05-103743 City of Federal Way Electrical Permit #: 05 - 103743 - 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: LA MADERA APARTMENTS BUILDING C UNIT 42
Project Address: 28620 PACIFIC S BIdgC Parcel Number: 332204 9042
Project Description: Altering(4)circuits for new unit remodel.For Unit 42
Owner Applicant Contractor
INSITE LA MADERA LLC EASY DOES IT ELECTRIC INC EASY DOES IT ELECTRIC INC
1316 CAMINO RIO VERDE 17712 2ND ST E 17712 2ND ST E
SANTA BARBARA CA 93111 SUMNER WA 98390 SUMNER WA 98390
(253)939-5065
Electrical Fixtures
Description Quantity Description [Quantity Description 1Quantity
Circuits-Residential 4
PERMIT EXPIRES January 24,2006.
Permit issued on July 28,2005
I hereby certify that the above information is corrcand that the construction on the above described propertynd
the occupancy and the use will be in accordance with the laws,rules and regulations of the Site of Wathingtoinnd
the City of Federal Way. kl
Owner or agent: ��` , d
Date: ��
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THIS CARD IS TO REMAIN ON-SITE
CITY ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103743-00-EL
Owner: INSITE LA MADERA LLC `
Address: 28620 PACIFIC HWY S Bldg C
FEDERAL WAY, WA 98003-9231
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.
0 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) I Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By(' Dated 8_0 5_c,s- By Date
r ❑Rough Electrical(4225)
Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By(1,.�r Date m o .,cy, By Date B S Dated 7--
❑ Under-slab groundwork(4295)
Approved
By Date
,r-
ED
array A. . 5 - ./: :11 3
Federal Way PERMIT I'I' ,UL 2 200 —
OOAfMUM71'D1WEWPMENFSERVICES _ DERAi S onF co ME(g;PL DE EN FP
33395dERto ALWY,WA9ENUE SOUTH•fOBOX9778 APPLICATICW„ DEm• .
FEDERAL WAY,WA 980G7-977-8 F F E
` 253-835-2607•FAX 253-835-4609 LNG
uww.cSi adcn wau.mm
6 The oHowl , is . {red in ormation-an Inco •lete • • •lication will not be acce•ted. Please •rint Ie• •I in or
■ PROPERTY INFORMATION
SITE ADDRESS +v --Vr 01E9 .1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
1 (Mach seParatapc0 for SerlOCkf',Wi 0M
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION/Y ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Ay u E(2.444,./. )4-LU$ I T414:.0___ CA 1 6t 14^1)/ c> -08Eoc
G4ecrie.Lcsy( L /l.2cAI', / CG.2.4,.••.c up DQr.0 (IR R.4.Atc, rv2 W4- ( -ts
ued
cti -a,c , - / d. l2xi.A.A tJ At r-1-S / tvo 3 +fib/2-00 /IN c 7'S
PROJECT NAME(Name of Business or Owner Last Name) S/o'L `f &r 4 l
• PEOPLE INFORMATION
PROPERTY NAME PIWRY PHONE
OWNER `L - ( ��'/ -,3///
MAILING ADDRESS N�4 D e_/Z4CITY,STATE,ZIP
/3/1; C WO -0 D (/ ,2a(„ 5 si - 84406Lc a. C4-, 9'3/i
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILIN DRESS CITY,STATE, J S�
ZIP CON�
/747/;,---t4---,46 S1' r S UG4.t -t've...-y 60 9.Nit -4.-- X09-. (fig/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - -B' L I / ( ) -
CONTRACTORS REQISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
E SVIIr-EQ *-1-.4- 9 06 ifs- / eig
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant a Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
I ( ) •
-
I LENDER :a d , ,. rr, uY r,,, x NAME
MAILING ADDRESS CnY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
14
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
lif
C WATER SERVICE PROVIDER a LAIEHAVEN a HIGHIINE O 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
NUMBER OF FLOORS s>asrma PROPOSED r°:"' �' "' �; , �a•1 Ti
**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.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commend q 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 proses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B.thr,omsidraf VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMIER/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 authorised 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 its officers and employees,upon the accuracy of the Information supplied to the city as a part of
this application.
NAME/TITLE CU L�j'2.; DATE V 7/011f/0
(Signature) (Title) /a '
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor Cl Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
a
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 193A)0 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $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�J600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
-1 #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
44�` (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 Residentiai/Mu1N-Fandly $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Contmercial/Industr{al 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'nsign$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
O 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) 1u 2500 ft2-$61.00;
Each add'n 2500 fta-16.00) •Per WAC 296-46-910(50)6Ui 5/
3
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application