05-104680 City of Federal Way Electrical Permit #: 05 - 104680 - 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) 835-3050
ti
Project Name: LA MADERA APARTMENTS BUILDING I;UNIT 79
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
INSITE 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 [Quantity
Alt.Serv./Feeder:0 to 200 amps-Mut I
PERMIT EXPIRES March 12,2006.
Permit isstedon4eptemherissued 13,2005
I hereby certify that the above information is correct and that the construction on the above&Scribed ppperty and
the occupancy and the use will be in accordan ith the laws,rules-:land regulations of the State of Whingtoaid ry
the City of Federal Way. /
Owner or agent:W �, `/ • �j� Date: 0 3�3--
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104680-00-EL
Owner: INSITE LA MADERA LLC
Address: 28620 PACIFIC HWY 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) 0 Pool Bonding(4.95J
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) Igt, Service(4235) ` ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By lr\'. Date ID( I be , By Date
• t
►: Rough Electrical(4225) 0 Ceiling Cover(4020) 17iFinal-Electrical(4055)
Approved Approved Approved
•B 0.1��� Date 14 ,Dc" , .By Date , B ‘ f;S Date 171 t Siff,'
•❑ Under-slab groundwork(4295)
Approved
By Date
' un
,,,A • e 5- i 12.a _Ct
Federal Way PERMITECEIVED
SF MF CO M:
COMMUNITY DEVELOPMENT SERVICES
•L DE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718
5343 LW7Y,FAX
53063.9718 AppLICAT zoos ��
FEDERAL
E 83 AL WAY,
PAX 253-83.9718
iuww.at yoffederalwau.cont
The allow( • is . fired in ormation-an Inco •fete a•91g, ,y_�
• r kbileole ,_. •ted. Please •tint to•ibl in i or p .
�/ • PROPERTY INFORMATION
SITE ADDRESS ? tG'��`- R 1 F (, G:/, _ S��
SUITE/ • T it i'--_5_
0
ASSESSOR'S TAX/PARCEL$ _ _ •T (
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Amm*reparatepey.jor lerWw legal deaaiptW
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL -
0 DEMOLITION *'ZLECTRICAI, ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
4A.i inc. -A - ." L,. Al 6 # d AC.a _r d 4 a
iQ CeJgV k()�S ., 8 L �C i n<6 o b= a- —Mg 2'°S 4ivd rna tic.t`.�.c 6 1---/004.4.03
.a-f4eC (awes Ac�-4U_ ccWt� _
r—( 2i�ca. i ti � nt� �arH e� w 41.1...s/__. = - , etc.
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NA
LJ-*deka-
. e PRIMARY PHONE
OWNER K /S` , Site A If11dP.Y (2r0 '!- o 90
MAILING ADDRESS ,STATE,ZIP
— t LCI. � so Pe-Ci Q12.441L-t444 y lama- 9ion3
CONTRACTOR COMPANY NAME APPLICANT NAME OF CE PHONE
Elft- Qpss rr Etar. L2t� (Um- (k$3)239 -53
MAILIN DDRESS CITY,STATE,ZIP CELL PHONE
id:- al-itha E_ /�.l' (RATION h9'3�/ FAX ) .09 -48 '/
O FEDERAL WAY BUSINESS LICENSE NUMBER
NUMBER
co - s ..1 v . 1138 -B" L i -/3/ /OS— ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Es x i) D SIq (7/ /8 /co
APPLICANT •• • ANY NAME APPLICANT NAME OFFICE PHONE
C/6�C � -
t.LING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
a Architect a Tenant a Agent a Other(Describe) ( ) -
CONTACT AME PRIMARY PHONE E-MAIL ADDRESS
0,-.e, (i-O/V/7,14 ,O*L-‘,1 --1) ( ) - •
LENDER
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOS r •
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ NO FIRE SUPPRESSION SYSTEM PR• '• -• :�•UIRED? a YES ❑ NO
WATER SERVIC' ER a LAKEHAVEN a HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SE CE PROVIDER a LAKERAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
c
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
ASEMENT
FI.
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESC :E)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =WINO P •_SD TOTAL h i� �a i= aEorosao
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED =ELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocate as .•rt of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPO:. VE COOLERS GAS LO• REFRIG.SYSTEMS
BBQS F HOODS(Co.. WOODSTOVES
BOILERS ' REPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATE•
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Sh• Combo) SHOWERS WATER CLOSETS(Toilet) C(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE 0 ETS SUMPS RAINWATER SYST
WASHIN. CHINES URINALS HOSE HIBBS
LAV : , .,. shawl 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 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 ���?�� '` "'„� I LG C'O•u! R-. DATE 4V/3
(Signature) (title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑Architect ❑ Other
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:.:-rc,rls�1 e . OA!. e� .-:z (r ':y�.)te fir,iA •
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Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsTermit Application
.. . . . ill
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
' ❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fta-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage 0 401-600 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
❑ 201 -400 amp 141.00 69.50 0 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 ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
to 200 amp $87.00
OZ(..
01 -600 amp 141.00 ❑ #of circuits to be added/altered
0 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 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
0 Service and feeder $113.50
TEMPORARY SERVICE
i MOBILE HOME/RV PARK Residential/Muiti-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Comnrercial/1'ndustrial Service or Feeder Arnpacity
❑ 0-100 amps ._ $69.50
O 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
O over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling modified submittals)
❑ Data Cabling
tir tomation Fee on all Permits .. $5.00
.. (Per Systems) 1t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-9145/(n/#&a)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application