05-103899 .. V,•
City of Federal Way Electrical Permit #: 05 - 103899 - 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: LAKEHAVEN WELL#20
Project Address: 34.1 STS�6 Parcel Number: 072104 9017
Address:„;
Project Description:1Install conduit for low voltage access system.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT-WATER( STATEWIDE SECURITY STATEWIDE SECURITY
LAKEHAVEN UTILITY DISTRICT-WATER PO BOX 2019 PO BOX 2019
OPERATIONS REDMOND WA 98073 REDMOND WA 98073
PO BOX 4249
_FEDERAL WAY WA 98063 (425)558-4640
Electrical Fixtures
Description Quantity " _Description Quantity Description Quantity]
Low Voltage Burglar Alarm -Comme 2500
PERMIT EXPIRES February 1,2006.
Permit issued on August 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: a • Date: 6 ' 6- - 0
Cb(6
FI
HALED
.' A THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103899-00-EL
Owner: LAKEHAVEN UTILITY DISTRICT-WATE
Address: 31623 1ST AVE S
FEDERAL WAY, WA 98003-5201
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) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) [El Final-Electrical(4055)
Approved Approved Approved
By Date By Date 1 B Date //e rdr--
❑ Under-slab groundwork(4295)
Approved
By Date
a
JIMHECEIVED
- Federal Way
COMMUNITY DEVELOPMENT seRx
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33325 dm SOUTH•POBOX d
FEDERAL WAY,WA98063-9718
253-835-2607•FAX 253-835.2609
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APPLICATIVG DEPT, oCOMP DE
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The ollowl • is re• fired in ormation-an Inco •lete • ••lication will not be acce•ted. Please •rint le• •1 n or • .
N PROPERTY INFORMATION
SITE ADDRESS 3! E 7 S_ /V L/ J • C/ C' SUITE/UNIT I
if 2 / o
ASSESSOR'S TAX/PARCEL -7 2_ ( v - V 6 ( .7 LOT SIZE(sj7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Math seParatevela.tengnwSegal d cn/
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed d scripti nbf work• ded on nl J ..--:„,7,-::
f
/-/
`_.-,'' I L,l I,ti / S / /C_ � 1
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY / PRIMARY PHONE
J
OWNER 7,E,_ e \;1,��,'I. /p�.,/ r1 / i r'' / 1\J! S-I 1•l 4- (v�53) '��� - •/5/(..-'
MAILING ADDRESS !r G7Y,�i1TE,eP
31( '3 l 1 /10f , l—C6( C 1- L' •ate 9S uL._ .-
CONTRACTOR CO).! NY N ME / APP1A N ME ( OFFICE iONE
>iCt _'ti-4/�C '(C1-% f ).-ti /1' :A L /- 4 (`�25 ) 5�`) -��., `'L
LING ADDRESS STATE,ZIP
C`� Y. � „ CELLPHONE
• - ' 1-3C-74-.: ;�/ / ),L /rt i` ,�f {, I4 C, /_. �2J ) 2,C _=� /,3,-
'
FEDERAL�A� �ES3 LICENSE NUMBER- � EXPIRATION DATE •- �'P NUMBER ��
B L 2 /-5l / vc- v S' C
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) TION DATE
� h 2: & c t L II 1 ._%,
APPLICANT comfoy NAftE APPLICANT NAME OFFICE PHONE
-c-J-& r ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) - •
LENDER ?; ;d•3!v , 6?'': r ,r > tr,,,,,; -v,,; c, NAME
x r T." 14'•1 •(•• -r�- ;L :: X.iY•i•i 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? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑PRIVATE(SEPTIC)
..ail
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 ❑ 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
❑ 601 -800 amp 247.00 132.00
❑ 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
0 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
0 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
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
❑ 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;addh sign$24.50/ea)
Low Voltage 7c 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)
~ ( U Automation Fee on all Permits .. $5.00
❑ Dat��,t,u.,sS S CC <L
•'(Per Sy0ssterir(�s)')('!;1' 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 29646.910(5)(6)(&ii)
Bulletin#100-January 7,2005 Page 3 of 4 lc\Handouts\Permit Application