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05-104682 . , t City of Federal Way Electrical Permit#: 05 - 104682 - 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: LA MADERA APARTMENTS BUILDING I; UNIT 81 Project Address: 28620 PACIFIC S BIdgI Parcel Number: 332204 9042 Project Description: REM-Changing 4 units to 2 units to include installation of(2)100 AMP Panels and code upgrades,as needed. Owner Applicant Contractor 1NSITE 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 Qiantity Alt.Sery./Feeder:0 to 200 amps-Mul 1 PERMIT EXPIRES March 12,2006. 4" Permit issued on September 13,2005 0 1 ' I hereby certify that the above information is correct and that the construction on the above described property and '!' the occupancy and the use*ill be in accordance 'th the laws,rules and regulations of the State of Washington and ' the City of Federal Way. — Owner or agent: 4�, �G z s ' / ', �/Q Date: 3 D..S-- I - THIS CARD IS TO REMAIN ON-SITE, ._/_& CITY OF Vi Community Development Inspection Record, Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104682-00-EL Owner: INSITE LA MADERA LLC Address: 28620 PACIFIC HVVY S Bldg I 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. ❑ 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) I . Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date Bytiltt j Date I 0 *4 (tc By Date .0 Rough Electrical(4225) • •❑ Ceiling Cover(4020) Final-Electrical(4055) Approved Approved Approved By V Date )p �l(05. By Date By 'j(i'j Date ( ate : f •❑ Under-slab groundwork(4295) Approved By Date Afro, RECEIVED Federal Way PERMITSEP --�S _ 1 0 _&_6 , C MMU167YeralDEVELOPMENTSERVICES 200 33325 Pm A[/EMIE sounl.PO BOX 9718 SF MF CO M FEDERAL WAY,FAX 53-8 3-9718 AP 7'/y A " PL DE EN FP 253 8352607•PAX 2 3S•1609 r 1/\/'ATV bE1�q� D um ,-ned-_ •raLuo, - G w The ollowi p�pT A is re, ired in orinatton-an Inco ••tete a,••l;cation will not be acce II PROPERTY INFORMATION •ted. Please •rint le.ibl in or •e. SITE ADDRESS w6 P$E 1 Fl(' t;/fr - S9� / SUITE ASSESSOR'S TAX/PARCEL# -- - �/SUITE/WIT# t: _ LEGAL DESCRIPTION(e.g.Acmer' 1i"'�(s) 'S3 Estates,Lot IJ (A,tocA iepwa1.pgpe for l�W legal desc@jp,) 1. PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL - 0 DEMOLITION •RICAL 0 ENGINEERING PROJECT DESCRIPTION ❑ FIRE PREVENTION SYSTEM (Provide detailed description of work included on th D ermwl c 4 ,A . _a > 4 `�t oa L: ti— _________ ky raj �- • ,.i +ti UT-Leil-C-- PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NA OWNER .. f�(J�_ �„, R PRIMARY PHONE MAILING ADDRESS ,STATE,ZIP lf� `— / rah m /0 .– ! 1, F Xt–w .. .• ,, - CONTRACTOR COMPANY NAME - ! • ,(/ ,�d (y– _ IIA.-PP''LICANT NAME (5— MAILING ,DRESS - - 2L(✓ W rO4CE /ONE 5— CITY,STATE,ZIP 1 -5276 J _ .5 4; CELL PHONE E. NL/‘ •i! I ) (J 6 O.FEDERAL WAY BUSINESS LICENSE NUMBER r� jl p–05 G�� _ j !1 ''RATION DA�jTE� CONTRACTORS 1 (J B L /63/ V5— y1�� REGISTRATION NUMBER(copy of card required with each application) T� /�1 / EXPIRATION DATE .00 APPLICANT • • �/ Lc / / / O� // OFFICE PHONE •LINO ADDRESS �a _ CELL PHONE RELATIONSHIP TO PROJECT o Architect o Tenant o Agent o Other(Describe) CONTACT / PRIMARY PHONE E-MAIL ADDRESS 4/:/ill /4r%�� LENDER - a, d•f• ,. 0,•)-1. , 4rrA leo7£nu+' •f.Gl•x ^-,4•0, `... I .X 1 a,. ... (.-+.. a 1.oz• MAILING ADDRESS I CM,STATE,ZIP • ■ DETAILED BUILDING INFORMATION ' EXISTING USE • PROPOSE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? • ._: D NO FIRE SUPPRESSION SYSTEM P WATER SERVIC • ••: lib UIRED? OYES o NO WA r ER D LAKEHAVEN O HIGHLIIIE Cl TACOMA Cl PRIVATE(WELL • CE PROVIDER 0 LAKEHAVEN Cl HIGHLINE 0 PRIVATE ISEPTYnI , • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. ASEMENT FIR SECOND THIRD FOURTH ADDITIONAL FLOORS(DESC'• :E) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS =num r• • w TOTAL „ azo �� r„. rt, r r� 1 "►I° **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED :ELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocate. as .• of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ • AIR HANDLING UNITS EVAPO r IVE COOLERS GAS IA•- REFRIG.SYSTEMS BBQS F HOODS(Co•. WOODSTOVES BOILERS ' REPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATE-4. DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Sho Combo) SHOWERS WATER CLOSETS(roues ` C(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE 0 SUMPS RAINWATER SYST WASHIN• CHINES URINALS HOSE BIBBS LAV :auvoomstoa VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certtly 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE �J � � "`� c%l. �UstL�R DATE Or10 (Signature) (Title) RELATIONSHIP TO PROJECT a Owner ❑ Agent 0 Contractor a Architect 0 Other k@elf ,ui)e (t90) f ,1.10*.4': 1)(o a$ �a °p te,� 1004,011 1000°n�''ikht` 'IP/It/00` .4:e € �j;(� f� ��f _..;. _ �� K (c I,�(j16�) zk ��.� �.(o .i�(e� r f +� f oft.)a.Izi ft's;), I ,1.'L r d 5 -;+`(o) e I tij itOW /.'-t"rr ^r e' oto J P y-y l q r , { e �1 W ) �. 0 Aa4 d ©� C� lv-6`.14 - ,+[� � da�r-� t�'£6+') :: Cot � 1 J��} �� e 114=A . _ ..-.+. Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pecmit Application . 1 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 0 101-200 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 O 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 O 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 0 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 a. 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 0 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) Commercial/Industrial Service or Feeder Ampacity O 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) O Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) O Fire Alarm System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System U Additional Plan Review $104.50/hour ❑ Voice Cablingmodified submittals) ❑ Data Cabling ► tomation Fee on all Permits .. $5.00 • (Per Systern(s)•1•a 2500 ft2-$61.00; Each add'n 2500 ftm-16.00)•Per WAC 29646-910(5)(6)0&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pcrmit Application