05-103895 �►
City of Federal Way Electrical Permit #: 05 - 103895 - 00 - EL
Community Development Services
P.O.Box 9718
Federal
25 Way,WA 98063-(253 Inspection request line: (253) 835-305C
Ph:(253)835-7000 Fax (253)835-2609 P 9
Project Name: LAKEHAVEN WELL#15
Project Address: 00 Si}- cess Parcel Number: 202104 9131
Project Description: Install conduit for low voltage access system.Site located approx at end of 351ST off Pac Hwy S.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRIC STATEWIDE SECURITY STATEWIDE SECURITY
PO Box 4249 PO BOX 2019 PO BOX 2019
REDMOND WA 98073 REDMOND WA 98073
PO Box 4249 !Federal Way,WA 98063-4249 (425)558-4640
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Comm( 2500
PERMIT EXPIRES February 1,2006.
Permit issued on August 5,2005
I hereby certify that the above informationis correct and that the construction on the above described property and
the occupancy and the use will be m accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: J17//K) Date: 8. 5 - 05
FINALED
C(a
.zCC
4& THIS CARD IS TO REMAIN ON-SITE ""
CITY OF IIPIIIII Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103895-00-EL
Owner:
Address: *NO SITE ADDRESS*
FEDERAL WAY, WA
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) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By " Date% _ I t—OIS
,
❑ Under-slab groundwork(4295)
Approved
By Date
•
I
,./. . MEV 5: 1_ A3a 75--
Federal Way PERMIT H O 1 200
COMMUNITY DEVELOPMENYSERVKBS +� 5SF MF CO M• PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 A P P L I C API` a D E RAL WAY
253"835-2607•PAX 253-835.2609 NG DEPT. / /
u„ow.ai, ffede,chaau.em
The ollowt • is - fired in ormation-an Inco .fete • ••lication will not be acce•ted. Please •rent le•ibl in or p .
• PROPERTY INFORMATION
SITE ADDRESS ne.1 C'.(..
? t) y 1 7 /S/ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it U1 U i 11 - ( J
� LOT SIZE Of)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach s.Paffae Page kgWB Segal dea11,oa)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide de d descrip ' n of work included on t i ermit onl
S k,1/ vi I Ac$c-".._.:o , . :' rCsS ,S-- f sqc4. t, :;
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY B PRIMARY PHONE
OWNER �l.C_� iib \ CiC ji ,ly �!S�YtG 4--
�s �ci/ - ./s/
,.....1.11.1 CITY, ATE, P
. s /4(,� c. ( a i L-c. 49( CL'
CONTRACTOR SCOM
ANY B APPLICANT!NAME /,
OFFICE PHONE
a...- C . 4 � tt ( toSfi 6-
S y L
NO
ADEItESS �. ,STATE,ZIP CELL PHONE
X)/L' P6141E4r1 t ..910 73 �) 73o-( 7.23
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
-4 U-h z 1 ;1,�-B L /2.„, /3 1 / °3 (c 1 s c 7,2,7, c
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appUcatioa) EXPIRATION DATE
S I 2 15 it'G V f6,' k' // lvlj / &(
APPLICANT C0MP NAME APPLICANT NAME OFFICE PHONE
t.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT PM
PHONE - E-MAIL ADDRESS
LENDER :> , 0;.0 vire,- i(tfur :Y,1 g NAME
MAILING ADD' CITY,STATE,ZIP
■ 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? 0 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
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 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) 0 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 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
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
• ❑ 0 to 200 amp $87.00 ❑ over 1000 amp 443.50
❑ 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
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Comntercial/fndustrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ I01-200 amps 89.00
❑ 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 n r-C / ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) 1 S (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $104.50
O Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
i_Datik Cabling ❑ Automation Fee on all Permits $5.00
r System(s).1"2500 ft2$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-/6-910(5)(b$&ti)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application