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05-103903
City of Federal Way Electrical Permit #: 05 - 103903 - 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#9 Project Address: 2921 S 298TH $T Parcel Number: 042104 9080 Project Description: Install conduit for low voltage access system. Owner Applicant Contractor Chanthaboun Phasavath STATEWIDE SECURITY STATEWIDE SECURITY 2921 S 298TH ST PO BOX 2019 PO BOX 2019 FEDERAL WAY WA REDMOND WA 98073 REDMOND WA 98073 98003-3365 (425)558-4640 Electrical Fixtures Description Quantity Description lQuantity Description Quantity) Low Voltage Burglar Alarm -Commjl 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: • Li%l/Y�7 Date:0U C.776 , 3 FINALED _,,,,A. THIS CARD IS TO REMAIN ON-SITE - CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-103903-00-EL Owner: CHANTHABOUN PHASAVATH Address: 2921 S 298TH ST FEDERAL WAY, WA 98003-3365 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) ❑ 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 O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date B5 Date g;---re ❑ Under-slab groundwork(4295) / Approved By Date -40111101rA. Federal Way pfCEIVED a57. / .1032at - - PRM ooaniuMTrnsyscorirenrrsleRvxas A 1 I 60A. 05 SF MF CO M L DE EN FP 33325 D AVENUE nif•POBOX9718 A P P LI C A'I FEDERAL WAY,WA 98063-9718 .... / / 253-435.2607•FAX 253435-2609www.deyo/rederahaae.ema CITY OF FEDERAL WAY BUILDING DEPT. The oilowi • is fired in ormation-an inco •fete • ••iication will not be acce•ted. Please •rint le•ibi in in or ■ PROPERTY INFORMATION SITE ADDRESS 7 S /—, 4 ,�/1. -(S t(2.// Ci SUITE/UNIT I ASSESSOR'S TAX/PARCEL• 0 LI (/) j // V.- C1 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Mach aaPa^aeaia9aier&Wall level daioripeoc) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION OELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESTMTION(Provide dei fled descripti of work included on ' . it onl td--I' Pyr LA c �� 7-0 IY:c l cys-k w�( s1 PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NA // 1 PRIMARY PHONE OWNER aX ( .�lC(,\ .yil't-i-?, ' s�(1 C-C . �?S'1j) qy/ - ./s-/ MAILI O DR CIY,�TAT P 1 � , l - lq-0 , /;_'-‘1(-r I,i 1� :/U y -.7 ' - CONTRACTOR COPA? NAMECAPPLI NAME OFFICE PHONE c-1-(4 .C---114.1( OA I )7 / liA /bnPf (6/2"1 cS-. -- 471, (_) MAILING AD ESS ,ST E,ZIP / CELL PHONE 7 P/ C '. 6CY ( 1 1j �1 c..l 6 9 '"3 (;ic�) -/3L -;1 7 :52 FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE PAX NUMBER CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE 5� ) � .5G, v (- 1 Ck / / l U6 / oG APPLICANTCOM NAM APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER O Architect 0 Tenant o Agent ❑Other(Describe) ( ) - CONTACT 7 /) , I�r � Par MANY PHONE EMAILADDRES3 LENDER :,. ,a • 1,Pi,... r ,r ;,417),,,,,,;,,,, ,_ NAME •• G • •i- It •,• i', ,,C tom 4.-,,re•i MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a 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 CUSTOM PROPOSED TOTAL tii x- cif.d Ik :,1• c Tit NUMBER OF FLOORS ' , **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ • AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS BBQS - FANS HOODS (cemmorday WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orT,b/Shower Combo) SHOWERS WATER CLOSETS(roues MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(euhroomatok.) 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 authorized 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 i office and employees,upon the accuracy of the information sup lied to the city as a part of this application. J,/ / n NAME/TITLE lj'V (Signature) 7 / DATE / (Title) RELATIONSHIP TO PROJECT 0 Owner ❑AgentContractor 0 Architect 0 Other m,eliife' zi eDi e)_, r,7-) nk� 1ro :yw.i(e 3-ac �\F) #a'. :.. 40 oi;re;,. z.3)(0;,;'fe Q);1 '4 i.c3r,, .i:I:•e),' i is 41a ri)' g Tom( aU�y. i-0 Stia;4 i'7 r 1-5 -40) ) i k i~ 1i'.\ ' • k('' e`?e c rXg*rto. '} �©i �3�]�it)*, ' aar�c@ci�Sr).� �: 4- 9�• ;?:Z 4 Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application -40111011111r 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 0 201-400 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 O 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) U 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 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 ❑ 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 MOBILE HOME/RV PARK Residential/Multi-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commerciaj/1'ndustrial Service or Feeder Ampacity ❑ 0-100 amps $69.50 O 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 ❑ #of Signs (First-$52.00;add'n-$16.00/ea) / (First sign-$52.00;addh sign$24.50/ea) raLlkow VoltageL ",% ❑ 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) D Cabli L✓ yj ,U U Automation Fee on all Permits .. $5.00 (Per System(s)-1u 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) *Per WAC 296-46-910(4W&SJ Bulletin#100-January 7,2005 Page 3 of 4 1kHandouts\Perntit Application `