06-106342 1 w
City of Federal Way Electrical Permit #: 06-1063421 SEL
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 37
Project Address: 117 SW 311TH ST Parcel Number: 416680 0370
Project Description: Install 200 amp service&wiring; ***REVISED TO ALD THERMOSIAT,O*fa' '
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 Residential 7 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 the1�^ity of F der I Way.
164141 r Y l C �� JAN 2 4 2007
Owner or agent: Date:
Flr;AL:D
y,
APIA
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106342-01-EL
Owner: LAKOTA CREST LLC
Address: 117 SW 311TH ST
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By S LS Date 3 _ (�_0r- By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By 3 L 5 Date �_`^0`7 By Date
❑ Rough Electrical(4225) t❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By'S s Date3_ G —0`7 By Date B � Date k'ZZ-d)
�❑ Under-slab groundwork(4295)
Approved
By Date
AL
4101k V DE 01a - 1_ 0__Cte_Li4. 2.,
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5343546 07.,WA.5343 971 y 4,k)P LI C A T I O N to
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2534354607.FEDERAL
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I( .denelfulerdwev.C►TY OF FE G DEPT.
The olio • is . '. a-ml or/nat/on an Inco •lete a••Ucatian will riot be ace •ted. Please •Tint legibi n or •
W- - PROPERTY INFORMATION
SITE ADDRESS 6 // 31. I St #=f'
SUITE/UNIT
ASSESSOR'S TAX/PARCEL# 1 k (/J g O - O �J 7 O LOT SIZE(sf)
•
LEGAL DESCRIP• TION(e.g.Acme Estates,Lot 1) 1../� K-4 Tr7 CIQ 5 T f • LD r 37
pi.aePanste Pegs far krethifAlgal deseriptioni .
• -; • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION AELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Dc2 f9 P S evv r CeJ oI— VV i rc eG l e-t ec-o-rv) 16y' S P 12.E
PROJECT NAME(Name of Business or Owner Last Name) I--t"/k 0 I !7 e ft�.r 1 1.../V t 3-7"
• PEOPLE INFORMATION
PROPERTY . NAME
OWNER • L I LG HQM ES PRIMARY PHONE
•
(24°4v ) F6-a - a3oo
MAIUNO ADDRESS , CITY,STATE,ZIP
/foul l/t.� 611)0 SE ° ./00 eet 1ei/u,e, WA- q oe ,
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
Provident CIecJviv /t1 W_Ck.r^e-r) (a53) te.3e - 77 o
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Po Ax 59, S'yt Qin-fc4, WA- g805i ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER DATE FAX NUMBER
- - -s L ' I / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy or card rgalced with each application) EXPIRATION DATE
e g d E I_ e i I Q 3 C Z ,3 /a, l07oo?
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 PIUMAR,/PHONE
EMAIL ADDRESS
(a5.3) 4.0.34 3) 34 - 7750
LENDER NAM3
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ • J
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHI.INE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE ISEPTICI
•
PROJECT FLOOR AREAS
' AREA DESC _ TOTAL
'BASEMENT DEPARTMENT OF LABOR AND INDUSTRIES 3 SQ.FT'
FIRST
SECOND LICENSED AS PROVIDED BY LAW AS
—
ELEC CONTR GENERAL
THIRD ^' "�r —.
• � � ' yam- ��� „
—
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) PROVIDENT ELECTRIC INC —
PO BOX 59284
GARAGE ❑ CARPORT❑ • RENTON WA 9 8 0 5 8 —
NUMBER OF FLOORS sem / ''
**NEW HOMES ONLY*' NUMBER OF BEDROOMS 'T ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offtzture to be installed or relocated as part of this project. Do not include existing fixtures to-renndrn.
bBCAANIICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS •
PLUMBING •
BATHTUBS(arn.b/shower cow* SHOWERS WATER CLOSETS tram MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(sassroes ma* VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIIER/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 ga,tmi ' ` 64, •
DATE DEC 1 8 2006
(SIVaturel Mk)
RELATIONSHIP TO PROJECT l7 Owner 0 Agent yQontractor a Architect a Other •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Single Family Square Feet 3 J a a Service or Feeder Each Add'n
(First 1300 ft2$107.50;Each add'ti 500 fts-$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) CI 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
O 401-600 amp 198. 99.00
601 -800 amp 254.0000 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
CI0 to 200 amp $89.50 ❑ over 1000 amp 456.50
❑ 201-600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1S circuits-$91.50;Add'n circuits,$7.00/ea)
•
❑ #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
CI Service-1,000 amps or greater
0 Mast or meter repair $53.50 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaWultiFamily $63.00
❑ #of service dr feeders
(First service/feeder-$71.50;each addh-$46.50) Commercial/industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
•
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • 0 #of Signs
'First-$53.50;addln-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
..ow Voltage ❑ 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
purity Alarm System ❑ Additional Plan Review $107.50/hour
cite Cabling (for modified submittals)
data Cabling
CI Automation Fee on all Permits .. $5.00
(Per Systems) 1s 2500 ft2-$63.00;
Each addh 2500 ftz 16.50) •Per WAC 296.46910(5)(6)6 h if)