05-104677 a.
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City of Federal way Electrical Permit#: 05 - 104677 - 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) 835-305C
Project Name: LA MADERA APARTMENTS BUILDING H; UNIT 75
Project Address: 28620 PACIFIC S BldgH 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 ,Quantity1
Alt.Serv./Feeder:0 to 200 amps-Mu! 1
PERMIT EXPIRES March 12,2006.
Permit issued on September 13,2005
I hereby certify that the cove information is correct and that the construction on the above described property and
r
the occupancy and the will be in accordance with the laws=rules and regulations of the State of Washington and '.4.1
the City of Federal Way.
Owner or agent:0 "Li
,,, 65 , Date: 9./.03. -
,..... Q
I
THIS CARD IS TO REMAIN ON-SITE `"
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104677-00-EL
Owner: INSITE LA MADERA LLC
Address: 28620 PACIFIC HWY S Bldg H
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
O Temporary Power(4275) IService(4235)
� ❑
Feeders/Sub-panels(4045)
Approved Approved Approved
1.
By Date By v\kid j Date ItA b� , By Date
Rough Electrical(4225) #❑ Ceiling Cover(4020)0 u Final-Electrical(4055)
Approved- Approved Approved
t.
BODate 10\el O By Date B Date Z •�
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
clnaf AZ___-5- _ /�
Federal Way SEP 1 3 2005 _L�.9 LL
COMMUN YDEVELOPMEN'SERVICES P RMIT SF MF COM EL L DE EN FP
33325 81•AVENUE SOUTH•PO BOX 9718 Y F DE RAL VV
FEDERAL WAY, X 53063.9718 A P P LI C A'I� - G DEPT.
?5383w.dtuo PAX353d.c-2609
cent 1u w w.d t rroR'ederol wq y.a�
The following is required information-an incomplete application will not be acce•ted. Please •rint le.ibl in in or
,�� • I O• • O
SITE ADDRESS _ 6 P`�c PL Li � ;; - Z Z. o- i
SUI E ,
ASSESSOR'S TAX/PARCEL# - Irk
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Mgtach sePandeP.9efarImgrhpMa•Iee..00Paon)
k • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL -
0 DEMOLITION KNLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
f
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
C 1,0",'G!tic 4 -' - vL
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PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAM
OWNER e .,fr ..4191te PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP
I -�6. 3— P�I� , e -ms- IQ) e--w•�7,, 6v4= 2 _3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
enc • s T-ZLE�,_ Gam .c ; (90) 9, -sa�3—
MAILIN RESS CITY,STATE,ZIP CELL PHONE
0 OF FEDE WAY BUSINESS BN E . ER !/ 'P�. f�04. 39'/ v7s%A V?
EXPTION
C -Q s -4 O 3 3 V B L /... --1
—/ AT 3/D/05 (FAx NUMBER/
-
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appfcatioa) EXPIRATION DATE
APPLICANT COMPANY NAME
APPLICANT NAME OFFICE PHONE
See-e C64-c tatz— ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
ci Architect ❑Tenant a Agent 0 Other(Describe) ( ) -
CONTACT NAME
PRIMARY PHONE E-MAIL ADDRESS
NAME,-, COCOAL (/14c'r02 ( ) �/� .
LENDER 'i? b ,, P^-t r ,,,,e 1 13 ),lir ra t; NAME
/1"/
f 41. P it .)^,1( .1 {^,,•'d l; 4.7,111'1
MAILING ADDRESS CITY,STA(ZIP
■ DETAILED BUILDING INFORMATION
EXISTIN USE •OPOSED USE
—
_
EXISTING ASSESSED v.' • • • SED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? : • ❑ ' • c-.- : ... • •••-_ • , - • TEM PROPOSED/REQUIRED? ❑ YES Cl NO
WATER SER - • ••VIDER ❑ LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
• RVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BAS ENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRI:
DECK(COVERED?)
GARAGE 0 CARPORT 0
.asrttt0 ROPOSED TOTAL .gxiiGq fzv_i�,+' -,1•4:11
NUMBER OF FLOORS e> . t ? a
**NEW HOMES ONLY`* NUMBER OF BEDROOMS ESTIM. D SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or re• •te' • part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS VAPORATIVE COOLERS GAS ►!GS REFRIG.SYSTEMS
BBQS FANS HOODS( WOODSTOVES
BOILERS FIREPLACE INSERTS _ RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEAT
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUB (or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) ISC(Describe)
DIS ASHERS SINKS DRINKING FOUNTAINS
PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroomsloki) 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 Q.,71,11.714.4.ACeCQAIIDATE ?//
(Signature)
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor ❑Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\ andouts\Pennit Application
71111/
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add h
I (First 1300 ft2-$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 ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50
' 0 801 - 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 ❑ 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
otto 200 amp $87.00
❑*01 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
0 #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
❑ Service and feeder $113.50
TEMPORARY SERVICE
• MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each addn-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O #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 0 Additional Plan Review $104.50/hour
❑ Voice Cabling or modified submittals)
❑ Data Cabling utomation Fee on all Permits .. $5.00
13
• (Per System(s) 1k 2500 ft2-$61.00;
Each add'n 2500 ftz 16.00)•Per WAC 296-46110(5J(b/(&a)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Perinit Application •