05-103901 City of Federal Way Electrical Permit #: 05 - 103901 - 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) 835-305C
•
Project Name: LAKEHAVEN WELL#18
Project Address: 600 S 333RD 5t Parcel Number: 926500 0190
Project Description: Install conduit for low voltage access system.
Owner Applicant Contractor
CITY OF FEDERAL WAY STATEWIDE SECURITY STATEWIDE SECURITY
PO Box 9718 PO BOX 2019 PO BOX 2019
REDMOND WA 98073 REDMOND WA 98073
PO Box 9718 !Federal Way,WA 98063-9718 (425)558-4640
Electrical Fixtures
L Description Quantity Description Quantity Description Quantity
Low Voltage Burglar Alarm -Comml 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 Slate of Washington and
the City of Federal Way.
Owner or agent: � . �j /ci,vY1 Date: - O S
FINALED
THIS CARD IS TO REMAIN ON-SITE • •
CITY OF A. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103901-00-EL
Owner:
Address: 600 S 333RD ST
FEDERAL WAY, WA 98003-6341
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
ElRough Electrical(4225) CICeiling Cover(4020) .I-1_1
Final-Electrical(4055)
Approved Approved Approved
By Date By Date2S Date--/e-c7S---
❑ Under-slab groundwork(4295)
Approved
By Date
r
lijuipil
Fede PECEivE.� D� to
` 0_2
Federal Way
PERMVIIT 4 ?005 SF MF CO M EL L DE EN FP
C258,8AENUESUTH•P BOX
APPLICAT 4.S, a
33325 dTM AVENUE SOUTH•PO B0X 9718
FEDERAL WAY,WA 98063-9718 9 ERAL W AY m / /
253-8352607•FAX 253.835.2609
www.dtuyrederalway.cattl CITY O DEPT.
BUILDING
The ollowi , is • bred in ormation-an Inco •fete a•,location will not be acce.ted. Please •tint le• •1 in in or •
■ PROPERTY1INFORMATION �f .
SITE ADDRESS 33 3 f .5T �' G f' IquL� , T� ' ,,
l 9 I i SUITE/UNIT it
ASSESSOR'S TAX/PARCEL$ 1 r� 5'. J C� - ( l Ci'
LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach separatePegefar kingdom legal deea(ptlanl
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRSJECTlDE/$/�RIPTION(Provide detailed des�tion worlcinctuded/on bus_..permit onl
iel
/2'_s<� 1c>A.--i'0 . 1I1 (Ifit. /g
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY N ME
r)-s-f , r� /PRIMARY PHONE. ( —i r (4 S �) Pi/ - /SJl L
Mme,( A D((�� . CITY"�}'ATE,ZIP
CONTRACTOR COM NSE / APPLICANT NAME t. OFFICE PHONE
-,�1-c �,i 1 C t:UO ( f' ' •-1 I\ k'.7 (U4? ) >'' Y -1"'i q(
;LINO ADDRESS / ,ST E,ZIP
CELL PHONE
1 c -. < C .201q I•. i) !.. �,, (2,14- /c -/A.-6,)� /3c,-,/ 7='j
CITY FEDERAL WAYBUSINESS CENSE NUMBER—B L / I�4 I /TION DATE
G'��'FN 1 S )CC (f t't (..)
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) RATI N DATE
1_ LI . t -) y=' lfc2, /.xL.,c.c_
APPLICANT COJAPANY yAME / APPLICANT NAME OFFICE PHONE
% p .`-\ rA,r7pt` ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) -
LENDER 4... . , e,':,-- , i r,e, •,./7,•(,,,,-i.. .t,; x. NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 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
EXISTING PROPOSED TOTAL 74,L TO:' ._ u/ ,k T t
NUMBER OF FLOORS
**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.
lifECEDIATCAL
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 OAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink.) 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 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 e,f the city,including itf officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE • ' ..
DATEtc. y as
ignature) (Title)
RELATIONSHIP TO PROJECT a Owner a Agent Contractor 0 Architect 0 Other
TIP •.L1.i'P'Ie7,1 ''i D),Y;SnS(e) @ T te,Y t( f i3O,I Z1VIVD4 t 41'e
:.:;, r):./g ) ¢Dfi€ e'Vc Fv na (9 '(-)(€ 7 [,�� � � ..
GF ,'eta��2�.�} aido��(0•i�}e}7
( y� ek
C6+'i •101 f .1 `( '-. ... '0Hr bar i 1;'
Bulletin#100—January 7,2005 Page 2 of 4 laHandouts.Pennit Application
1113Ir
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 ftp-$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 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/eal
❑ #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/Muitt-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commerciai/lndustrial 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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) ( (First sign-$52.00;add'n sign$24.50/ea)
w Voltage / 15CL ❑ Swimming pool/hot tub $87.00
1 Square Feet to be served by system(s) ti �L (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)
Da7S �G �Y
J'� <v u (
El Automation Fee on all Permits .. $5.00
Per Systems) 1.t 2500 ft2-$61.00; f
Each add'n 2500 ft2-16.00) *Per WAC 296-/6A70(5J(bJ &Ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application