENNEDY RD NE
TACOMA WA 98422 TACOMA WA 98422
PO BOX 42668 !OLYMPIA,WA 98504-2668 (253)943-0500
Electrical Fixtures
Description Quantity) Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES December 14,2005.
Permit issued on June 17,2005
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 ... 2v,,,,: / Date: .061/7 OS
FINALED
� 2
t
THIS CARD IS TO REMAIN ON-SIVE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102887-00-EL
Owner:
Address: 5700 SW DASH POINT RD
FEDERAL WAY, WA 98023-2045
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 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$s' Date —kj--Q
❑ Under-slab groundwork(4295)
Approved
By Date
I
2S72.6(-174-0
Fede Wax RECEIVED •- _i__a a M
COMMU�YDE�F s, PERMIT- SF MF CO M� L DE EN FP
33345 8 AVENUE SOUifl.PO BOX 97 N 1 ? 2 0
FEDERAL WAY,FAX
98063-9718 A p p LI C AT I O N
im / />r 25,3435-2607.WAFAX 3534 33-9719
$orow.cituuffederaiway.o lrY OF FEDERAL; n� WAY I
The oilowi • is re• likikiti.'7 mbl1oTT.-an Inco :fete a••licatlon will not be acce•ted. Please •rint le! •1 n or
$11PROPERTY INFORMATION
SITE ADDRESS 5-700 0.--s\-.f o).-.-k- 1n�-d' sw SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ — LOT SIZE(j7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Much separate*Velar length*royal descrOdenJ
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL -
0 DEMOLITION Jr ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
a d.d . AD r
PROJECT NAME(Name of Business or Owner Last Name) Dv-s(rte Pe;L vs- - S --le__. Pc..-
• PEOPLE INFORMATION
PROPERTY NAME
tr�� PRIMARY PHONE
W
OWNER F-si-5is- ...--1-c.- 1)<- '4-. ( ) - .
MAILING ADDRESS CITY STATE,ZIP
100 5;,,) Ch ,„,+ _\ vs -.1, fNw
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
\r• -4y,n►-� 1.,_.,1,-, (- J, ?d C — S (253)9'4, - .D sob
MAILING ADDRESS CELL PHONE
• CITY Or FEDERAL 5o/ Keit AY Il INE3S LICENSE NUMBER Tcowl q /I4 7dy�Z (-2- 4i -1 STB
EXPIRATION DATE FAX NUMBER
— —
B. L / / (2) 91Y3 CS0.2
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
1 N 1 C" 4- E. a. g a Ni -) g• lib lab
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Si-r"—t_ 0-'S Co.— -tj.- ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAM 14 S PRIMARY PHONE E-MAIL ADDRESS •
��`�
\J\ (LS3) 'a-�1 - -75 r-�'
LENDER > ,d • ., •,,.; v„ri 1 r c,-, r P•r;i tNAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
•
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 0 CARPORT 0
NUMBER OF FLOORS ammo I PROPOSED TOTAL
h a s 4 ift,
**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.
.81Bal.APIICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comme,dq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(reset) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS suebtoomsldee VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•
t cert fy 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 {s 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. __ J
NAM /rE/TITLE DATE LP I l ID 5
Sign tu • (Title)
RELATIONSHIP TO P ❑ Owner ❑Agent )(Contractor ❑Architect 0 Other
A
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PER . FORMATION
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
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 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
❑ Service and feeder $113.50
TEMPORARY SERVICE
I MOBILE HOME/RV PARK Residentfai/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Cornmerciat/hidustrial 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
❑ #of Thermostats 0 #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)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) la 2500 ft2-$61.00;
Each addh 2500 ft2-16.00) •Per WAC 296.46910(50)6&IQ
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application 4