01-104241 —
•
City of Federal Way
Community Development Services Electrical Permit #:01 - 104241 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LAKEHAVEN UTILITY DISTRICT
Project Address: 3203 SW DASH POINT Rd Parcel Number: 122103 9105
Project Description: ELE-Install low-voltage controls for gate system.
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT NORTHWEST PERMIT QUENTIN CONTROL SYSTEMS,INC.
PO BOX 4249 2320 1ST AVE SUITE 250 14001 57TH AVE S SUITE 100
FEDERAL WAY WA 98003 SEATTLE WA 98121 SEATTLE WA 98168
(206)241-0862
Electrical Fixtures
`Descri thin1;ti' lM, Qua t I_ � ,i „ escr tion -"Quantity -:mR.-140ADOspripti9n Quantimm
Low Voltage-Other Commercial 1
PERMIT EXPIRES May 4,2002,IF NO WORK IS STARTED.
Permit issued on November 5,2001
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: Com-- Date: ' i)3/0
2 . 2-g --(0 (2 )\ �
Cis 3 ti T" ��- - V )-
OCT-292 1 09:44 FROM-NORTHWEs U IV Ute' 206-374-0834 T-555 P.01/04 F-583
?O CONSTRUCTION PERMIT APPLICATION
4s e► .. MON? C �` APPLICATION NUMBERLOI J O a 2_,.y J- -u.„,
• ev
—
( t,� X1( 11 ' �' �� APPLICATION NUMB R:
**The following is required Information-Please print(in ink)or type*
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
/ 7
SITE ADDRESS:. S•W. Dash Pt. Rd.
-50 OS ASSESSOR'S TAX/PARCEL#(00002 ' /O-J 01 D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING U PLUMBING ❑ MECHANICAL [] DEMOLITION
EI ELECTRICAL ❑ENGINEERING❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Low voltage controls for gate tiystem.
PROJECT NAME: •
LAI I ' `�I \ t - i f,
41,
• PEOPLE INFORMATION
PROPERTY OWNER: NL.ME: DAYTIME PHONE:
Lakehaven Water District . 253-942-5438
fitAILINIS ADDRESS(STREET ADDRESS,CITY, STATE,ZIP):
32202 S.W.Dash Pt. Rd. Federal Way Wv.,98023
CONTRACTOR; NAME: DAYTIME PHONE:
Quentin Control Systems, Inc 2062415200
MAILING ADDRESS(STREET ADDRESS,CITY,STATE ZIP): EVENING PHONE:
14001 57th Av.S #100 Seattle W198168
CITY OF FEDERAL WAY BUSINESS i,TcErySE NUMBER: FAX NUMBER:
Current 1`(Li;Q t 013110 t rt.-F— 2062410862
d)NTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) _
APPLICANT: NAME: yti L I.(•-n g.p �/ ? DAYTIME PHONE:
Scott Waterbury `v ( (,/ F/tf-.- iq,,�,5 8883301777
MAILING ADDRESS(STREET ADDRESS, CITY,STATE,ZIP): J EVENING PHONE:
7:20 Dubuque Ave South San Francisco C/94080 6506240400
R_LATIONSHIP TO PROJECT: FAX NUMBER:
13 ARCHITECT []TENANT POTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR customerservice( netclerk
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: *1995
SPRINKLED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑NO
WATER SERVICE PROVIDEIR: ❑ LAKEHAVEN ❑HIGHLINF ❑TACOMA CI PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ 1-AKEHAVEN 13 HXCHLINE ❑PRIVATE (SEPTIC)
R16.,0
OCT-29-01 09:44 FROM-NORTHWEST-CASS I MAR 206-374-0834 T-555 P.02/04 F-583
**NEW RESIDENTIAL CONSTRUCTION ONLY** •
NUMBER OF BEDROOMS- - ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
OTHER FLOORS(DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS? 0
TOTAL: 0 0 0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) _ EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
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,a nd
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'fee 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 �'' • • a part of this a•• -on.
NAME/TITLE:Scott Waterbu -i i -(12.12 r kTitle> TE:10/25/2001 _
CI PROPERLY OWNER ■ APPLICANT [a ' ONT' CTOR
FOR OFFICE USE ONLY:
❑ PEW A ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDINGSHELLONLY? _ ❑YES ❑ t�D
COMP PUN DESIGNATION BASIC PLAN? ❑YES 0140
SECTION TOWN. RANGE NEW ADDRESSREQUIRED? YES ❑ NO 0
PLATTED LOT? Q YES ❑ N3 CHANGE OF USE? 0 YES CSO
OCT-29`01 09:44 FROM-NORTHWEST-CASSIMAR, . . 206-374-0834 T-555 P.03/04 F-583
P• ermit Fee Estimate Worksheetj.
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$.4... '::£::::3I:2i3:S:i3:: >:2!: ii:f:�:�:t� R:'1•:e+;{i:
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..<..<:::.s<.•>:<.>.....t,:...as-,..£...�...�y :i. ....... ..x..... ..........,,...<.. ...•ss::•��;c';r'.ax�::�:4:............. ......, ����- .. ..
TABLE B
•
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EDUIPEMENTITEMP SERVICES
Single Family service or feeder only--•-----•••-••-544,25 #of Thermostats(First-533-50;add'n 510-5050)
(First 1300n-$87.00 Each add'n SOOn'$21.50) Service andfFeeder $72.25 #of Low voltage fire or burglar alarms
Squacre Feet: First 2500 ft.-$38.75; Each add'n 2500 ft-$10.30
Each outbuilding or garage-•-•••- 528.00 MOBILE NOMESIRV PARK Square Feet:
(Inspected with service) #of service or feeders "Per WAC 296-9100($KBM)&
Each outbuilding or garage-----•------$44.25 (First service/feeder 5-11-25,Add'n service/ 4 of Signe(First sign$33.50,add'n sign
(Inspected separately) $10.00 each)
(feeder-528each)
Progress inspection per1/2 hr $33.50
Swimming pool hot tub.spa 67.00
Yard Pole motor loops-------------44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(includes three units or mist)
Service Feeder Ampe Service Feeder Altered/Service or Feeder
Up to 200 amp•-•--•-•-$72.25-------$21.50 Feeder 0 to 200--------------$725.25
201-400 amp---------89.'x5-•--•------44.29 0 to 100------••••••••$72.25--•--.$44.25 201.800•--••----•••--•••-•168.00
401-600 amp -••123.25-•-----61.50 101.200---------88.75-•-- 56.25 601-1000-------------254.50
801-800 amp-158.10-----84.25 over 1000----------------,282.75
P 201-400------169.00----67.00
Over 800 amp---------225.25 ------- 169.00 401•600.....-.---•-. 197,00---- 78.75 #of Circuits
ALTERED SINGLE/MULTI FAMILY 601•800----•---•-•--254.50•••....107.25
(When inspected serparalely from the servIces) 901-1000 310.75-----129.75 Temporary Service
Service or Feeder Over 1000-- --•339.00 181.00 0 to 60-----
-$38.75
0 to 200 amp----- -------------$61-50 over 600 volts Surcharges 56.26 61-100------------ .t4.25
201-600 amp------_ -•---•--_•8975 Mast or meter repair----- 61.50 101.200••--.------.----..-..--54125
over 600 amp--- - 135.25 201 X00-------------------67.00
Mast or meter repair-------- 33.50 401.600••-•---••••-...........89.75
9 of circuits over 600- -------------97.75
(1-4 circuits 544-25:Add'n drOuitS$5.ea)
If service is greater tttatn 208 ant.a plan reule.v Ls recd fee is 35%of permit fee 15625.Addl plat review for other submissions is$67.00/hr.
FIXTURE DE RIPTION(Al FIXTURE FEE FROM TABLE= NUMBEROF UNIT$(Q TOTAL(Dl
na slyer+o,.'* • • _ 0
-bw sa-t`ur'nl .34'S , 0
0
0
0
0
TOTAL COLUMN(D) 0
Total Column(D)
Estimated Permit Fee:(12)
Estimated Permit Fee from line 17
Estimated Plan Review Fee:$56.25+ x.35=(13)
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Estimated Permit Fee: (14)
Bond Amount(15)
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Estimated Permit Fee:(16)
Bond Amount:(17)
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Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one#Top): Line(s) (11)1-(12)+(13)1-(14)+(15)t(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)