06-106340 City of Federal Way Electrical Permit #: 06-106340-01 aE 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 43
Project Address: 31174 2ND AVE SW Parcel Number: 416680 0430
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 1 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 raid
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: .G�' � / 1 - Date: JAN 2 4 2007
9 _
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THIS CARD IS TO REMAIN ON-SITE . .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106340-01-EL
Owner: LAKOTA CREST LLC
Address: 31174 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.
0 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By x Date b vl-o 5-6-1 By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By l(5 Date 3_(,t_0 '7 By Date By Date 07
❑ Under-slab groundwork(4295)
Approved
By Date
, ....
ib. `'�®• b( _ ,,,,--),39 0 4
arr w 14 e° V
reaera! ay 2406 Oce - 3
COMMUMIYDEVFLOPMENTS PERMIT SF MF Co ME LPL DE EN FP
33325 re AMUR SOUTH•PO BOX 9718 ?1/4 ,Y,APPLICATION
P
9P S�6w0�LPAX?98063-9718
5J 97IQd��� „GDG�APPLI CATI O N �°
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.. . The oliowin• is • trod information-'an Inco •lete'a••lication'uiill not be ace' •ted:'Please'• nt legibly n In or • .
[/ NI PROPERTY INFORMATION
•
SITE ADDRESS 0 I( 7 L a f261. , 11"� 5{/k/
•• SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# (" / k. & g' .0 - 0 _q. 3 Q LOT SIZE(sfl
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1-.14"•le--'6 TI. G7E57-. / • 1.-Dr t3
. El 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 only)
al Co fnyt P �S£v i ce. ) ci- VV i rL c l�'e -YY) ;' S 1 L.
• J
PROJECT NAME(Name of Business or Owner Last Name) I-t7 g0Th e R� L E5 r•
0/ '(
- NI PEOPLE INFORMATION
NAM
PROPERTY . E
OWNER '• LY LE HQM E PRIMARY PHONE
•(2-04, ) g�a - a3oo
MAILING ADDRESS CITY,STATE,ZIP
i60a/ ,J4 th 406 SE °iov ee(/evue, W4 4i'vq ,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Pro vtdei'it t/e GiYi v /6v Ct.rcil (Z53) x.31 - 7 750
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
Co
. .Po , x 59, s' Qt 11- /-04. W4 0805' ( ) -
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER, .. .EXPIRATION DATE ., .FAX A MMER
- - -B L ' / I ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card roc/Z-64 with*itch applcatbn) EXPIRATION DATE
2 g Q E i_ e i [ Q3 GIA. • /,Rood'
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE '
( ) -
MAILING ADDRESS • CITY,SPATE,ZIP CELL PHONE.
( )•
RELATIONSHIP TO PROJECT FAX NUMBER
•
❑Architect ❑.Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME k;145 W5 el .P' fL 1DDRESS
. . (al . .) ‘.a3-1 -65.0
LENDER .- time . •
.MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
.
' " ■ 'DETAILED BUILDING INFORMATION - .. . .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ '
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ I AKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
A
AREA DES( J TOTAL
DEPARTMENT OF LABOR AND INDUSTRIES SQ.FT.
BASEMENT
FIRST •
LICENSED AS PROVIDED BY LAW AS
SECOND ELEC CONTR GENERAL
..'"`M' -.....+. i-SYr�•' �a an '2 tl =f^�'+�' •rw.S ir$1.
THIRD
Vi
FOURTH �,,.�a ,�..'�%r °t� ? r;
•
ADDITIONAL FLOORS(DESCRIBE) PRO•
VIDENT ELECTRIC INC
DECK(COVERED?) PO BOX 59284
RENTON WA 98058 _ '
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ' L I
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ''I ESTIMATED SELLING PRICE $ •
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FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to-
MECHANICAL •
Value of Mechaniexd Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mmm,d ) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
•
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS •
PLUMBING •
BATHTUBS(or Tub/Shower Combo) SHOWERS - WATER CLOSETS cream) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom awes) VACUUM BREAKERS ELECTRIC WATER HEATERS
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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/TT/1E / 41/40141 d e.44.41-0/ DATE DEC 1. 8 2006
(Signature) (Title)
RELATIONSHIP TO PROJECT P Owner t]Agent Contractor o Architect t Other •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL •
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
74Single Family Square Feet 31/4P Service or Feeder Each Add'n
(First 1300 f 2- $107.50;Each add"h 500 tt2-$34.50) • 0 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50
0 601-800 amp 410.00 173.50
❑ 801 -1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
O Up to 200 amp . $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
O 201-400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
Q 601 -800 amp 254.00 136.00
❑ 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
❑ 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)
•
Q #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Addh 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 Facility
MOBILE HOMES •
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVbfulti-Family $63.00
0 #of service or feeders
(First service/feeder-$71.50;each addh-$46.50) Commercial/lndustrtat Service or Feeder Antpacity
❑ 0-100 amps $71.50
0 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
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MISCELLANEOUS SERVICE/EQUIPMENT
O #of Thermostats ❑ #of Signs
'First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n 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)
D Fire Alarm System 0 Yard Pole meter loops $71.50
C c Security Alarm System 0 Additional Plan Review $107.50/hour
Dice Cabling • (for modified submittals)
data Cabling
0 Automation Fee on all Permits $5.00
(Per Systeni(s)lin 2500 ft2$63.00;
Each addh 2500 fie-16.50) •Pier WAC 296-46910(.5)(b)(a 6)