06-106338 • •
City of Federal Way Electrical Permit #• 06-106338-01��E L
Community Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LAKOTA CREST LOT 42
Project Address: 31148 2ND AVE SW Parcel Number: 416680 0420
Project Description: Installation of 200 amp service&wiring; ***REVISED TO ADD THERMOSTAT,ON
1/23/07
Owner Applicant Contractor
LAKOTA CREST LLC PROVIDENT ELECTRIC,INC. PROVIDENT ELECTRIC,INC.
325 118TH AVE SE SUITE 300 PO BOX 59284 PROVIEI103C2 2/22/08
BELLEVUE WA 98005 RENTON WA 98058 PO BOX 59284
RENTON WA 98058
Additional Permit Information
Electrical Fixtures
Service: Residential 1I Thermostat 1
PERMIT EXPIRES Monday, July 23, 2007
Permit Issued on Wednesday,January 24, 2007
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-�,ie�11 Ck Federal Way.
Owner or agent: Date: JAN 2 4 2007
THIS CARD IS TO REMAIN ON-SITE
CITY OF •
Community Development'Inspection Record_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106338-01-EL
Owner: LAKOTA CREST LLC
Address: 31148 2ND AVE SW
FEDERAL WAY, WA 98023
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By 0 ukx Date a -a� By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date B} Date ?L-26_ By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By CN Date 2—gyp_ti-N, By Date By 0__-- ] Date
❑ Under-slab groundwork(4295)
Approved
By .,oto, Date - _D
t �G,�eQ . SF O(, - tort 3.4>vle' 00 _
ecC 1 $ 2 Q�2 ` 3 a• L
teral WEw
CO,�, ,DEVELOPMENT ���wPY PERMIT SF MF CO ME LPL DE EN FP
333153wANEri SO 7.1•PO:•.
2534354607. �za9"i':.*‘�NG°*''APPLICATION To
www.druwlfede,clu+aaa' / l
The ollowin• is • ,fired information-,an Inco •fete a••lication will not be dee •ted.•Please •riot legibly gibiy n or •
J. p IN PROPERTY INFORMATION
•
SITE ADDRESS 3 l 1I`-I p t(L 4-v6 C V • SUITE/IINIT# •
ASSESSOR'S TAX/PARCEL# ._ , 1_ (0 47 Ce 0 - O Z C).. LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4.4A'4 T Ci E5T - 1.-0 7- 42.
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
al GC , P SevvtceJ qi- A. irti •- = - -
PROJECT NAME(Name ofBusiness or Owner Last Name) 17 g.0774 e AES 7' L—i lijk
• PEOPLE INFORMATION
OWNER
PROPERTY NAME ��LC O A ^ J •
PRIMARY PHONE
•
/v1 (2-04, ) F6a - A3o0
MAILING ADDRESS , CITY,STATE,ZIP
ROO/ //Lh Ave) SC "/00 eel'levue, WA- qg 2 ) ,
CONTRACTOR COMPANY NAME • APPLICANT NAME OFFICE PHONE
ProVied ent Electc, /"ic. WCk.reiti (255) (p.3( - 7750
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
. Po 40X 5? Tt kt:ri*n. VILA- c805' ( ) -
CI TY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATICINZATE FAX NUMBER
_ _B L • / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with wish eppiieatIon) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑.Tenant ❑Agent ❑ Other(Describe) -
CONTACT NAME P gkl ? , 4g(L �, r3 ,/.4..,
\ DRESS
J�� ' YU ( ( - `/ 5 01
LENDER
- NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) ..
. ■ .DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE '
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINELERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN . 0 HIGHLINE 0 PRIVATE ISEPTICI
PROJECT FLOOR AREAS •
. AREA I ra _ • r . • -,. _ . TOTAL
BASEMENT
DEPARTMENT OF LABOR AND INDUSTRIES ==1 .SQ. •
FIRST
LICENSED AS PROVIDED BY LAW AS
SECOND • ELEC-CONTR GENERAL
•
;yam . 4 •
THIRD v
• �`
FOURTH
'•w�Si q�e .e.`Ysx
� Lt:i1 L3 . ..»nr'.,.+ .�. .•c.s, a,
•
ADDITIONAL FLOORS(DESCRIBE
PROVIDENT ELECTRIC INC
DECK(COVERED?) PO BOX 59284
RENTON WA 98058
GARAGE 0 CARPORT 0
•
•
NUMBER OF FLOORS I 1
"NEW HOMES ONLY"' NUMBER OF BEDROOMS L- ESTIMATED SELLING PRICE $
•
FIXTURES
Indicate number of each type of fudure to be installed or relocated as part of this'project. Do not intrude existing fixtures to-remain.
MECHANICAL •
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LAOS REFRIG.SYSTEMS
BBQS FANS HOODS(cmm.RW WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
•
COMPRESSORS FURNACES GAS WATER HEATERS
.DUCTS • GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(erTub/Shower cow* SHOWERS WATER CLOSETS swag MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS pautraas snla) 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 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 /C C to • d. boot/ •
DATE DEC 1 8 2006
(Signae ► (Tide)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent / 'Contractor 0 Architect D Other •
, O
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 3 .310 Service or Feeder Each Add'n
rust 1300 ft2$107.50;Each add'h 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 0 601-800 amp 410.00 173.50
O 801 -1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
❑ 201-400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00
0 Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY 0 201 600 amp 272.00
O 601-.1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
O 201-600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Addh circuits,$7.00/ea)
•
0 • #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service-1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facili,y
MOBILE HOMES ••
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Resident{aVbfulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add's-$46.50) CommereiaVindustrtai Service or Feeder Ampacity
❑ 0-100 amps $71.50
0 101-200 amps 91.50
O 201-400 amps 107.50
O 401-600 amps 145.00
0 over 600 amps 157.60
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats • 0 #.of Signs
'First-$53.50;adder-$16.50/ea) (First sign-$53.50;addh sign$25.00/ea)
..ow Voltage 0 Swimming pool/hot tub $107.50
Square Feet to be'served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System 0 Yard Pole meter loops $71.50
C') security Alarm System 0 Additional Plan Review $107.50/hour
nice Cabling (for modified submittals)
.Jata Cabling
0 Automation Fee on all Permits .. $5.00
(Per Systems) 1st 2500 R2-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC 296-46-910(4146 a(1)