05-101107 • City of Federal Way Electrical Permit #: 05 - 101107 - 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: TACOMA SECOND SUPPLY
Project Address: r5& pvo i.ed dee GVi p`hat CSI ✓ 1A/t� Parcel Number: CITY WIDE
Project Description: Alterin 5 circuits to install chemical monitoring equipment at the second supply line at 1st Avenue
South * Work to occur on east side of 1st Avenue S and north side of S 333rd Street on BPA trail-
electrical meter head.
Owner Applicant Contractor
TACOMA WATER LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT
362 S 35TH ST PO BOX 4249 PO BOX 4249
PO BOX 11007
TACOMA WA 98411-0007 \FEDERAL WAY WA 98003 (253)945-1595
Electrical Fixtures
• Description Quantity Description Quantity Description Quantity
Circuits- Commercial 5
PERMIT EXPIRES September 6,2005.
Permit issued oh March 10,2005 f:
I hereby certify that the above information is correct and that � co' g e ction onthe above described property kind
the occupancy and the use will be in accordance with the • - s, -s and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / / Date:S°
—"O
NPS'
(1)
F�
(-7/ •
THIS CARD IS TO REMAIN ON-SITE 4 ..
CITY OF ACommunity Development Inspection Record_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101107-00-EL
Owner: TACOMA WATER
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.
❑ Slab/Concrete Floor(4255) ❑ 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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) , 0
Final-Electrical(4055)
Approved Approved Approved `'
By Date By Date Date j".-- v
2.6 '
❑ Under-slab groundwork(4295)
Approved
By Date
ilhk
Federal W�c,� R p� IT � l ?
COMMUNITYDEVELOPMENfNERVIcEs ^o05 SF MF CO M 1 'L DE EN FP
• 33530 FIRST WAY SOUTH•PO BOR 9718 1
WAY,AY,WA 98063-97APPLICATION
253-66 AL W A•FAX 253661 /- r /
www.cittioffederalwau.com
4 FEOEQEpI.
The ollowin. M`. ti.iii : •tion-an Inco .fete a..lication will not be acce•ted. Please .rint le.ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 5-7— r7 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ _ - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desmpr on)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING o PLUMBING 0 MECHANICAL
o DEMOLITION AELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
7-4-44._. _AY ( ./ d i _ .--
SCr,n�l) S[w/4 / � f 5'/
PROJECT NAME(Name of Business or Owner Last Name) G't?" I) /J/J L y e-iewE--.
PEOPLE INFORMATION
PROPERTY NAME
^ PRIMARYARPHONE
ter.
OWNER C'%F-47/��1/ Le 7L-/ /) /'5 i/LC..-C..-/— (
� - (2'i j) ?Art( -eV/ 4
MAILING ADDRESS - CITY,STATE,ZIP
,c) —x rIZ'q9 <i)s2e-t-r__ z".44y U.4- 91063
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- / / (
B L
CONTRACTORS REGISTRATION NUMBER(copy of card regaired with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
fflr'TE,?.
,� ( -r3) 94fr-/r,cMAILING ADDRESS IP CELL PHONE
3 3 Sc� 9�i,C ,�r- ,�- x-6.. 7 ( al) ,rats
RELATIONSHIP TO PROJECT �` FAX NUMBER
0 Architect ❑ Tenant ❑AgentXOther(Describe) ZAs/�L•"1j/ig... (2-f3) '?' L5-07
CONTACT NAME_ y LL PRIMARY PHONE E-MAIL ADDRESS•
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
liw
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR...2EAI;
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL —
BASEMENT
FIRST
SECOND
,II
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) I,
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
-
"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(Commercial)
WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
I
PLUMBING
BATHTUBS(or Tub/Showe•Combo) SHOWERS WATER CLOSETS Roil) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 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 c •im(including costs, expenses, and attorneys'fees incurred in the investigation and defense of '
such claim), which may be made by any . .•n,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city ' i1.ing t officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
/LJdhin�.rr��£.
NAME/TITLE da ....00,00..:<>..:<>�_� C� -t Gliit/1��✓ DATE Z-."--t�—cr
Sig . u e (Title(
RELATIONS IP TO PROJECT ❑ Owner o Agent ❑ Contractor D Architect AOther ileiri OreE -
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
I
Bulletin#100–March 30,2004 Page 2 of 4 k\Handouts–Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
• RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 Li 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) CI 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 46#of circu. e added/altered
\ (1-5 circuits- 74.00; dd'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/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 $58.00
O Security Alarm System ❑ Additional Plan Review $87.00/hour
O Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1.,2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(i es ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\llandouts-Revised\Permit Application